Health departments |
Provide robust support for: 1) Building clinical infrastructure (e.g., health record, billing systems) 2) Developing policies and procedures 3) Addressing medicolegal concerns (e.g., malpractice insurance, legal liability associated with providing clinical services) 4) Selecting and training buprenorphine providers in harm reduction principles 5) Training frontline SSP staff to counsel participants about buprenorphine Designate a point-person who can provide individualized technical assistance to SSPs |
SSPs |
Train buprenorphine providers in harm reduction principles and facilitate a system for staff to safely provide feedback on practices |
Ensure regular training on buprenorphine for SSP staff |
Compensate buprenorphine providers for telehealth visits |
Elicit SSP participant input on buprenorphine program design |
Develop and update buprenorphine services policies and procedures through collaborative discussion with staff, buprenorphine providers and participants |
Designate a dedicated buprenorphine services coordinator |
Establish a relationship with a local pharmacy |
Link participants to supportive services as needed (housing, mental health services, vocational training, etc.) |
Buprenorphine providers |
Past experience or dedicated time for training in: 1) Low-threshold treatment principles and practices 2) Harm reduction principles and practices |
Work collaboratively with harm reduction staff, particularly: 1) Soliciting and incorporating feedback from team members 2) Identifying and addressing client goals and basic needs |