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Successful MAT implementation is not ONE Size Fits All. This presentation will outline the presenters’ collective experience activating specifically designed programs in jails and prisons around the country. Successful implementation requires assessment of Set, Setting and Dose for not only the patient, but for the facility as a whole. • Set- mindset of staff and population toward treatment. Assessing needs and limitations. • Setting- what does the physical plant safely allow as a service delivery model. How to work within the framework of correctional partners to safely deliver treatment that enhances security, reduces violence and improves recovery. Good Security = Good Treatment, Good Treatment = Good Security • Dose- Review the Primary Care Model – pharmacological and clinically driven by provider and client. This training will present relevant case studies. Tertiary Care Model supports Primary via intensity/frequency of cognitive treatment milieus. Modified Therapeutic Communities (residential), Day Treatment (IOP), Group and Individual (OP), Offsite Office Based Opioid Tx Program (OBOT), Onsite Mobile Opioid Tx Program (MOTP). Seminar to include demonstrations of program growth and community partnerships across MAT portfolio.

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