216578 Expanding Access to Treatment for Opioid Addiction: The Baltimore Buprenorphine Initiatve

Wednesday, November 10, 2010 : 12:55 PM - 1:20 PM

Marla Oros, MS, RN , The Mosaic Group, Baltimore, MD
Vanessa T. Kuhn, MPH , Baltimore Substance Abuse Systems, Baltimore, MD
Bonnie Campbell, LCSW , Baltimore Substance Abuse Systems, Baltimore, MD
Sadie Smith, MSW , Baltimore Health Care Access, Baltimore, MD
The Baltimore Buprenorphine Initiative (BBI) was developed in 2006 and promotes individualized, patient-centered buprenorphine therapy in conjunction with behavioral treatment with a goal of recovery from opioid addiction. The BBI provides a continuum of care that includes outpatient treatment, medication induction, as well as maintenance and stabilization in the medical care system. Buprenorphine treatment offers a new treatment alternative for patients addicted to opioids and a new opportunity for expanding access to treatment in local and state jurisdictions with high rates of opioid abuse. Barriers to initiation of buprenorphine services at the system level include inability to recuit certified physicians and lack of acceptance and capacity to support medication assisted treatment. This workshop will describe the benefits of buprenorphine treatment, strategies for successful start-up, implementation and expansion, as well as concrete examples of how process improvement efforts can be used to improve the quality of care and increase customer satisfaction. Lessons learned from the nearly four years of experience of the BBI will be shared. Commonly encountered barriers to implementing buprenorphine treatment and solutions for partnership development and program planning will be discussed. Each participant will be able to use an assessment tool to identify current challenges and opportunities for implementing, expanding, and improving buprenorphine services in their jurisdiction or treatment program.

Learning Areas:
Chronic disease management and prevention
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Identify the key elements of an effective treatment system using buprenorphine based on the Baltimore Buprenorphine Initiative. Define the importance of utilizing data and process improvement techniques in the implementation of a treatment program using buprenorphine. Identify the essential systems, policies, and procedures needed to effectively implement buprenorphine treatment services in a local city or state jurisdiction. Identify methods to assess available resources and system gaps in a local jurisdiction to develop suitable and effective strategies for buprenorphine treatment. Evaluate different strategies that local jurisdictions can utilize to successfully recruit treatment providers and buprenorphine certified physicians to participate in buprenorphine treatment efforts. Analyze the lessons learned in Baltimore’s efforts to implement and expand buprenorphine treatment.

Keywords: Drug Addiction, Substance Abuse Treatment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an experienced public health clinician and administrator with over 25 years of expertise in program planning and development and the topic of therapy for addictions.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.