Co-Location of Services Model
The co-location of services model, also called a one-stop shop, combines medication for opioid use disorder (MOUD) care with additional services, including treatment for opioid use disorder (OUD), mental health conditions, and primary care needs, to offer comprehensive care within the same setting. Depending on the needs of the patient population, programs implementing a co-location of services model can also integrate treatment and management of other conditions, such as HIV and hepatitis.
Examples of Co-Location of Services Programs
- Indiana's Scott County Partnership Inc. developed a one-stop shop program to provide buprenorphine, counseling, HIV and hepatitis C treatment, and primary care in a mental health clinic. The program was developed in response to an HIV outbreak that was traced back to syringe sharing and was the first OUD and HIV treatment center in the rural county.
- The Buprenorphine HIV Evaluation and Support (BHIVES) model integrates buprenorphine treatment into an HIV primary care setting. In this model, the same provider often prescribes both HIV treatment and buprenorphine.
Implementation Considerations
Bringing services together in one location can reduce barriers to care, such as transportation, for patients with OUD in rural communities. With the co-location of services, patients that may need to travel long distances to access services can reduce travel time and costs by receiving multiple services within the same office visit.
Prior to integrating services, a program may need to consider how they will share information between providers. This may include developing a shared health record system. Programs should create an eco-map of a patient's care team, to depict the agencies and providers involved in the program and connected to the patient. This may include primary care providers, counselors, case managers, and family supports to ensure you have access to the necessary providers and services to treat patients with OUD.