Name
Comprehensive Addiction Medicine – An integrative model bringing SUD treatment to rural Primary Care in Maine & New Hampshire
Description

This presentation will be a description of the creation, implementation, and treatment model of the Comprehensive Addiction Medicine program within the MaineHealth system, specifically in rural locations. Demonstration of how using this integrated model has opened access to SUD treatment for patients in rural communities where access was limited or nonexistent before. Sharing data regarding the number of patients served in various locations, outlining successes and future areas of improvement.

Speakers
Tammy Hand, Program Manager, Individual - Tammy Hand, Richmond, ME
Alyson Poland LCSW, Behavioral Health Clinician, MaineHealth,
Stacey Ouellette LCSW, CCS, Director of Behavioral Health Integration, Individual - Stacey Ouellette, Portland, ME
Co-Authors
Lisa Miller, MD
Jennifer Smith, MD
Content Level
All Audience
Tags
Primary Care Behavioral Health Model, Rural, Substance abuse management
Session Type
Concurrent
Objective 1
Identify key stakeholders in the community and healthcare system required for the implementation of a CAM program
Objective 2
Identify treatment options and modalities ie: MOUD, MAUD, Contingency Management, Individual and Group Therapy etc.
Objective 3
Define positive outcomes for patients utilizing integrated SUD model
Content Reference 1

McNeely, J., McLeman, B., Gardner, T. et al. Implementation of substance use screening in rural federally-qualified health center clinics identified high rates of unhealthy alcohol and cannabis use among adult primary care patients. Addict Sci Clin Pract 18, 56 (2023). https://doi.org/10.1186/s13722-023-00404-y

Content Reference 2

Lister JJ, Weaver A, Ellis JD, Himle JA, Ledgerwood DM. A systematic review of rural-specific barriers to medication treatment for opioid use disorder in the United States. Am J Drug Alcohol Abuse. 2020 May 3;46(3):273-288. doi: 10.1080/00952990.2019.1694536. Epub 2019 Dec 6. PMID: 31809217.

Content Reference 3

Nutter, Katie J. (2022) "Substance Use in Rural Areas: A Narrative Concerning the Care, Treatment, and Stigma of Rural Substance Users," The Mid-Southern Journal of Criminal Justice: Vol. 21, Article 2. Available at: https://mds.marshall.edu/msjcj/vol21/iss1/2

Content Reference 4

Winstanley, E.L., McPherson, S.M. & Korthuis, P.T. Introduction to the special series: using evidence to enhance health services for individuals using drugs in rural communities. Addict Sci Clin Pract 19, 59 (2024). https://doi.org/10.1186/s13722-024-00489-z

Content Reference 5

Austin EJ, Chen J, Briggs ES, et al. Integrating Opioid Use Disorder Treatment Into Primary Care Settings. JAMA Netw Open. 2023;6(8):e2328627. doi:10.1001/jamanetworkopen.2023.28627