SUD 101 Module 8 - Standard Medical Management for Opioid Use Disorder in Primary Care-Presentation

Video Transcription

Video Summary

This training by Brent Moore from Yale University provides an overview of Standard Medical Management (SMM) for treating Opioid Use Disorder (OUD) in primary care. SMM combines medication-assisted treatment (using methadone, buprenorphine, or naltrexone) with brief psychosocial counseling, aiming to improve safety, motivate patients, reduce stigma, and support recovery. It is suitable primarily for moderate to severe OUD patients who can adhere to treatment guidelines. The approach emphasizes person-first language to reduce stigma and employs evidence-based methods to address triggers, cravings, and adherence challenges.<br /><br />The initial session is comprehensive, establishing rapport, reviewing diagnosis, and collaboratively developing an individualized treatment plan emphasizing abstinence or reduction goals. Subsequent sessions focus on monitoring medication adherence, substance use, motivation enhancement, support group involvement, and referrals for additional medical or psychosocial needs. Motivational techniques such as reflective listening, open-ended questions, and the readiness ruler help increase patient engagement.<br /><br />SMM can be delivered by trained clinicians—physicians, nurse practitioners, physician assistants—and supported by nurses and counselors. Providers are encouraged to maintain a hopeful, empathic, patient-centered approach, avoiding punitive or stigmatizing practices. When needed, patients may be referred to higher levels of care. Resources such as the PCSS mentor program and discussion forums are available to aid clinicians. Overall, SMM in primary care offers an effective, accessible means to treat OUD and support patient recovery.

Keywords

Standard Medical Management

Opioid Use Disorder

primary care

medication-assisted treatment

methadone

buprenorphine

naltrexone

psychosocial counseling

patient-centered approach