Scaling up medications for opioid use disorder in Kentucky: Qualitative perspectives of treatment organizations
2024

Scaling Up Medications for Opioid Use Disorder in Kentucky

Sample size: 60 publication Evidence: moderate

Author Information

Author(s): Knudsen Hannah K., Andrews-Higgins Shaquita, Back-Haddix Sandra, Lofwall Michelle R., Fanucchi Laura, Walsh Sharon L.

Primary Institution: University of Kentucky

Hypothesis

What are the multi-level barriers and facilitators to expanding medications for opioid use disorder in Kentucky?

Conclusion

The study found that while there has been some growth in the use of medications for opioid use disorder, various multi-level barriers are hindering further increases in treatment initiation and retention.

Supporting Evidence

  • Many agencies reported modest growth in patient census.
  • Barriers included transportation issues, community stigma, and organizational policies.
  • Some agencies implemented innovations to reduce patient burdens, such as transportation assistance.

Takeaway

This study talks about how some people are starting to get help for their opioid problems, but there are many things making it hard for them to keep getting that help.

Methodology

The study used cross-sectional small group and individual semi-structured interviews with employees from 30 MOUD agencies in eight Kentucky counties.

Limitations

The findings may not generalize to other states, and the study did not include qualitative interviews with MOUD patients.

Participant Demographics

Participants were employees from 30 MOUD agencies, including urban and rural settings.

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5440415

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