Responding to the opioid and overdose crisis with innovative services: The recovery community center office-based opioid treatment (RCC-OBOT) model.
Low threshold
Office-based opioid treatment
Opioid use disorder
Overdose
Peer services
Recovery community organizations
Journal
Addictive behaviors
ISSN: 1873-6327
Titre abrégé: Addict Behav
Pays: England
ID NLM: 7603486
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
30
01
2019
revised:
04
05
2019
accepted:
20
06
2019
pubmed:
22
7
2019
medline:
3
11
2020
entrez:
22
7
2019
Statut:
ppublish
Résumé
Opioid use disorder (OUD) and opioid-related overdose mortality are major public health concerns in the United States. Recently, several community-based and professional innovations - including hybrid recovery community organizations, peer-based emergency department warm handoff programs, emergency department buprenorphine induction, and low-threshold OUD treatment programs - have emerged or expanded in an effort to address significant obstacles to providing patients the care needed for OUD and to reduce the risk of overdose. Additional innovations are needed to address the crisis. Building upon the foundational frameworks of each of these recent innovations, a new model of OUD pharmacotherapy is proposed and discussed: the Recovery Community Center Office-Based Opioid Treatment model. Additionally, two potential implementation scenarios, the overdose and non-overdose event protocols, are detailed for communities, peers, and practitioners interested in implementing the model. Potential barriers to implementation of the model include service reimbursement, licensing regulations, and organizational concerns. Future research should seek to validate the model and to identify actual implementation and sustainability barriers and best practices.
Identifiants
pubmed: 31326776
pii: S0306-4603(19)30139-X
doi: 10.1016/j.addbeh.2019.106031
pmc: PMC7286074
mid: NIHMS1591319
pii:
doi:
Substances chimiques
Narcotic Antagonists
0
Buprenorphine
40D3SCR4GZ
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
106031Subventions
Organisme : Intramural NIH HHS
ID : ZIA DA000629
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
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