{"id":33945,"date":"2024-05-16T07:00:57","date_gmt":"2024-05-16T07:00:57","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=33945"},"modified":"2025-08-20T21:49:16","modified_gmt":"2025-08-20T21:49:16","slug":"compassion-is-the-cornerstone-for-sud-treatment","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/compassion-is-the-cornerstone-for-sud-treatment\/","title":{"rendered":"Compassion is the cornerstone for SUD treatment","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

MultiCare\u2019s Healthy Behavior and Function Clinic takes a unique approach to medication-assisted treatment for substance use disorder (SUD) with their low-barrier clinic unlike any in the region.<\/p>\n

This approach is key when it comes to SUD, because access is lifesaving, says Lora Jasman, MD, FACP, MultiCare Rockwood Clinic internal and addiction medicine provider. She\u2019s been at the Healthy Behavior and Function Clinic<\/a> since it opened six years ago.<\/p>\n

\u201cThe main thing we do differently than primary care or pain management clinics is the idea of \u2018no wrong door,\u2019\u201d Dr. Jasman says. \u201cWe\u2019re trying to provide care in the moment to the person who needs it.\u201d<\/p>\n

That means if a patient doesn\u2019t follow every guideline of their treatment, misses appointments or gives false answers to their provider, they\u2019re not discharged from care.<\/p>\n

\u201cThese behaviors are often viewed as bad by those of us in health care,\u201d she says. \u201cBut these behaviors are often part of the disease, particularly early on.\u201d<\/p>\n

It\u2019s a shift in mindset to welcome and meet patients with SUD where they are, she explains. The clinic has a 25 percent no-show rate, which can make for hectic days \u2014 but if someone shows up, the staff does all they can to work them in.<\/p>\n

It\u2019s a balancing act between being on time for those who make their appointments and meeting the needs of those who drop in.<\/p>\n

Comprehensive care and connection<\/strong><\/h2>\n

As Spokane County\u2019s designated Hub and Spoke program \u2014 a state-funded project to address the opioid epidemic \u2014 more than 1,700 patients received care at the clinic from 2022-2023.<\/p>\n

Providers manage a patient\u2019s medication-assisted treatment, help ensure they\u2019re staying on top of their other health needs and refer to other health care providers as needed.<\/p>\n

\u201cOur clinic is different than many other addiction medicine clinics because our providers came from the primary care setting and have a more hands-on style,\u201d says Tracy Drown, the clinic\u2019s care coordinator. \u201cWe have folks who haven\u2019t been to a primary care provider in years, and we can encourage them to follow up with the other aspects of their care.\u201d<\/p>\n

\u201cI try to remind them what I see \u2014 a person, a friend, a parent. The biggest misconception is that they\u2019re not worth our time.\u201d<\/p><\/blockquote>\n

That could be encouraging patients to receive preventive care they may not otherwise consider, such as vaccines, mammograms or blood panels, or communicating their concerns with the surgeon as they head into surgery, Drown explains.<\/p>\n

The clinic also serves as a starting point for patients to access other resources they may need. As a Hub and Spoke clinic, the team includes a nurse care manager and care coordinator who provide referrals to organizations for housing, behavioral health, food or transportation support. They also help patients navigate complicated systems \u2014 like finding an inpatient treatment facility or accessing health benefits.<\/p>\n

\u201cIt\u2019s huge to get it all in one spot. If they wanted someone to just prescribe their medication and move on, they could find that,\u201d she says. \u201cBut we have so much more to offer. We\u2019ve seen huge changes just by them first stepping in here.\u201d<\/p>\n

There\u2019s a lot of medical, psychological and social complexity to their patients, Dr. Jasman says. Patients may be unhoused or recently incarcerated and don\u2019t have access to phones or internet.<\/p>\n

About half of their patients are living with a mental health disorder, while others may experience various health conditions or diseases as a result of their substance use, she explains.<\/p>\n

\u201cOur patients aren\u2019t scary. They just have a lot of needs that our medical community has not had the resources to address,\u201d Dr. Jasman says. \u201cBecause of the Hub and Spoke team, we don\u2019t have to do it alone. We all work together to provide resources to get them back on their feet.\u201d<\/p>\n

Support without stigma<\/strong><\/h2>\n

A lot of the clinic\u2019s work involves breaking down the community stigma around SUD and the internal stigma many patients hold against themselves.<\/p>\n

\u201cI often tell my medical students \u2018It\u2019s your number-one job to make the patient experience one where they want to come back,\u2019\u201d Dr. Jasman says. \u201cEven if you give them the right care but don\u2019t treat them well, you\u2019ve lost them. We\u2019re not perfect, though, and most patients have had some kind of trauma or fear of a medical facility. But if you can get them to trust you and come back, that\u2019s a huge part of keeping them alive.\u201d<\/p>\n

The clinic takes a compassion-forward approach to every interaction and hopes to serve as a point of support and empowerment.<\/p>\n

For so many patients, they only see the negatives about themselves, Drown says.<\/p>\n

\u201cI try to remind them what I see \u2014 a person, a friend, a parent,\u201d she says. \u201cThe biggest misconception is that they\u2019re not worth our time. If I was to sum up this population, I\u2019d say that I\u2019ve never met so many people so strong to pull themselves out of holes continuously and just keep going.\u201d<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

MultiCare\u2019s Healthy Behavior and Function Clinic takes a unique approach to medication-assisted treatment for substance use disorder (SUD) with their low-barrier clinic unlike any in the region. This approach is key when it comes to SUD, because access is lifesaving, says Lora Jasman, MD, FACP, MultiCare Rockwood Clinic internal and addiction medicine provider. She\u2019s been […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":115,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[39,155,99],"tags":[],"class_list":["post-33945","post","type-post","status-publish","format-standard","hentry","category-behavioral-health","category-health-equity","category-primary-care"],"acf":[],"yoast_head":"\nClinic takes unique approach to substance use disorder treatment- MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"MultiCare\u2019s Healthy Behavior and Function Clinic provides low-barrier substance use disorder care and focuses on access, respect and meeting patients where they are.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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