Skip to main content
SpringerLink
Log in

The Power of Team: Introduction to Interprofessional Care Teams in Opioid Use Disorder Treatment

  • Chapter
  • First Online:
Treating Opioid Use Disorder in General Medical Settings

  • 451 Accesses

Abstract

The World Health Organization (WHO) defines interprofessional collaboration as “multiple health workers from different professional backgrounds working together with patients, families, caregivers, and communities to deliver the highest quality of care.”

The value of an interprofessional team in caring for patients with any illness begins with an appreciation for the collective power of many to reach a common goal. Each team member is equally important in gathering information from a patient. Sharing individual perspectives in a team helps ensure the care team develops a holistic understanding of each patient. This benefits the team and even more importantly it helps the patient. The added value of interprofessional teams is a better likelihood of engaging patients into care, which os of particular importance when caring for patients with substance use disorder who have traditionally been disenfranchised, disconnected, and stigmatized. The interprofessional healthcare team appreciates that the power of many is so much greater than its separate parts. With a team-based approach to addiction care, strengths, opportunities, challenges, and barriers are easier to identify and bridges to care and provision of evidence-based treatments are easier to establish.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. World Health Organization (WHO). Framework for action on interprofessional education & collaborative practice. [Internet]. Geneva: WHO; 2010 [cited 2020 Mar 21]. Available from: https://apps.who.int/iris/bitstream/handle/10665/70185/WHO_HRH_HPN_10.3_eng.pdf;jsessionid=1F4D8FACC7D79EA7AB880B9C8B2A20D7?sequence=1.

  2. Eaton EF, Westfall AO, McClesky B, Paddock CS, Lane PS, Cropsey KL, Lee RA. In-hospital illicit drug use and patient directed discharge: barriers to care for patients with injection related infections: open forum infectious disease: IDSA. http://creativecommons.org/licenses/by-nc-nd/4.0/.

  3. Hawk KF, Vaca FE, D’Onofrio G. Reducing fatal opioid overdose: prevention, treatment and harm reduction strategies. The Yale J Biol Med [Internet]. 2015 [cited 2020 Mar 21];88(3):235–45.

    Google Scholar 

  4. National Association of Social Workers (NASW). About social workers [Internet]. www.socialworkers.org. Washington, DC: NASW; 2020 [cited 2020 Apr 1]. Available from: https://www.socialworkers.org/news/facts.

  5. American Society of Addiction Medicine (ASAM). Public Policy statement: definition of addiction [Internet]. Rockville: ASAM; 2011 [cited 2020 Mar 16]. Available from: https://www.asam.org/docs/default-source/public-policy-statements/1definition_of_addiction_long_4-11.pdf?sfvrsn=a8f64512_4.

  6. Rollnick S, Miller WR, Butler C. Motivational interviewing in health care: helping patients change behavior. New York: Guilford Press; 2008.

    Google Scholar 

  7. Schuckit MA. Treatment of opioid-use disorders. New Engl J Med [Internet]. 2016 [cited 2020 Mar 21];375(16):1596–7. https://doi.org/10.1056/NEJMc1610830.

  8. Robert Wood Johnson Foundation (RWJF). Lessons from the field: promising interprofessional collaboration practices. [Internet]. RWJF; 2015 [cited 2020 Mar 21]. Available from: https://www.rwjf.org/en/library/research/2015/03/lessons-from-the-field.html.

  9. Hardin L, Kilian A, Spykerman K. Competing health care systems and complex patients: an inter-professional collaboration to improve outcomes and reduce health care costs. J Interprof Educ Pract [Internet]. 2017 [cited 2020 Mar 16];7:5–10. https://doi.org/10.1016/j.xjep.2017.01.002.

  10. U.S. Department of Health and Human Services (HHS), Office of the Surgeon General. Facing addiction in America: the surgeon general’s report on alcohol, drugs and health. HHS publication: no. (SMA) 16-4991. [internet]. Washington, DC: HHS; 2016 [cited 2020 Mar 21]. Available from: https://addiction.surgeongeneral.gov/sites/default/files/surgeon-generals-report.pdf.

