A Novel Care Navigation Intervention for Patients with Methamphetamine Use Disorder

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.