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Opioid Use Disorder (OUD) TreatmentCensus and Waitlist as of November 2019
January 2020
Hub census and waitlist as of November 2019
Region # Clients # Buprenorphine # Methadone # Vivitrol# Receiving
Treatment but Not Yet Dosed
# Waiting
Chittenden, Addison 995 231 762 2 0 0
Franklin, Grand Isle 412* 173* 238* 1* 0* 0*
Washington, Lamoille, Orange 479 130 349 0 0 0
Windsor, Windham 634 89 545 0 0 0
Rutland, Bennington 402 88 297 0 17 0
Essex, Orleans, Caledonia 813* 194* 618* 1* 0* 0*
Total 3,735* 905* 2,809* 4* 17* 0*
2Vermont Department of Health
Note: The Franklin/Grand Isle location opened in July 2017. Some clients are transferring from the Chittenden/Addison hub to the FGI hub.
*November 2019 data for the following counties are estimates: Caledonia, Essex, Franklin, Grand Isle, and Orleans.
Source: Alcohol and Drug Abuse Treatment Programs
Spoke patients, providers and staffing as of November 2019
Region Total # Providers prescribing patients # Providers prescribing to ≥ 10 pts Staff FTE Hired Medicaid Beneficiaries
Bennington 19 6 4.65 379
St. Albans 24 13 12.25 507
Rutland 21 7 9.8 348
Chittenden 95 16 17.16 660
Brattleboro 8 4 3.19 122
Springfield 10 4 1.55 155
Windsor 17 7 2.5 251
Randolph 8 1 2.21 86
Barre 23 4 7.5 250
Lamoille 18 7 3.9 190
Newport & St. Johnsbury 20 5 2 152
Addison 14 4 3.5 128
Total 260* 74* 70.21 3227
3Vermont Department of Health
Table Notes: Beneficiary count based on pharmacy claims for Buprenorphine and Vivitrol, September 2019 – November 2019; an additional 272 Medicaid beneficiaries are served by 53 out-of-state providers. Staff hired based on Blueprint portal report, as of 12/1/19. *11 providers prescribe in more than one region.
The number of people waiting for OUD treatment in hubs has decreased, while the number of people served in hubs has increased.
4Vermont Department of Health
In Treatment, 2499
In Treatment, 3735
Waiting, 431 Waiting,
0
0
500
1000
1500
2000
2500
3000
3500
4000
Jul-1
4
Sep-
14
Nov
-14
Jan-
15
Mar
-15
May
-15
Jul-1
5
Sep-
15
Nov
-15
Jan-
16
Mar
-16
May
-16
Jul-1
6
Sep-
16
Nov
-16
Jan-
17
Mar
-17
May
-17
Jul-1
7
Sep-
17
Nov
-17
Jan-
18
Mar
-18
May
-18
Jul-1
8
Sep-
18
Nov
-18
Jan-
19
Mar
-19
May
-19
Jul-1
9
Sep-
19
Source: Alcohol and Drug Abuse Treatment Programs Note: November 2019 data for the following counties are estimates: Caledonia, Essex, Franklin, Grand Isle, and Orleans.
The number of people waiting for hub services by region has decreased.
5Vermont Department of Health
0
50
100
150
200
250
300
350
Southeast
Northeast
Northwest
Southwest
Central
North NW
North Central
Source: Alcohol and Drug Abuse Treatment ProgramsNote: NW split into North Central (Chittenden/Addison) and NNW (Franklin/Grand Isle) in July 2017
Note: November 2019 data for the following counties are estimates: Caledonia, Essex, Franklin, Grand Isle, and Orleans.
The number of people served in hubs by region have increased.
6Vermont Department of Health
0
200
400
600
800
1000
1200
Northwest
Southeast
Central
Northeast
Southwest
North Central
North Northwest
Source: Alcohol and Drug Abuse Treatment ProgramsNote: NW split into North Central (Chittenden/Addison) and NNW (Franklin/Grand Isle) in July 2017
Note: November 2019 data for the following counties are estimates: Caledonia, Essex, Franklin, Grand Isle, and Orleans.
The number of Medicaid beneficiaries treated in spokes has increased.
Region 9/13 12/13 3/14 6/14 9/14 12/14 3/15 6/15 9/15 12/15 3/16 6/16 9/16 12/16 3/17 6/17 9/17 12/17 3/18 6/18
Bennington 131 151 164 173 185 219 229 246 233 240 259 238 236 229 239 239 236 230 262 264
St. Albans 236 249 269 262 284 326 376 363 363 339 383 385 390 382 402 384 390 404 436 445
Rutland 206 242 251 253 234 244 245 256 259 267 274 300 223 253 282 304 223 327 357 355
Chittenden 352 408 314 357 382 402 400 420 434 474 528 514 553 596 573 513 553 516 554 589
Brattleboro 237 238 208 230 220 208 176 170 146 141 153 144 138 145 150 138 138 132 137 136
Springfield 41 54 57 41 55 50 52 52 67 57 77 77 55 53 73 54 55 50 53 50
Windsor 56 62 73 82 93 122 121 130 146 158 175 206 197 161 229 212 197 205 220 227
Randolph 78 91 103 110 112 99 95 100 93 83 83 107 130 145 97 89 130 108 111 119
Barre 198 201 210 212 234 245 254 251 231 302 317 301 268 273 263 254 268 248 238 280
Lamoille 117 125 134 135 127 134 137 139 147 154 155 157 145 151 217 239 145 228 207 170
Newport & St. Johnsbury
98 98 97 100 100 89 86 87 94 98 98 97 90 95 97 92 90 96 98 99
Addison 8 17 25 32 49 64 66 71 75 87 77 74 60 65 77 86 112 113
Upper Valley 9 5 6 6 5 7 8 34 13 12 17 34 16 22 19
Total 1,750 1,919 1,888 1,972 2,051 2,179 2,225 2,284 2,285 2,389 2,584 2,621 2,535 2,572 2,694 2,600 2,535 2,646 2,807 2,866
7Vermont Department of Health
Source: Blueprint for Health
The number of spoke prescribers has increased.
