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    Facilitators and barriers to collaboration between drug courts and community-based medication for opioid use disorder providers

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    Authors
    Pivovarova, Ekaterina
    Taxman, Faye S
    Boland, Alexandra K
    Smelson, David A
    Lemon, Stephenie C
    Friedmann, Peter D
    UMass Chan Affiliations
    Family Medicine and Community Health
    Population and Quantitative Health Sciences
    Psychiatry
    Prevention Research Center
    Document Type
    Journal Article
    Publication Date
    2023-01-13
    Keywords
    Barriers
    Drug court
    Facilitators
    Legal
    Medication assisted treatment
    Medications for opioid use disorder
    Opioid use disorder
    
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    https://doi.org/10.1016/j.josat.2022.208950
    Abstract
    Introduction: Access to medications for opioid use disorder (MOUD) is limited for individuals in drug courts - programs that leverage sanctions for mandatory substance use treatment. Drug courts rely on community agencies to provide MOUD. However, relationships with MOUD agencies, which impact access to treatment, are understudied. We examined barriers and facilitators from drug court staffs' perspectives to understand how to enhance collaborations with MOUD providers. Methods: Drug court staff (n = 21) from seven courts participated in semi-structured interviews about their experience in collaborating with MOUD providers. Interviews were informed by the Consolidated Framework for Implementation Research. Inductive (theory-based) and deductive (ground-up) approaches were used for analyses. Results: Facilitator and barrier themes centered around the needs and resources of drug court participants, external policies such MOUD access in jails, networking with external agencies, and beliefs about MOUD providers. Drug court staff preferred working with agencies that offered MOUD alongside comprehensive services. Drug courts benefited when jails offered MOUD in-house and facilitated community referrals. Existing relationships with providers and responsive communication eased referrals and served to educate the courts about MOUD. Barriers included logistical limitations (limited hours, few methadone providers) and inadequate communication patterns between providers and drug court staff. A lack of confidence in providers' prescribing practices and concerns around perceived overmedication of participants impacted referrals, interagency collaboration, and further burdened the participants. Conclusions: Collaboration between drug courts and MOUD providers was driven by patient needs, external policies, communication patterns, and perceptions. Interventions to increase access MOUD for drug court participants will need to incorporate collaboration strategies while considering the unique features of drug courts.
    Source
    Pivovarova E, Taxman FS, Boland AK, Smelson DA, Lemon SC, Friedmann PD. Facilitators and barriers to collaboration between drug courts and community-based medication for opioid use disorder providers. J Subst Use Addict Treat. 2023 Jan 13;147:208950. doi: 10.1016/j.josat.2022.208950. Epub ahead of print. PMID: 36804347.
    DOI
    10.1016/j.josat.2022.208950
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/51843
    PubMed ID
    36804347
    Rights
    Copyright © 2023. Published by Elsevier Inc.
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.josat.2022.208950
    Scopus Count
    Collections
    Prevention Research Center Publications
    Population and Quantitative Health Sciences Publications

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