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For much of his 30-plus-year career, Dr. Russell Suda, an OB/GYN and Cabarrus Health Alliance’s medical director since 2004, didn’t care to treat patients with substance use disorder.
Suda said treatment required too much of one individual and one specialty. But as more pregnant women presented with substance use disorder in his community, he realized he needed to step up and care for them.
He got certified to prescribe buprenorphine, an FDA-approved medication used to treat opioid use disorder that helps reduce cravings and withdrawal symptoms. Fewer than 2 percent of the 31,000-plus OB/GYNs studied nationwide in 2020 were certified to provide substance use treatment, a significant gap in capacity.
Suda also started approaching community partners in 2015 that could help address mental health and social determinants of health related to substance use disorder — elements out of his wheelhouse.
His ability to treat pregnant women with substance use disorder really changed once a team of 12 community partners in Cabarrus County was assembled to help him holistically treat pregnant women with substance use disorder. The Substance Use Network (SUN) Project launched in 2019 and is the first collaboration of its kind in the state.
“Normally, medicine operates in its silos and this is where it stays,” said Gina Hofert, SUN Project manager working at Cabarrus Partnership for Children. “We’re entering kind of a new model where we’re trying to say medicine needs to work in tandem with all the other sectors around our community.”
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