MAOT Clinic and Addiction Medicine Consultation Service

The outpatient opioid use disorder clinic at Grady Memorial Hospital provides comprehensive outpatient care (ASAM Level of Care 1.0) for patients with OUD. Funded by the Department of Behavioral Health and Developmental Disabilities, the clinic provides:

• Medications for OUD management (buprenorphine, extended-release naltrexone)
• Group and individual counseling
• Peer support
• Case management
• Access to psychiatric and medical services at no cost to patients who are uninsured

The patient population faces many challenges not typically seen in other office-based treatment settings including high rates of job insecurity, housing instability, trauma, severe concurrent substance use disorders, and untreated psychiatric and medical comorbidities. 

Fellows work collaboratively with the entire care team--faculty trained in Addiction Medicine, Addiction Psychiatry, and Medical Toxicology; Certified Drug and Alcohol Counselors (CADC's); and Certified Addiction Recovery and Empowerment Specialists (CARES)--to develop and implement care plans for patients in various stages of recovery. The clinic serves a unique population for an outpatient treatment program, seeing patients who experience high rates of homelessness, job insecurity, and lack health insurance. The MAOT clinic is also one of the few programs in the state that serves pregnant women with OUD.

Housed under the Section of Medical Toxicology, Department of Emergency Medicine, Addiction Medicine consults are available to the Emergency Department and inpatient services 24/7.

Bedside consultations are performed to manage complicated alcohol and benzodiazepine withdrawal, provide recommendations regarding novel substances of abuse, and assess and manage opioid use disorder (OUD), including ED- and inpatient-based initiation of MOUD with buprenorphine.