Articles

Designing Hub-and-Spoke Community SUD Networks Across Counties, Clinics, and Mobile Teams
Hub-and-spoke SUD networks are attractive because they can expand access quickly, but they fail when referral pathways are vague and spokes become “hand-off points” rather than treatment settings. This article explains how to design roles, escalation, clinical governance, and data flows so that hubs support spokes without centralizing everything. Read more...
Building Community-Based SUD Service Models That Actually Hold People in Care
Community-based SUD models work when they are designed around how people really enter care: through crisis, ambivalence, housing instability, and competing priorities. This article sets out practical service patterns that reduce drop-off, support MAT initiation, and stabilize people through the first 30–90 days. It links model design to staffing, workflows, and measurable system outcomes. Read more...