Start by doing what is necessary; then do what is possible, and suddenly you are doing the impossible.” — St. Francis of Assisi
How often, when faced with a new or difficult problem do people proclaim, “we need to think outside of the box!” Outside the box implies that perhaps we must color outside of the lines, but there are, indeed, lines.
What they are missing is the fact that there is, indeed, no box!
Genuinely creative and innovative solutions to problems can not be constrained by artificial boundaries. Sure, the laws of physics or financial realities may apply, but that is for later.
Today’s innovations should be limited only by our creativity and our desire to serve our patients and the community, starting with what we are doing now and expanding to the impossible. What we want to avoid is building new boxes.
A few years ago, it would be heresy to suggest that mothers with opioid use disorder could be helped by services delivered through their cell phone. The concept of assisting pregnant mothers to manage their pregnancies and nurture their infants by text messaging and two-way chat was unheard of. Look how far we have come. GoMo Health is now running a program for the Central Jersey Family Health Consortium, which supports and educates women with OUD on prenatal and postpartum plans of care.
Many of the problems that face us today have no easy answers, but by tearing down our existing perceived boundaries and limitations, we can help those who need it most.