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Characterizing Perceptions of Opioid Treatment Program Access Barriers During Disasters.
Palma Bauman1, Lilly Moreau1, Joshua Hall1
1Department of Epidemiology, University of Delaware, Newark, DE, USA.
Disaster Medicine and Public Health Preparedness
|May 8, 2025
Summary
Opioid treatment programs (OTPs) face challenges during disasters, impacting people who use drugs (PWUDs). Adaptations like flexible guest dosing are needed to improve resilience and reduce harm in emergencies.
Area of Science:
- Public Health
- Disaster Preparedness
- Addiction Medicine
Background:
- A public health emergency for the opioid crisis has been in place since 2017.
- Disasters are increasing in frequency and severity, affecting vulnerable populations.
- The adaptive capacity of opioid treatment programs (OTPs) during disasters is not well understood.
Purpose of the Study:
- To assess how disasters impact service provision in OTPs.
- To identify gaps in OTP resilience for people who use drugs (PWUDs).
- To inform strategies for reducing morbidity and mortality among PWUDs during emergencies.
Main Methods:
- Semi-structured interviews with 8 questions were conducted with OTP leaders, government officials, navigators, and advocates.
- Interviews were completed via Zoom and transcripts were hand coded.
- Inductive thematic analysis was used to identify key themes.
Main Results:
- Eleven interviews revealed four major themes.
- Client challenges include securing housing and transportation.
- Barriers include communication issues, stigma, and inflexible policies/regulations.
Conclusions:
- Disruptions to OTPs during disasters necessitate adaptive preparedness planning.
- Flexible guest dosing is a recommended adaptation.
- Highly regulated systems require modifications to address vulnerabilities during public health and climate emergencies.
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