Encore Presentations
Sunday, November 12, 2023
12:45 PM–02:15 PM
Abstract
The University of Illinois Mile Square Health Center (UI-MSHC), a Federally Qualified Health Center (FQHC) system that offers primary care including prenatal care, preventive screenings, HIV/HCV treatment, chronic disease management, behavioral health, MOUD/MAT, and dental care, have clinics strategically located in Chicago communities experiencing the greatest health care needs. Chicago has seen a staggering increase in opioid related deaths with 5,517 opioid-related EMS responses and 467 opioid-related deaths in the first six months of 2021.
UI-MSHC partnered with Family Guidance Center (FGC), an opioid treatment program, to collaboratively create a model to respond to this burgeoning opioid crisis and expand services to offer all 3 forms of MOUD, particularly impacting the communities in our primary service area (PSA) which is primarily BIPOC and have the highest OUD and overdose death rates in the city.
UI-MSHC has offered low barrier access to buprenorphine since 2018, however buprenorphine is not always the patient’s preference or the most appropriate treatment. UI-MSHC integrated FGC into its current clinical setting to be able to offer methadone inside an FQHC. MSHC providers assess the patients in the primary care visit and refer those with OUD and prefer methadone to the co-located team. This model allows for all partners to have financial viability. UI-MSHC is reimbursed for methadone physicals, primary care, and complex mental health care. FGC receives reimbursement for SUD services including counseling, case management, recovery support, and medication dosing/titration. The systems and stakeholder buy-in will be discussed during the session.
This poster will be an adaption of an oral presentation that will provide attendees with evidence-based clinical data from health-care professionals. Prompt identification of potential clients to provide access to MOUD and identification and engagement with other community MOUD providers will be discussed. Attendees will hear directly from each member of the team, understand approaches to partnering and implementing the innovative model,. Outcome data on preventive screening, chronic disease management, treatment retention and adherence will be presented and discussed.
References
Chicago Department of Public Health. 2021 Chicago Mid-Year Opioid Report, Chicago, IL. City of Chicago, August 2021.
Mason, M., Welch S.B., Arunkumar, P., Post, L.A., Feinglass, J.M. Notes from the Field: Opioid Overdose Deaths Before, During, and After an 11-Week COVID-19 Stay-at-Home Order — Cook County, Illinois, January 1, 2018–October 6, 2020. MMWR Morb Mortal Wkl y Rep 2021; 70:362–363. DOI: https://hes32-ctp.trendmicro.com:443/wis/clicktime/v1/query?url=http%3a%2f%2fdx.doi.org%2f10.15585%2fmmwr.mm7010a3&umid=c033ce1c-4d61-4352-8c35-b035d260f585&auth=cb8e2e5f0380db52462dcdd50199f593f72a1c1e-4559ec6854855528e389c74d56155244b1169afb
Nguemeni Tiako M. J. (2021). Addressing racial & socioeconomic disparities in access to medications for opioid use disorder amid COVID-19. Journal of substance abuse treatment, 122, 108214. https://hes32-ctp.trendmicro.com:443/wis/clicktime/v1/query?url=https%3a%2f%2fdoi.org%2f10.1016%2fj.jsat.2020.108214&umid=c033ce1c-4d61-4352-8c35-b035d260f585&auth=cb8e2e5f0380db52462dcdd50199f593f72a1c1e-50f3edba053317efb1674f9299ea907745b45555
Substance Abuse and Mental Health Services Administration, National Mental Health Services Survey (N-MHSS): 2018. Data on Mental Health Treatment Facilities. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2019.
Turner, D., Jasmin, W., Chung, I., Arunkumar, P., Kiely, M., Aks, S., Doe-Simkins, M., Weaver, K., Prachand, N. Opioid Overdose Surveillance Report—Chicago 2018. City of Chicago, March 2020.
Health Equity
MOUD requires programs that are interdisciplinary, multilevel, and responsive to the unique experiences of diverse communities. This program addressed the significant disparities in OUD consequences, with high-risk BIPOC populations having higher rates of OUD and less access to treatment and care.
Presenting Author
Brianna M. McQuade PharmD, BCACP, MHPEUniversity of Illinois at Chicago College of Pharmacy
Authors
Maria Bruni PhD
Family Guidance Centers, Inc.
Linda Lesondak PhD
University of Illinois at Chicago Mile Square Health Center (MSHC)
Samantha Madrid BS
University of Illinois at Chicago Mile Square Health Center (MSHC)
Nicole Gastala MD
University of Illinois Chicago College of Medicine
Christine Neeb MD
University of Illinois Chicago College of Medicine
Jessica Richardson MD
University of Illinois at Chicago Mile Square Health Center (MSHC)