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Structural Adaptations to Methadone Maintenance Treatment and Take-Home Dosing for Opioid Use Disorder in the Era of COVID-19
Societal disruption from the COVID-19 pandemic has accelerated the opioid overdose epidemic. Given the drastic increase in opioid overdose deaths during the pandemic, particularly within Black communities,1 it is important to reflect on the state of opioid addiction treatment in the United States. W...
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Published in: | American journal of public health (1971) 2022-04, Vol.112 (S2), p.S112-S116 |
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container_end_page | S116 |
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container_title | American journal of public health (1971) |
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creator | Suen, Leslie W Coe, William H Wyatt, Janan P Adams, Zoe M Gandhi, Mona Batchelor, Hannah M Castellanos, Stacy Joshi, Neena Satterwhite, Shannon Pérez-Rodríguez, Rafael Rodríguez-Guerra, Esther Albizu-Garcia, Carmen E Knight, Kelly R Jordan, Ayana |
description | Societal disruption from the COVID-19 pandemic has accelerated the opioid overdose epidemic. Given the drastic increase in opioid overdose deaths during the pandemic, particularly within Black communities,1 it is important to reflect on the state of opioid addiction treatment in the United States. When COVID-19 was declared a public health emergency, more than 400 000 individuals were receiving methadone maintenance treatment (MMT) for opioid use disorder (OUD) across the 50 states, the District of Columbia, and US territories including Puerto Rico.2 Individuals receiving MMT, a gold standard for OUD treatment, have lower rates of death and nonprescribed opioid use than those not receiving treatment and exhibit better treatment retention.3Despite these benefits, many structural barriers exist in accessing MMT, in large part because of decades of racist policies and political scapegoating (e.g., criminalizing those with substance use disorders and being "tough on crime" through harsh drug policies for political gain).4 Methadone dispensing is tightly regulated, and the medication can be dispensed only at opioid treatment programs (OTPs) overseen by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Drug Enforcement Administration, and state governments. When used in the treatment of OUD, no other prescription medication is as tightly regulated as methadone. |
doi_str_mv | 10.2105/AJPH.2021.306654 |
format | article |
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Given the drastic increase in opioid overdose deaths during the pandemic, particularly within Black communities,1 it is important to reflect on the state of opioid addiction treatment in the United States. When COVID-19 was declared a public health emergency, more than 400 000 individuals were receiving methadone maintenance treatment (MMT) for opioid use disorder (OUD) across the 50 states, the District of Columbia, and US territories including Puerto Rico.2 Individuals receiving MMT, a gold standard for OUD treatment, have lower rates of death and nonprescribed opioid use than those not receiving treatment and exhibit better treatment retention.3Despite these benefits, many structural barriers exist in accessing MMT, in large part because of decades of racist policies and political scapegoating (e.g., criminalizing those with substance use disorders and being "tough on crime" through harsh drug policies for political gain).4 Methadone dispensing is tightly regulated, and the medication can be dispensed only at opioid treatment programs (OTPs) overseen by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Drug Enforcement Administration, and state governments. When used in the treatment of OUD, no other prescription medication is as tightly regulated as methadone.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2021.306654</identifier><identifier>PMID: 35349324</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Adaptation ; Addictions ; Coronaviruses ; COVID-19 ; Crime ; Drug abuse ; Drug addiction ; Drug dosages ; Drug overdose ; Drug policy ; Drug use ; Drugs ; Epidemics ; Health services ; Homeless people ; Housing ; Humans ; Infections ; Maintenance ; Management ; Medicaid ; Mental health ; Mental health services ; Methadone ; Methadone - therapeutic use ; Monetary incentives ; Mortality rates ; Narcotics ; Opiate Substitution Treatment ; Opioid-Related Disorders - drug therapy ; Opioids ; Overdose ; Pandemics ; Patient safety ; Policies ; Public health ; Quarantine ; Racism ; Regulation ; Regulatory reform ; Reimbursement ; Scapegoating ; Severe acute respiratory syndrome coronavirus 2 ; Social disorganization ; State government ; Substance abuse ; Substance abuse treatment ; Substance use ; Substance use disorder ; Telemedicine ; Treatment programs</subject><ispartof>American journal of public health (1971), 2022-04, Vol.112 (S2), p.S112-S116</ispartof><rights>Copyright American Public Health Association Apr 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-fc0b2e6f1860dda925bea416a66e5f1043d5933656ab9d1b06f1754b272a8f793</citedby><cites>FETCH-LOGICAL-c369t-fc0b2e6f1860dda925bea416a66e5f1043d5933656ab9d1b06f1754b272a8f793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2647725170/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2647725170?