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The provision of counseling to patients receiving medications for opioid use disorder: Telehealth innovations and challenges in the age of COVID-19.
Hughto, Jaclyn M W; Peterson, Lisa; Perry, Nicholas S; Donoyan, Alex; Mimiaga, Matthew J; Nelson, Kimberly M; Pantalone, David W.
  • Hughto JMW; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA; Center for Health Promotion and Health Equity, Brown University, Providence, RI, USA; The Fenway Ins
  • Peterson L; VICTA, Providence, RI, USA.
  • Perry NS; Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA; Department of Psychiatry and Human Behavior, Warren Alpert School of Medicine, Brown University, Providence, RI, USA.
  • Donoyan A; VICTA, Providence, RI, USA.
  • Mimiaga MJ; The Fenway Institute, Fenway Health, Boston, MA, USA; Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
  • Nelson KM; Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
  • Pantalone DW; The Fenway Institute, Fenway Health, Boston, MA, USA; Department of Psychology, University of Massachusetts Boston, Boston, MA, USA.
J Subst Abuse Treat ; 120: 108163, 2021 01.
Article in English | MEDLINE | ID: covidwho-844331
ABSTRACT
Historically, federal and state policies have narrowly defined treatment models that have resulted in limited access to and engagement in counseling for individuals receiving medications for opioid use disorder (MOUD; e.g., methadone and buprenorphine). In response to the coronavirus pandemic, outpatient MOUD treatment providers rapidly transitioned from traditional, in-person care delivery models to revised COVID-19 protocols that prioritized telehealth counseling to protect the health of patients and staff and ensure continuity in MOUD care. These telehealth innovations appear to mitigate many of the longstanding barriers to counseling in the traditional system and have the potential to forever alter MOUD care delivery. Drawing on data from a Rhode Island-based clinic, we argue that MOUD counseling is achievable via telehealth and outline the need for, and anticipated benefits of, hybrid telehealth/in-person MOUD treatment models moving forward.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Counseling / COVID-19 / Opioid-Related Disorders Type of study: Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: J Subst Abuse Treat Journal subject: Substance-Related Disorders Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Counseling / COVID-19 / Opioid-Related Disorders Type of study: Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: J Subst Abuse Treat Journal subject: Substance-Related Disorders Year: 2021 Document Type: Article