The NIATx Model Works...

...because it is doable, customer-focused, gets change teams engaged, 
and produces real results quickly.

NIATx in Action

Previous NIATx Foundation projects have:


 Improved access rates and addiction care for the homeless in Philadelphia

Doubled use of medication for OUD in Ohio

Reduced no-show rates by half across 41 organizations nationally

 Reduced re-admission rates consistently in Wisconsin

  Improved access city (or region)-wide to detoxification and crisis services

 Increased MOUD retention rates in live and virtual environments

  Increased sustainability and revenue capture for struggling facilities

  Integrated virtual and in-person workflows

Case Study: APT Foundation, Inc.

To address the growing opioid epidemic, the APT Foundation, Inc. entered a nine-year study in July 2006 using the NIATx rapid-cycle model to improve treatment access and program outcomes. Since the initial study, APT has continued to use the NIATx model to sustain results and navigate current treatment challenges associated with COVID-19.

Based on data collected through routine quality assessment, this open-access model appears to improve treatment access, capacity, and financial sustainability without evidence of deleterious effects on treatment outcomes. In addition, APT has found the changes implemented to respond to COVID-19 have allowed the facility to continue providing treatment to patients and, in several cases, have improved treatment approaches, particularly for those with access disparities


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in action

Braided Patient Engagement Strategies (BPES)


The following case studies demonstrate how BPES work in practice.

Providing the COVID Vaccine

Patients were coming to Main Street Addiction Recovery Center unvaccinated and uncertain about getting the COVID vaccine. However, news about filling emergency rooms and spread of the Delta variant has caused growing concern. In addition, the Recovery Center is working to keep their patient population safe and build trust that the facility is a protective environment to receive care. To create this safer environment and offer patients an important public health service, Main Street Addiction Recovery Center decided to commence the braided strategy of administering COVID vaccines. Read more...

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Testing for HIV/HCV

Patients were walking into the Northeast Recovery Center with symptoms of fevers and joint or stomach pain. Over time, the Center often learned that the patients were having symptoms of HIV or HCV (Hepatitis C). The diminishing health of these patients was very concerning to the Recovery Center, especially as they witnessed how these health conditions impact the individual’s treatment recovery. As a health services provider, Northeast Recovery felt they had an obligation to address these diseases linked to substance misuse. Read more...

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Providing Buprenorphine in the Emergency Department

The local Emergency Department (ED) is continually calling the Main Street Recovery Center for assistance with overdose patients and currently provides referrals to the Center without any coordination of services. Main Street Recovery wanted to directly address this issue, as did the local ED. ED and Main Street decided to have the ED induct eligible patients wanting to begin Suboxone therapy and then provide three-day Suboxone starter kits. Read more...

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