It's not just the money: The role of treatment ideology in publicly funded substance use disorder treatment.
It's not just the money: The role of treatment ideology in publicly funded substance use disorder treatment.
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DOI：
10.1016/j.jsat.2020.108176
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发表时间：
2021-01
影响因子：
3.9
通讯作者：
Mandell DS
中科院分区：
文献类型：
--
作者：
Stewart RE;Wolk CB;Neimark G;Vyas R;Young J;Tjoa C;Kampman K;Jones DT;Mandell DS
治疗阿片使用障碍的药物(Moud)是治疗阿片使用障碍的一线药物，但国家调查表明，大多数物质使用治疗设施都不提供Moud。本文介绍了对宾夕法尼亚州费城25个治疗组织的领导人进行定性分析的结果，这些组织调查了对穆德的态度和障碍。我们采访的大多数治疗组织至少采用了一种Moud，这表明费城超过了拥有Moud能力的组织的全国平均水平。领导人表示，在公共资助的物质使用障碍治疗机构中，实际资源和意识形态障碍都阻碍了Moud的采用和实施。最近采用Mouds的组织透露了采用Moud的促进者，例如，支持向工作人员实施Mouds的强有力的领导，以及在整个组织重新定义从药物使用障碍中恢复的定义。这项研究的结果强调，客户、临床医生和领导层需要解决扩大Moud使用的实际和思想障碍。
Medications for opioid use disorder (MOUD) are a first-line treatment for opioid use disorder, yet national surveys indicate that most substance use treatment facilities do not offer MOUD. This article presents the results of a qualitative analysis of interviews with leaders from 25 treatment organizations in Philadelphia, Pennsylvania, that investigated attitudes and barriers toward MOUD. Most treatment organizations that we interviewed are adopting at least one MOUD, suggesting that Philadelphia exceeds the national average of organizations with MOUD capacity. Leaders indicated that both practical resources and ideological barriers thwart adoption and implementation of MOUD in publicly funded substance use disorder treatment agencies. Organizations that had recently adopted MOUDs revealed facilitators to MOUD adoption, such as strong leadership that champions the implementation to staff and redefining recovery from substance use disorders throughout the organization. This study’s findings highlight that clients, clinicians, and leadership need to address both practical and ideological barriers to expanding MOUD use.
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