Licensure Policies May Help States Ensure Access To Opioid Use Disorder Medication In Specialty Addiction Treatment.
Despite the devastating toll of the overdose crisis in the United States, many addiction treatment programs do not offer medications for opioid use disorder (MOUD). Several states have incorporated MOUD requirements into their standards for treatment program licensure. This study examined policy off...
| Publicado en: | Health Affairs Vol. 43; no. 5; pp. 732 - 740 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
May2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190593855&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190593855 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: May2024 vid: 43 iid: 5 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 190593855 190593855 190593855 10.1377/hlthaff.2023.01306 190593855 ppf: 732 ppct: 8 formats: tig: atl: Licensure Policies May Help States Ensure Access To Opioid Use Disorder Medication In Specialty Addiction Treatment. aug: au: Kennedy-Hendricks, Alene Song, Minna McCourt, Alexander D. Sharfstein, Joshua M. Eisenberg, Matthew D. Saloner, Brendan affil: Johns Hopkins University sug: subj: Licensure Health Policy Legislation and Jurisprudence Health Services Accessibility Substance Use Disorders Drug Therapy Substance Dependence Stakeholder Participation Psychosocial Factors Health Personnel Psychosocial Factors Attitude of Health Personnel Evaluation Implementation Science Treatment Outcomes Human Funding Source United States Qualitative Studies Semi-Structured Interview Thematic Analysis Focus Groups Questionnaires State Government Mental Health Services Buprenorphine Therapeutic Use Methadone Therapeutic Use Professional Practice, Evidence-Based Standards Medicaid Purposive Sample Snowball Sample Interview Guides Program Evaluation Descriptive Statistics Comparative Studies ab: Despite the devastating toll of the overdose crisis in the United States, many addiction treatment programs do not offer medications for opioid use disorder (MOUD). Several states have incorporated MOUD requirements into their standards for treatment program licensure. This study examined policy officials' and treatment providers' perspectives on the implementation of these policies. During 2020--22, we conducted thirty-one semistructured interviews with forty policy officials and treatment providers in nine states identified through a legal analysis. Of these states, three states required treatment organizations to offer MOUD, and two prohibited organizations from denying admission to people receiving MOUD. Qualitative findings revealed that licensure policies were part of a broader effort to transition the specialty treatment system to a model of care more consistent with medical evidence; states perceived tension between raising quality standards and maintaining adequate treatment capacity; aligning other state policies with MOUD access goals facilitated implementation of the licensure requirement; and measuring compliance was challenging. Licensure may offer states an opportunity to take a more active role in ensuring access to effective treatment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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