Women with opioid use disorder (OUD) face many challenges, among them the risk of poor outcomes in conditions involving reproductive and sexual health (RSH). Factors contributing to risk include less use of contraceptives, a higher incidence of unintended pregnancies, and an increased chance of contracting sexually transmitted infections and passing them on. What can … [Read more...] about Women with OUD Are at Risk for Poor Reproductive and Sexual Health Outcomes; OTP Staff and Providers Suggest Effective Interventions
Let’s say you’re a counselor in an opioid treatment program (OTP), and your methadone maintenance treatment (MMT) program suddenly launches an open-access initiative. Within days eligible patients are enrolled—whether they can pay or not—and allowed access, whenever they want, to their choice of counseling and medical and vocational services. Good idea? Bad idea? What … [Read more...] about Study Report: Implementing Open Access in OTPs; A Good Idea? Counselors Share Their Thoughts and Experiences
For people with opioid use disorder (OUD), getting into or staying in an opioid agonist treatment (OAT) program while in jail or prison has never been easy. But incarcerated populations now face a new challenge: the COVID-19 pandemic threatens access to treatment programs and their life-saving medications. Sachini Bandara, PhD, and her colleagues at Johns Hopkins, … [Read more...] about Study: COVID-19 Threatens the Incarcerated With Loss of Life-Saving OAT Treatment
Jail-based methadone maintenance treatment (MMT) sounds great in theory, but it’s rarely implemented. Yet opioid use disorders are common, with about 23% of state prisoners and 18% of federal prisoners reporting a history of opioid use. Tragically, once prisoners are released, loss of tolerance and the increased availability of potent synthetic opioids puts them at a high risk … [Read more...] about Can Jail-Based MMT Lower Costs and Help Prevent Recidivism?
It’s a scene that’s repeated countless times every day across the U.S. Siren blaring, an ambulance jolts to a stop at the entrance to a hospital emergency department (ED). Two paramedics jump out, open the back door, retrieve a young man strapped on a gurney, and wheel the gurney into the ED. A doctor hurries over. The lead paramedic calls out, “Apparent heroin OD; … [Read more...] about STUDY: Saving Lives by Launching Buprenorphine Treatment in the ED: What Clinicians Need to Know