Come Try It Out. Get Your Foot in the Door:” Exploring Patient Perspectives on Low-Barrier Treatment for Opioid Use Disorder

Original research
par
Lowenstein, Margaret et al

Date de publication

2023

Géographie

USA

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

Our objective was to explore patient perspectives about low-barrier approaches, with a focus on understanding barriers to and facilitators of engagement from the patient point of view.

Constatations/points à retenir

Our analysis revealed three main facilitators of treatment in the low-barrier model. These included 1) program structure that met participant needs, such as flexibility, rapid medication access and robust case management services; 2) harm reduction approach that included acceptance of patient goals other than abstinence and provision of harm reduction services on-site; and 3) strong interpersonal connections with team members, including those with lived experience. Participants contrasted these experiences with other care they had received in the past. Barriers related to lack of structure, limitations of street-based care, and limited supports for co-occurring needs, particularly mental health.

La conception ou méthodologie de recherche

Semi-structured interviews with patients accessing buprenorphine treatment from a multi-site, low-barrier mobile treatment program (n=36)

Mots clés

About PWUD
Barriers and enablers
Substitution/OAT