Treatment
U-M offers evidence-based, gold-standard treatment services for those suffering from opioid use disorder (OUD), as well as professional training and education for health care professionals and trainees.
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- Gold standard Medication Assisted Treatment (MAT) and psychotherapies
- MAT training and education for health providers, first responders, students and other professionals
- Direct MAT helpline for prescribing clinicians
Programs
Cognitive Behavioral Therapy (CBT) for Pain Through Mobile Health
This program disseminates information about strategies for leveraging digital health tools that have been shown to make pain cognitive behavioral therapy (CBT) more efficient than standard CBT delivered by a therapist. Some of these programs use artificial intelligence to personalize CBT, resulting in substantial reductions in human resource costs while potentially producing better pain outcomes than standard therapy. Currently housed in the Veterans Affairs (VA) Ann Arbor Healthcare System and led by University of Michigan faculty and staff (via the Center for Management of Chronic Diseases), this program works with the University, the National VA healthcare system, other clinicians and government health systems globally, to improve access to evidence-based digital/mobile CBT treatment.
Additional information:
Alcohol Interventions Among Underage Drinkers in the ED: A Randomized Controlled Trial
Components of Brief Alcohol Interventions for Youth in the Emergency Department
Implementation details:
U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team\
U-M Faculty Leads:
Patrick Carter, MD and Maureen Walton, PhD, MPH
Clinician Support for Expanding Access to Opioid Use Disorder Services
The Michigan Opioid Collaborative is an interdisciplinary team supporting providers and communities to increase access to office-based addiction treatment, expand care, and improve quality of care for patients with opioid and other substance use disorders throughout Michigan. Housed in the U-M Departments of Anesthesiology and Psychiatry, MOC Services include:
- Behavioral Health Consultants (BHCs) located within communities to conduct outreach to clinicians and provide direct clinic support with referrals to treatment and other community resources
- Technical assistance to support clinics to start prescribing MOUD treatment
- Same-day case consultation by addiction specialists
- Providing education to clinicians and communities to improve opioid use disorder (OUD) OUD treatment.
The team’s partners include: the Michigan Emergency Department Improvement Collaborative (MEDIC), the Michigan Opioid Prescribing Engagement Network (OPEN), Michigan Child Collaborative Care (MC3) and Michigan Collaborative Addiction Resources & Education System (MICARES).
Additional information:
Michigan Child Collaborative Care
Michigan Collaborative Addiction Resources & Education System
Implementation details:
Available statewide. Contact the MOC team for more information.
U-M Faculty Leads:
Amy Bohnert, PhD, MHS and Allison Lin, MD, MS
Emergency Department Naloxone Distribution
The goal of the Opioid Prescribing Engagement Network (OPEN) and the Michigan Emergency Department Improvement Collaborative (MEDIC) project is to reduce opioid related morbidity and mortality by: increasing Emergency Department naloxone distribution to patients treated for opioid overdose and those at high risk of future overdose; facilitating hospital and community inter-professional provider networks; and assisting in the development of best practices for Emergency Department-based opioid use disorder screening, naloxone distribution, and initiation of medication-assisted treatment. The program is operated by U-M staff and Michigan Medicine faculty, partnering with 26 hospitals statewide.
Additional Information:
Narcan 101: How to use it, why it works and how to get it
MI Emergency Department Partner Map
Implementation details:
U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team
U-M Faculty Leads:
Chad Brummett, MD; Keith Kocher, MD; Gina Dahlem, PhD, FNP
Improving Pain and Opioid Use Disorder Care Through Physician-Pharmacist Collaboratives
PPCCM is a program in which a clinical pharmacist (a pharmacist who provides direct patient care, rather than a community pharmacist who may work at a site like Walgreens) provides opioid medication management for patients prescribed long-term opioids for chronic pain in fee-for-service primary care settings. The program is operated by U-M faculty and staff and has been piloted in Ann Arbor.
Additional information:
A physician-pharmacist collaborative care model to prevent opioid misuse
Implementation details:
U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team
U-M Faculty Lead:
Pooja Lagisetty, MD, MSc
Post-Overdose Survivor Services
The Recovery Opioid Overdose Team (ROOT) is a coordinated, community-wide, post-overdose intervention team that is composed of peer recovery coaches and case management specialists. The purpose of the ROOT team is to engage with overdose survivors within 72 hours of a naloxone reversal to deliver recovery support, harm reduction services, and medical, mental, and substance use disorder treatment referrals. Engagement and support continues for up to 90 days post-overdose. ROOT currently operates in Washtenaw County with the team led by Home of New Vision in partnership with University of Michigan, Community Mental Crisis, Huron Valley Ambulance, Michigan Medicine, and St. Joseph Mercy Hospital.
Additional information:
Washtenaw Recovery Advocacy Project (WRAP)
Implementation details:
U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team
U-M Faculty Lead:
Gina Dahlem, PhD, FNP