This program evaluation looks at California’s implementation of a hub-and-spoke treatment system for opioid use disorder (OUD) during the program’s first year (August 2017 to July 2018). California dedicated some of its State Targeted Response funding to build out a hub-and-spoke system adapted from Vermont model. The report explains the specific features of the California model and how it was adapted to address the needs of a state that is significantly larger than Vermont and with greater population diversity. Data shows that in the first year, the number of spoke sites offering medication assisted treatment (MAT) grew significantly, the number of providers offering prescribing MAT increased and the number of patients starting MAT also increased. The report looks at the successes and challenges of implementing the program and offers recommendations for improvement as well as continued evaluation.
Funding Source: California State Targeted Response (STR) Grant – Substance Abuse and Mental Health Services Administration
California Hub and Spoke Medication Assisted Treatment Expansion Program: Year 1 Evaluation Report
An evaluation of the first year of California's implementation of a hub-and-spoke treatment model for opioid use disorder from the University of California Los Angeles Integrated Substance Abuse Programs