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A Novel Care Navigation Intervention for Patients with Methamphetamine Use Disorder.

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A new care navigation intervention successfully engaged 64% of patients with methamphetamine use disorder (MaUD) in treatment. This approach addresses social and financial barriers, offering practical support for addiction recovery.

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Area of Science:

  • Addiction Medicine
  • Public Health
  • Health Services Research

Background:

  • Patients with methamphetamine use disorder (MaUD) encounter significant barriers to evidence-based addiction treatment.
  • Existing linkage-to-care models, primarily for infectious diseases, can be adapted for substance use disorders.

Purpose of the Study:

  • To develop and evaluate a care navigation intervention for patients with MaUD post-acute care.
  • To improve engagement with addiction treatment by addressing patient-specific barriers.

Main Methods:

  • A randomized controlled trial was used to test the care navigation intervention.
  • The intervention incorporated rapport building, trauma-informed care, practical assistance, and contingency management.
  • Patient characteristics, care needs, and engagement outcomes were assessed.

Main Results:

  • 64% of 94 patients receiving the intervention engaged with at least two navigator visits.
  • Common barriers included unstable housing (85%), unemployment (83%), and lack of phone access (46%).
  • Primary needs were accessing addiction treatment, housing, and communication support.

Conclusions:

  • Care navigation is a viable model for connecting patients with MaUD to addiction treatment after acute care.
  • Addressing practical barriers is crucial for treatment engagement in this population.
  • The intervention demonstrates potential for improving continuity of care for substance use disorders.