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ADVANCING RECOVERY IN WEST VIRGINIA MEDICATION ASSISTED TREATMENT WITH BUPRENORPHINE/SUBOXONE

ADVANCING RECOVERY IN WEST VIRGINIA MEDICATION ASSISTED TREATMENT WITH BUPRENORPHINE/SUBOXONE. AR LEVERS OF CHANGE JULY 2009. ARWV PARTNERS. Genise Lalos, AR Project Change Leader, Prestera Center genise.lalos@prestera.org

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ADVANCING RECOVERY IN WEST VIRGINIA MEDICATION ASSISTED TREATMENT WITH BUPRENORPHINE/SUBOXONE

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  1. ADVANCING RECOVERY IN WEST VIRGINIAMEDICATION ASSISTED TREATMENT WITH BUPRENORPHINE/SUBOXONE AR LEVERS OF CHANGE JULY 2009

  2. ARWV PARTNERS • Genise Lalos, AR Project Change Leader, Prestera Centergenise.lalos@prestera.org • Karen Schimmel, Change Leader, Westbrook HealthServ.kschimmel@westbrookhealth.com • Jon Kemper, Change Leader, Seneca Health Services,jkemper@shsinc.org • Nancy Deming, Change Leader, Valley Healthcare, ndeming@valleyhealthcare.org • Merritt Moore, State Change Leader,Merritt.E.Moore@wv.gov

  3. AIM - Improve Access to MAT (Suboxone) Baseline data: • 2-1-08 –ARWV partnership had 128 individuals receiving MAT (suboxone) • 2-1-09 –ARWV partnership had 259 individuals receiving MAT (Suboxone) This represents an increase of 131 individuals or 102%

  4. Lever: Intra-Organizational Operations Analysis • Aim: To Increase Client Assess to MAT • Barriers: • Staff Resistance • Abstinence-Based Community • No Suboxone-Prescribing Physician • Agency policies that made access to MAT difficult Solutions: • Staff Education and In-service on MAT Approach • Community Providers Surveyed on MAT Awareness • Hiring of Suboxone-Certified Physicians • New look at old policies

  5. Finding Physicians • Reckitt Benckiser Rep was a great help • Recruiting Internally • Working with Universities • Working with Primary Care Clinic Docs

  6. Lever: Regulatory Analysis Aim: Facilitate client engagement by lessening stringent data requirements Solutions: OHFLAC agreed to allow up to 30 days for completion of required paperwork for ARWV participants; Potential benefits: Less time devoted to administrative tasks early in treatment process, thus increasing the time the clinician can spend on engaging the client in the treatment process; Outcomes: State Change Team still evaluating results

  7. Lever: Financial Analysis • Aim: To Increase Client Assess to MAT • Barriers: • Largely Uninsured Population Unable to Afford Treatment or Medication • Medicaid Redesign in WV Limited Coverage for Consumers and Restricted Clinician Pool • Solutions: • Partnered with state on $75,000 indigent care funding plan to offset cost of care • Clinicians Placed on Medicaid Credentialing Track and Given Agency Assistance in Obtaining Necessary Training

  8. State Challenges: No funding to offset the cost of care for indigent seeking MAT • Change: The state set aside $75,000 for the ARWV partnership to use to offset the cost of care for indigent clients • Potential Benefits: Makes MAT available for more people who could not otherwise afford this best practice treatment • Outcome: Prior to indigent care partnership 0 indigent clients were receiving MAT. 1st quarter increase of 20 indigent clients being served in MAT programs after indigent care fund.

  9. CLIENT STORY • Karen Schimmel presents one client's story of success made possible by the ARWV/State partnership indigent care funds

  10. SUSTAINING :ADVANCING RECOVERY IN WV ARWV is dedicated to sustaining and spreading the present momentum with MAT throughout the state with the following activities: • Sponsored In-State Change Leader Academy • Presented ARWV data at National Social Work Conference • ARWV Provider sent staff to Bup TOT • Access to Recovery brochures created

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