This is a unique time in the history of addiction medicine. New science shows us how brain circuitry functions and dysfunctions in patients with addiction. Over the past 12 years, new medications to treat opiate addiction have been used with increasing success in the outpatient setting.

It is simply not effective or cost efficient to treat a chronic disease process like addiction in an acute care setting. It is likewise not clinically effective to truncate treatment based on a length of stay rather than a patient’s individual treatment response. For some patients, hospital-based treatment is necessary for medical or psychiatric reasons. But for most patients, integration of behavioral interventions with medications and gradual, symptom-driven treatment, in an outpatient setting is far more appropriate, humane and effective.

The addiction treatment model that is emerging and being widely disseminated in primary care settings by private and government health plans, healthcare delivery organizations and health policy leaders is comprehensive outpatient addiction care approaches.

As clinicians, MTC has been working to the same goal but not driven by regulators. Over 26 years, optimizing individual patient outcomes has been the focus that has informed all aspects of the comprehensive outpatient addiction care approaches that are now being shared with MTC’s clients. MTC’s advocacy and specialization in comprehensive outpatient treatment programs has two fundamental tenets –

1.  Outpatient treatment is more easily accessed by more patients and families.

2.  Outpatient services produce the best outcomes at the lowest costs when managing chronic recurring conditions, which we now understand addiction is.

The new outpatient addiction paradigm is very different from the vast majority of programs most often affiliated with residential programs – intensive day care, single or group therapy sessions, family support, and addiction education. The new outpatient treatment program blends what has been proven effective from traditional approaches with patient stabilization and maintenance with medications and integration into local recovery systems.

Patients and families struggling with the chronic illness of addiction have different needs, and these needs are unlikely to be met by an acute care organization and culture. They require planned, regular interactions with caregivers, with a focus on function and prevention of exacerbations and complications. This interaction includes systematic assessments, attention to treatment guidelines, and behaviorally sophisticated support for the patient’s role as self-manager. These interactions must be linked through time by clinically relevant information systems and continuing follow-up initiated by the medical practice.  This is what the Manifest Treatment Consulting, LLC Full Service Outpatient System™ is all about.