  11. Madras BK, Ahmad N, Wen J, Sharfstein J. Improving access to evidence-based medical treatment for opioid use disorder: strategies to address key barriers within the treatment system. NAM perspectives. Discussion paper, Washington, DC. https://doi.org/10.31478/202004b.

  12. Ayello EA, Sibbald RG. Treating persons who inject drugs: the need for holistic and respectful care. Adv Skin Wound Care [Internet]. 2019 Jul [cited 2020 Mar 16];32(7):293. https://doi.org/10.1097/01.ASW.0000558412.90463.af.

  13. SAMHSA. SAMHSA’s concept of trauma and guidance for a trauma-informed approach. [internet]. HHS Publication No. (SMA) 14-4884. Rockville: Substance Abuse and Mental Health Services Administration; 2014 [cited 2020 Mar 21]. Available from: https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884.html.

  14. Allem J-P, Soto DW, Baezconde-Garbanati L, Unger JB. Adverse childhood experiences and substance use among Hispanic emerging adults in Southern California. Add Behav [Internet]. 2015 [cited 2020 Mar 21];50:199–204. https://doi.org/10.1016/j.addbeh.2015.06.038.

  15. Gielen N, Havermans RC, Tekelenburg M, Jansen A. Prevalence of post-traumatic stress disorder among patients with substance use disorder: it is higher than clinicians think it is. Eur J Psychotraumatol [Internet]. 2012 [cited 2020 Mar 16];(0):1. https://doi.org/10.3402/ejpt.v3i0.17734.

  16. Hassan AN, Foll BL, Imtiaz S, Rehm J, Le Foll B. The effect of post-traumatic stress disorder on the risk of developing prescription opioid use disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions III. Drug Alcohol Depend [Internet]. 2017 [cited 2020 Mar 21];179:260–6. https://doi.org/10.1016/j.drugalcdep.2017.07.012.

  17. Bassuk EL, Hanson J, Greene RN, Richard M, Laudet A. Peer-delivered recovery support services for addictions in the United States: a systematic review. J Subst Abuse Treat [Internet]. 2016 [cited 2020 Mar 21];63:1–9. https://doi.org/10.1016/j.jsat.2016.01.003.

  18. Kerr T, Rachlis BS, Montaner Julio SG, Wood E. Harm reduction in hospitals: is it time? Harm Reduct J [Internet]. 2009 [cited 2020 Mar 21];(1):19. https://doi.org/10.1186/1477-7517-6-19.

  19. Carney PA, Thayer EK, Palmer R, Galper AB, Zierler B, Eiff PM. The benefits of interprofessional learning and teamwork in primary care ambulatory training setting. J Interprof Educ Pract [Internet]. 2019 [cited 2020 mar 16];15:119–126. https://doi.org/10.1016/j.xjep.2019.03.011.

  20. Haack MR, Adger H Jr, editors. Strategic plan for interdisciplinary faculty development: arming the nation’s health professional workforce for a new approach to substance use disorders. Subst Abuse [Internet]. 2002 [cited 2020 Mar 16];23(sup1):1–21. https://doi.org/10.1080/08897070209511505.

  21. Austin D. The unbroken chain: three decades of HIV/AIDS nursing [Internet]. The unbroken chain: three decades of HIV/AIDS nursing | UCSF Science of Caring. University of California San Francisco; 2014 [cited 2020Apr3]. Available from: https://scienceofcaring.ucsf.edu/patient-care/unbroken-chain-three-decades-hivaids-nursing.

  22. Center for Behavioral Health Statistics and Quality. Key substance use and mental health indicators in the United States: results from the 2015 National Survey on Drug Use and Health. HHS Publication No. SMA 16-4984, NSDUH Series H-51. [Internet]. Rockville: SAMHSA; 2016 [cited 2020 Mar 16]. Available from: https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2015/NSDUH-FFR1-2015/NSDUH-FFR1-2015.pdf.

