Supporting medication-assisted recovery in recovery residences: staff support, managing built environment threats, and building a supportive network.

IF 2.7 3区 医学 Q2 PSYCHOLOGY, CLINICAL American Journal of Drug and Alcohol Abuse Pub Date : 2024-10-09 DOI:10.1080/00952990.2024.2401983
Kathryn R Gallardo, I Niles Zoschke, Hannah L N Stewart, J Michael Wilkerson, Elizabeth A Henry, Sheryl A McCurdy
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Abstract

Background: While medications for opioid use disorder (MOUD) are effective in reducing overdoses, widespread adoption and implementation of MOUD remains inadequate. Innovative approaches to promote MOUD use and to support people in their medication-assisted recovery (MAR) are needed. Recovery residences that serve people taking MOUD are steadily growing in number, yet little is known about how MOUD and the MAR pathway is promoted within the recovery residence setting.Objectives: The purpose of this qualitative analysis was to describe how recovery residences facilitate MOUD initiation and support residents' MAR pathway.Methods: We conducted interviews with 93 residents (59.1% male; 38.7% female) living in recovery residences located in five Texas cities that served people taking medication for opioid use disorder.Results: We found that recovery residence staff addressed linkage to care gaps in their communities by connecting people who might benefit from MOUD to appropriate providers. Recovery residence staff also strengthened participants' community of MAR-supportive peers by hosting or connecting residents to Medication-Assisted Recovery Anonymous meetings. Additionally, recovery residences helped some residents overcome common logistical barriers (e.g. transportation issues, housing instability, distance to providers) that hinder MOUD access.Conclusion: Recovery residences that serve people taking MOUD are a well-positioned recovery support service to promote MOUD initiation and the MAR pathway.

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在康复住所支持药物辅助康复:员工支持、管理建筑环境威胁和建立支持网络。
背景:虽然治疗阿片类药物使用障碍(MOUD)的药物能有效减少过量用药,但 MOUD 的广泛采用和实施仍然不足。我们需要创新的方法来促进阿片类药物的使用,并为患者的药物辅助康复(MAR)提供支持。为服用 MOUD 的人提供服务的康复住所数量正在稳步增长,但人们对康复住所环境中如何推广 MOUD 和 MAR 途径却知之甚少:本定性分析旨在描述康复之家如何促进 MOUD 的启动并支持居民的 MAR 途径:方法: 我们对居住在德克萨斯州五个城市的康复之家的 93 名居民(59.1% 为男性;38.7% 为女性)进行了访谈,这些康复之家为阿片类药物使用障碍患者提供服务:我们发现,康复公寓的工作人员通过将可能从 MOUD 中受益的人与适当的医疗服务提供者联系起来,弥补了社区中的医疗服务缺口。康复公寓的工作人员还通过主办或联系居民参加匿名药物辅助康复会议,加强了参与者的MAR支持同伴社区。此外,康复居住地还帮助一些居民克服了阻碍他们获得 MOUD 的常见后勤障碍(如交通问题、住房不稳定、与提供者的距离):结论:为服用 MOUD 的人提供服务的康复住所是一种很好的康复支持服务,可以促进 MOUD 的启动和 MAR 途径。
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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
68
期刊介绍: The American Journal of Drug and Alcohol Abuse (AJDAA) is an international journal published six times per year and provides an important and stimulating venue for the exchange of ideas between the researchers working in diverse areas, including public policy, epidemiology, neurobiology, and the treatment of addictive disorders. AJDAA includes a wide range of translational research, covering preclinical and clinical aspects of the field. AJDAA covers these topics with focused data presentations and authoritative reviews of timely developments in our field. Manuscripts exploring addictions other than substance use disorders are encouraged. Reviews and Perspectives of emerging fields are given priority consideration. Areas of particular interest include: public health policy; novel research methodologies; human and animal pharmacology; human translational studies, including neuroimaging; pharmacological and behavioral treatments; new modalities of care; molecular and family genetic studies; medicinal use of substances traditionally considered substances of abuse.
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