Addressing Stigma in Alcohol-Associated Liver Disease and Liver Transplantation

December 7, 2023

I am a fourth-year medical student at Michigan State University of Osteopathic Medicine (MSUCOM), and this is my scholarly project for my advanced elective in Addiction Psychiatry at Mclean Hospital, a Harvard-affiliated program.

Contents
0:00 Intro
5:28 AASLD (2014) Guidelines for Liver Transplant Evaluation
6:25 MELD Scores
9:10 History of Systemic Racism in Kidney Allocation?
12:29 Improving Liver Allocation: MELD 3.0
12:50 AASLD (2014) Transplantation Evaluation Process
15:16 Health Disparities in Access to Liver Transplantation
17:08 History of the Controversial “6 Month Rule”
20:27 Post-Transplantation Outcomes in ALD
21:50 2021 OPTN Annual Data Report: Liver
22:30 Listing-to-Death Ratio (LDR)
23:16 Stanford Integrated Psychosocial Assessment for Transplant (SIPAT)
24:21 ALD with Co-occurring Psychiatric Disease
25:00 In Summary… Who Gets a New Liver?
26:55 Review of Current Medical Literature
• https://doi.org/10.1053/j.gastro.2022.05.013
• https://pubmed.ncbi.nlm.nih.gov/36738082/
29:53 Long-term Management of Liver Transplant in ALD
31:41 Mitigating Health Disparities in ALD
33:14 Changing the Language of Addiction
• https://tinyurl.com/FederalMemo
35:50 Resources for Addressing Stigma
• https://tinyurl.com/StigmaResourceGuide
• https://tinyurl.com/NIDAMED-CME
• https://tinyurl.com/PsychiatrySocietyPodcast | Stigma & Conceptualizing Addictions
36:34 Alcohol Recovery Programs for Post-LT Patients?
38:09 SAMHSA Treatment Improvement Protocols