Commentary: Mobile health units: Paving the way for a new era of methadone treatment.
Commentary: Mobile health units: Paving the way for a new era of methadone treatment.
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评论：移动医疗单位：为美沙酮治疗的新时代铺平道路。
DOI：
10.1016/j.josat.2023.209160
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Berk,Justin
中科院分区：
文献类型：
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作者：
Berk,Justin
每天早上6点，约翰把“美沙酮货车”停在罗得岛伍恩塞特的一个大型社区中心停车场。在该州阿片类药物过量致死率最高的县，CODAC行为医疗移动的卫生单位为阿片类药物过量流行病的热点地区带来了治疗。2007年，美国缉毒署（DEA）停止批准这些“美沙酮货车”。现在，在新的DEA规则之后，这个轮子上的诊所开始为病人提供挽救生命的治疗，直接开车到最需要的社区。他们会收到来自同伴教练、护士、社会工作者约翰和每周两次的成瘾医生的热情问候。尽管区域狭窄，但患者往往会停留片刻，沉浸在货车文化的低门槛风气中。我的第一批货车病人之一乔希解释说：“我以前每天上班前都要开车20分钟去诊所，现在我只是走路来这里。这是救命稻草。”
At 6: 00am each morning, John parks the “methadone van” in a large community center parking lot in Woonsocket, Rhode Island. In the county with the highest opioid overdose fatality rate in the state, the CODAC Behavioral Healthcare Mobile Health Unit brings treatment to a hot spot of the rising opioid overdose epidemic. In 2007, the Drug Enforcement Agency (DEA) ceased approving these “methadone vans.” Now, after new DEA rules, this clinic-on-wheels starts patients on life-saving treatment, driving directly to the communities most in need.A trickle of patients get dosed in an admittedly cramped space. They receive a warm greeting from a peer coach, a nurse, a social worker, John, and twice a week, an addiction physician. Despite the narrow area, patients often stay a moment to indulge in the low-threshold ethos of the van culture. One of my first van patients, Josh, explained,“I used to have to drive 20 minutes to the clinic every day before work, now I just walk here. It’sa lifesaver.”