What is the CCAR stance on medications for opioid use disorder (MOUD) in recovery coaching?

• A. MOUD should never be used.
• B. MOUD is the only option.
• C. MOUD should be mandatory for all clients.
• D. Coaches support client choice and access to MOUD as part of a recovery plan when clinically appropriate, while respecting client autonomy and providing nonstigmatizing support.

Answer: (D)

MOUD can be a safe, effective component of recovery for opioid use disorder, and recovery coaches approach it as part of a collaborative, client-centered plan. The stance is that coaches support a client’s informed choice about MOUD and help connect them with appropriate medical care when MOUD is clinically appropriate, all while honoring the client’s autonomy and avoiding stigma. In practice, this means providing balanced information about MOUD options (such as methadone, buprenorphine, or naltrexone), helping navigate access and logistics, coordinating with prescribers, and offering nonjudgmental support whether the client chooses to use MOUD or not. This approach reflects that recovery is individualized and MOUD can reduce cravings, withdrawal, overdose risk, and improve engagement in care for many people. It also preserves the client’s right to decide their treatment path.

Prohibiting MOUD ignores evidence and client needs; claiming MOUD is the only option dismisses individual goals; mandating MOUD removes the client’s autonomy.