Hub-and-Spoke Model

The Center for Addiction Medicine brings together Denver Health's robust range of opioid treatment services within a “hub-and-spoke” model that integrates resources and clinical expertise, providing a seamless, confidential and supportive journey for patients. Delivering on the “no wrong door” approach, patients who misuse opioids and present to any Denver Health clinic, medical provider or emergency facility, are rapidly connected to treatment and recovery services that best meet their needs.

Center for Addiction Medicine Hub and Spoke Model

The Center for Addiction Medicine's “hub” is located in Denver Health's Behavioral Health department. The “spokes” include the Emergency Department, Psychiatric Emergency Services, methadone treatment, suboxone treatment, hospital medicine, correctional care, family health centers, Denver CARES, Denver Recovery Group, Behavioral Health Group, Sobriety House, and other community partners.

2019 Results

  • MAT Inductions Across Denver Health: 891
  • Patients Linked to Follow-Up Treatment (post-induction): 75%
  • Patients Retained 90-Days (post-linkage): 54%

Transformations

  • 24/7-access to Medication Assisted Treatment (MAT) on demand
  • Standardized evaluation/transfer packet and referral system
  • Increased capacity across the opioid treatment program system