Developing Kingdom Perspectives
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Claire Smith, MD
Assistant Clinical Professor
MUSC Department of Reproductive Psychiatry
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South Carolina government agency charged
with ensuring quality services to prevent or
reduce the negative consequences of
substance use and addictions.
Coordinates a statewide system of local
substance abuse agencies that provide
prevention, treatment, and recovery
services.
Can search associated treatment programs
by city (301 Centers).
•
Treatment (including medication) covered
for unfunded patients by federal dollars
https://www.daodas.sc.gov/
https://www.samhsa.gov/
Suboxone Provider Search Tool
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Services: Outpatient, Intensive Outpatient, Inpatient detox
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MAT: Methadone, Buprenorphine
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Accepts: Private insurance, Medicaid, Payment plan (uninsured)
•
New Life Program (inpatient)
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For women who are pregnant or with small children. Can have up to two
children under the age of 5yo
*Not accepting walk-ins due to COVID, assessments are by appointment (843-722-0100)
https://www.charlestoncounty.org/departments/charleston-center/
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Services: Outpatient, Intensive outpatient, Inpatient detox
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Serves those in Lexington and Richland counties
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MAT: Buprenorphine
•
Accepts: Private insurance, Medicaid, Medicare, Payment plans
•
Maternal Outreach Management Services
(MOMS)
•
Resource for pregnant women
•
Partners with OBGYN offices, social services, patenting agencies, and community resources
•
Website has information re: appointments, walk-in times, referral form
https://lradac.org/
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Services: Outpatient, Intensive outpatient
•
MAT: Buprenorphine
•
Accepts: Private insurance, Medicaid, Payment plans
•
Tele partnership with our program at MUSC for MAT/med management
•
Women’s Recovery Center
•
Residential treatment service that provides comprehensive treatment services to women with
substance abuse problems who are at risk of losing their children to foster care.
•
Women’s Intensive Outpatient Program
•
Group based program tailored to needs of women with substance use issues. Multiple times per week
*call Shoreline at: (843) 365-8884 or visit facility during open access hours M-W from 10am-
2pm and Fridays from 9:30am-12:30pm, no appointment necessary.
https://shorelinebhs.org/
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Serenity Place
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A part of Phoenix Center in Greenville
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Pregnant women or mothers with
their preschool-age children (up to 2
kids)
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Offer MAT
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(864) 467-3881
http://www.phoenixcenter.org/women-residential.php?PageID=48
Chrysalis Center
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A part of Circle Park in Florence
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Pregnant women or women with
children up to age 10
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Offer MAT
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(843) 673-0660
https://www.chrysaliscenter.com/
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C
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General services: Outpatient, Intensive outpatient, Inpatient (dual diagnosis unit). No
detox or purely substance inpatient treatment
•
Accepts: Private insurance, Medicaid
•
Women’s Reproductive Behavioral Health Clinic
(us!)
•
We treat pregnant and postpartum women for the spectrum of mental health issues, including
substance use disorders
•
MAT: Buprenorphine
•
Opportunities to be involved in clinical research
•
Do not need to be a patient at MUSC
•
Able to see a physician within ~1 week
https://medicine.musc.edu/departments/psychiatry/divisions-and-programs/divisions/postpartum
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Call 843-614-9510 to speak with a
team member
•
Evaluation and Treatment
•
Assess eligibility for ongoing
clinical trial (MOMs)
•
Bup SL vs Bup XL in pregnant
women with OUD
SC Mental Health Centers by County
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&
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Easily searchable!
Clinics and programs will vary but most have information readily
available online for walk-in times, referral forms if needed, etc.
Patients or providers can call
In context of comprehensive treatment program, similar maternal and
delivery outcomes for methadone and buprenorphine.
Breastfeeding recommended for both .