Region 9/14 12/14 3/15 6/15 9/15 12/15 3/16 6/16 9/16 12/16 3/17 6/17 9/17 12/17 03/18 6/18
Bennington 7 9 9 11 10 10 11 10 11 9 10 10 11 11 10 11
St. Albans 11 12 12 12 10 13 16 15 15 15 13 14 15 16 25 22
Rutland 9 10 8 9 10 10 13 13 12 12 16 18 12 20 16 19
Chittenden 30 27 27 30 30 31 38 53 71 70 78 78 71 82 79 79
Brattleboro 16 18 18 18 13 13 12 11 10 10 13 10 10 12 12 11
Springfield 5 4 5 6 2 2 2 3 4 4 3 4 4 4 6 6
Windsor 3 5 5 7 7 7 8 7 9 6 8 9 9 10 11 11
Randolph 8 6 4 4 7 4 6 5 6 7 7 6 6 7 5 5
Barre 19 17 14 14 18 17 15 20 21 19 19 21 21 19 18 19
Lamoille 7 8 7 6 7 6 7 9 10 9 12 15 10 14 17 16
Newport & St. Johnsbury 9 9 8 8 8 8 8 10 11 14 15 13 11 11 10 11
Addison 4 5 4 5 6 6 5 4 5 5 4 5 5 7 12 11
Upper Valley 3 2 4 2 3 3 4 5 4 4 5 5 3 4 3
Total 128 133 123 131 126 126 140 160 187 180 196 203 187 212 225 224
8Vermont Department of Health
Source: Blueprint for Health Note: Some providers prescribe in more than one region.Prior to 9/14, spokes were tracked by number of providers rather than number of prescribers so are excluded from this report
The number of members visiting syringe service programs increased between 2013-2016 and has since decreased.
9Vermont Department of Health
Source: Blueprint for Health
RegionJan-Mar
2013
Apr-Jun
2013
Jul -Sep
2013
Oct-Dec
2013
Jan-Mar
2014
Apr-Jun
2014
Jul-Sep
2014
Oct-Dec
2014
Jan-Mar
2015
Apr-Jun
2015
Jul-Sep
2015
Oct-Dec
2015
Jan-Mar
2016
Apr-Jun
2016
Jul-Sep
2016
Oct-Dec
2016
Jan-Mar
2017
Apr-Jun
2017
July-Sep. 2017
Oct-Dec
2017
Jan-Mar
2018
Apr-Jun
2018
Jul-Sep
2018
Oct-Dec
2018
Jan-March 2019
April-June 2019
July-Sept 2019
Burlington 593 668 702 698 712 838 799 802 815 898 854 779 844 843 868 821 722 675 652 673 601 601 536 551 508 523 535
White River Junction 40 51 47 44 54 57 66 49 55 65 69 56 74 60 58 52 71 62 56 43 46 56 56 51 45 23 38
Springfield 4 26 31 32 36 39 31 29 34 26 27
St. Johnsbury 43 47 52 50 42 48 59 44 55 55 52 58 64 71 79 94 52 47 47 52 31 45 42 38 30 31 24
Rutland N/A* 9 39 52 55 62 68 42 84 127 130 154 136 135 170 154 152 131 134 129 134 136 127 117 117 126 119
Barre 25 33 20 38 41 40 45 37 35 39 23
Brattleboro 30 42 34 38 35 50 66 66 70 58 51 68
Mobile Exchange(VT CARES) 17 17 22 23 16 16 7 8 13
Total 676 775 840 844 863 1,005 992 937 1,009 1,145 1,105 1,047 1,118 1,109 1,175 1,151 1,068 1,008 995 1,019 961 1,006 919 909 834 827 847
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2
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Main takeaways:
The waitlist for OUD treatment in hubs has been reduced to zero.
The number of people in treatment for OUD has increased.
The number of spoke prescribers has increased.
10Vermont Department of Health
Resources• Opioid Scorecard: healthvermont.gov/scorecard-opioids • Opioid Prevalence, Risk, and Impact:
healthvermont.org/sites/default/files/documents/2016/12/ADAP_Opioids_Prevalence_Risk_Impact.pdf • Opioid Death Information:
healthvermont.gov/sites/default/files/documents/2017/01/ADAP_Data_Brief_Drug_Related_Fatalities.pdf• Naloxone Information: healthvermont.gov/naloxone• Vermont Prescription Monitoring System Reports: Healthvermont.gov/ADAPReports• Substance Abuse Data and Information: Healthvermont.gov/ADAPReports• Health Surveillance Data: Healthvermont.gov/ADAPReports
11Vermont Department of Health
Email:
Social: @healthvermontWeb: www.healthvermont.gov
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