The Methadone Manifesto: Treatment Experiences and Policy Recommendations From Methadone Patient Activists

Simon, Caty; Vincent, Louise; Coulter, Abby; Salazar, Zach; Voyles, Nick; Roberts, Lindsay; Frank, David; Brothers, Sarah

doi:10.2105/ajph.2021.306665

Cited by 41 publications

(33 citation statements)

References 28 publications

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“…Additional research is needed to further examine methadone access barriers, particularly with respect to potential barriers to implementing the revised MOUD treatment guidelines during COVID-19 and beyond. Since methadone may be more efficacious or preferred over buprenorphine for the treatment of some patients with OUD, who use higher potency opioids such as fentanyl, expanding access is critical ( Simon et al, 2022 ). Interestingly, PDC on naltrexone was unrelated to time or cohort, consistent with the fact that COVID-19-related MOUD policy exemptions were not relevant to naltrexone prescriptions.…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 and rapid policy exemptions expanding on access to medication for opioid use disorder (MOUD): A nationwide Veterans Health Administration cohort study

Livingston¹,

Davenport²,

Head³

et al. 2022

Drug and Alcohol Dependence

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Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 and rapid policy exemptions expanding on access to medication for opioid use disorder (MOUD): A nationwide Veterans Health Administration cohort study

Livingston¹,

Davenport²,

Head³

et al. 2022

Drug and Alcohol Dependence

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“…The intake process and hours of operation at services should be adjusted, refined, and expanded to streamline safe and effective aid to those seeking treatment [38].…”

Section: Discussionmentioning

confidence: 99%

“I'm putting a Band-Aid on a bullet hole the only way I know how:” a qualitative study of barriers and facilitators to opioid misuse and recovery in Nevada

Swigart

Lee²

2022

Subst Abuse Treat Prev Policy

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Nevada, like the rest of the United States, is undergoing substantial challenges with opioid misuse and overdose deaths, further exacerbated by the COVID-19 pandemic. While much of the attention around opioid overdose prevention is centered on treatment and recovery, it is important to understand the factors that influence initiation of use, and the function opioids play in people’s everyday lives. We conducted qualitative semi-structured individual interviews using purposive and snowball sampling among 35 people across Nevada with a current or prior history of illegal opioid or nonmedical opioid use. Our study aimed to understand why people start to use drugs, why they continue to use, what motivates them to continue to use or to seek treatment, and why individuals maintain recovery or return to use. We found five significant themes as perceived by the participants: that trauma is a risk factor for drug misuse; that the function of opioids in everyday life is a source of temporary relief but highly disruptive in the longer term; that recovery is most often a complicated and nonlinear process; that there are many barriers to accessing services that are both logistical and psychosocial; and that compassion, hope, and having a sense of purpose are crucial to the recovery process. The experiences of the study participants portray opioid use as a rational choice to escape the emotional ramifications of trauma. However, due to the physiological dependence and physical risk of opioids, drug policies that criminalize addiction, societal stigma, and the barriers to timely access of harm reduction, treatment, and recovery services, opioid users often become trapped in a distressing and dangerous cycle. Lastly, respondents indicated that hope, value, belonging, and purpose are powerful factors in cultivating intrinsic motivation for making positive changes and fostering resilience in the recovery process. Opioid misuse services should help meet basic needs and incorporate holistic approaches to recovery that acknowledge past trauma and the complexity of the recovery process.

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“…In 2014, the drug user health organization led by Louise Vincent in Greensboro-the North Carolina Survivors Union (NCSU)-embarked on a cycle of rapid innovation centered on activism and care delivery by people directly affected by drug use [24,25]. By 2017, NCSU was among the first organizations in the nation to systematically use disposable test strips to identify fentanyl as it started to appear in the drug supply [26].…”

Section: Harm Reduction In North Carolinamentioning

confidence: 99%

History and Future of Harm Reduction in North Carolina: Pragmatism and Innovation

Dasgupta

2022

North Carolina Medical Journal

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The Methadone Manifesto: Treatment Experiences and Policy Recommendations From Methadone Patient Activists

Cited by 41 publications

References 28 publications

The impact of COVID-19 and rapid policy exemptions expanding on access to medication for opioid use disorder (MOUD): A nationwide Veterans Health Administration cohort study

The impact of COVID-19 and rapid policy exemptions expanding on access to medication for opioid use disorder (MOUD): A nationwide Veterans Health Administration cohort study

“I'm putting a Band-Aid on a bullet hole the only way I know how:” a qualitative study of barriers and facilitators to opioid misuse and recovery in Nevada

History and Future of Harm Reduction in North Carolina: Pragmatism and Innovation

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