Global Models of Addiction Care
Global Models of Addiction Care distills service architectures that consistently reduce death and disability across very different countries: harm-reduction backbones, MOUD at scale, pharmacy- and primary-care-anchored inductions, recovery housing and employment supports, and justice diversion that replaces punishment with treatment. This page is a practical synthesis for leaders designing or upgrading networks. You’ll find coverage targets (MOUD starts per 1,000 people, naloxone kits per neighborhood), staffing mixes (peers, nurses, prescribers) with supervision plans, and referral loops that connect outreach, detox, maintenance, and long-term recovery. If you’re weighing an addiction care conference, use this page as a playbook for choosing models that fit local law, culture, and budget. We emphasize low-threshold entry—walk-ins, mobile teams, tele-bridges, and pharmacy partnerships—because friction costs lives. Tobacco and nicotine policy sit alongside SUD care; see Global Tobacco Control for risk-proportionate regulation and youth protections that reduce combustible use while supporting cessation.
Scaling isn’t magic; it’s logistics plus legitimacy. We outline procurement strategies that keep buprenorphine, methadone, and naloxone affordable and in stock, and we show how to clarify prescribing and paraphernalia rules so frontline teams can act without fear. Anti-stigma training for police, hospitals, and media reframes addiction as a treatable health condition and opens doors to pre-arrest deflection and court coordination. Recovery supports matter as much as meds: stable housing, IPS-style employment, and family coaching maintain gains when motivation wobbles. Dashboards disaggregate outcomes (retention, reversals, quality of life) by language, gender, and neighborhood to reveal who’s being left out and where to invest. Rural adaptations rely on hub-and-spoke tele-induction, mail-based naloxone/test strips, and local pharmacy anchors. Youth and perinatal protocols protect confidentiality and coordinate obstetric/pediatric care with MOUD continuity. Funding blends public-health grants with outcomes-based contracts so providers get paid for keeping people alive and housed, not for counting visits. Finally, learning networks share protocols, mistakes, and improvements so proven models replicate without years of reinvention. When coverage targets, law, workforce, and recovery supports move together, communities see fewer funerals, more stability, and the dignity of real choice.
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Submit Your Abstract Here →Architectures and Operating Rules
Harm reduction backbone
- Naloxone, drug checking, and safer-use supplies as standard care.
- Hotspot outreach and data-driven alerts save lives.
MOUD at scale
- Same-day starts in ED/primary care; pharmacy and tele-bridges.
- Long-acting options reduce barriers and diversion fears.
Justice diversion
- Pre-arrest deflection and court coordination.
- Bridge scripts and case management pre-release.
Recovery supports
- Housing, work/education, and peer groups maintain gains.
- Family coaching reduces relapse risk and isolation.
Implementation, Equity, and Measurement
Procurement and law
Secure supply; clarify prescribing and paraphernalia rules.
Workforce
Peers, nurses, and clinicians with supervision and scripts.
Funding
Blend grants with outcomes-based payments.
Rural reach
Hub-and-spoke, mail kits, and tele-induction.
Youth and perinatal
Confidential pathways and tailored protocols.
Cultural fit
Co-design materials and outreach with communities.
Dashboards
Coverage, retention, reversals, and QoL tracked publicly.
Learning networks
Share protocols and replicate proven models.
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