West Virginia School of Osteopathic Medicine, Clinic

The SHINE (Sober Health Initiative – Elevate!) Project provides three new mobile MAT access points, a local harm reduction clinic access point, and a rural hospital emergency department access point in rural Greenbrier County, West Virginia. The SHINE Project uses an existing, modified, mobile clinic to provide telehealth counseling for individuals with SUD/OUD receiving in MAT services. Due to lack of transportation and the difficult mountain terrain, mobile clinics are in the more remote areas of Greenbrier County. The SHINE Project includes partnering with a pharmacy to provide an insurance assistance program for medications, a state licensed behavioral health organization for counseling, and the county health department for access to a licensed Harm Reduction Program in the state for referrals. In the second year of the project, the health department will become a new MAT access point. By year three, the local hospital will provide MAT services through the Emergency Department. SHINE includes a program to ensure access to MAT services for pre-and perinatal women and their babies with Neonatal Abstinence Syndrome. This project serves individuals living with substance use disorder/opioid use disorder. SHINE ensures the three FDA-approved MAT medications are available; an insurance assistance program to help uninsured or underinsured individuals; counseling services by a state licensed behavioral health organization; social services including referrals for housing, food, clothing, utility assistance, etc.; mobile MAT and counseling services in three remote rural areas; MAT services for pre- and perinatal women and their babies; ancillary services such as NADA protocol, yoga, mindfulness, and chronic pain self-management classes. Project staff use motivational interviewing, SBIRT, and trauma-focused training to assist individuals seeking recovery.