Improving Rural Access to Opioid Treatment Programs

  title={Improving Rural Access to Opioid Treatment Programs},
  author={Quentin Johnson and Brian Zachary Mund and Paul J Joudrey},
  journal={The Journal of Law, Medicine \& Ethics},
  pages={437 - 439}
This article explores challenges to accessing opioid treatment programs in rural areas, and offers solutions that would ease these problems. 
Addressing the Opioid Crisis in Rural Communities by Engaging Incarcerated Females in a Re-Entry Program
Describes: Ongoing Work/Project Applicable Category: Clinical
Treating perinatal opioid use disorder in rural settings: Challenges and opportunities.
Vermont and New Hampshire are predominantly rural states which have focused on expanding MAT access for pregnant women using two different approaches to integrating treatment with maternity care. Expand
Risk perceptions and recovery threats for clients with a history of methadone maintenance therapy dropout
This study highlights the need to understand more fully the rationale behind the continued use of methadone in patients with a history of opioid use disorder. Expand
Diagnosis and Management of Opioid Use Disorder in Hospitalized Patients.
Hospitalists should be knowledgeable about diagnosing and managing patients with OUD, including how to manage acute pain or MAT during the perioperative setting. Expand
Access to medication-assisted treatment for opioid use disorder: is Rhode Island different, and why?
Assessment of the prevalence of medication-assisted treatment (MAT) among treatment episodes for opioid use disorder (OUD) in Rhode Island finds that during the period beginning in 2000 through 2017, Rhode Island exhibited a greater tendency to use MAT as part of OUD treatment compared with the average state in the United States and comparedwith the average combined tendency among the five other New England states. Expand
Telehealth Utilization Is Associated with Lower Risk of Discontinuation of Buprenorphine: a Retrospective Cohort Study of US Veterans
As telehealth demonstrated improved treatment retention compared to in-person visits, it may be a suitable option for engagement for patients in OUD management and efforts to expand services may improve treatment retention and health outcomes for VHA and other health care systems. Expand
Medications for Opioid Use Disorder Among Incarcerated Individuals: a Review of the Literature and Focus on Patient Preference
It is reviewed the extent that patient preference is incorporated in MOUD effectiveness studies among incarcerated people and how patient perceptions of MouD may impact treatment utilization using the Gelberg-Anderson framework for vulnerable populations. Expand
Systematic Analysis of the Service Process and the Legislative and Regulatory Environment for a Pharmacist-Provided Naltrexone Injection Service in Wisconsin
Findings suggest that the service process requires considerable coordination and communication with practitioners, patients, and pharmacy staff, but many opportunities exist to broaden and sustain the service throughout Wisconsin. Expand
Voices of Hope: A Randomized Controlled Trial of a Peer-Delivered Telephone Recovery Support Program
By virtue of participating in TRS, participants demonstrated less substance use, a greater sense of perceived support, and increased recovery capital, which may be a consequence of TRS increasing recovery capital by connecting participants to resources. Expand


Barriers to accessing HIV/AIDS care in North Carolina: Rural and urban differences
It was revealed that rural case managers and case managers with more female clients reported a greater number of barriers, and barriers to these services must be identified and addressed, particularly in rural areas which may be highly underserved. Expand
Growth In Buprenorphine Waivers For Physicians Increased Potential Access To Opioid Agonist Treatment, 2002-11.
Findings suggest that the increase in waivered physicians has dramatically increased potential access to opioid agonist treatment, and policy makers should focus their efforts on further increasing the number and geographical distribution of physicians, particularly in more rural counties, where prescription opioid misuse is rapidly growing. Expand
A call for evidence-based medical treatment of opioid dependence in the United States and Canada.
Recommendations include eliminating restrictions on office-based methadone prescribing in the United States; reducing financial barriers to treatment, such as varying levels of copayment in Canada and the United Kingdom; reducing reliance on less effective and potentially unsafe opioid detoxification; and evaluating and creating mechanisms to integrate emerging treatments. Expand
Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas—United States
  • K. Mack, Christopher M Jones, M. Ballesteros
  • Medicine
  • American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
  • 2017
Differences in illicit drug use, illicit drugUse disorders, and overall drug overdose deaths in metropolitan and nonmetropolitan areas is important for informing public health programs, interventions, and policies. Expand
National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted Treatment.
Significant gaps between treatment need and capacity exist at the state and national levels and strategies to increase the number of OA-MAT providers are needed. Expand
Extended-Release Naltrexone to Prevent Opioid Relapse in Criminal Justice Offenders.
In this trial involving criminal justice offenders, extended-release naltrexone was associated with a rate of opioid relapse that was lower than that with usual treatment, and Opioid-use prevention effects waned after treatment discontinuation. Expand
Geographic access to health care for rural Medicare beneficiaries.
  • L. Chan, L. Hart, D. Goodman
  • Medicine
  • The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
  • 2006
The results suggest that most rural residents do not rely on urban areas for much of their care, particularly true for rural residents with specific diagnoses or those undergoing specific procedures. Expand
Buprenorphine versus methadone maintenance therapy: a randomized double-blind trial with 405 opioid-dependent patients.
Buprenorphine did not differ from methadone in its ability to suppress heroin use, but retained approximately 10% fewer patients, due possibly to too-slow induction onto buprenorphines. Expand
The effect of distance to primary care physician on health care utilization and disease burden.
Both utilization and disease burden increased as distance increased, especially among members selecting PCPs in an academic health system (AHS), and distance as a whole exerted a statistically significant positive effect on either disease burden score or utilization in regression modeling. Expand