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Advanced Buprenorphine Resources

Best Practices and Emerging Evidence in Opioid Use Disorder Treatment

Advanced Buprenorphine Resources

Enhance your knowledge and skills in buprenorphine treatment for opioid use disorder (OUD) with this comprehensive collection of educational materials. This resource package includes a four-episode podcast series, eight mini videos, and three downloadable resource guides, providing key insights and practical strategies to navigate challenges, enhance treatment approaches, and support informed clinical decision-making.

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Resources

  • ASAM Practice Pearls: Advanced Buprenorphine

    This is a four-episode podcast series focused on improving hospital and clinic-based buprenorphine treatment for OUD. These episodes provide expert insights, practical strategies, and real-world approaches to overcoming common challenges.

  • Best Practices and Emerging Evidence in OUD Treatment

    This resource guide includes key information and resource links from the Advanced Buprenorphine Education: Best Practices and Emerging Evidence in OUD Treatment course.

  • Shared Medical Appointments: Enhancing OUD Treatment Success

    This resource guide outlines the benefits, structure, and billing considerations of shared medical appointments (SMAs) in outpatient buprenorphine care, helping providers improve access, patient engagement, and financial sustainability.

  • Extended-Release (XR) Buprenorphine Formulations

    This resource guide compares two formulations of extended-release (XR) buprenorphine, a long-acting treatment for opioid use disorder (OUD). It highlights differences in dosing, administration, and logistics to support informed clinical decision-making. 

ASAM Clinical Tips: Best Practices in Prescribing Buprenorphine

Short, practical takeaways from leading experts! This series of mini videos delivers key insights on advanced buprenorphine treatment, offering practical strategies to navigate challenges, optimize patient care, and enhance clinical decision-making in both hospital and clinic settings.

  • Best Practices for Buprenorphine Treatment in Patients with Unique Clinical Needs: (Video: 9 min 57 sec) Explore essential guidelines for administering buprenorphine in patients with unique clinical needs, including pregnant individuals, adolescents, and those dealing with both opioid use disorder and chronic pain. Learn how to tailor buprenorphine treatment to address the unique needs and challenges presented by these groups.
  • Determining the “If” and “How” of Tapering and Discontinuing Buprenorphine Treatment: (Video: 10 min 34 sec) Navigate the complex decision-making process of tapering and discontinuing buprenorphine treatment. This video provides insights into assessing the appropriateness of tapering, understanding the factors influencing the decision, and implementing effective strategies for a successful transition. Gain practical knowledge on when and how to guide patients through the tapering process.
  • Best Practices for Low-Threshold Care: (Video 25 min 35 sec) Discover effective strategies for implementing low-threshold care in buprenorphine treatment. This video covers approaches to reduce barriers to entry, increase accessibility, and foster a supportive environment for individuals seeking opioid use disorder treatment. Learn how to implement practices that prioritize patient-centered strategies and make treatment more approachable for a wider range of patients.
  • Nuances of Extended-Release Buprenorphine Maintenance: (Video 7 min 30 sec) Delve into the nuances of extended-release buprenorphine maintenance in this informative video. Explore the benefits and considerations of extended-release formulations and learn how they can contribute to a more stable and consistent treatment approach. This video provides insights into optimizing extended-release buprenorphine for long-term maintenance, offering a deeper understanding of its role in opioid use disorder treatment.
  • Managing Dual Diagnosis: Addressing Co-occurring Stimulant Use Disorder: (Video 11 min 20 sec) Dr. Stephen Holt explores strategies for managing co-occurring opioid and stimulant use disorders. Through the case of Allan, a 34-year-old struggling with fentanyl, cocaine, and benzodiazepine use, the video highlights the importance of prioritizing opioid use disorder (OUD) treatment with medications like buprenorphine or methadone to reduce overdose risk. It covers barriers to accessing MOUD, patient-defined goals in stimulant use treatment, and pharmacological options. Behavioral interventions such as contingency management and cognitive behavioral therapy are also discussed, emphasizing a harm reduction approach for better patient outcomes. References
  • Injectable Buprenorphine: Implementation in Outpatient Care: (Video 11 min 30 sec) Dr. Stephen Holt breaks down the implementation of extended-release buprenorphine (XR-bup) in outpatient care. Using the case of Lara, a patient struggling with erratic sublingual buprenorphine use and intermittent fentanyl use, the video explores how XR-bup can improve treatment adherence and reduce overdose risk. It covers patient selection, differences between medication options, procurement challenges, storage requirements, insurance considerations, and administration techniques. Practical strategies for managing injection discomfort and mitigating complications are also discussed, providing a comprehensive guide to integrating XR-bup into clinical practice. References
  • Discharge Planning: Optimize Linkage to SUD Care and Supportive Services: (Video 15 min 35 sec) Dr. Tiffany Lu explores best practices for discharge planning to optimize linkage to substance use disorder (SUD) care and supportive services. Through the case of Mr. Smith, a hospitalized patient recovering from opioid withdrawal and homelessness, the video highlights key strategies for ensuring continuity of care post-discharge. Topics include optimizing medication for opioid use disorder (MOUD) access, coordinating substance use treatment referrals, providing harm reduction tools, and addressing social determinants of health such as housing and transportation. Practical strategies and evidence-based interventions help bridge gaps in care and reduce post-discharge overdose risk. References
  • Best Practices for Using Buprenorphine in OUD Treatment During Pregnancy: (Video 20 min 3 sec) Dr. Tiffany Lu explores best practices for using buprenorphine to treat opioid use disorder (OUD) during pregnancy. Through the case of Ms. X, a pregnant patient seeking help for opioid withdrawal, the video highlights the importance of initiating medications for OUD, particularly buprenorphine, to reduce overdose risk and improve maternal and neonatal outcomes. Key topics include barriers to care, shared decision-making, low-dose initiation strategies, and medication adjustments during pregnancy. The video also covers postpartum planning, neonatal care considerations, and legal implications, emphasizing a patient-centered approach. References