{"id":643,"date":"2019-10-10T15:33:51","date_gmt":"2019-10-10T20:33:51","guid":{"rendered":"https:\/\/blog.unmc.edu\/psychiatry\/?p=643"},"modified":"2026-02-06T08:39:50","modified_gmt":"2026-02-06T14:39:50","slug":"fighting-stigma-and-building-a-career-treating-substance-use-disorders","status":"publish","type":"post","link":"https:\/\/blog.unmc.edu\/psychiatry\/2019\/10\/10\/fighting-stigma-and-building-a-career-treating-substance-use-disorders\/","title":{"rendered":"Fighting stigma and building a career treating substance use disorders"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><div id=\"attachment_644\" style=\"width: 650px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-644\" class=\"wp-image-644 size-large\" src=\"https:\/\/blog.unmc.edu\/psychiatry\/wp-content\/uploads\/sites\/58\/2019\/10\/Dr.-Balasanova-703x1024-703x1024.jpg\" alt=\"Al\u00ebna A. Balasanova\" width=\"640\" height=\"932\" srcset=\"https:\/\/blog.unmc.edu\/psychiatry\/wp-content\/uploads\/sites\/58\/2019\/10\/Dr.-Balasanova-703x1024.jpg 703w, https:\/\/blog.unmc.edu\/psychiatry\/wp-content\/uploads\/sites\/58\/2019\/10\/Dr.-Balasanova-703x1024-206x300.jpg 206w, https:\/\/blog.unmc.edu\/psychiatry\/wp-content\/uploads\/sites\/58\/2019\/10\/Dr.-Balasanova-703x1024-120x175.jpg 120w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><p id=\"caption-attachment-644\" class=\"wp-caption-text\">Al\u00ebna A. Balasanova, M.D., Assistant Professor<\/p><\/div>\n<p>When Al\u00ebna A. Balasanova, M.D., began her psychiatry residency at Boston University, she encountered patients with SUD the way all too many people do\u2014with judgment: \u201cI wanted to treat patients with depression and anxiety\u2014I didn\u2019t sign up to treat people with a drug addiction, I held some very stigmatizing beliefs.\u201d<\/p>\n<p>Over the course of her residency, however, she started working with patients who are on medication assisted treatment (MAT) and saw firsthand the transformation that occurs when a patient comes in the door very ill, is provided evidence-based care and begins to heal. Her perspective shifted drastically.<\/p>\n<p>\u201cMy patients receiving MAT were repairing relationships, finding jobs, and becoming healthier,\u201d Dr. Balasanova said. \u201cI began to understand how remarkable it was that I could participate in helping a patient turn his or her life around.\u201d<\/p>\n<p>After completing her residency, Dr. Balasanova moved to Nebraska, where she was raised, because she saw an opportunity to improve the lives for patients with SUDs.<\/p>\n<p>\u201cThere are so few MAT treatment providers in Nebraska,\u201d she said. \u201cI wanted to fill that gap.\u201d<\/p>\n<p>Filling the gap meant working to develop an outpatient addiction psychiatric clinic at the University of Nebraska Medical Center in 2017, where patients with SUD could get medication while also having their other psychiatric conditions treated. After the clinic was up and running, Dr. Balasanova then set her sights on something even bigger: an inpatient addiction psychiatry service where patients with SUDs could be seen in the hospital and medical intervention could begin immediately while clinic follow-ups are scheduled.<\/p>\n<p>Dr. Balasanova did not stop there.<\/p>\n<p>These new programs needed knowledgeable medical staff to run them, so she worked to develop a new rotation for psychiatry residents\u2014Longitudinal Integrated MH\/SUD Outpatient Clinic (LIMSOC). During the rotation, which lasts a year with a half a day per week in the clinic, residents learn how to use different treatment modalities and are encouraged to get their buprenorphine waivers. This means that no matter where residents choose to go after their residency, they are equipped to treat patients with SUDs.<\/p>\n<p>\u201cThe journey I\u2019ve taken has opened my eyes,\u201d said Dr. Balasanova. \u201cBut there is so much more work to do.\u201d<\/p>\n<p>One of the biggest impediments to care for patients with SUDs Dr. Balasanova has faced is prior authorization for MAT. \u201cPrior authorization for MAT has been a big problem for me and my residents. It\u2019s something we deal with on a regular basis,\u201d Dr. Balasanova said, \u201cbut it shouldn\u2019t be\u2014MAT is evidence-based but the insurance companies don\u2019t seem to get that.\u201d<\/p>\n<p>Looking ahead, Dr. Balasanova is encouraged that she is helping train another generation of physicians to treat SUDs. \u201cI am very lucky to be back in my home state to literally help my neighbors, and I hope all my residents go on to help end the epidemic where they can as well.\u201d<\/p>\n<p><a href=\"https:\/\/www.end-opioid-epidemic.org\/physician-stories\/fighting-stigma-and-building-a-career-treating-substance-use-disorders\/\">The Article originally appeared on the American Medical Association&#8217;s End the Epidemic website<\/a><\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>When Al\u00ebna A. Balasanova, M.D., began her psychiatry residency at Boston University, she encountered patients with SUD the way all too many people do\u2014with judgment: \u201cI wanted to treat patients with depression and anxiety\u2014I didn\u2019t sign up to treat people with a drug addiction, I held some very stigmatizing beliefs.\u201d Over the course of her [&hellip;]<\/p>\n","protected":false},"author":574,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_s2mail":"yes","footnotes":""},"categories":[1],"tags":[],"class_list":["post-643","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fighting stigma and building a career treating substance use disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.unmc.edu\/psychiatry\/2019\/10\/10\/fighting-stigma-and-building-a-career-treating-substance-use-disorders\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fighting stigma and building a career treating substance use disorders\" \/>\n<meta property=\"og:description\" content=\"When Al\u00ebna A. 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