Implementing buprenorphine treatment at a clinic without a dedicated onsite addictions team

Do you work in a healthcare for the homeless project clinic with clients that struggle with opioid use disorder?  Does your clinic lack an on-site addictions department? Treating opioid use disorder often requires a complex medical and psychosocial treatment, which most non-specialty clinics aren't adequately equipped to provide.  Does that relegate our role to simply referring clients to treatment programs, or is there more we can do?    We will explore the inherent tension between a purely harm reduction approach and a standard approach.  Can we move treatment forward without making the problem worse?