The hub and spoke model is a system of medication for opioid use disorder (MOUD) treatment that involves two levels of care. At hub sites, which are located regionally, patients receive initial intake and management services for MOUD.
Full Answer
What is the hub and spoke model for opioid treatment in California?
By aligning opioid treatment programs as hubs with primary care, office-based pract … As part of the State Targeted Response to the opioid epidemic, California has adopted the Hub and Spoke model to expand access to medications for opioid use disorder, particularly buprenorphine, throughout the state.
What is an opioid hub?
Hubs are Opioid Treatment Programs, with expanded services and strong connections to area Spokes. There are currently 9 Hubs in Vermont. Each Hub is the source for its area’s most intensive opioid use disorder treatment options, provided by highly experienced staff.
What is hub and spoke treatment in Vermont?
Vermont’s Opioid Use Disorder Treatment System. Hub and Spoke is Vermont’s system of Medication Assisted Treatment, supporting people in recovery from opioid use disorder. Nine Regional Hubs offer daily support for patients with complex addictions.
What is the opioid use disorder treatment system?
Vermont’s Opioid Use Disorder Treatment System Hub and Spoke is Vermont’s system of Medication Assisted Treatment, supporting people in recovery from opioid use disorder. Nine Regional Hubs offer daily support for patients with complex addictions.
What is a hub and spoke program?
The Hub & Spoke System consists of narcotic treatment programs which are referred to as “Hubs” and serve as experts in treating opioid use disorder, as well as office-based treatment settings which are referred to as “Spokes” and provide ongoing care and maintenance treatment.
What is the first line of treatment for opioid use disorder?
Medication for OUD (MOUD) consists of treatment with an opioid agonist or antagonist and is first-line treatment for most patients with an OUD. MOUD appears to reinforce abstinence and improve treatment retention [1-4].
Which medication is the gold standard for treating opioid dependence in pregnancy?
Methadone maintenance therapy is the gold standard for treating opioid dependence in pregnancy.
What is the difference between methadone and hydromorphone?
Treats severe pain or drug dependence. Methadose (methadone) is a cheap and effective treatment for severe chronic pain, but has serious risks for fatal overdose and drug dependence. Dilaudid (hydromorphone) works better and faster at relieving pain than morphine. Available in a cheap generic version.
What is used for opioid use disorder?
Medication-assisted treatment (MAT) is an effective treatment for individuals with an opioid use disorder. It involves use of medication along with counseling and behavioral therapies. Brain chemistry may contribute to an individual's mental illness as well as to their treatment.
What is Sublocade?
SUBLOCADE® (buprenorphine extended-release) injection, for subcutaneous use (CIII) is a prescription medicine used to treat adults with moderate to severe addiction (dependence) to opioid drugs (prescription or illegal) who have received an oral transmucosal (used under the tongue or inside the cheek) buprenorphine- ...
Is Naltrexone a pill?
Naltrexone can be prescribed and administered by any practitioner licensed to prescribe medications, and is available in a pill form for Alcohol Use disorder or as an extended-release intramuscular injectable for Alcohol and Opioid Use disorder.
What is pharmacotherapy used for?
Pharmacotherapy is the use of prescribed medication to assist in the treatment of addiction. Pharmacotherapies can be used to reduce the intensity of withdrawal symptoms, to manage cravings and to reduce the likelihood of a lapse or relapse by blocking a drug or addictive behaviour's effect.
What is the Vermont Hub and Spoke Model of Care for Opioid Use Disorder?
The Vermont Hub and Spoke Model of Care for Opioid Use Disorder uses OTP regional addiction treatment providers as hubs, to offer patients intensive treatment as well as training to spoke providers. The spokes are all OBOT settings where continued medication prescription and recovery counseling can occur more locally, improving access for rural communities. The Vermont Blueprint for Health provides information on the model, including a Spoke Implementation Guide, to help others develop similar approaches.
What is hub and spoke?
The hub and spoke model is a system of medication for opioid use disorder (MOUD) treatment that involves two levels of care. At hub sites, which are located regionally, patients receive initial intake and management services for MOUD. At spoke sites, which are located within the community, patients receive ongoing treatment, monitoring, and support services.
What is the Colorado Opioid Synergy?
The Colorado Opioid Synergy – Larimer and Weld (CO-SLAW) Project collaborates across seven OUD treatment sites to “increase the availability of buprenorphine dosing in hospitals, emergency departments, and jails.” The program's hub treatment center is located in a primary care setting in a rural area.
What are the services offered by Hub and Spoke?
Additional Health Home supports are made available at Hubs through the Hub & Spoke staffing and payment model. These include case management, care coordination, management of transitions of care, family support services, health promotion, and referral to community services.
What is hub and spoke?
