Opioid Use Disorder Treatment Facilities With Programs for Special Populations

Hadland, Scott E.; Jent, Victoria; Alinsky, Rachel; Marshall, Brandon D.L.; Mauro, Pia M.; Cerdá, Magdalena

doi:10.1016/j.amepre.2020.03.022

Cited by 24 publications

(23 citation statements)

References 21 publications

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“…24 Historically, services tailored to women (eg, women’s recovery groups, child care) have generally been considered beneficial but not necessary, leading to their underuse in OUD treatment settings. 25 The higher proportion of OUD among women compared with men with a need for SUD treatment further supports previous evidence, 6,13 endorsing the need for universal adoption of gender-informed treatment for people with OUD.…”

Section: Discussionsupporting

confidence: 74%

Need for and Receipt of Substance Use Disorder Treatment Among Adults, by Gender, in the United States

et al. 2021

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Objectives Disparities in substance use disorder (SUD) treatment use persist across groups, including gender. Using a gender-informed approach to expand treatment capacity and reduce barriers to treatment engagement is vital. We examined SUD treatment need and receipt among people with SUD in the United States, by gender, and assessed gender-specific sociodemographic factors associated with unmet need for SUD treatment and reported treatment barriers. Methods We conducted an analysis of data among adults aged ≥18 with a past-year SUD from the National Survey on Drug Use and Health (2015-2018). We computed population-adjusted frequencies and proportions for SUD treatment need and receipt and assessed gender differences. Multivariate logistic regression assessed gender-specific sociodemographic variables associated with SUD treatment receipt. Results Among adults with a past-year SUD, 63.4% were men and 36.6% were women ( P < .001), only 10.6% received SUD treatment, and a greater percentage of women than men needed treatment for opioid use disorder (11.9% vs 9.9%; P = .002). Receipt of SUD treatment was lowest among women with alcohol use disorder followed by men with alcohol use disorder (7.5% vs 8.9%; P = .052). Non-Latinx Black men had fewer than half the adjusted odds of receiving SUD treatment than non-Latinx White men (adjusted odds ratio [aOR] = 0.44; 95% CI, 0.27-0.71). Latinx women (aOR = 0.37; 95% CI, 0.18-0.73) and non-Latinx Black women (aOR = 0.51; 95% CI, 0.27-0.94) had significantly lower odds of receiving SUD treatment than non-Latinx White women. Conclusions As public health efforts target expanding SUD treatment capacity and addressing disparities in use of SUD treatment, interventions informed by gender and culture should be prioritized.

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Section: Discussionsupporting

confidence: 74%

Need for and Receipt of Substance Use Disorder Treatment Among Adults, by Gender, in the United States

et al. 2021

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“…and it has been speculated that one of the reasons is that adult-centered substance use treatment programs do not meet youth's needs. Few OUD treatment programs for the general population provide services tailored for youth ( 24 ). Providing MAT in pediatric primary care can increase access to developmentally appropriate OUD treatment for youth, and is feasible ( 25 ).…”

Section: Discussionmentioning

confidence: 99%

A Phone Consultation Call Line to Support SBIRT in Pediatric Primary Care

et al. 2022

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BackgroundScreening Brief Intervention Referral to Treatment (SBIRT) is recommended as a routine part of pediatric primary care, though managing patients with positive screens is challenging. To address this problem, the state of Massachusetts created a call line staffed by pediatric Addiction Medicine specialists to provide consultations to primary care providers and access to a behavioral health provider specially trained in managing adolescent substance use.ObjectiveTo describe the uptake and outcomes of a consultation call line and virtual counseling for managing substance use disorders (SUD) in pediatric primary care.MethodsService delivery data from consultations and counseling appointments were captured in an electronic database including substance, medication recommendations, level of care recommendations and number of counseling appointments completed for each patient. Summary data is presented here.ResultsIn all, there were 407 encounters to 108 unique families, including 128 consultations and 279 counseling visits in a one-year period. The most common substances mentioned by healthcare providers were cannabis (64%), nicotine (20%), alcohol (20%), vaping (9%) and opioids (5%). Management in primary care was recommended for 87 (68%) of the consultations. Medications for SUD treatment were recommended for 69 (54%) consultations including two for opioid use disorder.ConclusionWe found that both a statewide consultation call line and virtual counseling to support SBIRT in pediatric primary care were feasible. The majority of consultations resulted in recommendations for treatment in primary care.

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“…In the United States, rates of perinatal opioid use disorder (OUD) continue to rise, with the number of recorded opioid‐related diagnoses at time of birth increasing by 131% from 2010 to 2017. 1 Medications for OUD (MOUD) are the standard of care and recommended by most major medical organizations, including the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics 2,3 . Additionally, the American College of Nurse‐Midwives supports the provision of MOUD by midwives 4 .…”

Section: Postpartum Period Is Critical In Supporting Individuals With...mentioning

confidence: 99%

“…1 Medications for OUD (MOUD) are the standard of care and recommended by most major medical organizations, including the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics. 2,3 Additionally, the American College of Nurse-Midwives supports the provision of MOUD by midwives. 4 Although pregnancy often represents a period of stability for those in recovery, the postpartum period presents a significant challenge as parents must adjust to the demands of a newborn while continuing OUD treatment.…”

mentioning

confidence: 99%

“…Interviews were audio recorded and transcribed. Two researchers independently analyzed the interviews by reading and rereading them to im-1 School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania 2 The Midwife Center for Birth and Women's Health, Pittsburgh, Pennsylvania 3 Allegheny Health Network, Pittsburgh, Pennsylvania merse themselves in the participants' experiences. Interviews were inductively assessed using the "editing style" approach; codes were generated to identify patterns and relationships.…”

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confidence: 99%

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Research and Professional Literature to Inform Practice, September/October 2022

Niemczyk

Narbey

2022

J Midwife Womens Health

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Postpartum and addiction recovery of women in opioid use disorder treatment: a qualitative study. Subst Abus. 2022;43(1):389-396. TWO MIDWIVES TO PREVENT SEVERE PERINEAL LACERATIONS Edqvist M, Dahlen HG, Häggsgård C, et al. The effect of two midwives during the second stage of labour to reduce severe perineal trauma (Oneplus): a multicentre, randomised controlled trial in Sweden. Lancet. 2022;399(10331):1242-1253.

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Opioid Use Disorder Treatment Facilities With Programs for Special Populations

Cited by 24 publications

References 21 publications

Need for and Receipt of Substance Use Disorder Treatment Among Adults, by Gender, in the United States

Need for and Receipt of Substance Use Disorder Treatment Among Adults, by Gender, in the United States

A Phone Consultation Call Line to Support SBIRT in Pediatric Primary Care

Research and Professional Literature to Inform Practice, September/October 2022

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