Career Level Others
Industry Substance use disorder treatment
The Office-Based Opiate Treatment Program (OBOT) is an innovative program that provides methadone maintenance treatment at San Francisco Department of Public Health (DPH) primary health care centers and in conjunction with DPH pharmacies. OBOT is a program of the Opiate Treatment Outpatient Program (OTOP), in the Division of Substance Abuse and Addiction Medicine (DSAAM). DSAAM provides multi-disciplinary consultation and treatment for drug dependent patients at San Francisco General Hospital (SFGH) and at DPH primary health centers city-wide. In the OBOT program, physicians, counselors, and other medical staff provide methadone maintenance treatment in conjunction with primary care provided at Potrero Hill Health Care Center, Tom Waddell Urban Health Care Center, and the Positive Health Program primary care center at San Francisco General Hospital.
The target population for OBOT’s methadone maintenance service is people with low-income, medical and psychiatric comorbidities, and opioid use disorder. The target population includes people of all ages, races, ethnicities, sexual orientations, gender identities, religions or spiritualties, socioeconomic classes, partner statuses, and physical and mental disabilities. OBOT clients are low-income and uninsured or underinsured. This population has multiple layers of challenges, including substance use disorders, psychiatric difficulties, life-threatening health problems, and significant cultural barriers to receiving proper care.
Under the direct supervision of the OBOT Program Manager, the Social Work Associate (SWA) position provides substance abuse counseling at one of the participating primary care health centers. The SWA is expected to assist patients in their individualized goals of improved psycho-social and physical well-being, with special focus on eliminating or reducing the harms of opioid and other drug use, and to document the patient response to the treatment plan according to accepted documentation standards.
The SWA conducts psycho-social needs assessments and treatment planning for patients with opioid dependence and other drug use disorders. Counseling occurs in group and individual formats and may include but is not limited to the following: client-centered substance abuse counseling and education; safety and harm-reduction education; relapse prevention planning; and motivational interviewing. Psychosocial assessments and treatment planning includes: screening potential clients, client intake and assessment, treatment and discharge planning, crisis intervention, and referral to comprehensive services. Referrals include but not limited to: housing, behavioral health services, supplemental substance-abuse treatment services, and population-specific services.
The position also provides substance abuse treatment consultation to allied health professionals working with substance abusing patients. Adherence to accepted standards for substance abuse counseling, documentation and treatment planning are a crucial component of the SWA position. The SWA will have the ability to monitor and identify positive as well as adverse therapeutic outcomes with clients and foresee outcomes that may negatively impact patient care, our agency, SFGH, UCSF and/or the City and County of San Francisco.