  23. American Society of Addiction Medicine (ASAM). Opioid addiction 2016 facts & figures [Internet]. Rockville: ASAM; 2017 [cited 2020 Mar 16]. Available from: https://www.asam.org/docs/default-source/advocacy/opioid-addiction-disease-facts-figures.pdf.

  24. CDC. National Center for Health Statistics: FastStats – Injuries. [Internet]. Centers for Disease Control and Prevention; 2017 [cited 2020 Mar 21]. Available from: https://www.cdc.gov/nchs/fastats/injury.htm.

  25. Wakeman SE, Rich JD. Barriers to medications for addiction treatment: how stigma kills. Subst Use Misuse [Internet]. 2018 [cited 2020 Apr 2];53(2):330–3. https://doi.org/10.1080/10826084.2017.1363238.

  26. Wakeman SE. Using science to battle stigma in addressing the opioid epidemic: opioid agonist therapy saves lives. Am J Med [Internet]. 2016 [cited 2020 Mar 21];129(5):455–6. https://doi.org/10.1016/j.amjmed.2015.12.028.

  27. Korthuis TP, McCarty D, Weimer M, Bougatsos C, Blazina I, Zakher B, Grusing S, Devine B, Chou R. Primary care–based models for the treatment of opioid use disorder a scoping review. Ann Intern Med. 2017. https://doi.org/10.7326/M16-2149; Wyllie AH, Kerr JFR, Currie AR. Cell death: the significance of apoptosis. In: Bourne GH, Danielli JF, Jeon KW, editors. International review of cytology. London: Academic; 1980. p. 251–306.

Further Reading

  • Alcoholics Anonymous. The story of how many thousands of men and women have recovered from alcoholism. 4th ed. New York: Alcoholics Anonymous World Services, Inc.; 2001.

    Google Scholar 

  • American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Arlington: American Psychiatric Association; 2013.

    Google Scholar 

  • Babor TF, Del Boca F, Bray JW. Screening, brief intervention and referral to treatment: implications of SAMHSA’s SBIRT initiative for substance abuse policy and practice. Addiction [Internet]. 2017 [cited 2020 Mar 21];112:110–7. https://doi.org/10.1111/add.13675.

  • Barrett K, Chang Y. Behavioral interventions targeting chronic pain, depression, and substance use disorder in primary care. J Nurs Scholarsh [Internet]. 2016 [cited 2020 Mar 21];48(4):345–53. https://doi.org/10.1111/jnu.12213.

  • Galanter M. Combining medically assisted treatment and Twelve-Step programming: a perspective and review. Am J Drug Alcohol Abuse [Internet]. 2018 [cited 2020 Mar 16];44(2):151–9. https://doi.org/10.1080/00952990.2017.1306747.

  • Herron A, Brennan TK. The ASAM essentials of addiction medicine. 2nd ed. Philadelphia: Wolters Kluwer Health; 2015.

    Google Scholar 

  • Hunt GE, Siegfried N, Morley K, Sitharthan T, Cleary M. Psychosocial interventions for people with both severe mental illness and substance misuse. Schizophr Bull [Internet]. 2014 [cited 2020 Mar 21];40(1):18–20. https://doi.org/10.1093/schbul/sbt160.

  • Jordan CJ, Andersen SL. Sensitive periods of substance abuse: early risk for the transition to dependence. Dev Cogn Neurosci [Internet]. 2017 [cited 2020 Mar 21];(29–44):29. https://doi.org/10.1016/j.dcn.2016.10.004.

  • Kelly JF, Saitz R, Wakeman S. Language, substance use disorders, and policy: the need to reach consensus on an “addiction-ary.” Alcohol Treat Q [Internet]. 2016 [cited 2020 Mar 16];34(1):116–23. https://doi.org/10.1080/07347324.2016.1113103.

