Federal and State Regulatory Changes to Methadone Take-Home Doses: Impact of Sociostructural Factors

Original research
by
Wyatt, Janan P. et al

Release Date

2022

Geography

USA

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

We conducted three independent studies on the expanded take-home dose (THD) exemptions to assess implementation and impact on patients and providers in three geographically diverse opioid treatment program (OTP) settings.

Findings/Key points

Across all three studies, we observed how expanded access to THDs affected patient access to care. Furthermore, our notes and observations underscore the influence of structural factors in implementing exemptions across various treatment settings, geographical location, and patient populations. As we continue to face an ongoing public health crisis with both COVID-19 and increasing rates of drug overdose deaths, there is a need to maintain exemptions for THDs.

Design/methods

Three sites (Tennessee, California, Puerto Rico)

Keywords

Substitution/OAT
Carries/take-home doses
Policy/Regulatory
About prescribers
About PWUD
Legal system/law enforcement