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Underutilized regulations allow non-Opioid Treatment Program (OTP) providers to administer methadone for opioid withdrawal for up to 72 hours while arranging ongoing care. Our low-barrier bridge clinic implemented a new pathway to treat opioid withdrawal and facilitate OTP linkage utilizing the “72-hour rule.”
Methadone administration for opioid withdrawal with direct OTP admission under the “72-hour rule” is feasible in an outpatient bridge clinic and resulted in high OTP linkage and 1-month retention rates.
Patients presenting to a hospital-based bridge clinic were evaluated for OUD, opioid withdrawal, and treatment goals. Eligible patients were offered methadone opioid withdrawal management with rapid OTP referral.