Key Lessons Learned in Medication-Assisted Treatment Implementation
- What the Data Show:
- Preliminary data show the Extensions for Community Healthcare Outcomes (ECHO) model is helpful for starting or expanding MAT for opioid use disorder in rural primary care in New Mexico.
- Data show that participants have overall positive experience with the ECHO-F intervention.
- Many providers ask for and engage in additional supports to help them start or expand MAT (called “facilitation”).
- *N currently insufficient to draw final conclusions
- Additional Support:
- Additional support is common among clinics participating in the intervention. This support is primarily clinical and is provided via email or telephone outside of ECHO clinic hours. In many cases additional support helps to keep them on track in starting and expanding MAT.
- Some clinics participating in the ECHO-F intervention have not succeeded in expanding MAT. For some of these clinics, ECHO sessions and additional supports are not enough to support them. Often this is because clinic leadership and/or providers have determined they cannot start MAT due to lack of clinic staff or other behavioral health supports. Therefore, do not fully engage in the facilitation support process.
- Lack of Time and Clinic Leadership Support:
- The most common barriers to joining ECHO-F are lack of time due to clinical demands and lack of clinic administrative support. Not supporting providers and staff to participate is also related to willingness to start or expand MAT services at the clinic.
- Early data show 10/20 (50%) clinics that joined the ECHO-F have expanded MAT services.
- Six clinics (30%) did not start MAT and the study team continues to attempt to provide them additional support.
- Four clinics (20%) dropped out of ECHO-F and did not provide any data on their MAT expansion.
- Careful data collection with participating clinics has documented 228 new patients starting MAT services.
In the News
- Psychiatric Services podcast, From Pages to Practice: "Engagement With Project ECHO to Increase Medication-Assisted Treatment in Rural Primary Care"
- Grantee continues to recruit new clinics into the ECHO-F.
- MAT services are expanding and 228 new patients have been started on MAT.
- The 12-session curriculum developed for the ECHO-F study is innovative and can help expand MAT nationally.
- Grantee is preparing a manuscript detailing this curriculum.
Conferences & Publications
|National Association for Rural Mental Health||August 26-29, 2019||Albuquerque, NM|
|North American Primary Care Research Group||November 16-20, 2019||Toronto, ON|
|WONCA World Rural Health Conference||October 12-15, 2019||Albuquerque, NM|
|Global Implementation Conference||September 15-17, 2019||Glasgow, UK|
Oral Presentation Poster
- Manuscript in Psychiatric Services- Published Online: August 22, 2019 https://doi.org/10.1176/appi.ps.201900142