Implementing a Hub and Spoke Treatment Model in Our Communities

HealthIndexRxOUDMaineHealth has adopted a unified treatment approach to address the opioid crisis with a strategic goal of providing service to 900 patients with opioid use disorder system-wide in fiscal year 2018.

With the urgent need for treatment for opioid use disorder in our communities, a steering committee comprised of clinical representative from the MaineHealth network developed an integrated “hub and spoke” model. This treatment model links our specialty behavioral health programs (hubs) with primary care practices (spokes) so that we are able to offer evidence-based integrated medication assisted treatment options in healthcare settings that best meet individual needs.

The hub and spoke treatment model supports the treatment of opioid use isorder within the chronic disease paradigm. The Integrated Medication Assisted Treatment (IMAT) model is the use of medications, in combination with counseling and behavioral therapies, to provide a whole patient approach to the treatment of substance use disorder. Patient acuity ranges from mild to severe opioid use disorder and level of services and appropriate sites of care vary based upon acuity and circumstances

The MaineHealth IMAT treatment model includes intensive hubs within specialty behavioral health settings for the highest level of treatment, as well as intermediate and spoke levels of care where treatment is delivered in patient centered medical homes (primary care settings). Through the hub, intermediate, and spoke continuum, individuals are able to receive individualized treatment based on their level of need.

MaineHealth has made patient enrollment in treatment through the hub and spoke model a strategic goal and has a target of 900 patients served system-wide in fiscal year 2018.

Charting a Course to Healing and Recovery

Learn how the Maine Behavioral Healthcare EMBARK IMAT Hub program helped put 35-year-old Sean on the path to healing and recovery.
Read story

Latest News

View All
  • Climb
    Participate in the Sugarloaf Climb for a Cure

    This year’s 20th annual Sugarloaf Charity Summit kicks off with the Climb for a Cure on Friday, Dec. 27. For a suggested donation of just $10, participants hike about one mile up Sugarloaf Mountain to Bullwinkle’s restaurant before descending back down.

    Read More
  • FamilyWalkingthumb
    Winter Windfall Raffle Tickets on Sale

    Tickets for the Healthy Community Coalition’s (HCC) 10th annual Winter Windfall calendar raffle are now available until the end of January. By donating $10 per ticket to HCC, the donor will be eligible for 31 prizes to be drawn daily throughout January.

    Read More