The University of Missouri Sinclair School of Nursing (MUSSON) will develop and implement a comprehensive Substance Use Disorder (SUD) Curriculum for integration throughout the undergraduate and graduate nursing advanced practice registered nurse (APRN) programs in order to increase screening and treatment for individuals with SUD across the lifespan. Doing so will reduce the stigma associated with SUD, improve patient outcomes and reduce costs.
Registered nurses comprise the largest number of health care workers and practice in many settings including acute and primary care, schools, and community/public health settings. The MUSSON undergraduate program admitted 200 students and 198 graduated in 2018; and is increasing capacity yearly 50% over the next 5 years. A graduate degree with concentration in Adult Gerontology Clinical Nurse Specialist, Family Nurse Practitioner, Pediatric Nurse Practitioner-Primary Care, Pediatric Clinical Nurse Specialist, and Psychiatric Mental Health Nurse Practitioner. Currently the BSN to DNP program matriculates approximately 60 students per year. The program is anticipating increased numbers as we expand our Masters and post graduate certificate offerings. The majority of graduates expect to work in primary care settings caring for patients across the lifespan or in their population area (pediatric, adult gerontology). Many graduates work in rural or underserved areas in Missouri and elsewhere. Increasing the number of primary care providers trained in SUD screening and treatment increases the opportunity for evidence based screening and treatment, providing maximum impact. Simulation experiences will be included in the curriculum to provide students opportunities to practice their screening and clinical skills through real-life situational experiences. SUD education will be threaded throughout the required curriculum ensuring every student is exposed.
Additional opportunities to increase the number of providers educated on SUD screening and treatment have been proposed including a continuing education offering, an interprofessional post graduate certificate, and dedicated topic and speaker at the Annual Advanced Assessment and Skills Workshop offered by SSON and MUNO. An interprofessional SUD graduate certificate will be proposed at the campus level through the SSON. Programs identified for possible inclusion include the School of Health Professions, Education, and Psychology. A continuing education offering in conjunction with University of Missouri Nursing Outreach (MUNO) targeting nurses, first responders, community health workers and other providers likely to encounter individuals experiencing substance use will be developed. SUD will included and a national speaker included in the Annual Advanced Assessment and Skills Workshop offered to graduate SSON and UM-St. Louis students, and practicing providers across the region. This multi-faceted approach is designed to improve the knowledge and skills necessary for identification and treatment of SUD not only at MU but across the state. In doing so we hope to increase screening and treatment and reduce the stigma associated with SUD.