A brief overview of the Project ECHO (Extension for Community Healthcare Outcomes) initiative which connects clinical specialty providers such as addiction medicine experts with primary care providers through multi-point video conferencing technology. The model uses case-based learning where the speciallists combine brief lectures on clinical topics with case presentations and work with the primary care providers to enhance their knowledge and ability to treat conditions such as opioid use disorder. Project ECHO began in 2003 in New Mexico but now operates throughout the United States and internationally. This report is part of the Addiction Policy Forum’s Spotlight series which highlights innovative programs to address the opioid crisis.
This 2018 evaluation of a pilot program to develop integrated medication assisted treatment (MAT) programs at community health centers (CHCs) describes the lessons learned by 10 CHCs as they implemented new MAT programs at their clinics in California.
UPDATED November 15, 2020: The COVID-19 public health emergency is particularly challenging for people in treatment for substance use disorder, people in recovery, and people who use drugs. This collection features educational resources that can be adapted for local settings, specific guidance on harm reduction, recovery housing and providing peer support services during the pandemic, and links to websites that provide high-quality information, data, and/or examples for local communities to adopt.
Health care providers often request guidance on how to have conversations with patients about opioids, pain treatment, addiction and other topics that may be challenging. In this collection, we have gathered materials that provide support to providers as they have these difficult conversations.
Efforts to expand patient access to medication assisted treatment (MAT) for opioid use disorder (OUD) often focus on enhancing the ability of primary care providers and health care clinics to offer MAT treatment. This collection features resources intended to help primary care providers and clinic staff establish and maintain MAT programs for their patients.
This report details the findings from NASEM’s workgroup on providing substance use disorder and behavioral health care in primary care settings.
This trauma-informed toolkit assists clinicians in screening patients or clients for coercion related to mental health and substance use in the context of intermate partner violence. Created by the National Center on Domestic Violence, Trauma and Mental Health, the toolkit is intended to be used for screening, assessment and brief intervention in healthcare, mental health and substance use disorder treatment settings.
This review looks at evidence and program models for alternatives to hospitalization to treat serious infections in people who inject drugs.
This case study profiles how a federally qualified health center (FQHC) in New York provides integrated medical and behavioral health care services for individuals with opioid addiction.
This linked report details the work of integrating service for opioid use disorder treatment and infectious disease prevention and treatment. The report highlights programs that have successfully integrated treatment and provides recommendations for overcoming common barriers to service integration.