Youth OUD treatment during and after COVID: Increasing family involvement across the services continuum

Hogue, Aaron; Becker, Sara J.; Fishman, Marc; Henderson, Craig E.; Levy, Sharon

doi:10.1016/j.jsat.2020.108159

Cited by 16 publications

(12 citation statements)

References 13 publications

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“…One might argue, however, that telehealth, by its nature, is a home‐based therapy. When we enter clients’ homes, we enter into their family system and have greater access to multiple family members (Hogue et al, 2020). This offers both therapeutic and pragmatic benefits.…”

Section: Introductionmentioning

confidence: 99%

Attachment‐based family therapy in the age of telehealth and COVID‐19

Levy

Mason

Russon

et al. 2021

J Marital Family Therapy

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The COVID‐19 pandemic has transformed so many aspects of our lives. For psychotherapists, telehealth is likely a permanent part of the future mental health landscape. For family therapists using a manualized treatment, this brings unique challenges and creative opportunities. In this article, we describe the adaptation of attachment‐based family therapy (ABFT) in the context of telehealth and COVID‐19. ABFT is an empirically supported treatment model designed for adolescents and young adults struggling with depression, anxiety, trauma, and suicide. ABFT is a semi‐structured, process‐oriented, and trauma‐informed family therapy model which presents its own unique challenges and benefits in telehealth environments. We present our adaptations based on years of telehealth clinical experience and address how this model supports the impact of COVID‐19 on families.

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Section: Introductionmentioning

confidence: 99%

Attachment‐based family therapy in the age of telehealth and COVID‐19

Levy

Mason

Russon

et al. 2021

J Marital Family Therapy

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“…Youth, pregnant women and incarcerated people with OUD are taken into consideration by some authors, given that they are more vulnerable [ 25 ▪ , 45 – 47 ]. To ensure continuation of treatment for youth with OUD and to reduce COVID-19 associated risks, authors reported implementation of mobile van delivery of extended-release medications [ 25 ▪ ].…”

Section: Responses and Strategies To Maintain Opioid Treatment Programs During The Pandemicmentioning

confidence: 99%

“…To ensure continuation of treatment for youth with OUD and to reduce COVID-19 associated risks, authors reported implementation of mobile van delivery of extended-release medications [ 25 ▪ ]. Authors suggest that the COVID-19 pandemic also created a generational opportunity to augment family involvement in tele-intervention across the youth OUD services continuum [ 45 ]. For pregnant women, regulations that have an adverse influence can be changed and telepsychology services integrated with existing treatment programs [ 48 , 49 ].…”

Section: Responses and Strategies To Maintain Opioid Treatment Programs During The Pandemicmentioning

confidence: 99%

“…]. Authors suggest that the COVID-19 pandemic also created a generational opportunity to augment family involvement in tele-intervention across the youth OUD services continuum [45]. For pregnant women, regulations that have an adverse influence can be changed and telepsychology services integrated with existing treatment programs [48,49].…”

Section: Utility Of Depot Buprenorphinementioning

confidence: 99%

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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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“…Behavioral services for youth with substance use problems can be conceptualized as a continuum—sometimes called a services cascade—consisting of the routine sequence of activities experienced by any given youth as they progress through the substance use services system ( Belenko et al, 2017 ; Knight et al, 2016 ). For heuristic purposes specific to OUD, Figure 1 depicts this continuum as a client flow chart anchored by four overlapping stages (see also Hogue et al, 2021 ). Note that youth who enter the OUD services system typically experience episodic increases and decreases in opioid use—that is, a chronic course-of-disorder marked by regular use, remission, and recurrence—over a given time span ( Buckheit et al, 2018 ; Fishman, Wenzel, Scodes, et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Conceptual framework for telehealth strategies to increase family involvement in treatment and recovery for youth opioid use disorder

Hogue

Bobek

Levy

et al. 2021

J Marital Family Therapy

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With opioid use at crisis levels, it is imperative to support youth ages with opioid use disorders (OUD) in taking medication and accessing behavioral services over long periods. This article presents a conceptual framework for telehealth strategies that can be adopted to increase family involvement across a four‐stage continuum of youth OUD treatment and recovery: Treatment Preparation, Treatment Initiation, Treatment Stabilization, OUD Recovery. It first identifies provider‐delivered tele‐interventions that can enhance OUD services in each of the four stages, including family outreach, family engagement, family‐focused intervention, and family‐focused recovery maintenance. It then introduces several types of direct‐to‐family tele‐supports that can be used to supplement provider‐delivered interventions. These include both synchronous tele‐supports (remote interactions that occur in real time) such as helplines, peer‐to‐peer coaching, and online support groups; and asynchronous tele‐supports (communications that occur without participants being simultaneously present) such as automated text messaging, self‐directed internet‐based courses, and digital web support.

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Youth OUD treatment during and after COVID: Increasing family involvement across the services continuum

Cited by 16 publications

References 13 publications

Attachment‐based family therapy in the age of telehealth and COVID‐19

Attachment‐based family therapy in the age of telehealth and COVID‐19

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

Conceptual framework for telehealth strategies to increase family involvement in treatment and recovery for youth opioid use disorder

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