04/05/2019 – The scaling up of the “Hub and Spoke” system, particularly in rural areas, has presented challenges but also delivered results in locales like this Gold Rush-era city east of Sacramento — and dovetailed with existing efforts to expand medication-assisted treatment to give the state a two-pronged approach to confronting the opioid epidemic.
Hub and Spoke, first launched in Vermont in 2012, features a system of regional addiction treatment centers or “hubs” that are connected with “spokes” like primary care practices and local clinics. Patients have individual treatment plans. The system allows many patients to get help close to home, at clinics that offer buprenorphine, a drug seen as the gold standard for treating opioid abuse symptoms, and that employ behavioral health…
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