Originating in Vermont, the Hub and Spoke model provides a point of care at each stage of recovery from opioid use disorder (OUD), from the intense beginning to long-term treatment. This case study examines what happened in Montana, designated as a Frontier and Remote state by the federal government. Earlier this year, the HRSA-supported Center on Rural Addiction at the University of Vermont conducted a baseline needs assessment (pdf) in that state of rural and non-rural practitioners during two separate one-month periods in 2020. Both rural and non-rural practitioners named stigma and patient time/transportation as top barriers to treatment. A majority of rural providers also named medication diversion as a top concern.
See Case Study: Barriers to Hub and Spoke Model for OUD Treatment for more information.