Name
Addressing the Opioid Crisis: The Successes and Challenges of Implementing Medication-Assisted Treatment (MAT) in PCBH
Description
This program will discuss the rationale for having a Medication-Assisted Treatment (MAT) program in primary care. It will explore how the program was first started at a Family Medicine clinic in Wilmington, DE and will describe the workflow amongst a multidisciplinary team. The successes and challenges of implementing MAT will be discussed, as well as the involvement of BHCs and the rest of the multidisciplinary team in the primary care visits and contingency management program. Case examples will illustrate how BHCs and PCPs can effectively work together to improve outcomes for patients.
Speakers
Bernie Herlyn, Behavioral Health Consultant, Christiana Care, Wilmington, DE
Alan Schwartz PsyD, Behavioral Health Consultant, Christiana Care,
Matthew Holden, Christiana Care Health System, Wilmington, DE
Alan Schwartz PsyD, Behavioral Health Consultant, Christiana Care,
Matthew Holden, Christiana Care Health System, Wilmington, DE
Content Level
Intermediate
Tags
Innovations, Opioid management, Substance abuse management
Session Type
Concurrent
SIG or Committee
Primary Care Behavioral Health (PCBH)
Objective 1
Describe different treatment options for opioid use disorder
Objective 2
Define workflows for using a BHC in an MAT program and how to coordinate care with a multidisciplinary team
Objective 3
Identify ways to improve treatment outcomes as well as potential challenges in implementation
Content Reference 1
Fairley M, Humphreys K, Joyce VR, et al. Cost-effectiveness of Treatments for Opioid Use Disorder. JAMA Psychiatry. 2021;78(7):767–777. doi:10.1001/jamapsychiatry.2021.0247
Content Reference 2
Gardner-Buckshaw, S. L., Perzynski, A. T., Spieth, R., Khaira, P., Delos Reyes, C., Novak, L., Kropp, D., Caron, A., & Boltri, J. M. (2023). Increasing Primary Care Utilization of Medication-Assisted Treatment (MAT) for Opioid Use Disorder. Journal of the American Board of Family Medicine : JABFM, 36(2), 251–266. https://doi.org/10.3122/jabfm.2022.220281R2
Content Reference 3
Ghanem, N., Dromgoole, D., Hussein, A. & Jermyn, R. (2022). Review of medication-assisted treatment for opioid use disorder. Journal of Osteopathic Medicine, 122(7), 367-374. https://doi.org/10.1515/jom-2021-0163
Content Reference 4
Maglione, M. A., Laura, R., Christine, C., Azhar, G. S., Nima, S., Mimi, S., Hernandez, E. J. M., Shanman, R. M., & Susanne, H. (2020). Effects of Medication-Assisted Treatment (MAT) for Opioid Use Disorder on Functional Outcomes: A Systematic Review. Rand health quarterly, 8(4), RR-2108-OSD.
Content Reference 5
Miller, W. R., & Rollnick, S. (2023). Motivational interviewing: helping people change and grow. Fourth edition. The Guilford Press, a division of Guilford Publications, Inc.