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,786,790,4014,11715,21415,21422,27377,27899,27957,27958,33646,33809,34020,36095,43768,43983,44398,74578,74825,75252</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35349324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suen, Leslie W</creatorcontrib><creatorcontrib>Coe, William H</creatorcontrib><creatorcontrib>Wyatt, Janan P</creatorcontrib><creatorcontrib>Adams, Zoe M</creatorcontrib><creatorcontrib>Gandhi, Mona</creatorcontrib><creatorcontrib>Batchelor, Hannah M</creatorcontrib><creatorcontrib>Castellanos, Stacy</creatorcontrib><creatorcontrib>Joshi, Neena</creatorcontrib><creatorcontrib>Satterwhite, Shannon</creatorcontrib><creatorcontrib>Pérez-Rodríguez, Rafael</creatorcontrib><creatorcontrib>Rodríguez-Guerra, Esther</creatorcontrib><creatorcontrib>Albizu-Garcia, Carmen E</creatorcontrib><creatorcontrib>Knight, Kelly R</creatorcontrib><creatorcontrib>Jordan, Ayana</creatorcontrib><title>Structural Adaptations to Methadone Maintenance Treatment and Take-Home Dosing for Opioid Use Disorder in the Era of COVID-19</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>Societal disruption from the COVID-19 pandemic has accelerated the opioid overdose epidemic. Given the drastic increase in opioid overdose deaths during the pandemic, particularly within Black communities,1 it is important to reflect on the state of opioid addiction treatment in the United States. When COVID-19 was declared a public health emergency, more than 400 000 individuals were receiving methadone maintenance treatment (MMT) for opioid use disorder (OUD) across the 50 states, the District of Columbia, and US territories including Puerto Rico.2 Individuals receiving MMT, a gold standard for OUD treatment, have lower rates of death and nonprescribed opioid use than those not receiving treatment and exhibit better treatment retention.3Despite these benefits, many structural barriers exist in accessing MMT, in large part because of decades of racist policies and political scapegoating (e.g., criminalizing those with substance use disorders and being "tough on crime" through harsh drug policies for political gain).4 Methadone dispensing is tightly regulated, and the medication can be dispensed only at opioid treatment programs (OTPs) overseen by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Drug Enforcement Administration, and state governments. When used in the treatment of OUD, no other prescription medication is as tightly regulated as methadone.</description><subject>Adaptation</subject><subject>Addictions</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Crime</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug dosages</subject><subject>Drug overdose</subject><subject>Drug policy</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Epidemics</subject><subject>Health services</subject><subject>Homeless people</subject><subject>Housing</subject><subject>Humans</subject><subject>Infections</subject><subject>Maintenance</subject><subject>Management</subject><subject>Medicaid</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>Methadone</subject><subject>Methadone - therapeutic use</subject><subject>Monetary incentives</subject><subject>Mortality rates</subject><subject>Narcotics</subject><subject>Opiate Substitution Treatment</subject><subject>Opioid-Related Disorders - drug therapy</subject><subject>Opioids</subject><subject>Overdose</subject><subject>Pandemics</subject><subject>Patient safety</subject><subject>Policies</subject><subject>Public health</subject><subject>Quarantine</subject><subject>Racism</subject><subject>Regulation</subject><subject>Regulatory reform</subject><subject>Reimbursement</subject><subject>Scapegoating</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Social disorganization</subject><subject>State government</subject><subject>Substance abuse</subject><subject>Substance abuse treatment</subject><subject>Substance use</subject><subject>Substance use disorder</subject><subject>Telemedicine</subject><subject>Treatment 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Health</addtitle><date>2022-04</date><risdate>2022</risdate><volume>112</volume><issue>S2</issue><spage>S112</spage><epage>S116</epage><pages>S112-S116</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><abstract>Societal disruption from the COVID-19 pandemic has accelerated the opioid overdose epidemic. Given the drastic increase in opioid overdose deaths during the pandemic, particularly within Black communities,1 it is important to reflect on the state of opioid addiction treatment in the United States. When COVID-19 was declared a public health emergency, more than 400 000 individuals were receiving methadone maintenance treatment (MMT) for opioid use disorder (OUD) across the 50 states, the District of Columbia, and US territories including Puerto Rico.2 Individuals receiving MMT, a gold standard for OUD treatment, have lower rates of death and nonprescribed opioid use than those not receiving treatment and exhibit better treatment retention.3Despite these benefits, many structural barriers exist in accessing MMT, in large part because of decades of racist policies and political scapegoating (e.g., criminalizing those with substance use disorders and being "tough on crime" through harsh drug policies for political gain).4 Methadone dispensing is tightly regulated, and the medication can be dispensed only at opioid treatment programs (OTPs) overseen by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Drug Enforcement Administration, and state governments. When used in the treatment of OUD, no other prescription medication is as tightly regulated as methadone.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>35349324</pmid><doi>10.2105/AJPH.2021.306654</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation Addictions Coronaviruses COVID-19 Crime Drug abuse Drug addiction Drug dosages Drug overdose Drug policy Drug use Drugs Epidemics Health services Homeless people Housing Humans Infections Maintenance Management Medicaid Mental health Mental health services Methadone Methadone - therapeutic use Monetary incentives Mortality rates Narcotics Opiate Substitution Treatment Opioid-Related Disorders - drug therapy Opioids Overdose Pandemics Patient safety Policies Public health Quarantine Racism Regulation Regulatory reform Reimbursement Scapegoating Severe acute respiratory syndrome coronavirus 2 Social disorganization State government Substance abuse Substance abuse treatment Substance use Substance use disorder Telemedicine Treatment programs |
title | Structural Adaptations to Methadone Maintenance Treatment and Take-Home Dosing for Opioid Use Disorder in the Era of COVID-19 |
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