Articles

Retention-By-Design in Community SUD Service Models: Missed Visits, Outreach Cadence, and “Return Anytime” Pathways
Community SUD programs lose people when missed visits trigger administrative discharge rather than structured re-engagement. This cornerstone guide shows how to design retention workflows: outreach ladders, peer navigation, re-entry rules, and governance controls that keep care moving while remaining auditable and fundable. Read more...
Low-Threshold MAT in Community SUD Service Models: Same-Day Starts Without Losing Clinical Governance
Low-threshold MAT expands access only when “same-day” is operationally real: intake, prescribing, pharmacy coordination, follow-up, and safety escalation all work without delays. This cornerstone guide sets out a practical same-day MAT operating model with governance controls, audit trails, and day-to-day workflows commissioners can trust. Read more...
Closing the MAT Gap for People Experiencing Homelessness: Street-to-Start Models That Hold Engagement
MAT access often fails for people experiencing homelessness because pathways assume phones, appointments, and stable routines. This article explains how systems design street-to-start MAT models that deliver rapid initiation, continuity, and governance while protecting low-threshold access. Read more...
Post-Overdose Outreach and Warm Handoff Models That Prevent Repeat Events and Build Engagement
Non-fatal overdoses are among the strongest predictors of future fatal overdose. This article explains how counties design post-overdose outreach and warm handoff models that operate at real-world speed—linking EMS and ED touchpoints to follow-up, naloxone reinforcement, and voluntary treatment access without coercion. Read more...
Setting Contract and Grant Reporting Expectations for Community SUD Providers Without Creating Paperwork-Only Compliance
Counties, states, and grant funders need reporting that proves services are safe, accessible, and effective. Providers need reporting that is feasible, auditable, and aligned with delivery. This article explains how to design reporting expectations—definitions, cadence, audits, and corrective action—that strengthen SUD systems rather than exhausting them. Read more...
Measuring Outcomes in Community SUD Service Models Without Reducing Care to Dashboard Theater
Community SUD services are increasingly funded and judged on outcomes, but many measurement approaches create compliance burden without improving care. This article explains how to build an outcomes framework that reflects real delivery: engagement, continuity, safety, and recovery stability—supported by auditable data and practical review routines. Read more...
Embedding Peer Support Roles in Community SUD Service Models Without Losing Clinical Accountability
Peer support is a core engagement asset in SUD services, but it fails when roles are vague and disconnected from clinical governance. This article explains how systems design peer roles that improve engagement, reduce dropout, and remain safe, auditable, and fundable. Read more...
Designing Care Transitions From Detox, ED, and Inpatient Settings That Prevent Relapse and Readmission
Transitions out of detox units, emergency departments, and inpatient settings are the most fragile points in the SUD care pathway. This article explains how community SUD services design operationally reliable transition models that convert discharge into treatment engagement while meeting funder and regulator expectations. Read more...
Standardizing Clinical Governance in Community SUD Services Without Slowing Down Access
Community SUD services fail when speed and safety are treated as opposites. The most effective models build governance into ordinary work: standard protocols, audit trails, and escalation pathways that support same-day starts and consistent decision-making across teams. This article explains how to implement governance that regulators and funders can trust. Read more...
Building Countywide Access Pathways for Community SUD Services That Don’t Collapse at the Front Door
People do not fail to engage with SUD services because they “don’t want help.” They disengage because access pathways are confusing, delayed, and inconsistent across providers. This article sets out how counties design a true front door—routing, prioritization, and accountability—so people reach assessment and treatment quickly and safely. Read more...
Designing Intake, Triage, and Assessment Pathways That Prevent Early Drop-Off in Community SUD Services
Intake and assessment are the highest-risk points for disengagement in community SUD systems. This article examines how services design triage, scheduling, and assessment workflows that move people into treatment quickly while meeting oversight expectations for safety and consistency. Read more...
Integrating Mobile Outreach and Street-Based Engagement into Community SUD Service Models
Mobile and street-based outreach are essential to community SUD systems, but only when they are integrated into clinical pathways rather than operating as parallel engagement services. This article explains how outreach teams connect people to assessment, MAT, and follow-up while meeting funder expectations for safety, documentation, and outcomes. Read more...