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An Approach to Enhancing Medication Treatment for Opioid Use Disorder in the HEALing Communities Study
Jonathan M Wai1, Derek Blevins1, Tim Hunt1
1Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and Division on Substance Use Disorders, New York State Psychiatric Institute, New York City (Wai, Blevins, Campbell, Levin, Nunes); School of Social Work, Columbia University, New York City (Hunt, Gilbert, El-Bassel).
The HEALing Communities Study uses an integrated network systems (INS) mapping tool to help communities select strategies for medication treatment, aiming to reduce opioid overdose deaths. This approach enhances engagement with people receiving medication for opioid use disorder (MOUD).
Area of Science:
- Public Health
- Implementation Science
- Addiction Medicine
Background:
- The HEALing (Helping to End Addiction Long-term) Communities Study (HCS) addresses the opioid overdose crisis.
- Community coalitions are crucial for implementing evidence-based interventions, including medications for opioid use disorder (MOUD).
Purpose of the Study:
- To describe the rationale and application of an integrated network systems (INS) mapping tool.
- To coach community coalitions in selecting strategies to enhance MOUD treatment engagement.
Main Methods:
- Development of an INS approach with a mapping tool for community coalitions.
- Mapping service delivery venues around core MOUD services and satellite identification points.
- Framing the discussion within the consolidated framework for implementation research.
Main Results:
- The INS mapping tool aids coalitions in visualizing and strategizing service delivery for MOUD.
- The approach integrates core MOUD services with satellite services for broader patient identification and referral.
- Case examples illustrate the practical application of the INS mapping tool.
Conclusions:
- The INS mapping tool is a valuable resource for community coalitions to enhance MOUD treatment accessibility.
- This approach supports strategic planning for reducing opioid overdose deaths through improved medication treatment engagement.
- Implementation research frameworks can guide the development and application of such tools.
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