Counseling/Clinical Strategies
In October of 2018, Community Medical Services opened the Nation’s first Opioid Treatment on Demand (OTOD) clinic. The concept of this clinic was developed out of necessity to provide access to treatment for clients without time constraints and to facilitate warm hand-off referrals from high-risk touchpoints such as hospitals, police, fire departments, emergency medical services, and jails. Since expanding to a 24/7 model, Community Medical Services has conducted over 2000 intakes outside of normal business hours. More importantly, this framework provided the ability to pioneer community initiatives to support referrals at all hours of the day and access to treatment for those in need. The presentation will provide an in-depth analysis around data collected from almost a year of operations of OTOD and innovative programs developed with place of high rates of opioid encounters. Attendees will analyze data collected over the first year of operations for the Nation’s first Opioid Treatment on Demand (OTOD) clinic. Attendees will be provided an understanding of the organizational and staffing needs to conduct an OTOD. Audience members will be able to identify and brainstorm gaps in treatment in their own communities that 24/7 services could support for client referrals and system partner support. These system partners can include hospitals, prisons, jails, police, EMS, fire departments, and state family and children services.

-Recite and discuss the Opioid Treatment on Demand Model (OTOD). This will include staffing needs, security, community cohesion, licensure, medication delivery, system partner support, etc.
-Summarize and analyze multiple data points such as the number of treatment attempts before intaking at the OTOD, what time of the day people seek treatment, what day of the week, geographical location, referral source, history of use, and others.
- Identify high-risk touch points for people having negative opioid related encounters and how to integrate with the agencies responding to those encounters.