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:
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Previous success on Methadone*
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Previously requiring high dose of
Methadone
•
Severe addiction
•
Would benefit from structure and support of
daily monitoring
•
Unsuccessful abstinence on Buprenorphine
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Agonist therapy naïve
Able to adhere to less structured
outpatient program
Tele-Mentoring Programs in South Carolina
Project ECHO Opioid Use Disorders
Medical Director
Dr. Karen Hartwell, MUSC
Program Coordinator: Rachel Grater,
grater@musc.edu
Website:
www.scmataccess.org
1
st
and 3
rd
Friday of each month
12-1 pm
Project ECHO Pregnancy Wellness
Co-Medical Directors
Dr. Berry Campbell, USC and Dr. Donna Johnson, MUSC
Program Coordinator: Rachel Grater,
grater@musc.edu
Website:
www.pregnancywellnesssc.com
1
st
and 3
rd
Wednesday of each month
12:15-1 pm
Southeast Viral Hepatitis Interactive Case Conference
Medical Director
Dr. Divya Ahuja, USC
Program Coordinator: Adrena Harrison,
adrena.harrison@uscmed.sc.edu
Website:
http://schivtc.med.sc.edu/
1
st
and 3
rd
Wednesday of each month 12-1pm
4
th
Wednesday of each month 1-2pm
Profound concept of the Kingdom of God and understanding its relevance in our lives. Discover the essence of Kingdom perspective through scripture and insights shared at Bethesda Cathedral. Reflect on God's sovereignty, righteousness, and the eternal nature of His kingdom, guiding us to trust, pray, and act with faith in alignment with His will
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Presentation Transcript
Getting Patients into Getting Patients into Treatment Treatment Claire Smith, MD Assistant Clinical Professor MUSC Department of Reproductive Psychiatry
DAODAS DAODAS South Carolina government agency charged with ensuring quality services to prevent or reduce the negative consequences of substance use and addictions. Coordinates a statewide system of local substance abuse agencies that provide prevention, treatment, and recovery services. Can search associated treatment programs by city (301 Centers). Treatment (including medication) covered for unfunded patients by federal dollars https://www.daodas.sc.gov/
Suboxone Provider Search Tool https://www.samhsa.gov/
Charleston Center (downtown) Charleston Center (downtown) Services: Outpatient, Intensive Outpatient, Inpatient detox MAT: Methadone, Buprenorphine Accepts: Private insurance, Medicaid, Payment plan (uninsured) New Life Program (inpatient) For women who are pregnant or with small children. Can have up to two children under the age of 5yo *Not accepting walk-ins due to COVID, assessments are by appointment (843-722-0100) https://www.charlestoncounty.org/departments/charleston-center/
LRADAC (Columbia area) LRADAC (Columbia area) Services: Outpatient, Intensive outpatient, Inpatient detox Serves those in Lexington and Richland counties MAT: Buprenorphine Accepts: Private insurance, Medicaid, Medicare, Payment plans Maternal Outreach Management Services (MOMS) Resource for pregnant women Partners with OBGYN offices, social services, patenting agencies, and community resources Website has information re: appointments, walk-in times, referral form https://lradac.org/
Shoreline Behavioral Health (Conway) Shoreline Behavioral Health (Conway) Services: Outpatient, Intensive outpatient MAT: Buprenorphine Accepts: Private insurance, Medicaid, Payment plans Tele partnership with our program at MUSC for MAT/med management Women s Recovery Center Residential treatment service that provides comprehensive treatment services to women with substance abuse problems who are at risk of losing their children to foster care. Women s Intensive Outpatient Program Group based program tailored to needs of women with substance use issues. Multiple times per week *call Shoreline at: (843) 365-8884 or visit facility during open access hours M-W from 10am- 2pm and Fridays from 9:30am-12:30pm, no appointment necessary. https://shorelinebhs.org/
Additional Residential Treatment for Pregnant and Additional Residential Treatment for Pregnant and Postpartum Women Postpartum Women Serenity Place Chrysalis Center A part of Phoenix Center in Greenville Pregnant women or mothers with their preschool-age children (up to 2 kids) Offer MAT (864) 467-3881 A part of Circle Park in Florence Pregnant women or women with children up to age 10 Offer MAT (843) 673-0660 https://www.chrysaliscenter.com/ http://www.phoenixcenter.org/women-residential.php?PageID=48
MUSC MUSC General services: Outpatient, Intensive outpatient, Inpatient (dual diagnosis unit). No detox or purely substance inpatient treatment Accepts: Private insurance, Medicaid Women s Reproductive Behavioral Health Clinic (us!) We treat pregnant and postpartum women for the spectrum of mental health issues, including substance use disorders MAT: Buprenorphine Opportunities to be involved in clinical research Do not need to be a patient at MUSC Able to see a physician within ~1 week https://medicine.musc.edu/departments/psychiatry/divisions-and-programs/divisions/postpartum
Pregnant Women with OUD Pregnant Women with OUD Call 843-614-9510 to speak with a team member Evaluation and Treatment Assess eligibility for ongoing clinical trial (MOMs) Bup SL vs Bup XL in pregnant women with OUD
Suboxone Providers & Methadone Centers Suboxone Providers & Methadone Centers Easily searchable! Clinics and programs will vary but most have information readily available online for walk-in times, referral forms if needed, etc. Patients or providers can call
In context of comprehensive treatment program, similar maternal and delivery outcomes for methadone and buprenorphine. Methadone considerations: Buprenorphine considerations: Agonist therapy na ve Previous success on Methadone* Able to adhere to less structured outpatient program Previously requiring high dose of Methadone Severe addiction Would benefit from structure and support of daily monitoring Unsuccessful abstinence on Buprenorphine Breastfeeding recommended for both .
Tele-Mentoring Programs in South Carolina Project ECHO Opioid Use Disorders Medical Director Dr. Karen Hartwell, MUSC Program Coordinator: Rachel Grater, grater@musc.edu Website: www.scmataccess.org 1st and 3rd Friday of each month 12-1 pm Project ECHO Pregnancy Wellness Co-Medical Directors Dr. Berry Campbell, USC and Dr. Donna Johnson, MUSC Program Coordinator: Rachel Grater, grater@musc.edu Website: www.pregnancywellnesssc.com 1st and 3rd Wednesday of each month 12:15-1 pm Southeast Viral Hepatitis Interactive Case Conference Medical Director Dr. Divya Ahuja, USC Program Coordinator: Adrena Harrison, adrena.harrison@uscmed.sc.edu Website: http://schivtc.med.sc.edu/ 1st and 3rd Wednesday of each month 12-1pm 4th Wednesday of each month 1-2pm
