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Opioid Use Disorder and COVID-19: Crashing of the Crises
Utsha G Khatri1, Jeanmarie Perrone
1National Clinician Scholar Program, Master of Science in Health Policy Research, Department of Emergency Medicine and Penn Center for Opioid Recovery and Engagement, Perelman School of Medicine at the University of Pennsylvania, PA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA; The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA (UGK); Division of Medical Toxicology and Addiction Medicine Initiatives, Penn Medicine Center for Addiction Medicine and Policy, Perelman School of Medicine at the University of Pennsylvania, PA (JP).
Abstract:
: The COVID19 crisis has created many additional challenges for patients with opioid use disorder, including those seeking treatment with medications for OUD. Some of these challenges include closure of substance use treatment clinics, focus of emergency departments on COVID-19 patients, social distancing and shelter in place orders affecting mental health, bystander overdose rescue, threats to income and supply of substances for people who use drugs. While the initial changes in regulation allowing buprenorphine prescribing by telehealth are welcomed by providers and patients, many additional innovations are required to ensure that additional vulnerabilities and hurdles created by this pandemic scenario do not further fan the flames of the opioid epidemic.
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