Commentary on the impact of the COVID-19 pandemic on opioid use disorder treatment among Indigenous communities in the United States and Canada

Wendt, Dennis C.; Marsan, Stéphanie; Parker, Daniel; Lizzy, Karen E.; Roper, J P; Mushquash, Christopher; Venner, K; Lam, Alice; Swansburg, Jennifer; Worth, Nancy; Sorlagas, Nicholas; Quach, Tania; K, Manoukian; Bernett, Payton; Radin, Sandra M.

doi:10.1016/j.jsat.2020.108165

Cited by 28 publications

(29 citation statements)

References 17 publications

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“…no firm evidence on the relationship of place of overdose to home residence available at this time, the nationwide quarantines, curfews, and lockdowns during the COVID-19 pandemic have not reduced opioid overdose events or deaths [58], suggesting that most people with OUD likely have a network of suppliers and use sites close to home. As the data for this study is pre-COVID pandemic, future analyses may show different trends.…”

Section: Plos Onementioning

confidence: 90%

“…Opioid addiction requires use 1–4 times a day depending on the opioid, and so persons with OUD typically have to integrate using and places to use into their daily lives at work (61% are working full or part time data) and home [ 57 ]. While there is no firm evidence on the relationship of place of overdose to home residence available at this time, the nationwide quarantines, curfews, and lockdowns during the COVID-19 pandemic have not reduced opioid overdose events or deaths [ 58 ], suggesting that most people with OUD likely have a network of suppliers and use sites close to home. As the data for this study is pre-COVID pandemic, future analyses may show different trends.…”

Section: Discussionmentioning

confidence: 99%

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Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county

et al. 2021

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Objectives An Opioid Treatment Desert is an area with limited accessibility to medication-assisted treatment and recovery facilities for Opioid Use Disorder. We explored the concept of Opioid Treatment Deserts including racial differences in potential spatial accessibility and applied it to one Midwestern urban county using high resolution spatiotemporal data. Methods We obtained individual-level data from one Emergency Medical Services (EMS) agency (Columbus Fire Department) in Franklin County, Ohio. Opioid overdose events were based on EMS runs where naloxone was administered from 1/1/2013 to 12/31/2017. Potential spatial accessibility was measured as the time (in minutes) it would take an individual, who may decide to seek treatment after an opioid overdose, to travel from where they had the overdose event, which was a proxy measure of their residential location, to the nearest opioid use disorder (OUD) treatment provider that provided medically-assisted treatment (MAT). We estimated accessibility measures overall, by race and by four types of treatment providers (any type of MAT for OUD, Buprenorphine, Methadone, or Naltrexone). Areas were classified as an Opioid Treatment Desert if the estimate travel time to treatment provider (any type of MAT for OUD) was greater than a given threshold. We performed sensitivity analysis using a range of threshold values based on multiple modes of transportation (car and public transit) and using only EMS runs to home/residential location types. Results A total of 6,929 geocoded opioid overdose events based on data from EMS agencies were used in the final analysis. Most events occurred among 26–35 years old (34%), identified as White adults (56%) and male (62%). Median travel times and interquartile range (IQR) to closest treatment provider by car and public transit was 2 minutes (IQR: 3 minutes) and 17 minutes (IQR: 17 minutes), respectively. Several neighborhoods in the study area had limited accessibility to OUD treatment facilities and were classified as Opioid Treatment Deserts. Travel time by public transit for most treatment provider types and by car for Methadone-based treatment was significantly different between individuals who were identified as Black adults and White adults based on their race. Conclusions Disparities in access to opioid treatment exist at the sub-county level in specific neighborhoods and across racial groups in Columbus, Ohio and can be quantified and visualized using local public safety data (e.g., EMS runs). Identification of Opioid Treatment Deserts can aid multiple stakeholders better plan and allocate resources for more equitable access to MAT for OUD and, therefore, reduce the burden of the opioid epidemic while making better use of real-time public safety data to address a public health epidemic that has turned into a public safety crisis.

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Section: Plos Onementioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county

et al. 2021

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“…Similarly, Lim’s study tried to help community pharmacy teams offer medication services to groups with dementia [ 28 ]. In the USA and Canada, Wendt identified real challenges for in-clinic treatment during the pandemic and attempted to introduce expanded telemedicine services into communities [ 29 ]. In Singapore, researchers in the pediatric healthcare field proposed several innovative service practices for patients, such as teleconsultation, IT facilities, customized staff training and parent education [ 30 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Developing Pandemic Prevention and Control by ANP-QFD Approach: A Case Study on Urban Furniture Design in China Communities

Liu

Kamarudin

Liu

et al. 2021

IJERPH

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Background: An infectious disease can affect human beings at an alarming speed in modern society, where Coronavirus Disease 2019 (COVID-19) has led to a worldwide pandemic, posing grave threats to public security and the social economies. However, as one of the closest attachments of urban dwellers, urban furniture hardly contributes to pandemic prevention and control. Methods: Given this critical challenge, this article aims to propose a feasible solution to coping with pandemic situations through urban furniture design, using an integrated method of Quality Function Deployment (QFD) and Analytic Network Process (ANP). Eight communities in China are selected as the research sites, since people working and living in these places have successful experience preventing and containing pandemics. Results: Three user requirements (URs), namely, usability and easy access, sanitation, and health and emotional pleasure, are determined. Meanwhile, seven design requirements (DRs) are identified, including contact reduction, effective disinfection, good appearance, social and cultural symbols, ergonomics, smart system and technology and sustainability. The overall priorities of URs and DRs and their inner dependencies are subsequently determined through the ANP-QFD method, comprising the House of Quality (HQQ). According to the theoretical results, we propose five design strategies for pandemic prevention and control. Conclusion: It is demonstrated that the incorporated method of ANP-QFD has applicability and effectiveness in the conceptual product design process. This article can also provide a new perspective for pandemic prevention and control in densely populated communities in terms of product design and development.

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“…Pandemic-related stressors have exacerbated anxiety, dysphoria, and other negative emotions of people with OUD who may use opioids as a coping strategy. This can influence the effect of opioid treatment indirectly [ 15 , 16 ▪ ], and make overall treatment more complex [ 15 , 17 , 18 ].…”

Section: The Impact Of Coronavirus Disease 2019 On Substance Use and mentioning

confidence: 99%

Maintaining treatment and prevention programs for opioid use disorders during the coronavirus disease 2019 pandemic

Zhao

2021

Current Opinion in Psychiatry

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Purpose of review The current article reviews the impact of the biggest health crisis for many decades, coronavirus disease 2019 (COVID-19), on opioid treatment programs and the strategies adopted for maintaining opioid treatment programs during the pandemic. Recent findings The difficulty of access to opioid treatment services and the mental health problems accompanying opioid use disorders are the two main challenges to maintaining accessible and effective opioid treatment. Many countries and institutions issued guidance and recommendations to address these challenges. General coping strategies, loosening of policies, telemedicine, and depot buprenorphine are four main strategies to cope with the challenges posed by the pandemic. Summary There were considerable obstacles to maintaining opioid intervention programs during the COVID-19 pandemic. Strategies addressing the obstacles are identified. Research in this area needs to be strengthened.

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Commentary on the impact of the COVID-19 pandemic on opioid use disorder treatment among Indigenous communities in the United States and Canada

Cited by 28 publications

References 17 publications

Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county

Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county

Developing Pandemic Prevention and Control by ANP-QFD Approach: A Case Study on Urban Furniture Design in China Communities

Maintaining treatment and prevention programs for opioid use disorders during the coronavirus disease 2019 pandemic

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