Improving Physician Opioid Prescribing for Chronic Pain in HIV-infected Persons

The objective of this multisite randomized controlled trial is to test whether a collaborative care intervention for physicians can improve the delivery of chronic opioid therapy for HIV-infected persons by increasing physician adherence to opioid prescribing guidelines, increasing physician satisfaction and confidence in prescribing chronic opioid therapy, and reducing prescription opioid misuse.

Patient-Centered Models of HCV Care for People who Inject Drugs

This study aims to explore the best model of care for treating hepatitis C (HCV) in people who inject drugs. This research will compare methods of HCV treatment (directly-observed therapy to navigator). Outcomes to be evaluated will be treatment effectiveness (cure or sustained virological response) and reinfection rates. This is a national study involving eight US cities (New York, Baltimore, Providence, Boston, Cincinnati, Seattle, San Francisco, and Albuquerque) and up to 1,000 subjects recruited from methadone clinics and community health centers. 

SAMHSA Medication-Assisted Treatment (MAT)

The MAT Prescription Drug and Opioid Addiction project provides clinical services centered around buprenorphine treatment through the Adult Medicine Clinic at Harborview Medical Center for patients suffering from opioid use disorders. The program is based on a collaborative care model driven by a nurse care manager that optimizes physician effort.

Advancing Clinical Research Training within Addiction Residency Programs

The RAMS Program enhances research capacity among trainees in the new medical specialty of Addiction Medicine. This program seeks to improve patient care by expanding knowledge about effective prevention and treatment in order to reduce the medical, social, and financial burden of drug abuse and addiction.