scholarly journals Medication treatment for opioid use disorder in the age of COVID-19: Can new regulations modify the opioid cascade?

2020 ◽  
pp. 108196
Author(s):  
Edward V. Nunes ◽  
Frances R. Levin ◽  
Muredach P. Reilly ◽  
Nabila El-Bassel
Keyword(s):  
Opioid Use Disorder ◽  
Opioid Use ◽  
Medication Treatment

scholarly journals Fluctuations in barriers to medication treatment for opioid use disorder prescribing over the course of a one-year external facilitation intervention

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Allison M. Gustavson ◽  
Marie E. Kenny ◽  
Jennifer P. Wisdom ◽  
Hope A. Salameh ◽  
Princess E. Ackland ◽  
...  
Keyword(s):  
Implementation Strategies ◽  
Opioid Use Disorder ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use ◽  
Medication Treatment ◽  
Conceptual Clarity ◽  
Parihs Framework ◽  
External Facilitation ◽  
Over Time

Abstract Background The Veterans Health Administration (VHA) is invested in expanding access to medication treatment for opioid use disorder (MOUD) to save lives. Access varies across VHA facilities and, thus, requires implementation strategies to promote system-wide adoption of MOUD. We conducted a 12-month study employing external facilitation that targeted MOUD treatment among low-adopting VHA facilities. In this study, we sought to evaluate the patterns of perceived barriers over 1 year of external implementation facilitation using the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. Methods We randomly selected eight VHA facilities from the bottom quartile of the proportion of Veterans with an OUD diagnosis receiving MOUD (< 21%). The 1-year external implementation intervention included developmental evaluation to tailor the facilitation, an on-site visit, and monthly facilitation calls. Facilitators recorded detailed notes for each call on a structured template. Qualitative data was analyzed by coding and mapping barriers to the constructs in the i-PARIHS framework (Innovation, Recipients, Context). We identified emerging themes within each construct by month. Results Barriers related to the Innovation, such as provider perception of the need for MOUD in their setting, were minimal throughout the 12-month study. Barriers related to Recipients were predominant and fluctuated over time. Recipient barriers were common during the initial months when providers did not have the training and waivers necessary to prescribe MOUD. Once additional providers (Recipients) were trained and waivered to prescribe MOUD, Recipient barriers dropped and then resurfaced as the facilities worked to expand MOUD prescribing to other clinics. Context barriers, such as restrictions on which clinics could prescribe MOUD and fragmented communication across clinics regarding the management of patients receiving MOUD, emerged more prominently in the middle of the study. Conclusions VHA facilities participating in 12-month external facilitation interventions experienced fluctuations in barriers to MOUD prescribing with contextual barriers emerging after a facilitated reduction in recipient- level barriers. Adoption of MOUD prescribing in low-adopting VHA facilities requires continual reassessment, monitoring, and readjustment of implementation strategies over time to meet challenges. Although i-PARIHS was useful in categorizing most barriers, the lack of conceptual clarity was a concern for some constructs.

scholarly journals Patient perceptions of treatment with medication treatment for opioid use disorder (MOUD) in the Vermont hub-and-spoke system

2019 ◽  
Vol 128 ◽  
pp. 105785 ◽  
Author(s):  
Richard A. Rawson ◽  
Traci Rieckmann ◽  
Sarah Cousins ◽  
Michael McCann ◽  
Regina Pearce
Keyword(s):  
Opioid Use Disorder ◽  
Patient Perceptions ◽  
Opioid Use ◽  
Hub And Spoke ◽  
Medication Treatment

scholarly journals Receipt of Timely Addiction Treatment and Association of Early Medication Treatment With Retention in Care Among Youths With Opioid Use Disorder

2018 ◽  
Vol 172 (11) ◽  
pp. 1029 ◽  
Author(s):  
Scott E. Hadland ◽  
Sarah M. Bagley ◽  
Jonathan Rodean ◽  
Michael Silverstein ◽  
Sharon Levy ◽  
...  
Keyword(s):  
Addiction Treatment ◽  
Retention In Care ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Medication Treatment

scholarly journals Medication Treatment of Opioid Use Disorder

2020 ◽  
Vol 87 (1) ◽  
pp. 82-88 ◽  
Author(s):  
James Bell ◽  
John Strang
Keyword(s):  
Opioid Use Disorder ◽  
Opioid Use ◽  
Medication Treatment

86. Characteristics of Youth Receiving Medication Treatment for Opioid Use Disorder

2021 ◽  
Vol 68 (2) ◽  
pp. S46
Author(s):  
Lauren A. Bell ◽  
Ally L. Dir ◽  
Wanzhu Tu ◽  
Matthew C. Aalsma
Keyword(s):  
Opioid Use Disorder ◽  
Opioid Use ◽  
Medication Treatment
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