Wellspan medication assisted treatment (wsmat) - over a five-year period, wellspan medication assisted treatment (wsmat) will serve 2,140 residents of adams, franklin, lancaster, lebanon, and york…

Wellspan medication assisted treatment (wsmat) - over a five-year period, wellspan medication assisted treatment (wsmat) will serve 2,140 residents of adams, franklin, lancaster, lebanon, and york counties in south central pennsylvania (year 1 - 400, year 2 - 420, year 3 - 430, year 4 - 440, year 5 - 450) who have opioid use disorder (OUD) and receive mat and recovery support from wellspan (WS). The 24/7 warm line call center for addictions will be integrated into other behavioral health services and elevated as a "front door" access point for individuals in need of addiction treatment, recovery support, and related resources and expand its work to screen callers for substance and tobacco use, infectious disease, CO-occurring diagnoses, and social service needs. Recovery support will be provided by WS-employed recovery support specialists, who have personal experience with addiction and recovery. Evidence-based practices such as mat, motivational interviewing, and warm hand-offs, will be used to keep patients engaged in treatment at least 6 months, a predictor of success. For the target population of patients currently receiving mat provided by WS in the aforementioned counties: for patients with documented ethnicity, 77.6% non-hispanic, 19.7% hispanic; race 74.5% white, 7% black/african american, .7% native american, .3% asian, .2% native hawaiian or other pacific islander, .2% multi-racial; 64.6% of the patients are male, 35.4% of the patients are female with one patient (.1%) identified as transgender; 6.8% of the patients are between the ages of 18-24, 42.5% 25-34, 30.7% 35-44, 12.4% 45-54, 5.1% 55-64 and .2% 65+. There are over 20,000 individuals with OUD in the service area. The total population served by WS is 1,610,265 patients: 81% white non-hispanic, 11% hispanic or latino, 5% black non-hispanic, and 1% asian; 2), average patient is 44; 3) 50.7% of patients are female, 49.3% of patients are male, and 94 patients have documented in their electronic health record trans or gender non-confirming; 4) over 90% of households in adams, franklin, and york counties speak only english, 87% of households in lebanon county, and 83% of households in lancaster county speak only english with the most common second language being spanish; 5) an average of 8.2% of persons live in poverty in the five-county area, with this rate increasing to 28% (more than twice the national rate) for york city where WS sees its highest population of mat patients. Wsmat project goals are to increase the number of new mat intakes, increase engagement, abstinence and gpra interview completion at 6 months, support a holistic approach to screening and treatment to improve client outcomes and reduce cost of care. Outcomes will be 2,140 new mat intakes including spanish-speaking patients, 3,000+ calls to the warm line over 5 years, at least 10 new prescribers including at least 1 in rural franklin county, increased engagement to reach 80% engagement at 6 months, 90% reporting decrease in illicit opioid drug use or prescription opioid misuse at 6 months post-intake, and consistency in screening for CO-occurring diagnoses, infectious disease, and social determinants of health.