Vermont's Hub & Spoke System

Opioid addiction is a lifelong chronic illness. Just like diabetes or heart disease, managing a person's addiction requires effective medical treatment along with lifestyle changes. Treatment of opioid addiction may also require medication to prevent cravings and sustain recovery.

The Hub & Spoke system is a statewide partnership of clinicians and treatment centers that provide medication-assisted therapy to Vermonters who are addicted to opioids. The Hub (treatment facility) & Spoke (physician-led team) ensures that each patient's care is effective and coordinated, and is supported by the nurses and counselors who work to connect each person with community-based support services. There are currently nine Hub treatment facilities – in Burlington, South Burlington, Newport, St. Johnsbury, Berlin, West Lebanon, NH, Brattleboro, Rutland and St. Albans. Read more about the Hub & Spoke system Find Opioid Use Disorder Treatment