Dr. Punyamurtula S. Kishore of Preventive Medicine Associates, Inc. (PMAI), a group of family practices located throughout Massachusetts focused on bringing the best care to their patients and community, presented the Massachusetts Primary Care model of Addiction Recovery at the National Institute on Drug Abuse’s (NIDA) Blending Addiction Science and Practice Conference on Thursday, April 22 and Friday, April 23, 2010. The conference, held in Albuquerque, New Mexico, hosted more than 1,300 attendees.
Dr. Kishore’s presentation highlighted the contrast between the emerging Massachusetts model and the established Minnesota model. The unique Massachusetts Primary Care model of Addiction Recovery has been in existence for fourteen years, serving thirty towns and cities throughout the state. In this model, individuals with substance abuse disorders are treated on an outpatient basis in a primary care practice focusing on the physical, mental and social consequences of the disease.
“This approach is in sharp contrast to the Minnesota model, which is a behavioral health model,” said Dr. Punyamurtula S. Kishore, President of Preventive Medicine Associates, Inc. “The Massachusetts Primary Care model has four components: de-addiction, sobriety maintenance, sobriety enhancement and primary care,” continued Dr. Kishore. By carefully following the SBIRT technology, the model encompasses a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders. Dr. Kishore went on to explain how the model offers consultation services in neurology, psychiatry, psychology, social work, drug safety, and pharmacotherapy and the majority of the treatment is done outpatient with short-term, highly monitored use of medications for de-addiction and emphasizing long-term sober living.
The Massachusetts model encourages family involvement and community participation. On demand access to care through providers is allowed in the family practice setting in contrast to the conventional crisis center referral. This treatment is accepted by the health insurance industry as a safe and effective model of care. While this model is currently utilized only in Massachusetts, Dr. Kishore’s evidence suggests that it could be a less-costly, easily accepted alternative to inpatient detoxification and rehabilitation.
The NIDA Blending conference was the ideal venue for Dr. Kishore to give this presentation. According to the conference website, “the conference is designed to narrow the ‘translational gap’ by disseminating science-based findings and placing them directly into the hands of practitioners. These science advances range from the latest findings on screening and brief intervention, co-occurring disorders, drug courts, and prescription opioid abuse to the Blending Team products, which address motivational interviewing, buprenorphine and motivational incentives.”
Dr. Kishore’s career has been built on the idea of blending practices to treat addiction. At PMAI he treats addictions with this Massachusetts model or “sobriety maintenance” method, as he calls it. He stresses the prescription of non-toxic substances, provides patients with coping skills they need to remain sober and tailors treatment to specific medical conditions. Dr. Kishore also administers “de-addiction” treatment, a process that treats emotional addiction as well as the physical addiction. Patients have access to home detoxification, an inexpensive and more effective option to in-patient care which allows them to maintain their dignity while learning how to cope with the temptations found in their own environments.
PMAI has treated more than 140,000 patients using this method in Massachusetts.
About Preventive Medicine Associates, Inc.
Preventive Medicine Associates, Inc. (preventivemedicineassociates.net) is a group of family practices located through Massachusetts, focused on bringing the best care to their patients and community. Their doctors and staff are trained in the diagnosis and treatment of numerous diseases and conditions, and manage both common and complex problems. They are also trained to prevent, diagnose and treat a wide variety of ailments affecting patients of all ages. Preventive Medicine Associates doctors work in the science of protecting and improving the health of communities through education, promotion of healthy lifestyles and research for disease and injury prevention.