Mental Health  |  OST Pathway - How does OST shared care work?

Mental Health

OST Pathway - How does OST shared care work?

Why transfer to GP Shared care?

OST aims to support patients to live as normal a lifestyle as possible within the parameters of treatment. GP shared care has the benefits of;

  • Instigating more comprehensive health care for patients.
  • Allowing services to focus on patients in need for intensive specialist input.
  • Improving social integration by normalizing patients treatment.

The phases of treatment provide a patient pathway based on recovery principles. A person may or may not move sequentially through the phases from high intervention to low intervention, but as with any recovery process, may experience periods of higher intervention (re-stabilisation or a return to specialist maintenance) as part of their recovery.

Underpinning the practices and policies of BOPAS is local and international research which demonstrates the effectiveness of Opioid Substitution Treatment (OST). Treatment provided by BOPAS is delivered within a framework of sound medical practice, accepted standards, approved guidelines and legal requirements. BOPAS seek to ensure that methadone or buprenorphine/naloxone is prescribed and dispensed in a clinically responsible manner.

Roles and responsibilities:

The BOPAS lead medical officer as authorising medical officer retains overall responsibility for patients on the GP Shared Care programme.

GP authorization is based on a shared care model of service delivery. BOPAS provide specialist support and can always be accessed for advice or assistance. Renewal of authorization is contingent upon prescribing practices remaining consistent with BOPAS policy and regular review with lead clinician. 

For roles and responsibilities of the patient, GP and BOPAS, please see documents below:

  • For information regarding writing of scripts and the storage etc. of script pads please click here.

See Section 8 OST in Primary Care page 60-62 of " New Zealand Practice Guidelines for Opioid Substitution Treatment 2014"


Last updated : Thursday, January 09, 2020
Next review date : Friday, January 08,2021

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.