Table 3.

Perceived TTA needs and how the STATE OBOT program addressed them

Perceived TTA needs	How STATE OBOT program addresses the TTA needs
Addiction and buprenorphine treatment education	TTA educates the staff on buprenorphine treatment through a day-long Buprenorphine-101 training. Additionally, knowledge regarding working with individuals with substance use disorders is disseminated, and continued support is provided as needed. Ongoing quarterly trainings address pertinent addiction-related topics for OBOT program staff.
Program initiation and induction process	Education through formalized training and shadowing at BMC’s OBOT/buprenorphine clinic, hands-on support is provided at the CHC, ongoing telephone and email support is offered as needed.
Program integration into existing primary care setting	TTA assists program integration into the FQHCs and provides quality control of the programs.
Knowledge of Collaborative Care Model	Formalized training on the model and the policy and procedure manual is provided during initial day-long training. Additionally training is provided to all staff involved in the buprenorphine program.
NCM hiring and training	Assisted with the hiring process via posting through addiction RN list serve distributed to addiction nurses throughout the state.
Policy/procedure development	A buprenorphine treatment policy and procedure manual was developed. This manual was provided to the CHCs in a word document so that each CHC could make site-specific changes and incorporate it into their day-to-day practice.
Staff buy-in	CHC staff are provided trainings related to treating individuals with addiction, ongoing support is offered, ongoing communication with staff facilitates understanding, and site-meetings are scheduled as needed.
Stigma	Education about the disease of addiction is provided to all staff involved and health center wide if agreeable. Sites are supported ongoing when questions and issues arise.
Billing	Educating about utilization of an NCM in a FQHCs in billing.
Limited physician interest	CHC physicians are engaged through education about treating the disease of addiction and the incorporation of this treatment into a primary care setting.