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Vermont Hub-And-Spoke Model

By Addiction Policy Forum

The Vermont Hub-and-Spoke Model, “hubs” provide individuals with medication-assisted treatment, specifically methadone and buprenorphine. Simultaneously, the “spokes” offer individuals a three-person primary care team, with a clinician or counselor, nurse, and physician. Each individual has a unique plan overseen by the doctor and buttressed by a counselor and nurse who connect the client with community-based supports.

Listen to a Cover2 Resources Podcast with Barbara Cimaglio, the Deputy Commissioner for the Vermont Department of Health.

Addiction Policy Forum is a nationwide nonprofit organization dedicated to eliminating addiction as a major health problem. Our national headquarters is located in Washington, DC with resources and services in every state.


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