• Addiction Policy Forum

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.



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








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