Adapting Substance Use Treatment for HIV Affected Communities During COVID-19: Comparisons Between a Sexually Transmitted Infections (STI) Clinic and a Local Community Based Organization

Rogers, Brooke G.; Arnold, Trisha; Scherr, Anna Schierberl; Strong, Sabrina H.; Holcomb, R. C.; Ndoye, Colleen Daley; Pinkston, Megan; Chan, Philip A.

doi:10.1007/s10461-020-02933-y

Cited by 20 publications

(19 citation statements)

References 18 publications

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“…Disruption to HIV care and the shift to telehealth was highlighted by more than half the editorials and primary research studies. Telehealth, or telemedicine, has been rapidly implemented to minimise face-to-face contact and allow clinics to maintain care during the pandemic [37,38,39]. A number of editorials noted that while telemedicine was necessary during the COVID-19 crisis, they argued it must be customised for PLHIV with poor access to technology or low levels of technological literacy [40,41].…”

Section: Telehealth and Disruption Of Hiv Carementioning

confidence: 99%

Exploring the Social Impacts of the COVID-19 Pandemic on People Living with HIV (PLHIV): A Scoping Review

et al. 2021

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Understanding the clinical impact of COVID-19 has been central to emerging research in the HIV field, but in focusing on the biomedical, researchers must not overlook the socially embedded nature of HIV and the potential social impacts of this new pandemic on PLHIV. We conducted a scoping review to explore emerging research examining the social impacts of COVID-19 on PLHIV in OECD countries over the first 12 months of the pandemic. Twenty articles were identified and included for review. Key themes included: impacts on HIV care access/telehealth; stress and mental health; social isolation and loneliness; food insecurity; changes to sexual behaviour; changes to substance use; impacts on income, education and employment; and racial and social inequality. Results from this review can help guide research into areas where it is needed to help minimise the negative social impacts of the COVID-19 pandemic.

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Section: Telehealth and Disruption Of Hiv Carementioning

confidence: 99%

Exploring the Social Impacts of the COVID-19 Pandemic on People Living with HIV (PLHIV): A Scoping Review

et al. 2021

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“…The declaration of COVID-19 as a pandemic in March 2020 represents a watershed moment for substance use disorder (SUD) treatment providers in the United States (U.S.), as well as in other countries. Faced with mounting uncertainty, providers have made radical changes to service delivery (Rogers et al, 2020;Rosca et al, 2020;Samuels et al, 2020;Wood et al, 2020). Innovation is necessary as existing health care protocols for disaster preparedness, developed for human-made and weather-related disasters such as terrorist attacks and hurricanes, are inadequate for a global pandemic (Mareiniss, 2020;Pecchia et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Impacts of COVID-19 on residential treatment programs for substance use disorder

Pagano

Hosakote

Kapiteni

et al. 2021

Journal of Substance Abuse Treatment

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“…Recommendations to mitigate substance use risks during COVID-19 include clinical guidelines for prescribing safe supply and for reducing the risk of COVID-19 transmission (25), through changing to telehealth, physical distancing inside clinics, smaller patient numbers in group therapy, and hand sanitizer provision (9,18). Other sources noted barriers to telehealth for underserved groups, suggesting peer support as a means to mitigate these barriers (23). Health Canada published exemptions to make OAT-prescribing more exible and decrease in-person visits though virtual initiation of OAT, longer length of prescriptions, reduction of urine tests and witnessed dosing, verbal prescription transfers to pharmacies closest to the patient, delivery of OAT by pharmacies, and allowing friends and family to pick up OAT doses (26).…”

Section: Resultsmentioning

confidence: 99%

“…One source suggested telemedicine combined with street outreach as a holistic approach, noting that tailored care has been shown to improve housing stability and mental health along with care access (28). One source included stress management, normalizing emotional responses, keeping a routine and sleep hygiene as psychosocial recommendations (23).…”

Section: Resultsmentioning

confidence: 99%

Opioid Use Disorder Treatment Disruptions during the COVID-19 Pandemic and Other Disasters: A Scoping Review Addressing Dual Public Health Emergencies

Henderson

McInnes

Mackey

et al. 2021

Preprint

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Background: During public health emergencies, disruptions to social landscapes and amplification of inequities for people with opioid use disorder raise important questions about reducing harms and providing treatment accountability to support this population during disasters including COVID-19. This research aims to a) identify how disasters impact persons with opioid use disorder (OUD) and their access to healthcare, with specific attention to COVID-19, and b) inform ongoing responses to the pandemic and future disaster-mitigation plans related to healthcare disruptions affecting persons with opioid use disorder (PWOUD). Methods: We conducted knowledge synthesis based on a 6-stage scoping review framework methodology. Stakeholder consultation was completed using a Nominal Group Technique with two groups, each composed of including providers in primary, emergency and community-based care. One group (n=7) represented voices from urban services, and the other (n=4) Indigenous contexts allowing for attention to healing the whole person, beyond OAT. Results: 61 scientific journal articles and 72 grey literature resources were included after full-text screening. Stakeholder NGT process revealed three contextual factors affecting system and service accountability for responsive OUD care during disaster-driven disruptions: (1) disasters focus attention on single risks and generalized solutions; (2) data-poor decision-making perpetuates stigma and produces policy inattentive to social determinants of health; and (3) harm reduction and contextually-tailored care prepare a system for future disasters. Conclusion: COVID-19 public health efforts require a coordinated systemic approach to serving PWOUD, based on accountability to patients and support for providers.

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Adapting Substance Use Treatment for HIV Affected Communities During COVID-19: Comparisons Between a Sexually Transmitted Infections (STI) Clinic and a Local Community Based Organization

Cited by 20 publications

References 18 publications

Exploring the Social Impacts of the COVID-19 Pandemic on People Living with HIV (PLHIV): A Scoping Review

Exploring the Social Impacts of the COVID-19 Pandemic on People Living with HIV (PLHIV): A Scoping Review

Impacts of COVID-19 on residential treatment programs for substance use disorder

Opioid Use Disorder Treatment Disruptions during the COVID-19 Pandemic and Other Disasters: A Scoping Review Addressing Dual Public Health Emergencies

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