Hub and Spoke is Vermont’s system of Medication Assisted Treatment, supporting people in recovery from opioid use disorder.
What is a spoke in Vermont?
Spokes are Office Based Opioid Treatment settings, located in communities across Vermont. At many Spokes, addictions care is integrated into general medical care, like treatment for other chronic diseases.
How many hubs are there in Vermont?
Hubs are Opioid Treatment Programs, with expanded services and strong connections to area Spokes. There are currently 9 Hubs in Vermont. Each Hub is the source for its area’s most intensive opioid use disorder treatment options, provided by highly experienced staff.
What is MAT treatment?
Medication Assisted Treatment (MAT) uses medication such as methadone and buprenorphine, as part of a comprehensive opioid use disorder treatment program that includes counseling. Medication Assisted Treatment is not the only treatment for opioid use disorder, but it is the most effective treatment for most people.
What is a hub in recovery?
Hubs offer the treatment intensity and staff expertise that some people require at the beginning of their recovery, at points during their recovery, or all throughout their recovery.
How many mental health counselors are there in a spoken care team?
Spoke care teams include one nurse and one licensed mental health or addictions counselor per 100 patients. These Spoke staff provide specialized nursing, counseling and care management to support patients in recovery, this staff assures team-based care and helps primary care providers balance MAT patient care with the needs of their full patient panel.
What is the goal of the Washington Hub and Spoke model?
The goal, Reif notes, is to create an integrated system of treatment that allows individuals to access treatment for an OUD from a trusted provider, wherever they enter the system. Networks in the Washington Hub and Spoke model must include as spokes at least two providers with substance use expertise, one with mental health expertise, and one with primary care expertise. They can also include referral and social service agencies. The first 6 original Hub and Spoke networks included 8 to 21 participating organizations each, with a total of 150 prescribers.
What is a hub and spoke?
Vermont created a Hub and Spoke model where the hub is an opioid treatment provider that can initiate medication for a person with an OUD, and the spokes are primary care providers who can continue the person’s treatment when they are stabilized. In Washington State, a hub is “a program with the knowledge, expertise, willingness, and capacity to both prescribe and extend the prescribing of all three medications for opioid addiction treatment, but can also act as a champion and an expert the spokes can rely on,” Reif explains. Of the first six Hub and Spoke networks the state funded, through the SAMHSA Opioid State Targeted Response grants, three hubs were primary care providers with integrated behavioral health treatment, two were behavioral health organizations, and one was an opioid treatment program. The state has since funded and implemented five additional Hub and Spoke networks to cover more rural areas of the state.
What are the spokes in criminal justice?
In four of the six original networks, criminal justice agencies are serving as spokes, says Mary Brolin, Ph.D., scientist at the Institute for Behavioral Health. They include prisons, jails, jail release programs, drug courts, probation, and police and fire departments. Some of these are just referral agencies, but in a few of the jails, and in the drug court, a nurse care manager prescribes OUD medication, Brolin points out.
When will Washington state start treating OUD?
February 27, 2020. Combining proven approaches with local flexibility, Washington State built a “no wrong door” approach to treating opioid use disorders (OUD) that reached nearly 5,000 people in 18 months. That was the conclusion of initial research into the state’s Hub and Spoke model of OUD treatment led by Principal Investigator Sharon Reif, ...
Is Washington State a hub and spoke?
Washington State recently funded a second generation of its Hub and Spoke model. With federal State Opioid Response funding, Washington is developing smaller, low-barrier dyads, called Opioid Treatment Networks, which expands treatment sites to 17 nontraditional settings, including jails, emergency departments, syringe exchange programs, homelessness shelters, and fire departments. These sites will serve as hubs, and each will have at least one local OUD medication provider as a spoke. This will extend treatment to underserved areas and groups, Reif points out.
How does the Washington State Hub and Spoke model differ from other models to deliver MOUD?
The Washington State Hub and Spoke model differs from other models to deliver MOUD because the hub can be any organization that has MOUD expertise and capacity to manage the network, whereas the Vermont and other hub and spoke models use addiction treatment providers as the hub. As a result, three of the networks had some form of primary care provider as the hub. The Washington model also includes a nurse care manager as a key element, drawing from the Massachusetts model.
What is the Washington State Hub and Spoke Model?
The Washington State Hub and Spoke Model, administered through the Division of Behavioral Health and Recovery at the Washington State Department of Social and Health Services and funded by SAMHSA, is a replication of a successful hub and spoke model in Vermont. It is a model for a statewide treatment system to expand the capacity to deliver medications for opioid use disorder (MOUD), which include methadone, buprenorphine, and extended-release naltrexone.
Which states have hub and spoke?
In addition to Vermont and Washington, California has also implemented a hub and spoke model, which has shown preliminary success .
