Answering the call: Implementing Best Practices for Opioid Use Disorder in General Public Mental Health Clinics to Stem the Tide of the Opioid Epidemic-View Presentation

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Video Summary

The discussion at this conference, led by Dr. Molly Finnerty and colleagues, focused on the ongoing opioid crisis and the potential role of outpatient mental health clinics in addressing opioid use disorder (OUD). The crisis is exacerbated by synthetic opioids like fentanyl. The prevalence of OUD among patients with mental health disorders was highlighted, emphasizing the need for mental health clinics to screen for OUD and provide treatment, such as medications for opioid use disorder (MOUD), including buprenorphine.<br /><br />Studies show widespread barriers in mental health settings, including stigma, workforce shortages, and a lack of clear protocols and training. Dr. Flavio Kossoy and Allison Ober presented findings from various studies, indicating significant gaps in the diagnosis and treatment of OUD in public mental health settings. In response, a toolkit was developed to aid clinics in implementing comprehensive care for patients with co-occurring disorders.<br /><br />The group discussed structural barriers, such as the separation of mental health and addiction services in states like New York, and logistical challenges in clinics, including low prescriber buy-in and knowledge gaps. The discussion also underscored systemic stigma and legal concerns, particularly around prescribing in special populations like pregnant women.<br /><br />To counter these issues, suggestions included improving provider education, creating consultation hotlines, establishing clear clinical pathways, and leveraging state and federal resources for training and support. Despite initiatives to enhance clinical practices, significant efforts are still needed to fully integrate OUD treatment into mental health services and address the crisis effectively.

Keywords

opioid crisis

outpatient mental health clinics

opioid use disorder

synthetic opioids

mental health disorders

medications for opioid use disorder

barriers in mental health settings

structural barriers

provider education

integrating OUD treatment