State-wide treatment provision model that has been associated with increased opioid use disorder treatment capacity
Hub and Spoke, implemented by the Vermont Center of Behavior and Health, is Vermont’s system for providing medications for opioid use disorder (MOUD), supporting people in recovery from opioid use disorder (OUD).
Nine regional Hubs offer daily support for patients with complex addictions. At over 75 local Spokes, doctors, nurses, and counselors offer ongoing OUD treatment fully integrated with general healthcare and wellness services. This framework deploys OUD expertise and helps expand access to OUD treatment for Vermonters.
Hubs are opioid treatment programs, with expanded services and strong connections to area Spokes. Each Hub is the source for its area’s most intensive OUD treatment options, provided by highly experienced staff. Spokes are office-based opioid treatment settings, located in communities across Vermont. At many Spokes, OUD treatment is integrated into general medical care, like treatment for other chronic diseases.
Success of the program model can be seen in this presentation.