. Author manuscript; available in PMC: 2023 Jun 8.

Published in final edited form as: J Subst Use Addict Treat. 2023 Apr 4;149:209030. doi: 10.1016/j.josat.2023.209030

Table 3.

Site-level adherence to expert recommendations for clinical services.

Recommendation	Site
Recommendation	1	2	3	4	5	6	7	8	9	10	11	12	13
Assess for OUD and Other SUD
Psychosocial assessment	I	I	I	I	I	I	I	I	I	I	I	I	I
DUI assessment	R	R	R	N	I	I	N	N	R	R	I	C	R
Urine drug screening	I	I	I	I	I	I	I	I	I	I	I	I	I
Breathalyzer	I	R	R	N	I	I	N	N	R	C	I	I	R
Provide MOUD (in-program only)
Methadone	I	N	N	N	I	I	N	I	N	N	N	N	N
Buprenorphine	I	I	I	I	I	I	I	I	I	I	I	I	I
Naltrexone with caution	I	N	I	N	N	N	N	I	I	N	N	N	N
Naloxone distribution	I	I	I	I	I	I	I	I	I	I	I	I	I
Provide specialized prenatal care
Ongoing prenatal care	I	I	I	I	I	I	C	I	I	I	R	I	I
Physical exam	I	I	I	I	I	I	I	I	I	I	I	I	I
Increased monitoring for high risk	I	I	I	I	I	I	C	I	I	I	R	I	I
Lab testing	I	I	I	I	I	I	C	I	I	I	C	I	I
Ultrasound	I	C	I	I	R	I	C	C	C	I	R	I	I
Provide comprehensive psychosocial substance use disorder treatment
Individual counseling	I	I	I	R	I	I	C	I	C	I	I	I	I
Group counseling	I	I	I	R	I	I	C	I	C	C	I	I	I
Case management	I	I	I	I	I	I	I	I	I	I	I	I	I
Peer support	R	N	I	N	I	I	I	C	I	R	I	I	R
Mutual support groups	R	R	C	R	I	I	R	R	R	R	I	R	R
Smoking cessation	I	I	I	C	I	I	I	I	I	I	I	I	I
Address co-occurring conditions/disorders
Infectious disease testing	I	I	I	I	I	I	I	I	I	I	I	C	I
Primary care services	I	I	C	C	R	I	C	C	N	C	R	C	I
Mental health assessment	I	I	C	I	I	C	I	I	I	I	I	C	I
Individual MH therapy	I	I	C	I	I	I	C	I	C	I	I	C	R
Group MH therapy	N	C	I	N	I	C	C	R	C	C	I	C	C
MH case management	R	C	I	I	I	I	C	I	I	I	R	C	R
Psychiatric crisis services	C	C	C	C	I	C	C	I	I	I	R	C	R
Psychiatric medication management	I	I	I	I	N	C	I	I	I	I	I	C	I
Integrated SUD-MH	I	C	C	I	I	C	C	I	C	I	I	C	C
Provide postpartum care
Postpartum visits	I	I	I	I	I	I	C	I	I	I	R	I	I
Breastfeeding guidance	I	I	I	I	I	I	I	I	I	I	R	C	I
Family planning/contraception	I	I	I	I	I	I	C	I	I	I	C	I	I
Assess and care for opioid-exposed infants
Well-baby care	I	I	C	C	I	I	C	C	I	C	R	C	C
Infant developmental assessment	I	I	C	C	R	I	C	C	C	C	R	C	R

I = integrated into program; C = collaboration with provider elsewhere within organization; R = linkage/referral to external resource; N = not reported.