Buprenorphine Treatment: Care Coordination Indications and Options James Schuster, MD, MBA Chief Medical Officer Community Care

2 Care Coordination and Collaboration are critical Inherent part of opiate addiction treatment Frequent co-morbid disorders Support Members’ Recovery

3 Key Part of Addiction Treatment Required counseling in methadone maintenance programs. Pharmacotherapy alone is rarely adequate in addiction treatment. Included in all guidelines for buprenorphine treatment. Programs typically require concurrent treatment as well as participation in self-help programs. Eventual abstinence is the typical goal with buprenorphine

4 Treatment of Co-Morbid disorders Often require concurrent medication treatment Screening for co-occurring disorders is critical People with concurrent disorders do well with appropriate treatment Most frequent are: –Other substance abuse disorders –Depressive disorders –PTSD –Substance induced Psychiatric disorders –Antisocial and Borderline Personality disorders

5 Support of Members’ Recovery Recovery from addiction Recovery from the impact of addictions: –Work –Family –Spiritual –Other Personal Growth

6 Development of Concurrent Resources Best coordination is to have concurrent behavioral treatment on site as part of your organization Second best is on site treatment from another provider Third option is well coordinated treatment Managed care organizations can assist with identifying organizations for coordination and with referrals