TREATMENT

The Bright Futures consortium’s lead organization, the Barbour Community Medical Association (BCMA) presently offers includes outpatient therapy, family therapy, child/adolescent therapy, psychological assessments/evaluations, parental fitness examinations, drug and alcohol risk assessments and Parent-Child Interaction Therapy to residents of Barbour County and the surrounding area. BCMA has also partnered with West Virginia University (WVU) as a site for remote grand rounds training, a school-based telepsychiatry program for students at Philip Barbour High School, the community’s comprehensive secondary school and as a training site for students through both the WVU School of Social Work and WVU Counseling programs.

The BCMA is comprised of the Belington Medical Clinic, the Myers Clinic, Alderson Broaddus University Wellness Center and the Brandon Wellness Center. They have served the region since 1973, providing the residents of Barbour County with quality health care options for more than 45 years (Belington Community Medical Services Association, 2018). The stability and deep roots of this organization are indicators to applicants of not only the high level of commitment to the community but also the sustainability of services offered.

For example, in 2015, BCMA expanded its health care offerings to include behavioral health services. At present, the organization employs or contracts with two doctoral-level psychologists, four licensed professional counselors and three case managers to provide services in the region under the umbrella of Barbour Behavioral Health. Among the providers and support staff, each licensed individual on the Barbour Behavioral Health team has a minimum of ten years of experience, while the team as a whole encompasses well over 100 years of combined experience in treating individuals with behavioral health difficulties.

The Association currently employs three case managers who assist in establishing both in-house and external connections for their patients. The same services would be made accessible to individuals who participate in the proposed medically assisted treatment (MAT) program. At the outset, these would likely be conducted through existing providers. However, as the program evolves and grows, it is anticipated that case management services will be provided by a qualified staff person solely dedicated to the MAT program.

Beyond the BCMA, Bright Futures anticipates that Barbour County’s Family Resource Network (FRN) will play a vital role in maintaining connectivity for patients, including those with substance use disorder (SUD), to other services. As an important primary support organization and collection point within the coalition, Barbour County FRN is committed to community development across the county. As a member of the West Virginia Substance Abuse Prevention Coalition, the organization responds to needs and opportunities within the community by partnering with citizens, and public and private entities to develop innovative projects and provide needed resources for local areas. The FRN also currently offers a resource guide for agencies in the county that assists with referrals for various local and regional services..

OUR GOAL FOR THE FUTURE

Increase the number of providers, including physicians, nurse practitioners, clinical nurse specialists, certified nurse-midwives, certified registered nurse anesthetists, and physician assistants who are trained, certified and willing to provide MAT, including by providing opportunities for existing rural providers to obtain DATA 2000 Drug Enforcement Agency
waivers.

As of August 2019, there is not a single medical provider dedicated to the prescription of medications which could be utilized within a Medication-Assisted Treatment (MAT) program. Due to recent changes in state and federal laws, many regional providers feel unequipped to prescribe such medications, while other potential sources have shied away from the prescriptions of any medications that could be construed as being connected to pain management. As a result, within the community, there is not presently a known medical provider that could even be approached as to his or her willingness to become educated in a MAT model.

While many individuals in the Barbour County medical community acknowledge a need for accessible substance abuse interventions, they do not feel adequately trained or prepared to take on such a role. Therefore, it is the plan of the consortium to recruit a medical provider who is comfortable with serving as a prescriber for the local MAT program. Ideally, this individual will be properly trained and certified upon being contracted, although the consortium would also be willing to consider individuals who have the required credentials and are willing to receive training towards certification. However, Barbour County is willing to support MAT by providing opportunities for its existing rural providers in obtaining DATA 2000 (Drug Addiction Treatment Act of 2000) Drug Enforcement Agency waivers.

Medical providers in the Barbour County area include:

Belington Community
Medical Services
Association

• Alderson Broaddus
University Wellness
Center

• Myers Clinic

Belington
Medical
Clinic
.

Belington
Wellness
Center
.

Brandon Wellness Center at
Philip Barbour High School

Myers
Clinic
.
.