Office of the Vermont Attorney General

Get Informed

What is Vermont’s Hub and Spoke treatment model?

Hub and Spoke supports people in recovery from opioid use disorder. Nine Regional Hubs offer daily support for patients with complex addictions.

Learn more here
Hub and Spoke treatment system

Vermont’s Hub and Spoke MAT System (graphic courtesy of Vermont Blueprint for Health)

On average, 116 Americans die each day from an opioid overdose. We are painfully aware of the fact that Vermonters are a part of this statistic—from 2012 to 2017, 455 Vermonters died from opioid-related deaths.

Vermont uses a “hub and spoke” system of medication assisted treatment to support people in recovery from opoid addiction.

What are opioids?

Opioids, commonly referred to as opiates, are a powerful class of drugs used to reduce or relieve pain and can be highly addictive.

Examples of opioids:

•    Morphine (MS Contin®)
•    Hydrocodone (Vicodin®, Norco®)
•    Hydromorphone (Dilaudid®)
•    Oxycodone (Percocet®, OxyContin®)
•    Fentanyl (Duragesic®)
•    Buprenorphine (Subutex® and Suboxone®)
•    Methadone
•    Heroin 

What is the difference between Medication-Assisted Treatment (MAT) and Opioid Treatment Programs (OTPs)?

Medication-Assisted Treatment (MAT) is the use of medications along with counseling and behavioral therapy to treat substance use disorders, like opioid addiction.

Opioid treatment programs (OTPs) provide MAT for people in need of treatment as well as other services to reduce, eliminate, or prevent the use of illicit drugs, potential criminal activity, and the spread of infectious disease.

More information on substance abuse treatment can be found on the Vermont Department of Health’s website

What is naloxone or Narcan®?

Naloxone—also known as Narcan®—rapidly reverses opioid overdose. Opioid users and their family, friends and contacts can find out how to easily access this medication, in most cases for FREE from the Vermont Department of Health. Naloxone is easy to use and saves lives.