TY - JOUR
KW - Delivery of Health Care/utilization
KW - Drug Utilization
KW - Health Services/utilization
KW - HIV Infections/drug therapy/prevention & control
KW - Humans
KW - infectious diseases
KW - medical care
KW - medication assisted treatment
KW - Models, Theoretical
KW - opioid abuse
KW - opioid dependence
KW - Opioid-Related Disorders/drug therapy/etiology/prevention & control
KW - Public Health/standards
KW - Recovery
KW - United States
AU - T. F. Kresina
AU - R. Lubran
A1 - 
AB - Providing access to and utilization of medication assisted treatment (MAT) for the treatment of opioid abuse and dependence provides an important opportunity to improve public health. Access to health services comprising MAT in the community is fundamental to achieve broad service coverage. The type and placement of the health services comprising MAT and integration with primary medical care including human immunodeficiency virus (HIV) prevention, care and treatment services are optimal for addressing both substance abuse and co-occurring infectious diseases. As an HIV prevention intervention, integrated (same medical record for HIV services and MAT services) MAT with HIV prevention, care and treatment programs provides the best "one stop shopping" approach for health service utilization. Alternatively, MAT, medical and HIV services can be separately managed but co-located to allow convenient utilization of primary care, MAT and HIV services. A third approach is coordinated care and treatment, where primary care, MAT and HIV services are provided at distinct locations and case managers, peer facilitators, or others promote direct service utilization at the various locations. Developing a continuum of care for patients with opioid dependence throughout the stages MAT enhances the public health and Recovery from opioid dependence. As a stigmatized and medical disenfranchised population with multiple medical, psychological and social needs, people who inject drugs and are opioid dependent have difficulty accessing services and navigating medical systems of coordinated care. MAT programs that offer comprehensive services and medical care options can best contribute to improving the health of these individuals thereby enhancing the health of the community.
BT - International journal of environmental research and public health
C5 - Opioids & Substance Use
CP - 10
CY - Switzerland
DO - 10.3390/ijerph8104102
IS - 10
JF - International journal of environmental research and public health
N2 - Providing access to and utilization of medication assisted treatment (MAT) for the treatment of opioid abuse and dependence provides an important opportunity to improve public health. Access to health services comprising MAT in the community is fundamental to achieve broad service coverage. The type and placement of the health services comprising MAT and integration with primary medical care including human immunodeficiency virus (HIV) prevention, care and treatment services are optimal for addressing both substance abuse and co-occurring infectious diseases. As an HIV prevention intervention, integrated (same medical record for HIV services and MAT services) MAT with HIV prevention, care and treatment programs provides the best "one stop shopping" approach for health service utilization. Alternatively, MAT, medical and HIV services can be separately managed but co-located to allow convenient utilization of primary care, MAT and HIV services. A third approach is coordinated care and treatment, where primary care, MAT and HIV services are provided at distinct locations and case managers, peer facilitators, or others promote direct service utilization at the various locations. Developing a continuum of care for patients with opioid dependence throughout the stages MAT enhances the public health and Recovery from opioid dependence. As a stigmatized and medical disenfranchised population with multiple medical, psychological and social needs, people who inject drugs and are opioid dependent have difficulty accessing services and navigating medical systems of coordinated care. MAT programs that offer comprehensive services and medical care options can best contribute to improving the health of these individuals thereby enhancing the health of the community.
PP - Switzerland
PY - 2011
SN - 1660-4601; 1660-4601
SP - 4102
EP - 4117
EP - 
T1 - Improving public health through access to and utilization of medication assisted treatment
T2 - International journal of environmental research and public health
TI - Improving public health through access to and utilization of medication assisted treatment
U1 - Opioids & Substance Use
U2 - 22073031
U3 - 10.3390/ijerph8104102
VL - 8
VO - 1660-4601; 1660-4601
Y1 - 2011
ER -