Many patients present with additional complex needs requiring consultation and care coordination. We provide one-time or ongoing support and peer mentoring in the management of a wide range of complex patient needs, including:

• Treating opioid-dependent pregnant women and their infants

• Buprenorphine and methadone treatment protocols for pregnant women with OUD
• Managing withdrawal in opioid-exposed neonates
• Coordinating and delivering comprehensive family-centered services and parenting support
• Accessing evidence-based family planning services

• Smoking cessation among pregnant women

• Biochemical monitoring of patients’ recent drug use (e.g., urine toxicology testing, breathalyzer, carbon monoxide monitoring for smoking cessation)
• Incentive-based behavioral interventions well-demonstrated to promote smoking abstinence among pregnant and parenting women

• Complex patients with co-occurring chronic pain, trauma, psychiatric and/or medical conditions

• Evidence-based assessments for evaluating patients’ problem severity across a variety of areas (e.g., psychosocial, psychiatric, legal, employment, medical) via paper, iPad and/or web-based platforms
• Empirically-supported therapies (e.g., Prolonged Exposure Therapy for PTSD, cognitive behavioral therapy)
• As-needed or ongoing clinical consultation by our CORA center faculty with direct expertise in managing complex patients

The above menu is not exhaustive. If you don’t see what you are looking for, reach out to us at CORA@uvm.edu with your specific needs and questions!