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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
This article focuses on post-pandemic treatment for individuals with substance use disorder. Specifically, this article identifies seven pillars to improve treatment for individuals with substance use disorders in the wake of the COVID-19 pandemic: (1) telemedicine and digital solutions, (2) hospitalization at home, (3) consultation-liaison psychiatric and addiction services, (4) harm-reduction facilities, (5) person-centered care, (6) promote paid work to improve quality of life in people with substance use disorders, and (7) integrated addiction care. The three “best buys” of the World Health Organization (reduce availability, increase prices, and a ban on advertising) are still valid. Additionally, new strategies must be implemented to systematically deal with (a) fake news concerning legal and illegal drugs and (b) controversial scientific information.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
This article describes the Rhode Island Buprenorphine Hotline, a “tele-bridge” clinic where patients undergo screening and, if appropriate, are prescribed buprenorphine for induction. This is a new model enabled by changes in federal guidance in response to the COVID-19 pandemic. Evaluation of the hotline is ongoing, but initial reception among hotline users and providers is positive. The practice strategy this article is focused on is promoting access to medication assisted treatment for individuals with opioid use disorder during the COVID-19 pandemic.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Commentary
This article describes strategies used to mitigate the impact of the COVID-19 pandemic on patients enrolled in a clinical trial providing patient navigation to pregnant mothers with opioid use disorder (OUD). The practice strategy this article is focused on is mitigating the effects of the pandemic on pregnant women with OUD, particularly those also experiencing intimate partner violence.