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Medication-Assisted Treatment for Opioid Dependence & Barriers to Implementation.

Presented at the Medication Assisted Treatment Conference, co-sponsored by the North Dakota Addiction Counselor Association and the Ohio Valley Node of the Clinical Trials Network, Jamestown, ND, April 25-26, 2013.

Erin L. Winstanley, PhD (University of Cincinnati, OV Node).

This presentation begins with an overview of the National Drug Abuse Treatment Clinical Trials Network (CTN) and its mission to "bridge the gap between research and practice, " as well as the Ohio Valley Node of the CTN, which includes 23 community treatment programs in 15 states. From there, the presentation describes the current state of the problem of opioid dependence in the United States, with profiles of the various pharmacotherapies found effective in treating it. Outcomes from CTN protocol 0030, the Prescription Opioid Addiction Treatment Study (POATS), are described, and current and coming research is outlined. The presentation ends with a look at barriers to implementing medication-assisted treatment, including environmental (regulatory, e.g.), organizational (staffing, cost, participation in the CTN and other research, e.g.), clinician/patient (education, health insurance, e.g.), and philosophical (drug addiction should not be treated with drugs, e.g.) issues. Suggestions on ways to address those barriers, including the use of Blending Team Products about buprenorphine, are offered. (Presentation, PDF, English, 2013)

Keywords: Adoption of interventions | Attitudes of health personnel | Counselors | Clinical supervision | CTN platform/ancillary study | Managing Effective Relationships in Treatment Services (MERITS) | Smoking | Staff turnover | Trauma | CTN Steering Committee meeting, April 2012

Document No: 994

Submitted by Erin Winstanley, PhD, OV Node and Lillian Eby, PhD, U Georgia, 6/6/2013.

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 6/2013 --