PCSS-MOUD Clinical Roundtable: Methadone in Acute Care Settings-Slides

Slides

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This clinical roundtable, led by Dr. Michelle Lofwall and supported by the Providers Clinical Support System – Medications for Opioid Use Disorders (PCSS-MOUD), focuses on patient-centered care in treating substance use disorders (SUD), particularly opioid use disorder (OUD). Patient-centered care is defined by the Institute of Medicine as care that respects and responds to individual patient preferences, needs, and values, ensuring these guide all clinical decisions. It requires a therapeutic partnership where information about treatment options, including risks and benefits, is shared transparently to enhance health literacy and support informed decision-making. This model contrasts with paternalistic or one-size-fits-all approaches and emphasizes sensitivity to psychosocial and emotional factors, supported by ethical principles like autonomy and beneficence.<br /><br />In practice, patient-centered care involves understanding patients' goals, values, motivations, and culture, collaboratively developing a care plan that aligns with these, and engaging not only the patient but also their family and community resources. An illustrative case of Henry, a 43-year-old with multiple substance use disorders and mental health conditions, highlights the approach: acknowledging his strengths and progress, discussing challenges and priorities, and collaboratively navigating external influences such as legal and child protective services involvement.<br /><br />PCSS-MOUD supports healthcare providers through free education, mentoring, and resources to improve competency in evidence-based treatment, including medication for OUD. Mentoring options include online discussion forums, clinical question responses, and one-on-one individualized mentoring to guide complex clinical decisions. This initiative is funded by SAMHSA and managed by the American Academy of Addiction Psychiatry (AAAP). The program promotes unbiased, evidence-based education adhering to ethical standards without commercial influence.<br /><br />Overall, this approach fosters effective, respectful partnerships aiming for improved patient-reported outcomes by tailoring care to each patient's unique context and needs.

Keywords

patient-centered care

substance use disorders

opioid use disorder

PCSS-MOUD

therapeutic partnership

informed decision-making

ethical principles

collaborative care planning

healthcare provider education

evidence-based treatment