• E Marshall Brooks and Sebastian Tong.
• From the Department of Family Medicine and Population Health, School of Medicine, Virginia Commonwealth University (EMB, ST). edward.brooks@vcuhealth.org.
• J Am Board Fam Med. 2020 Jul 1; 33 (4): 512-520.

BackgroundPrimary care practices are ideal sites for integrating medication-assisted treatment (MAT) for opioid use disorder, but little is known about how practices have achieved this. Our study aimed to describe the implementation experiences and treatment models of practices implementing MAT.MethodsWe conducted a qualitative analysis of MAT integration at 26 practices across Virginia after the state implemented the Addiction and Recovery Treatment Services (ARTS) benefit in 2017. Data collection activities included interviews with clinic team members, including buprenorphine-waivered prescribers, behavioral health clinicians, care coordinators, and peer counselors. We used a template analysis approach to thematically analyze data.ResultsOur study identified various ways in which MAT can be implemented in primary care clinics and other ambulatory settings. Although state regulations and treatment guidelines suggest colocating behavioral health counseling and medication management, providing care coordination, and conducting regular urine drug screens, we found a wide spectrum of ways in which practices can adapt and innovate treatment models to fit local needs.DiscussionAs the fight against the opioid epidemic continues, we need to identify feasible and effective MAT treatment models and integration approaches for primary care.© Copyright 2020 by the American Board of Family Medicine.

21 keywords...

hide…