  • Kourrich S, Calu DJ, Bonci A. Intrinsic plasticity: an emerging player in addiction. Nat Rev Neurosci [Internet]. 2015 [cited 2020 Mar 21];16(3):173–84. https://doi.org/10.1038/nrn3877.

  • Kowalchuk A, Reed B. Substance use disorders. In: Rakel RE, Rakel D, editors. Textbook of family medicine. 9th ed. Philadelphia: Elsevier; 2016. p. 1152–63.

    Google Scholar 

  • LaBelle CT, Han SC, Bergeron A, Samet JH. Office-based opioid treatment with buprenorphine (OBOT-B): statewide implementation of the Massachusetts Collaborative Care Model in Community Health Centers. J Subst Abuse Treat [Internet]. 2016 [cited 2020 Mar 21];60:6–13. https://doi.org/10.1016/j.jsat.2015.06.010.

  • Mennis J, Stahler GJ. Racial and ethnic disparities in outpatient substance use disorder treatment episode completion for different substances. J Subst Abuse Treat [Internet]. 2016 [cited 2020 Mar 16];63:25–33. https://doi.org/10.1016/j.jsat.2015.12.007.

  • Park-Lee E, Lipari RN, Hedden SL, Copello EA, Kroutil LA. Receipt of services for substance use and mental health issues among adults: results from the 2015 National Survey on Drug Use and Health. [Internet]. [place unknown]: SAMHSA; 2016 [cited 2020 Mar 16]. Available from: https://www.samhsa.gov/data/sites/default/files/NSDUH-ServiceUseAdult-2015/NSDUH-ServiceUseAdult-2015/NSDUH-ServiceUseAdult-2015.pdf.

  • SAMHSA. Advisory: complementary health approaches: advising clients about evidence and risks. [internet]. HHS Publication No. (SMA) 15-4921. Rockville: Substance Abuse and Mental Health Services Administration; 2015 [cited 2020 Mar 21]. Available from: https://store.samhsa.gov/shin/content//SMA15-4921/SMA15-4921.pdf.

  • Volkow ND, Koob GF, McLellan AT. Neurobiologic advances from the brain disease model of addiction. N Engl J Med [Internet]. 2016 [cited 2020 Mar 21];374(4):363–71. https://doi.org/10.1056/NEJMra1511480.

Download references

Author information

Authors and Affiliations

  1. Addiction Consult Team (ACT), Substance Use Disorder Initiative, Massachusetts General Hospital, Boston, MA, USA

    Christopher J. Shaw

  2. Addiction Consult Team (ACT), Massachusetts General Hospital, Boston, MA, USA

    Jacqueline Bango

  3. Bridge Clinic & Addiction Consult Team (ACT), Massachusetts General Hospital, Boston, MA, USA

    Stephen Hayward Keizer

  4. Institute of Health Professions & Addiction Consult Team (ACT), Massachusetts General Hospital, Boston, MA, USA

    Madeleine Sedlack

Authors
  1. Christopher J. Shaw
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jacqueline Bango
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Stephen Hayward Keizer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Madeleine Sedlack
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christopher J. Shaw .

Editor information

Editors and Affiliations

  1. Department of Medicine, Massachusetts General Hospital, Charlestown, MA, USA

    Sarah E. Wakeman

  2. Brown University, The Miriam and Rhode Island Hospitals, Providence, RI, USA

    Josiah D. Rich

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Shaw, C.J., Bango, J., Keizer, S.H., Sedlack, M. (2021). The Power of Team: Introduction to Interprofessional Care Teams in Opioid Use Disorder Treatment. In: Wakeman, S.E., Rich, J.D. (eds) Treating Opioid Use Disorder in General Medical Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-80818-1_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-80818-1_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-80817-4

  • Online ISBN: 978-3-030-80818-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation