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.
Alan Schwartz PsyD, Behavioral Health Consultant, Christiana Care,
Matthew Holden LCSW, Behavioral Health Consultant, Christiana Care Health System, Wilmington, DE
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
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
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
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.
Miller, W. R., & Rollnick, S. (2023). Motivational interviewing: helping people change and grow. Fourth edition. The Guilford Press, a division of Guilford Publications, Inc.