1/Excited for @DrAyanaJordan's plenary talk at #AHSR2020: "Developing an anti-racist recovery movement in practice and research: challenging and deconstructing the status quo."
2/@DrAyanaJordan reminds folks that we are entering a "liberated space." And welcomes us to feel uncomfortable.
3/@DrAyanaJordan reminds us that George Floyd isn't a wake-up call - this same alarm has been ringing since 1619 ya'll just keep hitting snooze. We need ACTION, no more book clubs. Use your power and privilege to achieve meaningful outcomes. #AHSR2020
4/@DrAyanaJordan provides examples of how physicians and medical systems perpetuate: institutional, personally-mediated, and internalized racism. She clarifies the differences between structural and institutional racism. #AHSR2020
5/@DrAyanaJordan describes the current state of affairs for historically excluded populations. It is bad folks. Worsening substance use outcomes. Everyone needs to read @DrAyanaJordan's writing: journals.sagepub.com/doi/full/10.11… #AHSR2020
6/@samhsagov has several publications focused on marginalized populations. To learn more: store.samhsa.gov/product/The-Op… and store.samhsa.gov/product/The-Op….

7/@DrAyanaJordan recommends that everyone develop an anti-racist recovery movement takes personal action.

8/@DrAyanaJordan lays out an anti-racist approach in addiction science:
1) Voices from hx excluded populations MUST be included
2) Leaders from hx excluded populations MUST be involved in public health policy dvp
3)Health programs MUST remove barriers to care
9/This is the important adage "Nothing About Us Without Us." Makes me think of the work by the Drug Users Union in the DTES written about by @tlupick in

10/@DrAyanaJordan call's out the NIH's complicity in perpetuating racism. This plays out in the lack of funding for minoritized scientists - see her LTE on the funding disparities published in @ScienceAdvances : advances.sciencemag.org/content/5/10/e…

11/@DrAyanaJordan provides an overview of her recently funded R01 (congratulations!!!). Her pilot study measured multi-modal functional outcomes to identify what study participants really need to support their recover: employment and social supports.

12/@DrAyanaJordan ends with reminding everyone to STOP CALLING THE POLICE for psychiatric/mental health/addiction problems. We need community interventions versus police involvement. This can lead to death. 🛑🛑🛑

13/ @DrAyanaJordan highlights anti-racism resources from dismantlingracism.org. Another excellent resource for definitions on White Supremacy Culture:
dismantlingracism.org/uploads/4/3/5/…. #AHSR2020

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More from @kelseycpriest

14 Sep
🚨Oregon Habeas Press Task Force Conference Happening Right Now 🚨 Families of folks who are incarcerated sharing their loved one's stories. The conditions in Oregon's prisons are horrific and inhumane. facebook.com/ORPrisonVoices.
Folks don't have access to their meds. Someone had a seizure yesterday. People are sleeping on the floor. Being advised to vomit in their socks. Women don't have access to feminine products and bleeding through their clothes. These are just a few horrible examples.
Read 7 tweets
17 Jan 19
1/ #medtwitter if you care about #metoostem #meded #equity #burnout please follow along. Gender violence is pervasive in medical training.


#sciencetoo #meded #medtwitter #medtoo #timesup #beethical #heforshe #timesup
2/ “…we may hear and intimately know the experiences of gender violence, but we are unable to share. Our voices are trapped and silenced, exacerbated by the hierarchical and apprentice-based training environment.." bit.ly/2FBkNGG
3/ Over 50% of medical students experience sexual harassment from faculty and staff. The people who are entrusted to teach us how to be physicians.
Read 11 tweets
20 Oct 18
1/This is an excellent example of WHY @NIH needs to change their gender violence policies. Not only was this researcher found to be responsible by civil legal standards for sexually harassing a post-doc, the uni. found him resp. for creating a hostile environment. #metoostem
2/Literally the DAY the sexual harassment settlement was reached on September 17, 2018 the university publishes a letter lauding this researcher for obtaining a $20 million grant from @NIH: bit.ly/2P97QsW #MeTooSTEM
3/ What happened to this researcher? He has to take a training on sexual harassment and might have a letter put into his HR file. He is still the director of an institute. What happened to the post-doc? She has left the university and her research has not been published.
Read 6 tweets
15 Jun 18
1/ Content warning: sexual harassment and assault. The @theNASEM released a report on sexual harassment in medicine. Disturbing quotes by #womeinmedicine from the report are in this thread (17). #MeToo #MeTooSTEM #heforshe @womeninmedchat @physcianwomen bit.ly/2JzUunm
2/ Residency. "But, the thing is about residency training is everyone is having human rights violations. So, it’s just like tolerable sexual harassment." (Nontenure-track faculty) #believewomen #MeToo #MeTooSTEM #womeinmedicine #metoophd #metoomed #MedEd #sheforshe #heforshe
3/ Culture. "I still don’t think that the prospect of being sexually assaulted was as bad as watching the next generation of sexual harassers being formed. I think that was the worst part for me." (Nontenure-track faculty) #MeToo #MeTooSTEM #womeinmedicine #MedEd #heforshe
Read 19 tweets
11 Jun 18
1/Yes. Thanks @LeoBeletsky and @liebschutz for the periodic reminder!

So what are some of the policy barriers and levers…
2/Although CMS requires Part D formularies to include OUD treatment, and mandate Part C Medicare Advantage to cover behav health services related to addiction services, the only FDA approved OAT meeting the Part D definition is bupe/naloxone
3/Further, if bupe/naloxone is administered in an OTP it will not be reimbursed, because an OTP is not a pharmacy, a reimbursement requirement for Part D. Same issue for methadone. Methadone is required to be OTP administered (42 CFR 8.12) it is not a qualified Part D product.
Read 9 tweets
4 Jun 18
1/This article highlights an urgent need for training faculty and administrators on issues related to gender violence and discrimination in #meded. We have five concerns with the article. #metoo #meded #womeninmedicine #sheforshe #heforshe @caroline_a_king @womeninmedchat
2/ Title IX. This article is missing information about federally mandated reporting processes and protections that legally protect medical students (and all students in the U.S.).
3/Anecdotal beliefs perpetuate harms. A physician expert states “the trainee must amass allies before lodging this complaint…” This is legally incorrect, a single report is enough to trigger Title IX and this reinforces the notion that single reports will not be believed.
Read 7 tweets

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