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Addressing Disparities in Opioid Use Disorder Trea ...
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This document discusses the disparities in opioid use disorder (OUD) treatment among individuals experiencing homelessness. It highlights the high rates of drug overdose and mortality among this population, with opioids being the leading cause of death. Factors such as chronic infections, unemployment, incarceration, depression, and anxiety contribute to the additional risks associated with opioid use among people experiencing homelessness.<br /><br />The document emphasizes the importance of OUD treatment for individuals experiencing homelessness and highlights the benefits of outpatient-based treatment, such as medication for opioid use disorder (MOUD), for this population. However, it also notes the challenges and barriers faced by individuals in accessing treatment, including limited treatment beds, transportation issues, treatment disruption, and medication theft.<br /><br />The document suggests potential interventions to improve access to OUD treatment for this population, including low-threshold buprenorphine treatment, mobile OUD treatment, shelter-based treatment programs, and collaborations with faith organizations. It also discusses the Housing First model, which provides unconditional and permanent housing to individuals experiencing homelessness, and its positive impact on treatment retention and housing stability.<br /><br />The document emphasizes the need for research to better understand the effects of interventions on overdose rates, quality of life, housing, and mental health outcomes among individuals experiencing homelessness. It also calls for policy changes to address inequities in health and housing opportunities and improve access to care.<br /><br />Overall, addressing the disparities in OUD treatment among individuals experiencing homelessness requires a collaborative approach involving healthcare providers, policymakers, and community stakeholders.
Keywords
opioid use disorder
homelessness
drug overdose
mortality
chronic infections
unemployment
incarceration
depression
anxiety
outpatient-based treatment
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