{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T19:32:06Z","timestamp":1786476726018,"version":"build-2736575974"},"reference-count":20,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100001275","name":"Oak Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001275","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100031798","name":"McCormick Science Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031798","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jsatjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Substance Use and Addiction Treatment"],"published-print":{"date-parts":[[2024,3]]},"DOI":"10.1016\/j.josat.2023.209268","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T14:56:20Z","timestamp":1702392980000},"page":"209268","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["Accessing perinatal substance use disorder care in your local community: A case study of an innovative hub and spoke network in western North Carolina"],"prefix":"10.1016","volume":"158","author":[{"given":"Rebekah","family":"Bass","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Flinchum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Ramage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley L.","family":"Galvin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Cabello-De la Garza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Caron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Marietta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.josat.2023.209268_bb0010","doi-asserted-by":"crossref","first-page":"231","DOI":"10.18043\/ncm.83.3.231","article-title":"Perinatal substance use care coordination: The need for one care plan","volume":"83","author":"Blake","year":"2022","journal-title":"North Carolina Medical Journal"},{"issue":"4","key":"10.1016\/j.josat.2023.209268_bb0015","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1097\/ADM.0000000000000310","article-title":"Vermont hub-and-spoke model of care for opioid use disorder: Development, implementation, and impact","volume":"11","author":"Brooklyn","year":"2017","journal-title":"Journal of Addiction Medicine"},{"key":"10.1016\/j.josat.2023.209268_bb0020","series-title":"Caring for patients with opioid use disorder: Policies, procedures, and resources manual","year":"2023"},{"key":"10.1016\/j.josat.2023.209268_bb0035","series-title":"Substance use data epidemiology update [conference presentation]. Governor\u2019s institute addiction medicine conference 2023, Asheville, NC, United States","author":"Cox","year":"2023"},{"issue":"3","key":"10.1016\/j.josat.2023.209268_bb0045","doi-asserted-by":"crossref","first-page":"157","DOI":"10.18043\/ncm.81.3.157","article-title":"A cohort comparison of differences between regional and Buncombe County patients of a comprehensive perinatal substance use disorders program in Western North Carolina","volume":"81","author":"Galvin","year":"2020","journal-title":"North Carolina Medical Journal"},{"key":"10.1016\/j.josat.2023.209268_bb0055","author":"Harm Reduction Principles"},{"issue":"2","key":"10.1016\/j.josat.2023.209268_bb0070","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1001\/jama.2020.24991","article-title":"Neonatal abstinence syndrome and maternal opioid-related diagnoses in the US, 2010\u20132017","volume":"325","author":"Hirai","year":"2021","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.josat.2023.209268_bb0080","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.ajog.2013.10.010","article-title":"Clinical care for opioid-using pregnant and postpartum women: The role of obstetric providers","volume":"210","author":"Jones","year":"2014","journal-title":"American Journal of Obstetrics and Gynecology"},{"issue":"4","key":"10.1016\/j.josat.2023.209268_bb0085","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1016\/j.clp.2019.08.013","article-title":"Pain, opioids, and pregnancy: Historical context and medical management","volume":"46","author":"Martin","year":"2019","journal-title":"Clinics in Perinatology"},{"issue":"6","key":"10.1016\/j.josat.2023.209268_bb0090","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1097\/AOG.0000000000003310","article-title":"Prevention, recognition, and treatment of opioid use disorder in obstetrics: A call to action","volume":"133","author":"McCance-Katz","year":"2019","journal-title":"Obstetrics and Gynecology"},{"key":"10.1016\/j.josat.2023.209268_bb0095","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ypmed.2015.07.015","article-title":"Caring for pregnant opioid abusers in Vermont: A potential model for non-urban areas","volume":"80","author":"Meyer","year":"2015","journal-title":"Preventive Medicine"},{"key":"10.1016\/j.josat.2023.209268_bb0100","author":"Mountain Area Health Education Center"},{"issue":"5","key":"10.1016\/j.josat.2023.209268_bb0105","first-page":"363","article-title":"Addressing rural health challenges head on","volume":"114","author":"Nielsen","year":"2017","journal-title":"Missouri Medicine"},{"issue":"4","key":"10.1016\/j.josat.2023.209268_bb0110","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1016\/j.japh.2023.04.029","article-title":"Addressing buprenorphine bottlenecks in the context of MAT Act implementation: A shared responsibility","volume":"63","author":"Ostrach","year":"2023","journal-title":"Journal of the American Pharmacists Association"},{"key":"10.1016\/j.josat.2023.209268_bb0125","series-title":"Products\u2014data briefs\u2014number 403\u2014March 2021","year":"2021"},{"key":"10.1016\/j.josat.2023.209268_bb0130","series-title":"Products\u2014data briefs\u2014number 440\u2014July 2022","year":"2022"},{"key":"10.1016\/j.josat.2023.209268_bb0135","first-page":"1","article-title":"Before you write your first buprenorphine prescription; a readiness-assessment for prenatal care providers","volume":"8","author":"Ramage","year":"2021","journal-title":"Journal of Women\u2019s Health and Gynecology"},{"issue":"2","key":"10.1016\/j.josat.2023.209268_bb0150","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1097\/AOG.0000000000002734","article-title":"Fatal and nonfatal overdose among pregnant and postpartum women in Massachusetts","volume":"132","author":"Schiff","year":"2018","journal-title":"Obstetrics and Gynecology"},{"key":"10.1016\/j.josat.2023.209268_bb0155","series-title":"A collaborative approach to the treatment of pregnant women with opioid use disorders. HHS publication no. (SMA) 16-4978","author":"Substance Abuse and Mental Health Services Administration","year":"2016"},{"key":"10.1016\/j.josat.2023.209268_bb0160","series-title":"Project CARA: Outpatient hub and spokes outcomes [conference presentation]","author":"Tak","year":"2022"}],"container-title":["Journal of Substance Use and Addiction Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S294987592300320X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S294987592300320X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T01:40:09Z","timestamp":1762652409000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S294987592300320X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":20,"alternative-id":["S294987592300320X"],"URL":"https:\/\/doi.org\/10.1016\/j.josat.2023.209268","relation":{},"ISSN":["2949-8759"],"issn-type":[{"value":"2949-8759","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Accessing perinatal substance use disorder care in your local community: A case study of an innovative hub and spoke network in western North Carolina","name":"articletitle","label":"Article Title"},{"value":"Journal of Substance Use and Addiction Treatment","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.josat.2023.209268","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"209268"}}