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J Subst Abuse Treat. 2019 Jun 11. pii: S0740-5472(19)30065-0. doi: 10.1016/j.jsat.2019.06.008. [Epub ahead of print]

State targeted response to the opioid Crisis grants (opioid STR) program: Preliminary findings from two case studies and the national cross-site evaluation.

Author information

1
Substance Abuse and Mental Health Services Administration, United States of America.
2
University of Kentucky, Department of Behavioral Science, United States of America; Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities, United States of America.
3
Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities, United States of America.
4
University of Missouri St. Louis, Missouri Institute of Mental Health, United States of America.
5
Substance Abuse and Mental Health Services Administration, United States of America. Electronic address: Thomas.Clarke@samhsa.hhs.gov.
6
Missouri Department of Mental Health, United States of America.

Abstract

Opioid misuse is a national health crisis that requires sustained treatment, prevention, and recovery efforts. This study evaluates the innovative treatment approaches that two states - Kentucky and Missouri - implemented in their states using State Targeted Response to the Opioid Crisis Grant (Opioid STR) program funds from the Substance Abuse Mental Health and Services Administration (SAMHSA), as well as preliminary findings from the Opioid STR national, cross-site evaluation that is funded and managed by SAMHSA. The Kentucky approach discusses the Emergency Department (ED) bridge model, which links patients discharged from EDs to appropriate professional treatment and recovery services. Missouri implemented the Medication First (MedFirst) model, an evidence-based treatment for individuals with opioid use disorder (OUD). These states highlight novel approaches likely being implemented throughout the country to combat the opioid epidemic. Findings from the case studies and supported by the national evaluation indicate that key factors to successful program implementation - supportive state policies, partnerships and collaborations, and sustainability - facilitated the implementation of planned interventions. The novel approaches discussed combined with care across the continuum (prevention, treatment and recovery) and continued federal support is likely to have an impact on reducing opioid misuse across the U.S.

KEYWORDS:

Implementation; Innovation; Medication-assisted treatment (MAT); Opioid; Opioid use disorder (OUD); State targeted response (STR)

PMID:
31303359
DOI:
10.1016/j.jsat.2019.06.008

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