Iteration 1
(2019 – 2020)
Working collaboratively with BHCSQ, the Abt Team recruited 42 LTCFs to participate in this program. They also engaged a statewide MOUD in LTC Workgroup to oversee the development of program content. The MOUD in LTC Workgroup provided input periodically throughout the current program as the Team developed example policies, the MOUD in LTC Toolkit, core competencies, training materials, and the implementation approach.
In addition to the LTCFs and the MOUD in LTC Workgroup, the Abt Team engaged five opioid treatment programs (OTPs) and five office-based opioid treatment providers (OBOTs) for this project. The Abt Team provided all 42 participating LTCFs with a MOUD in LTC Toolkit developed specifically for this program as well as in-person and remote training and technical support. The Team provided training and technical support through telephone and email contact, virtual site visits, an in-person learning session, and a virtual Project ECHO® series. The Team also conducted pre-implementation site visits to a sample of the participating facilities to learn more about their on-site practices and interview staff. We collected qualitative and quantitative data to assess the program’s impact.
Impact of COVID-19
The Abt Team had proposed to conduct all components of the MOUD program as in-person events throughout the spring and summer of 2020. However, due to the novel coronavirus disease 2019 (COVID-19) outbreak, except for the first in-person learning session conducted in January 2020, we redesigned the mode of presentation to virtual events. During the interim we sent bi-weekly infographics to maintain facility engagement. The Team resumed telephone outreach in July; however, facilities were still overwhelmed as a result of COVID-19. Not only were they continuing vigilance to control the disease, but facilities were inundated with new reporting requirements, additional infection control oversight, and several required or incentivized Project ECHO® sessions. As a result, the later program activities experienced low participation rates.
Materials
In-Person Learning Session Slides
Infographics
Presentations
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Presentation to Leading Age
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Presentation at Gerontological Society of America conference 2020 (PDF) | (DOCX)