Ending the Chase: Experiences of Rural Individuals with Opioid Use Disorder

Scorsone, Krista L; Haozous, Emily A.; Hayes, Leslie; Cox, Kim J.

doi:10.1080/10826084.2021.1914109

Cited by 8 publications

(5 citation statements)

References 37 publications

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“…Regarding the numerous strategies recommended to deal with the phenomenon, among the most cited, it emerges the clear urge to enhance training and information for both healthcare providers and patients [ 5 , 12 , 14 , 31 , 41 , 45 , 49 , 52 , 53 , 54 , 57 ]. This is essentially related to the recommendation to prevent rather than implement subsequent containment and corrective action [ 12 , 31 , 36 , 40 , 42 , 46 , 54 , 58 ].…”

Section: Resultsmentioning

confidence: 99%

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Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies

Biancuzzi

Mas

Brescia

et al. 2022

IJERPH

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In the United States, from 1999 to 2019, opioid overdose, either regularly prescribed or illegally acquired, was the cause of death for nearly 500,000 people. In addition to this pronounced mortality burden that has increased gradually over time, opioid overdose has significant morbidity with severe risks and side effects. As a result, opioid misuse is a cause for concern and is considered an epidemic. This article examines the trends and consequences of the opioid epidemic presented in recent international literature, reflecting on the causes of this phenomenon and the possible strategies to address it. The detailed analysis of 33 international articles highlights numerous impacts in the social, public health, economic, and political spheres. The prescription opioid epidemic is an almost exclusively North American problem. This phenomenon should be carefully evaluated from a healthcare systems perspective, for consequential risks and harms of aggressive opioid prescription practices for pain management. Appropriate policies are required to manage opioid use and prevent abuse efficiently. Examples of proper policies vary, such as the use of validated questionnaires for the early identification of patients at risk of addiction, the effective use of regional and national prescription monitoring programs, and the proper dissemination and translation of knowledge to highlight the risks of prescription opioid abuse.

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Section: Resultsmentioning

confidence: 99%

“…In the articles, testimonies also stress the worrying extent of the phenomenon, as in the case of Scorsone and colleagues [ 54 ], who cites regarding a patient addicted to opioids:…”

Section: Resultsmentioning

confidence: 99%

Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies

Biancuzzi

Mas

Brescia

et al. 2022

IJERPH

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“…PWOUD are a historically difficult population to reach due to a variety of factors, most notably discrimination, stigma and social marginalization. [ 5 – 7 ]…”

Section: Introductionmentioning

confidence: 99%

“…PWOUD are a historically difficult population to reach due to a variety of factors, most notably discrimination, stigma and social marginalization. [5][6][7] Prior studies have examined implementation efforts to expand access to buprenorphine in unique settings, such as mobile treatment units and street outreach teams [8][9][10]. Findings from these studies are promising vis-a-vis improving access to buprenorphine, but these programs remain somewhat siloed in terms of providing access to other types of essential healthcare.…”

Section: Introductionmentioning

confidence: 99%

Descriptive study: the novel “full spectrum people-with-opioid-use-disorder care model”

et al. 2023

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Background People with Opioid Use Disorder (PWOUD) represent an underserved and marginalized population for whom treatment gaps exist. Low-barrier programs like mobile care units and street outreach programs have yielded increased access to buprenorphine and social services, however, OUD pertinent co-occurring behavioral health and medical conditions are frequently left unaddressed. A novel, tailored, comprehensive care delivery model may reduce disparities and improve access to care across a range of pathologies in this historically difficult to reach population and enhance efforts to provide universal treatment access in a harm reduction setting. Methods Descriptive data were collected and analyzed regarding patient demographics, retention in treatment and services rendered at a new, wrap-around, low-barrier buprenorphine clinic established at an existing harm reduction site in New Mexico between August 1, 2020, and August 31, 2021. Results 203 people used any service at the newly implemented program, 137 of whom specifically obtained medical and/or behavioral health care services including prescriptions for buprenorphine at least once from the physician onsite. Thirty-seven unique medical and psychiatric conditions were treated, representing a total of 565 separate encounters. The most common service utilized was buprenorphine treatment for opioid use disorder (81%), followed by treatment for post-traumatic stress disorder (62%), anxiety (44.5%) and depression (40.9%). Retention in buprenorphine treatment was 31.2% at 6 months. Conclusions An innovative, multidisciplinary, buprenorphine-centric care model, which targets a wide range of OUD pertinent pathologies while employing a harm reduction approach, can enhance utilization of these services among an underserved PWOUD population in a manner which moves our health system toward universal OUD treatment access thereby potentially reducing overdose and existing disparities.

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“…The first pathway can be said to result from a preponderance of physically straining jobs in rural areas whose duties promote bodily injuries effectively necessitating painkiller usage, which the individual then becomes “dependent” on (Havens et al 2008; Prunuske et al 2014). The second pathway results from limited economic or employment advancement opportunities and limited recreational outlets, both of which may foster mental illness that can directly or indirectly create conditions encouraging drug use as a means of coping (Scorsone et al 2021; Wang et al 2013). Likewise, physical strain is implicated in “deaths of despair” as a factor causing mental illness which, in turn, can cause drug use, suicidal ideation, etc.…”

Section: Introductionmentioning

confidence: 99%

A Sociology of Empathy and Shared Understandings: Contextualizing Beliefs and Attitudes on Why People Use Opioids

et al. 2022

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There has been a steep rise in overdoses and mortality among people who use opioids or who inject drugs (PWUD), including in North America, the United Kingdom, and parts of Eastern Europe, with some of the sharpest increases amassing in rural communities. Currently, the literature lacks a comparative focus on the views and experiences of rural PWUD and professionals who regularly work and interface with them, in terms of their understandings of the rural drug use initiation/relapse trajectory. Considering a renewed sociology of emotions and empathy and the constructs of direct experience (e.g., of personal drug use) versus role‐playing (e.g., envisioning oneself in another's position), we used a modified constant comparison method to analyze interviews conducted with PWUD and professional stakeholders in rural southern Illinois, an opioid overdose hotspot. Findings suggest that rural opioid use is adopted in service of an intricate interplay of sensory, relational, somatic, and psychosocial benefits, with a sharp divergence between PWUD, who express considerable agency in their drug use behaviors, and professionals, who fail to successful role‐play in emphasizing PWUD's limited willpower and “deviant” sociocultural predilection. These dynamics illuminate challenges to advancing nuanced, culturally humble programming to advance public health goals related to the opioid and drug injection epidemic.

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Ending the Chase: Experiences of Rural Individuals with Opioid Use Disorder

Cited by 8 publications

References 37 publications

Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies

Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies

Descriptive study: the novel “full spectrum people-with-opioid-use-disorder care model”

A Sociology of Empathy and Shared Understandings: Contextualizing Beliefs and Attitudes on Why People Use Opioids

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