ABSTRACT

Recent decades have witnessed increases in (a) integrated physical and behavioral health services and (b) the treatment of opioid use disorders (OUD) in primary care settings – also known as office-based opioid treatments (OBOT) – using a combination of medication and psychosocial support. Providing these services requires a workforce trained to address addiction’s psychosocial components and interventions addressing addiction’s biological and neurological mechanisms. This paper examines the implementation factors, clinic workflow and roles, and administrative considerations of two models of integrated care in order to identify ways of increasing treatment capacity and expanding OUD treatment uptake in integrated primary care settings.

摘要

最近几十年见证了（a）综合身体和行为健康服务以及（b）在初级保健环境中使用药物联合治疗阿片类药物使用障碍（OUD）的现象-也称为基于办公室的阿片类药物治疗（OBOT）。和社会心理支持。提供这些服务需要经过培训以解决成瘾的社会心理因素的劳动力，以及解决成瘾的生物学和神经机制的干预措施。本文研究了两种综合护理模式的实施因素，临床工作流程和作用以及行政方面的考虑，以便确定在综合初级保健机构中提高治疗能力和扩大OUD治疗吸收率的方法。