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Value of MAT combined with Behavioral HealthCut death rate by 50% Opioid EpidemicUS: Plane full of 200 people crashing everydayCO: 500 per year and climbing Who develops opioid use disorder?25% of heroin usersRoughly 21 to 29 percent of patients prescribed opioids for chronic pain misuse them. Between 8 and 12 percent develop an opioid use disorder. An estimated 4 to 6 percent who misuse prescription opioids transition to?heroin. and counseling programs bolstered by MATPatients can “live” in their same settingPatient is constantly being treatedCold Turkey – Bad and hopeless approachRarely successfulRelapse and discouragement highOD risk increased by lower toleranceBad choices and higher suicideMAT BenefitsCombined with counseling halves mortalitySafer for patient returning “home”Lessens dangerous and deadly behaviorImproves opportunity for behavioral healthMAT MedicationsNaltrexoneVivitrolBuprenorphineSuboxoneMethadonePharmacologyAntagonistPartial agonistAgonistWhen administered7 – 10 days24 hoursImmediatelyHow administeredPill, IMPill, SL, SQLiquidWho can prescribeAny providerWaivered providerLicensed facilityIf opioid takenNo effectNo effectCumulative effectDATA WaiversPhysiciansNP or PA8 hour courseDEA x-number30 patient limit (1st year)100 patient limit (2nd year)275 patient limit (3rd year)24 hour courseDEA x-number30 patient limit (1st year)100 patient limit (2nd year)MAT FacilityMinimal requirementsNEED close associations with medical clinic and pharmacyClinic IssuesMinimize hurdles to entryDecide together what constitutes successKnow your tests and value of results (Urine dip is 60% accurate)Be kind, have rules, show mercyBilling:Visit TypeICD 10CPTH&P w/ inductionBH screeningExtended visitF11.20F19.10Z13.9992059935499354InductionF11.2099214/5Weekly visitsDrug screenUrine pregnancyF11.20992138030581025 ................
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