Supplement: Primary Care Training and Enhancement

This application from the University of Kentuckyfs Department of Family and Community Medicine (DFCM) is intended to improve access to quality opioid and other substance abuse disorder treatment and prevention by increasing the number of providers trained to deliver these services. It also serves to address specific needs around the training of individuals that deliver and/or support the treatment of opioid use disorder. Opioid care occurs on a spectrum of approaches. Medication]Assisted Treatment (MAT) is a possible intervention for those with opioid use disorder. MAT requires comprehensive services for successful implementation. Not all practices are prepared for MAT implementation. UK Departments of Psychiatry and Behavioral Sciences addiction experts, in cooperation with state of Kentucky health and Families Services had done a great job delivering MAT training. However, discussion with state leadership reveals that a significant number of MAT trainees are not providing MAT in practice. The Department of Family and Community Medicine (DFCM) understands that there are system issues (training, referral, reimbursement by Medicaid for MAT medications, etc.) that need solutions. Furthermore, understands that there are known factors affecting provider adoption of evidence]based practices. DFCM seeks to solve some of these problems by conducting a mixed methods investigation involving qualitative and quantitative methods to analyze factors impacting providersf knowledge, awareness, and implementation in practice of MAT for opioid use disorders. The project then will work with MAT training groups to incorporate curriculum that will address these factors. The objectives of this project are: 1) to conduct curriculum development research to examine knowledge and attitudes toward MAT and to examine implementation by trained medical providers. 2) Incorporate results into regional MAT training.