{"id":92,"date":"2023-10-02T11:26:43","date_gmt":"2023-10-02T16:26:43","guid":{"rendered":"https:\/\/nomodeaths.mimh.edu\/?page_id=92"},"modified":"2026-04-30T10:30:17","modified_gmt":"2026-04-30T15:30:17","slug":"medication-first-implementation","status":"publish","type":"page","link":"https:\/\/nomodeaths.org\/index.php\/medication-first-implementation\/","title":{"rendered":"Medication First Implementation"},"content":{"rendered":"

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Medication First Approach<\/span><\/h1>\n

The Missouri Department of Mental Health and Opioid STR\/SOR grant partners have developed and disseminated a \u201cMedication First\u201d treatment approach to OUD, analogous to the Housing First approach to chronic homelessness, across dozens of Missouri\u2019s state-funded substance use disorder treatment programs.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.23″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23″ _module_preset=”default” global_colors_info=”{}”][et_pb_cta title=”Key Principles of Medication First” url_new_window=”on” _builder_version=”4.23″ _module_preset=”default” header_level=”h1″ header_font=”Open Sans||||||||” header_text_align=”left” header_text_color=”#05383d” body_font=”PT Serif||||||||” body_text_color=”#000000″ body_font_size=”18px” body_line_height=”1.8em” body_ol_item_indent=”25px” body_ol_font_size=”18px” body_ol_line_height=”2em” background_color=”#ffffff” custom_button=”on” button_text_color=”#ffffff” button_bg_color=”#672323″ button_font=”Open Sans||||||||” button_icon=”=||divi||400″ button_alignment=”center” text_orientation=”left” width=”100%” custom_margin=”|-179px||||” custom_padding=”||0px||false|false” link_option_url_new_window=”on” border_radii=”on|10px|10px|10px|10px” border_width_all=”3px” border_color_all=”#c0c182″ box_shadow_style=”preset2″ box_shadow_style_button=”preset3″ global_colors_info=”{}”]<\/p>\n

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  1. People with OUD receive pharmacotherapy treatment as quickly as possible, prior to lengthy assessments or treatment planning sessions;<\/li>\n
  2. Maintenance pharmacotherapy is delivered without arbitrary tapering or time limits;<\/li>\n
  3. Individualized psychosocial services are continually offered but not required as a condition of pharmacotherapy;<\/li>\n
  4. Pharmacotherapy is discontinued only if it is worsening the person\u2019s condition.<\/li>\n<\/ol>\n

    [\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.23″ _module_preset=”default”][et_pb_column _builder_version=”4.23″ _module_preset=”default” type=”4_4″][et_pb_text _builder_version=”4.23″ _module_preset=”default” hover_enabled=”0″ sticky_enabled=”0″]<\/p>\n

    Resources & Guides<\/strong><\/h1>\n

    [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ theme_builder_area=”post_content” _builder_version=”4.23″ _module_preset=”default” custom_padding=”0px|||||”][et_pb_row _builder_version=”4.23″ _module_preset=”default” theme_builder_area=”post_content” hover_enabled=”0″ sticky_enabled=”0″][et_pb_column _builder_version=”4.23″ _module_preset=”default” type=”4_4″ theme_builder_area=”post_content”][et_pb_blurb title=”Provider Implementation Guide” _builder_version=”4.23″ _module_preset=”default” theme_builder_area=”post_content” icon_placement=”left” title_text=”MPCA-Logo-300×300″ url_new_window=”on” link_option_url=”https:\/\/dmh.mo.gov\/media\/pdf\/provider-implementation-guide-state-opioid-response-grant-opioid-sor” url=”https:\/\/dmh.mo.gov\/media\/pdf\/provider-implementation-guide-state-opioid-response-grant-opioid-sor” hover_enabled=”0″ sticky_enabled=”0″ use_icon=”on” image_icon_width=”44px” custom_css_free_form=”border-bottom: 1px solid #e8e8e8 !important;||border-top: none !important;||border-left: none !important;||border-right: none !important;” font_icon=”||fa||900″]<\/p>\n

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    A 2021 implementation guide for Missouri providers participating in the State Opioid Response Grant, developed by the MO Department of Mental Health.<\/div>\n<\/div>\n
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    [\/et_pb_blurb][et_pb_blurb title=”Medication First Model ” _builder_version=”4.23″ _module_preset=”default” theme_builder_area=”post_content” icon_placement=”left” title_text=”MPCA-Logo-300×300″ url_new_window=”on” link_option_url=”https:\/\/nomodeaths.org\/wp-content\/uploads\/2023\/11\/RevisedMedicationFirstModel_1pager.pdf” url=”https:\/\/nomodeaths.org\/wp-content\/uploads\/2023\/11\/RevisedMedicationFirstModel_1pager.pdf” hover_enabled=”0″ sticky_enabled=”0″ use_icon=”on” link_option_url_new_window=”on” custom_margin=”|||1px||” font_icon=”||fa||900″ image_icon_width=”52px” custom_padding=”||0px|||”]<\/p>\n

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    Medication First Model A low-barrier approach to treating Opioid Use Disorders (OUD) that prioritizes immediate access to medication-assisted treatment based on broad scientific consensus.<\/div>\n
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    <\/div>\n<\/div>\n

    [\/et_pb_blurb][et_pb_blurb title=”Missouri Opioid Treatment Agency Directory” _builder_version=”4.23″ _module_preset=”default” theme_builder_area=”post_content” icon_placement=”left” title_text=”MPCA-Logo-300×300″ url_new_window=”on” link_option_url=”https:\/\/www.canva.com\/design\/DAHE_inX_Dk\/VSjbzl-ST6wPXFkRQzX5Tw\/view?utm_content=DAHE_inX_Dk&utm_campaign=designshare&utm_medium=link2&utm_source=uniquelinks&utlId=hf47aa1f73b” url=”https:\/\/www.canva.com\/design\/DAHE_inX_Dk\/VSjbzl-ST6wPXFkRQzX5Tw\/view?utm_content=DAHE_inX_Dk&utm_campaign=designshare&utm_medium=link2&utm_source=uniquelinks&utlId=hf47aa1f73b” hover_enabled=”0″ sticky_enabled=”0″ use_icon=”on” image_icon_width=”44px” custom_css_free_form=”border-bottom: 1px solid #e8e8e8 !important;||border-top: none !important;||border-left: none !important;||border-right: none !important;” font_icon=”||fa||900″ link_option_url_new_window=”on”]<\/p>\n

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    A statewide list of agencies providing opioid treatment services across Missouri, including locations and contact information for individuals seeking care.<\/div>\n<\/div>\n
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    <\/div>\n<\/div>\n

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    Medication First Approach The Missouri Department of Mental Health and Opioid STR\/SOR grant partners have developed and disseminated a \u201cMedication First\u201d treatment approach to OUD, analogous to the Housing First approach to chronic homelessness, across dozens of Missouri\u2019s state-funded substance use disorder treatment programs. People with OUD receive pharmacotherapy treatment as quickly as possible, prior […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-92","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/pages\/92","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/comments?post=92"}],"version-history":[{"count":27,"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/pages\/92\/revisions"}],"predecessor-version":[{"id":1468,"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/pages\/92\/revisions\/1468"}],"wp:attachment":[{"href":"https:\/\/nomodeaths.org\/index.php\/wp-json\/wp\/v2\/media?parent=92"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}