SAMHSA Opioid Treatment Updates | Burrows Consulting

SAMHSA Opioid Treatment Updates

Snapshots of 42 CFR Part 8 Updates: Simplifying Care, Enhancing Access, Supporting Recovery in accordance with the SAMHSA opioid guidelines for treatment programs.

The Substance Abuse and Mental Health Services Administration (SAMHSA) has released updated Federal Guidelines for Opioid Treatment Programs, aligning with the revised 42 CFR Part 8 regulations, which were effective April 2, 2024, with compliance required by October 2, 2024. The latest SAMHSA opioid guidelines aim to improve access to evidence-based treatments for opioid use disorder (OUD), emphasize practitioner discretion, and foster patient-centered care.

Key updates include:

  • Admission Criteria and Telehealth: Simplified admission processes and expanded telehealth use, as outlined in the SAMHSA opioid guidelines.
  • Clinical Decision-Making: Encouraging individualized, evidence-based care with practitioner discretion.
  • Medication Handling: Procedures for methadone administration, dispensing, and take-home dosing.
  • Trauma-Informed Care: Emphasis on integrating trauma-informed principles.
  • Support for At-Risk Populations: Providing tailored care for vulnerable groups.
  • Comprehensive Services: Ensuring medical, counseling, and vocational support are available.
  • Continuity of Care: Strategies to ensure seamless treatment transitions, as recommended by the SAMHSA opioid guidelines.

In addition to these updates, the guidelines also aim to reduce stigma and barriers, fostering broader adoption of patient-centered approaches across all settings providing medication for opioid use disorder (MOUD).

Furthermore, these updates replace the 2015 guidelines and mark a shift toward modernizing care while improving patient engagement and outcomes.

Federal Guidelines for Opioid Treatment Programs-Winter 2025

To complement these guidelines, SAMHSA has also released a series of 14 brief videos designed to explain the key aspects of implementing the revised 42 CFR Part 8 regulations for Opioid Treatment Programs (OTPs). Notably, these videos offer a concise, high-level overview of the first major updates to these regulations in over 20 years, further reflecting the latest SAMHSA opioid guidelines.

The series aims to:

  • Clarify the nuances of the updated rules.
  • Support OTPs in understanding and applying changes to patient care, telehealth, medication use, and treatment standards.
  • Highlight best practices and patient-centered approaches introduced by the new guidelines.

The video series serves as an accessible resource to ensure providers are informed and equipped to comply with these significant regulatory updates.

Regulation short video series -Snapshots for Implementation of 42 CFR Part 8

Need help navigating these changes or have questions? Reach out to Burrows Consulting today!

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