This executive summary of the ASAM 2020 update of clinical practice guidelines for treating opioid use disorder (OUD) is intended for clinicians who assess patients for OUD and prescribe medications, other health care providers, medical educators, and clinical care managers.
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Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers within the Treatment System
Source: B.K. Madras, N.J.Ahmad, J. Wen, J. Scharfstein and the Prevention, Treatment, and Recovery Working Group of the, Action Collaborative on Countering the U.S. Opioid Epidemic
This discussion paper from researchers affiliated with the National Academy of Medicine identifies strategies to increase access to evidence-based treatment for opioid use disorder (OUD) in health care settings. Effective OUD treatment includes access to medications such as methadone, buprenorphine, or extended-release naltrexone as well as opportunities to receive additional services such as behavioral counseling, case management, and peer support.
Opioid Use Disorder: Barriers to Medicaid Beneficiaries’ Access to Treatment Medications
Source: United States Government Accountability Office
The U.S. Department of Health and Human Services has prioritized expanding access to medication assisted treatment (MAT) for opioid use disorder (OUD) as an evidence-based treatment. Because many individuals with OUD are Medicaid beneficiaries, this U.S. Governmental Accountability Office report looked at state Medicaid policies and state and federal laws that might act as a barrier to Medicaid patients accessing MAT.
How Community Health Centers are Addressing the Opioid Epidemic
Source: Milbank Memorial Fund
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.
Get Waivered
Source: Massachusetts General Hospital
A link to the Get Waivered website which helps clinicians obtain Drug Enforcement Administration -X waivers to prescribe buprenorphine for opioid use disorder (OUD). They provide free waiver training as well as support for creating buprenorphine programs in emergency departments and strategies from the field of behavioral economics to help departments adopt new practices to treat OUD.
Applying the Evidence: Legal and Policy Approaches to Address Opioid Use Disorder in the Criminal Justice and Child Welfare Settings
Source: O'Neill Institute for National & Global Health Law at Georgetown Law
A comprehensive report on increasing access to evidence-based treatments for substance use disorder in the criminal justice and child welfare systems from researchers at the Addiction & Public Policy Initiative of the O’Neill Institute for National and Global Health Law at Georgetown Law Center. The report specifically addresses increasing access to medications to treat opioid use disorder (MOUD) in jails and prisons, in treatment court settings, and in the child welfare system. The report reviews programs in multiple states and summarizes legal, legislative and fiscal strategies to implement and manage evidence-based, public-health focused interventions in these settings.
Medication-Assisted Treatment and Other Behavioral Interventions for Opioid Use Disorder: Evidence, Guidelines, Policies, and Service Delivery Models – Rapid Review
Source: Center for Evidence-based Pollicy
This 2019 systematic review assesses the evidence for the effectiveness of behavioral health interventions as part of a medication-assisted treatment (MAT) regimen for opioid use disorder (OUD). The report also evaluates clinical practice guideline recommendations for behavioral health treatments as a part of MAT and describes 3 service delivery models that implement low-threshold MAT programs in Missouri, Virginia and in the Veterans Health Administration.
Patient Tip Sheet: Take Home Doses of Methadone- English and Spanish Language
Source: Montifiore Health System
This 1-page patient guide focuses on safe use of methadone take home doses during the COVID-19 pandemic. Includes both English and Spanish language versions.
Montefiore Buprenorphine Treatment Network COVID-19 Response Memo
Source: Montifiore Health Systems
This memo outlines policies adopted by Montifiore Health System to continue patient access to buprenorphine treatment during the COVID-19 pandemic.
Provider Guide to Buprenorphine Treatment during COVID-19
Source: Montifiore Health System
This 1-page guide from Montifiore Health Systems guides providers in prescribing buprenorphine during the COVID-19 pandemic. This information sheet discusses telemedicine best practices and changes in regulatory guidance during the pandemic,