Patient-Centered Care for Opioid Use Disorders in Federally Qualified Healthcare Centers and Specialty Care Settings

Summary

This study evaluates the effectiveness of integrating empirically-supported treatments for an opioid use disorder into a primary care setting. These treatments will include ASAM Criteria multidimensional assessment, cognitive behavioral therapy and relapse prevention with contingency management, medication-assisted treatment, and recovery support services. Half of participants will be assigned to opioid use disorder treatment in a federally qualified health center, and half will receive treatment at a publicly-funded intensive outpatient addiction treatment program which has the ability to offer medication-assisted treatment.

Conditions

• Opioid-use Disorder
• Substance Use Disorders

Interventions

BEHAVIORAL

Individual Therapy Sessions

One-on-one sessions with a counselor

BEHAVIORAL

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy techniques delivered by a behavioral health consultant (BHC)

BEHAVIORAL

Medication-Assisted Treatment

Buprenorphine or Extended-Release Naltrexone

BEHAVIORAL

Peer Recovery Specialist Support

Individual and/or group sessions with a certified peer recovery specialist

BEHAVIORAL

Group Therapy Sessions

Group therapy sessions

BEHAVIORAL

Psychiatric Consultation

Access to psychiatric consultation

BEHAVIORAL

Contingency Management

Rewards for engagement in specified recovery behaviors

Sponsors & Collaborators

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• Public Health Management Corporation

  lead OTHER

Principal Investigators

• David R Gastfriend, MD · Public Health Management Corporation

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-07-31

Primary Completion

2022-06-30

Completion

2022-06-30