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Increasing Awareness on Substance Use Disorder.

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  • 1Jennifer Scott, MSN, FNP-BC, Kathleen Schachman, PhD, FNP-BC, PMHNP-BC, FAANP, FIAAN, and Cynthia Hupert, DNP, RN, Saginaw Valley State University, University Center, Michigan.

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Summary

Project ECHO Addiction training increased rural primary care providers' confidence and willingness to treat substance use disorder (SUD). This quality improvement project addresses treatment gaps for rural individuals with SUD, enhancing patient care and outcomes.

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Healthcare Quality Improvement

Background:

  • Rural areas in the Midwest face a shortage of substance use disorder (SUD) providers.
  • Individuals in rural settings with SUD often experience significant delays or gaps in accessing necessary treatment.
  • This disparity highlights a critical need to enhance SUD treatment capacity within primary care.

Purpose of the Study:

  • To improve engagement, participation, and awareness among rural primary care providers regarding SUD treatment.
  • To equip primary care providers with the knowledge and skills to manage patients with SUD effectively.
  • To bridge the gap in addiction treatment services for rural populations.

Main Methods:

  • A quality improvement project utilizing Project ECHO (Extension for Community Healthcare Outcomes) Addiction educational sessions.
  • A skip-logic standardized survey was employed to assess participant engagement and intended practice changes.
  • Sessions included diverse SUD topics and case-based learning with expert feedback.

Main Results:

  • 176 primary care providers from 62 clinics participated across 14 sessions over 7 months.
  • 79% of participants agreed or strongly agreed they would implement practice changes post-training.
  • Reported practice changes included adapting naltrexone prescription, updating guidelines, screening for adverse childhood experiences, and enhanced confidence in medication-assisted treatment.

Conclusions:

  • Project ECHO Addiction is an effective, evidence-based translational model for improving rural primary care's capacity to treat SUD.
  • The project enhances provider awareness, engagement, and networking, leading to more timely and effective patient treatment.
  • Improved primary care engagement in SUD treatment ultimately benefits patients through better and more accessible care.