Assessing and Improving Organizational Readiness to Implement Substance Use Disorder Treatment in Primary Care

Findings from the SUMMIT Study

Published in: BMC Family Practice, Volume 18, Number 1 (December 2017), Page 107. doi: 10.1186/s12875-017-0673-6

Posted on RAND.org on February 13, 2018

by Allison J. Ober, Katherine E. Watkins, Sarah B. Hunter, Brett Ewing, Karen Lamp, Mimi Lind, Kirsten Becker, Keith G. Heinzerling, Karen Chan Osilla, Allison Diamant, et al.

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Millions of people with substance use disorders (SUDs) need, but do not receive, treatment. Delivering SUD treatment in primary care settings could increase access to treatment because most people visit their primary care doctors at least once a year, but evidence-based SUD treatments are underutilized in primary care settings. We used an organizational readiness intervention comprised of a cluster of implementation strategies to prepare a federally qualified health center to deliver SUD screening and evidence-based treatments (extended-release injectable naltrexone (XR-NTX) for alcohol use disorders, buprenorphine/naloxone (BUP/NX) for opioid use disorders and a brief motivational interviewing/cognitive behavioral -based psychotherapy for both disorders). This article reports the effects of the intervention on key implementation outcomes.

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