Post-Overdose Care in the
Medication for opioid use disorder (MOUD)
Medication for opioid use disorder (MOUD) combines behavioral therapy and medications to treat substance use disorders. MOUD is effective in the treatment of opioid use disorders (OUD) and can save lives by helping to prevent relapses as well as help some people to sustain long term recovery.
*Historically, pharmacological treatment for opioid use disorder was referred to as “Medication Assisted Treatment” (MAT).” More recently, it has been determined that the better term is “Medication for Opioid Use Disorder (MOUD)” since it precisely describes this treatment form and carries less stigma. While many valuable resources in the Michigan Safer Opioid Prescribing Toolkit still use the term “MAT,” our website will refer to it as “MOUD” going forward.
- Download these sample clinical MOUD protocols developed by CA Bridge and the Alaska Department of Health and Social Services and adapt for use in your emergency department.
- Sites will need to evaluate whether these sample clinical MOUD protocols are appropriate for their ED and obtain proper committee approval before use.
What is Medication For Opioid Use Disorder (MOUD)?
- Download this 16-page pocket guide for quick access to information on MOUD –find a checklist for prescribing medication, medications approved in the treatment of OUD, and a clinical opiate withdrawal scale.
Locate a MOUD Specialist
MOUD Waiver Training and Support
Information to help physicians and other medical providers to get the training they need to provide MOUD to their patients.
- Learn about MOUD waiver training for physicians, nurse practitioners, and physician assistants and access an introduction to MOUD.
- Visit this website to access live and online CME opportunities focusing on improving the care and treatment of people with the disease of addiction.
MOUD in the Emergency Department
- This guide examines emerging and best practices for initiating MOUD in emergency departments. It also reviews the existing literature and science of the topic, identifies gaps in knowledge, and discusses challenges of implementation.
- This comprehensive model was developed by an interdisciplinary team based on published evidence and expert opinion. Includes protocols for initiating MOUD; how to treat acute pain in patients on MOUD; provider and patient education; sample order sets; pregnant patient considerations.
- This one stop website contains critical materials for if you are considering starting MOUD for a patient. Compatible smart phone application available for ACEP members.
- The Washington ACEP has provided five 1-2 page PDFs with essential information for providers and patients on initiating medication-assisted treatment for patients presenting to the emergency department with opioid withdrawal.
- This Treatment Improvement Protocol (TIP) reviews the use of the three Food and Drug Administration (FDA)-approved medications used to treat opioid use disorder (OUD)—methadone, naltrexone, and buprenorphine—and the other strategies and services needed to support recovery for people with OUD.
- Scroll down to open the document.
- Access both a versions of the Office-based Addiction Treatment (OBAT) Clinical Guidelines Manual –one to be used by health centers in Massachusetts and one with more general, non-Massachusetts specific information on the Nurse Care Manager model of OBAT.
- These guidelines provide information on evidence-based treatment of opioid use disorder, and addressing all of the FDA-approved medications available to treat addiction involving opioid use and opioid overdose.
Substance Use Disorder and Opioid Use Disorder Assessment Tools
- A brief, self-report screening tool designed for use with adult patients in primary care settings to assess risk for opioid abuse among individuals prescribed opioids for treatment of chronic pain.
Assessment Tools for Co-morbid Mood Disorders
Ongoing MOUD and Substance Use Disorder Training
- The BMC OBAT Training and Technical Assistance provides education, support and capacity building to community health centers and other health care and social service providers on best practices caring for patients with substance use disorders. Learn more about BMC’s OBAT TTA services or request TTA.
- Introduces evidence-based clinical practices of pharmacotherapy and behavioral treatments for substance use disorders. Off label medications and psychosocial support programs are also discussed.
ASAM – Treatment of Opioid Use Disorder Course (includes waiver qualifying requirements)
- The course covers all forms of medications and treatments of opioid use disorder, and provides the required education needed to obtain the waiver to prescribe buprenorphine.
Talking to Patients about MOUD
- Visit this site to gain information on MOUD including medications to treat opioid addiction, information and training resources, statues, regulations and guidelines and certification of OTPs.