Update on Vermont’s Hub and Spoke Model

  • John R. Brooklyn, MD, University of Vermont College of Medicine, Burlington, VT
  • Anthony Folland, BA, Vermont State Opiate Treatment Authority, Alcohol and Drug Abuse Programs, Vermont Department of Health, Burlington, VT

Vermont’s Hub and Spoke model is a comprehensive treatment system for patients receiving medication assisted treatment (MAT) for opioid dependence in existence since 2013. The challenges and successes of this system will be discussed. Data showing increased access to MAT statewide, reduction in waiting lists, expansion of OBOT practices, and increases in people treated per waivered MD will be shown. Details about the MAT embedded team development under Vermont’s Chronic Care Initiative as part of the Blueprint for Health will be discussed.

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