Designing the OUD Cascade of Care: What Works in Real-World Provider Settings
Despite major advances in medications for opioid use disorder (MOUD), most individuals with OUD continue to fall out of care at critical transition points—emergency departments, hospital discharge, residential treatment, and jail reentry.
This session highlights how high-performing provider organizations are strengthening each stage of the OUD Cascade of Care—from screening and initiation to stabilization, retention, and recovery—using practical, evidence-based strategies that can be implemented today.
Featured Speakers
Heidi B. Ginter, MD, FASM
Medical Director of the Addiction Medicine at Acadia Healthcare
Heidi B. Ginter, MD, FASAM is the Medical Director of Addiction Medicine at Acadia Healthcare. Board-certified in both family and addiction medicine, Dr. Ginter brings nearly two decades of experience treating substance use disorders. Dr. Ginter earned her bachelor’s degree from Yale University, her MD from the University of Maryland School of Medicine, and completed her family medicine residency at the University of Massachusetts Chan School of Medicine. In addition to her clinical leadership, Dr. Ginter is a nationally recognized speaker who advocates for reducing stigma and increasing public understanding of substance use disorders and their treatment. She envisions a future where everyone seeking treatment can access high quality, affordable, evidence-based care and whatever other resources they need to achieve recovery on their own terms, whenever and wherever they are ready.
Stuart Buttlaire, PhD
Former Regional Director of Behavioral Health and Addiction Medicine, Kaiser Permanente
Stuart Buttlaire brings over 35 years of executive, clinical, and policy experience to OPEN MINDS. Dr. Buttlaire has experience in both the public and private sectors of healthcare providing leadership and direction in healthcare delivery. His career has focused on advancing integrated behavioral health and addiction medicine through strategic innovation, system redesign, quality improvement, and sustainable policy reform. Previously, Dr. Buttlaire was the Regional Director of Behavioral Health and Addiction Medicine for Kaiser Permanente. In this role, Dr. Buttlaire oversaw a $200 million portfolio serving 4.6 million members across 23 emergency departments and 33 medical centers. He led development and operations across inpatient, ambulatory, emergency, call center, and contracted community services, supporting more than 2,500 mental health and substance use disorder providers. Dr. Buttlaire currently serves as the Vice President of Clinical Excellence & Leadership with OPEN MINDS.
What You’ll Learn:
- Where the most common drop-offs occur across the OUD Cascade of Care
- Evidence-based strategies to improve engagement, initiation, and retention
- How workflow redesign, staffing models, and peer support improve continuity
- The role of long-acting injectables (LAIs) in strengthening early and mid-stage retention
- How to map your organization’s cascade and identify high-impact improvement opportunities
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