کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
13424978 | 1841913 | 2020 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Implementation of the hub and spoke model for opioid use disorders in California: Rationale, design and anticipated impact
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کلمات کلیدی
FQHCUCLAOpioid treatment programUniversity of California Los AngelesOtp - OTPOpioid epidemic - اپیدمی اپیدمیbuprenorphine - بوپرنورفینHub and spoke - توپی و صحبت کردMedication assisted treatment - درمان دارویی کمک می کندMat - ماتFederally qualified health center - مرکز بهداشتی واجد شرایط فدرالImplementation - پیاده سازی
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
روانپزشکی بیولوژیکی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
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. By aligning opioid treatment programs as hubs with primary care, office-based practitioners, and other health care settings as spokes, a broader treatment model can reach more people with opioid use disorder, improve access to medications for opioid use disorders, and decrease overdose deaths. Expanding access requires expanding knowledge and intensive implementation support of new practices. This paper describes the rationale, specific activities and anticipated impact of the implementation plan in California's Hub and Spoke system. Training and technical assistance are designed to: increase the number and capacity of waivered prescribers; enhance skills of prescribers and multidisciplinary teams; and create systems change. Activities include buprenorphine waiver trainings and provider support, a practice facilitator program, Project ECHO sessions, webinars, clinical skills trainings, and regional learning collaboratives. This overview highlights the steps California is taking to build treatment capacity to address the opioid epidemic.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Substance Abuse Treatment - Volume 108, January 2020, Pages 20-25
Journal: Journal of Substance Abuse Treatment - Volume 108, January 2020, Pages 20-25
نویسندگان
Gloria M. Miele, Lauren Caton, Thomas E. Freese, Mark McGovern, Kendall Darfler, Valerie Pearce Antonini, Marlies Perez, Richard Rawson,