9.19.24 MACS Webinar on Approaches to Treatment of OUD in the Pediatric Population-MACS BHIPP Webinar Slides

MACS BHIPP Webinar Slides

Pdf Summary

The document, authored by Dr. Marc Fishman, delves into optimizing treatments for Opioid Use Disorder (OUD) in youth, particularly adolescents and young adults. Key issues highlighted include the increased vulnerability of young individuals, a significant rise in overdoses (especially due to fentanyl), and systemic barriers hindering effective treatment dissemination, such as capacity problems, misinformation, and prejudice.<br /><br />Medication-assisted treatment (MAT) or medications for OUD (MOUD) show substantial evidence for effectiveness among youth, although uptake remains poor. Dr. Fishman underscores the necessity for MOUD as the standard of care and discusses promising developmentally-informed interventions like Youth Opioid Recovery Support (YORS) and BOND. Strategies include enhancing family involvement to leverage support and persuasion, as families possess unique abilities to influence treatment adherence.<br /><br />Furthermore, Dr. Fishman elaborates on barriers unique to youth, such as developmental immaturity, resistance to treatment engagement, and co-morbid conditions. He calls for tailored interventions that address these challenges, integrate family dynamics, and promote longer durations of medication adherence for better outcomes.<br /><br />Innovative approaches discussed include mobile van delivery for extended-release medications, primary care delivery models (Hub and Spoke), youth-specific recovery housing, and digital tools like the Parent CRAFT course. These interventions aim to engage youth and their families effectively, ensuring seamless transitions from acute to continuing care.<br /><br />In conclusion, Dr. Fishman emphasizes the urgent need for broader adoption of evidence-based treatments and innovative, developmentally-informed interventions to enhance youth engagement and retention in OUD treatment. The purpose is to harness existing tools more effectively, save lives, and cater to the unique developmental needs of young individuals battling OUD.

Keywords

Opioid Use Disorder

youth

adolescents

Medication-assisted treatment

MOUD

family involvement

treatment barriers

innovative approaches

developmental interventions

Dr. Marc Fishman