CCHS offers outpatient office-based Medication Assisted treatment for patients with opiate addiction who have decided to enter recovery. The program follows the model developed by the Department of Behavioral Health and Psychiatry of the WVU School of Medicine termed the Comprehensive Opiate Addiction Treatment program (COAT). The service is integrated with the primary care services provided at the Kanawha City Health Center operated by CCHS. The program can accommodate thirty (30) patients. The program has the following characteristics:
- Interested patients are interviewed by telephone and informed of the structure and requirements of the program.
- Therapists (PhD psychologists or clinical social workers) conduct an intake interview and determine patients’ readiness for the program.
- Patients are tested for infectious diseases and offered comprehensive primary care services.
- Suboxone (buprenorphine) is prescribed in appropriate dosages and drug and alcohol use is monitored closely.
- Participating physicians have obtained the DEA-X waiver.
- The frequency of medical visits and group therapy sessions is reduced over time as days of sobriety increase. Frequency is weekly until there are 90 days of continuous non-use, then bi-weekly until one year of continuous non-use and monthly thereafter. Medical visits and therapy sessions are performed in a group setting.
- Patients who are dishonest about a relapse are suspended from the program for 30 days.
- Individual therapy is provided as needed.
- Continuing education and patient consultation and support for physicians, therapists, nursing and care management staff is provided at bi-weekly hour-long video-conference sessions with specialists at the WVU COAT program. These are termed MAT ECHO sessions.
For additional information contact Lois Vance, MAT Care Manager – 304-205-7534 ext. 1513.