Special Populations

Pregnant and Neonatal Population

• Opioid Dependency and Pregnancy
  • Support implementing and managing buprenorphine or methadone treatment protocols for pregnant women with opioid use disorder (OUD)
  • Managing withdrawal in opioid-exposed neonates
    • Eat, Sleep, Console Approach

• Smoking Cessation and Pregnancy
  • We can provide biochemical monitoring supplies at no charge (e.g., hand-held breathalyzer, carbon monoxide monitoring)
  • Incentive-based behavioral interventions well-demonstrated to promote smoking abstinence among pregnant and parenting women
  • Support with implementing internet- and smartphone-based interventions for smoking reduction or cessation 

• Family-centered Services and Parenting Support

• • UVM CORA Clinician Office Hours Program 
  • UVM CORA Community Rounds video: A Multigenerational Approach to Prevention of Substance Use Disorder

• Evidence-based family planning services

• • US Department of Health and Human Services resources

Substance Use Disorder with Co-occurring Conditions

• Evidence-based assessments for evaluating patients’ problem severity across a variety of areas (e.g., psychosocial, psychiatric, legal, employment, medical)
• Pain Management and OUD:
  • Screening tools:
    • Evaluating pain: Brief Pain Inventory
    • Assessing a patient’s risk of developing OUD in response to long-term opioid treatment for pain: NIDA Opioid Risk Tool
    • Monitoring for emerging signs of OUD among patients on opioids for pain management: NIH Screener and Opioid Assessment for Patients with Pain
  • UVM CORA Community Rounds video: Acute Pain Management Following Surgery
  • UVM CORA Clinician Office Hours Program 

• Post-Traumatic Stress Disorder and Substance Use Disorder (SUD)

• • Screening tools to assess for PTSD, including the CAPS-5, PCL-5, and PC-PTSD-5
  • Support for selecting and implementing therapies such as Prolonged Exposure Therapy, and Cognitive Processing Therapy
  • UVM CORA Community Rounds videos:
    • Treatment and Assessment of Co-occurring PTSD and Substance Use Disorder
    • Evidence-Based Treatment of PTSD in Individuals with OUD, and Innovative Approaches for Increasing Access to Care in Rural Communities
  • As-needed or ongoing clinical consultation by our UVM CORA center faculty with direct expertise in managing complex patients
    • UVM CORA Clinician Office Hours Program 

The Role of Stigma in Substance Use Disorder Management

• UVM CORA Community Rounds videos:
  • Identifying SUD Bias and Addressing Stigma in the Clinical Setting
  • Pregnancy, Parenting, and Substance Use: Stigma, Fear, and a Call for Improved Messaging to Our Families
• UVM CORA Data Report: National Report: Rural Substance Use Disorder Stigma and Treatment Needs
• UVM CORA Research Spotlight: The Role of Stigma Among Health Care Providers in the Treatment of Opioid Use Disorder
• UVM CORA Data Brief: Stigma and Opioid Use Disorder in Northern New England
• UVM CORA Resource Guide: Substance Use Disorder Stigma Resources