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Project TRUST’s goal is to help anyone who is actively struggling with substance use access comprehensive and compassionate care without judgement. We provide addiction treatment resources, harm reduction education and supplies, and navigation to an array of medical services including primary care and urgent care services. The Project TRUST team is made up of compassionate community health workers, who use their lived experience to guide people in active addiction. The Project TRUST drop-in was started in 1988 in response to the first wave of HIV in Boston among persons who use injection drugs. We have continued with our mission to provide comprehensive services that stop the transmission of infectious diseases in those who struggle with substance use.
Conditions We Treat
The Family Medicine clinic provides care to patients with substance use disorders (addiction to opioids, alcohol, cocaine, and other substances). Providers are trained to initiate treatment with Suboxone, Naltrexone and Vivitrol, and host weekly group visits where patients taking Suboxone can meet with a doctor and a behavioral health specialist to discuss long-term maintenance therapy.
As part of a special program within the Infectious Diseases Clinic, infants and children with Hepatitis B and C are followed. Recent NICHD Funding has allowed the clinical program to focus on the risk factors for transmission of HCV from mother to infant. There is an active program to identify, evaluate, and manage congenital Hepatitis C, and have access to state of the art diagnostics and therapeutics.
Sexually transmitted diseases (STDs) are passed from person to person through sexual contact. Often there are no symptoms, so an infected person may not know they are putting others at risk for an STD. When symptoms are present, they include anything from genital sores to pain during sex. Examples of STDs include bacterial infections like gonorrhea and syphilis and viral infections like HPV (human papillomavirus) and HIV.
Project Trust team is made up of compassionate community health workers, who use their lived experience to guide people in active addiction.
Infectious complications of substance use
Kayleigh Macgillivray, RN
Low Barrier Tele-Buprenorphine in the Time of COVID-19: A Case Report. - Harris M, Johnson S, Mackin S, Saitz R, Walley AY, Taylor JL. J Addict Med. 2020;14(4):e136-e138. doi:10.1097/ADM.0000000000000682
Integrating Harm Reduction into Outpatient Opioid Use Disorder Treatment Settings : Harm Reduction in Outpatient Addiction Treatment - Taylor JL, Johnson S, Cruz R, Gray JR, Schiff D, Bagley SM. [published online ahead of print, 2021 Jun 22]. J Gen Intern Med. 2021;1-10. doi:10.1007/s11606-021-06904-4
Partnering With State Health Departments to Address Injection-Related Infections During the Opioid Epidemic: Experience at a Safety Net Hospital. - Burns RH, Pierre CM, Marathe JG, et al. Open Forum Infect Dis. 2021;8(8):ofab208. Published 2021 Apr 27. doi:10.1093/ofid/ofab208
Residency and Fellowship Information
Addiction Medicine Fellowship
The mission of the Grayken Fellowship in Addiction Medicine is to train physician addiction medicine leaders in clinical care, research, education, public health, and advocacy to improve addiction care for people vulnerable to health inequities due to race, ethnicity, gender, poverty, age, disability or stigmatizing illness.
The Grayken Addiction Medicine Fellowship Program is a 1 or 2 year fellowship. There is also a 3-year combined Infectious Disease-Addiction Medicine Fellowship and a 2-year Fellowship in Maternal Health Addiction. Fellows are mentored by our multidisciplinary faculty from Internal Medicine, Infectious Disease, Emergency Medicine, Obstetrics & Gynecology and Addiction Psychiatry. The Grayken Fellowship in Addiction Medicine is accredited by the ACGME. Click here to learn more