Intervention
Barriers and facilitators (sometimes called "contextual determinants") are factors that make it harder or easier to implement buprenorphine. These factors span multiple levels. Click the buttons on the left to read more about common barriers and facilitators for buprenorphine. In addition, view the RASC guides on Contextual Determinants Affecting Implementation and the Inventory of Factors Affecting Successful Implementation and Sustainment (IFASIS) to learn practical ways to assess these constructs.
Barriers and facilitators around Cognitive Behavioral Therapy for Opioid Use Disorders (CBT-OUD) relate to the structure and aims of the treatment modality.
Barriers
CBT-OUD is a highly structured treatment method that may require an adjustment for patients and providers who think of counseling in a more unstructured, relational manner.
CBT-OUD protocols are typically at least 12 sessions, which can introduce scheduling and implementation demands.
CBT-OUD is typically delivered in combination with medication for opioid use disorder, so accessing this treatment often requires committing to multiple interventions.
Facilitators
CBT-OUD is highly adaptable. It can be delivered in a group or individual format, and can easily be delivered virtually or via telehealth.
The highly structured nature of CBT and the frequent use of handouts and worksheets make it highly replicable across providers and settings.