Medication Assisted Treatment (MAT)
Medication Assisted Treatment is an important evidence-based treatment option for individuals with Opioid Use Disorders (OUDs). Methadone is one MAT medication that has a long history of use in specialty addictions clinics. Buprenorphine and naltrexone, newer medications, are other forms of MAT that can also be used for treatment in office-based settings.
Specifically, the Drug Addiction Treatment Act of 2000 allows prescribers who complete additional training to obtain a waiver to use buprenorphine for the treatment of OUDs. This has increased the availability of treatment. The medication’s pharmacological properties make it safe and appropriate for use in settings outside of addictions clinics (or “office-based” care). Our program can help providers determine if a particular patient is a good candidate for office-based care and give guidance and recommendations on the patient monitoring required to ensure safe medication use.
Some patients report that they prefer to receive MAT in a physician’s office. This is often seen as a more confidential way to seek treatment and can help patients to avoid exposure to others in the drug culture. This form of treatment can also help patients who want treatment that does not interfere with their full time employment and family commitments. In some cases, receiving MAT from a primary care physician may improve a patient’s engagement in treatment for other health conditions.
Buprenorphine is a partial opioid agonist. This helps the limit the abuse potential and risk of overdose. It also blocks the effects of other opioids and has milder withdrawal symptoms with discontinuation or tapered reduction. Buprenorphine has been shown to be effective in treating OUD, reduce risk of death, and increase a number of health outcomes.
About the Program
The Michigan Opioid Collaborative (MOC) can help Michigan providers who are treating patients with Opioid Use Disorders (OUD’s). We provide Consultations with Psychiatrist/Physicians who specialize in the use of Medication Assisted Treatment (MAT) and connecting them with community-based Behavioral Health Consultants (BHC) to provide assistance linking patients to other treatment and community supports and resources.
The MOC is available to:
- Provide funds and support to help providers/prescribers obtain the DEA waiver necessary to provide MAT. We can link you free classes needed for the waiver, pay for courses if they availability of the free courses is a barrier, and provide support for the application process.
- For DEA waivered providers who enroll in the program, MOC can provide same day consultation with a MAT specialty Psychiatrist or Physician who can help you with any questions or concerns as you treat patients with an OUD. For enrolled providers who do not have the waiver, the BHC can provide resources and support to help you obtain the Waiver.
- Provide information and training about MAT and the possible benefits for providers/prescribers in your practice or clinic.
- Provide referrals for counseling, information on training in addictions counseling, and guidance on integrating monitoring practices into your clinic workflow.
- Connect you with community based Behavioral Health Consultants who are able to provide FREE assistance to providers, their team or the patient directly. This may include identifying resources for further treatment such as mental health services, more intensive addictions treatment programs, or other connections to other community resources such as food assistance, housing, or other services.
How it Works
For the enrolled provider, only one phone call is necessary to get the consultation started. Phone availability for U of M MAT Psychiatrists/Physician and local Behavioral Health Consultants is Monday-Friday 9-5, excluding holidays.
The enrolled provider initiates a call to the Behavioral Health Consultant (BHC), a masters-level mental health professional based locally.
The BHC triages the referral, responds to any questions that are within the scope of his/her expertise, and forwards appropriate cases to the MAT psychiatrist/physician for same day, in most cases, phone consultation with the provider. In cases that are deemed urgent, the BHC will suggest local resources for referral.
The MAT psychiatrist/physician will not request any identifying information that would violate the patient’s confidentiality and does not document in a medical record.
How to Enroll
Enrollment is easy.
- Contact us using the contact us page or email us at: firstname.lastname@example.org
- We will contact you to complete the process which includes having the prescriber sign an MOC Prescriber Agreement.
- You begin calling for consultations as needed.
Who We Serve
Currently, the following counties have a local Behavioral Health Consultant:
- Upper Peninsula
If you are not in the current Counties we are targeting, don’t let that stop you from contacting us. We will work to support any providers in Michigan with a desire to provide MAT.
If you are a provider treating patients with Opioid Use Disorders (OUDs) and interested in learning more about Medication Assisted Treatment, please contact Suzanne Kapica, MOC Project Manager, via email at: email@example.com