Increasing Equity in Pain Management, Substance Use Disorder Treatment, and Linkages to CARE

POTENTIAL MEMBERS OF THE EXPANDED CARE TEAM ● Primary care team: primary care clinicians, nurses, medical assistants

● Medical specialists (e.g., nephrology, rheumatology, surgery)

● Behavioral health providers: mental health counselors (licensed clinical social workers, psychologists); psychiatrists ● Peer support specialists and community health workers (peers can be those who are in recovery from an SUD, and/or share one or more identities with the patient) ● Addiction medicine and other SUD treatment specialists ● Chronic care managers ● Case managers ● Mobile/street outreach teams

● Physical therapists ● Traditional healers ● Integrative medicine practitioners (e.g., acupuncture, chiropractic medicine, massage) ● Wound care nurses ● Housing navigators ● Interpreters ● Legal aid specialists ● Front desk and administrative staff ● Financial navigator/counselors ● Pharmacy and mobile prescribing teams ● Data analysts/information technology specialists

❚ De-stigmatizing language ❚ Medications for opioid use disorder and overdose ❚ Harm reduction approaches ❚ Safer injection techniques ❚ SUD treatment competency, inclusive of how drug use and trauma change the brain ❚ Trauma-informed care ❚ Customer service, inclusive of de-escalation techniques and understanding how trauma influences behavior ❚ Creating welcoming, affirming, and safe clinical environments ❚ Motivational interviewing & empathetic inquiry ❚ Cultural and linguistic responsiveness ❚ Healing centered restorative engagement ❚ Asset mapping & understanding community resources ❚ Building workforce and organizational resiliency The Resource List in this section provides links to organizations with free and low-cost online and in-person training and technical assistance on these topics.

Eboni Winford discusses the key role of peer recovery support specialists.

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