A State Financial Incentive Policy to Improve Emergency Department Treatment for Opioid Use Disorder: A Qualitative Study

2021 ◽  
pp. appi.ps.2020005
Author(s):  
Austin S. Kilaru ◽  
Su Fen Lubitz ◽  
Jessica Davis ◽  
Whitney Eriksen ◽  
Sari Siegel ◽  
...  
Keyword(s):  
Emergency Department ◽  
Qualitative Study ◽  
Financial Incentive ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Incentive Policy

scholarly journals “It’s way more than just writing a prescription”: A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Elizabeth C. Saunders ◽  
Sarah K. Moore ◽  
Olivia Walsh ◽  
Stephen A. Metcalf ◽  
Alan J. Budney ◽  
...  
Keyword(s):  
Qualitative Study ◽  
The United States ◽  
Opioid Use Disorder ◽  
Integrated Treatment ◽  
Medical Setting ◽  
Integrated Models ◽  
Opioid Use ◽  
Medical Settings ◽  
Psychosocial Services ◽  
Treatment Models

Abstract Background Increasingly, treatment for opioid use disorder (OUD) is offered in integrated treatment models addressing both substance use and other health conditions within the same system. This often includes offering medications for OUD in general medical settings. It remains uncertain whether integrated OUD treatment models are preferred to non-integrated models, where treatment is provided within a distinct treatment system. This study aimed to explore preferences for integrated versus non-integrated treatment models among people with OUD and examine what factors may influence preferences. Methods This qualitative study recruited participants (n = 40) through Craigslist advertisements and flyers posted in treatment programs across the United States. Participants were 18 years of age or older and scored a two or higher on the heroin or opioid pain reliever sections of the Tobacco, Alcohol, Prescription Medications, and Other Substances (TAPS) Tool. Each participant completed a demographic survey and a telephone interview. The interviews were coded and content analyzed. Results While some participants preferred receiving OUD treatment from an integrated model in a general medical setting, the majority preferred non-integrated models. Some participants preferred integrated models in theory but expressed concerns about stigma and a lack of psychosocial services. Tradeoffs between integrated and non-integrated models were centered around patient values (desire for anonymity and personalization, fear of consequences), the characteristics of the provider and setting (convenience, perceived treatment effectiveness, access to services), and the patient-provider relationship (disclosure, trust, comfort, stigma). Conclusions Among this sample of primarily White adults, preferences for non-integrated versus integrated OUD treatment were mixed. Perceived benefits of integrated models included convenience, potential for treatment personalization, and opportunity to extend established relationships with medical providers. Recommendations to make integrated treatment more patient-centered include facilitating access to psychosocial services, educating patients on privacy, individualizing treatment, and prioritizing the patient-provider relationship. This sample included very few minorities and thus findings may not be fully generalizable to the larger population of persons with OUD. Nonetheless, results suggest a need for expansion of both OUD treatment in specialty and general medical settings to ensure access to preferred treatment for all.

scholarly journals Sharp decline in hospital and emergency department initiated buprenorphine for opioid use disorder during COVID-19 state of emergency in California

2021 ◽  
Vol 123 ◽  
pp. 108260
Author(s):  
Andrew A. Herring ◽  
Mariah Kalmin ◽  
Melissa Speener ◽  
David Goodman-Meza ◽  
Hannah Snyder ◽  
...  
Keyword(s):  
Emergency Department ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Sharp Decline ◽  
State Of Emergency

scholarly journals COVID‐19: A new barrier to treatment for opioid use disorder in the emergency department

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Warren Grunvald ◽  
Ramsey Herrington ◽  
Roz King ◽  
Miles Lamberson ◽  
Scott Mackey ◽  
...  
Keyword(s):  
Emergency Department ◽  
Opioid Use Disorder ◽  
Opioid Use

Naloxone prescriptions following emergency department encounters for opioid use disorder, overdose, or withdrawal

2021 ◽  
Vol 47 ◽  
pp. 154-157
Author(s):  
Austin S. Kilaru ◽  
Manqing Liu ◽  
Ravi Gupta ◽  
Jeanmarie Perrone ◽  
M. Kit Delgado ◽  
...  
Keyword(s):  
Emergency Department ◽  
Opioid Use Disorder ◽  
Opioid Use

Why use group visits for opioid use disorder treatment in primary care? A patient-centered qualitative study

2017 ◽  
Vol 39 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Randi Sokol ◽  
Chiara Albanese ◽  
Deviney Chaponis ◽  
Jessica Early ◽  
George Maxted ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Patient Centered ◽  
Group Visits ◽  
Disorder Treatment

Variation in emergency department visit rates for opioid use disorder: Implications for quality improvement initiatives

2021 ◽  
Author(s):  
Utsha G. Khatri ◽  
Elizabeth A. Samuels ◽  
Ruiying Xiong ◽  
Brandon D.L. Marshall ◽  
Jeanmarie Perrone ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Emergency Department Visit ◽  
Opioid Use Disorder ◽  
Opioid Use

scholarly journals The Joys and Frustrations of Breastfeeding and Rooming-In Among Mothers With Opioid Use Disorder: A Qualitative Study

2018 ◽  
Vol 8 (12) ◽  
pp. 761-768 ◽  
Author(s):  
Mary Beth Howard ◽  
Elisha Wachman ◽  
Emily M. Levesque ◽  
Davida M. Schiff ◽  
Caroline J. Kistin ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Opioid Use Disorder ◽  
Opioid Use
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