Kenneth B. Stoller, M.D. | Assistant Professor of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine Director, Johns Hopkins Broadway Center for Addiction
Sponsor: American Psychiatric Association
Medication assisted treatments (MAT) enhance opioid use disorder treatment efficacy, yet remain underutilized. Opioid treatment programs (OTPs) can now dispense buprenorphine or naltrexone as well as methadone. Collaboration between OTPs and office-based buprenorphine (OBB) prescribers constitutes a cohesive model providing access to comprehensive services, and encouraging MAT prescribing.
During this webinar Dr. Stoller focused on a model of care he coined “Collaborative Opioid Prescribing (CoOP),” linking OTP expertise with OBB prescribers. The OTP provides assessment, buprenorphine induction, and counseling, while OBB physicians provide ongoing buprenorphine prescribing and somatic or psychiatric care. An adaptive stepped care model adjusts counseling intensity and medication parameters (OBB prescription vs. OTP dispensing; duration of prescriptions). Supporting OBB providers in this manner may encourage MAT provision and access, while concurrently improving treatment outcome. Providing a broad spectrum of medical, social, and recovery services through coordinated care can enhance health outcomes and address unmet patient needs.
- Describe a model of treatment that links opioid treatment programs with office-based buprenorphine prescribers.
- List at least two reasons physicians often give as reasons why they do not prescribe buprenorphine.
- Provide one definition of the term “clinical integration.”
Accreditation and Designation
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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