Use of Medication for Opioid Use Disorder Among US Adolescents and Adults With Need for Opioid Treatment, 2019

Mauro, Pia M.; Gutkind, Sarah; Annunziato, Erin M; Samples, Hillary

doi:10.1001/jamanetworkopen.2022.3821

Cited by 123 publications

(81 citation statements)

References 69 publications

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“…Despite robust scientific evidence supporting the efficaciousness of MOUD, large treatment gaps persist. A recent study examining 2019 National Survey on Drug Use and Health (NSDUH) data on 2.2 million people meeting OUD criteria reported that only 27.8% had received MOUD during the prior year (Mauro et al, 2022). Those receiving MOUD were more likely to be adults with some college education and people living in large metropolitan areas (Mauro et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…A recent study examining 2019 National Survey on Drug Use and Health (NSDUH) data on 2.2 million people meeting OUD criteria reported that only 27.8% had received MOUD during the prior year (Mauro et al, 2022). Those receiving MOUD were more likely to be adults with some college education and people living in large metropolitan areas (Mauro et al, 2022). Among individuals receiving treatment for OUD, fewer than 35% receive MOUD, with the majority discontinuing during the first weeks or months (Williams et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Treatment Experiences Among People Who Use Opioids: A Social Ecological Approach

et al. 2022

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The prevalence of opioid use disorder (OUD) and surge in overdose deaths remain key public health concerns. Despite evidence supporting the efficaciousness of medications for opioid use disorder, most people with OUD do not receive treatment. In this qualitative study, semi-structured interviews were conducted with 35 adults in a northeastern city to learn about their experiences with substance use treatment. Qualitative data were analyzed using an inductive thematic content analysis approach, and a social ecological model was applied to examine contextual factors affecting participants’ experiences accessing and engaging in treatment. While we organized our findings following the individual, interpersonal, community, and society levels of the socio-ecological model, we also observed overlap and interconnectedness between and across these levels. Our findings suggest that retention in treatment often depends upon personal motivation, treatment availability, the match of the treatment modality to an individual’s needs, and social support. A person-centered approach is needed to promote individualized care and tailor treatment components to the patient’s needs.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment Experiences Among People Who Use Opioids: A Social Ecological Approach

et al. 2022

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“…However, we know the vast majority of people with OUD still do not access treatment [ 1 ]. According to 2019 estimates, less than 30% of individuals needing OUD treatment received MOUD [ 14 ]. Of those who do enter care, few remain engaged with MOUD long enough to achieve lasting recovery [ 15 ]; treatment rates are lower for women versus men [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Women-Reported Barriers and Facilitators of Continued Engagement with Medications for Opioid Use Disorder

Fiddian-Green

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Harrington

et al. 2022

IJERPH

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Opioid-related fatalities increased exponentially during the COVID-19 pandemic and show little sign of abating. Despite decades of scientific evidence that sustained engagement with medications for opioid use disorders (MOUD) yields positive psychosocial outcomes, less than 30% of people with OUD engage in MOUD. Treatment rates are lowest for women. The aim of this project was to identify women-specific barriers and facilitators to treatment engagement, drawing from the lived experience of women in treatment. Data are provided from a parent study that used a community-partnered participatory research approach to adapt an evidence-based digital storytelling intervention for supporting continued MOUD treatment engagement. The parent study collected qualitative data between August and December 2018 from 20 women in Western Massachusetts who had received MOUD for at least 90 days. Using constructivist grounded theory, we identified major themes and selected illustrative quotations. Key barriers identified in this project include: (1) MOUD-specific discrimination encountered via social media, and in workplace and treatment/recovery settings; and (2) fear, perceptions, and experiences with MOUD, including mental health medication synergies, internalization of MOUD-related stigma, expectations of treatment duration, and opioid-specific mistrust of providers. Women identified two key facilitators to MOUD engagement: (1) feeling “safe” within treatment settings and (2) online communities as a source of positive reinforcement. We conclude with women-specific recommendations for research and interventions to improve MOUD engagement and provide human-centered care for this historically marginalized population.

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“…Additionally, the epidemic has evolved from predominantly prescription opioid‐related deaths to those involving illicit and synthetic opioids. Recognizing the enduring need to learn from earlier waves and transitions, comprehensive assessments of patients' substance use [18] alongside expanded access and delivery of opioid use disorder treatment [19] could have greater impact on currently elevated risks in an increasingly deadly drug environment.…”

mentioning

confidence: 99%

Use of Medication for Opioid Use Disorder Among US Adolescents and Adults With Need for Opioid Treatment, 2019

Abstract: This cross-sectional study of respondents to the National Survey on Drug Use and Health evaluates rates of medication for opioid use disorder receipt among people with need for treatment as well as associated sociodemographic characteristics.

Cited by 123 publications

References 69 publications

Treatment Experiences Among People Who Use Opioids: A Social Ecological Approach

Treatment Experiences Among People Who Use Opioids: A Social Ecological Approach

Women-Reported Barriers and Facilitators of Continued Engagement with Medications for Opioid Use Disorder

Commentary on Lo‐Ciganic et al.: The importance of evidence‐based clinical and policy approaches to reduce opioid harms

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