TY - JOUR AU - D. S. Quiñones AU - K. Melin AU - L. Roman AU - F. Rodriguez AU - J. Alvarado AU - C. E. Rodríguez-Díaz A1 - AB - : Opioid use disorder (OUD) is an unprecedented medical and public health issue both in Puerto Rico (PR) and the greater US with an increase incidence of opioid use every year. Unprecedented and compounded emergencies in PR such as those caused by hurricanes, earthquakes, and the COVID-19 pandemic coupled with limited national and local governmental support, has forced most clinics in PR to take action to be able to continue providing care. This commentary summarizes the leadership and clinical initiatives of 3 community organizations in PR to maintain services for people with OUD during the COVID-19 pandemic. Local legislation that supported the continuity of OUD care is summarized, along with unique experiences specific to each organization. In addition, the vulnerability of economically disadvantaged people or experiencing homelessness as well as those affected by these compounded events in PR is discussed, with an emphasis on how some challenges were addressed and future directions for continuity of care as our country adjusts to new demands caused by the COVID-19 pandemic. AD - School of Pharmacy, Medical Sciences Campus, University of Puerto Rico, San Juan, PR (DSQ); School of Pharmacy, Medical Sciences Campus, University of Puerto Rico, San Juan, PR (KM); SANOS Corporation, Buprenorphine Treatment Clinic, Caguas, PR (LR); Coalición de Coaliciones, Ponce, PR (FR); Pitirre Iniciativa Comunitaria, San Juan, PR (JA); Community-Oriented Primary Care Program, Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC (CER); Social Sciences Department, School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR (CER). BT - Journal of addiction medicine C5 - Education & Workforce; Healthcare Disparities; Healthcare Policy; Opioids & Substance Use CY - United States DO - 10.1097/ADM.0000000000000764 JF - Journal of addiction medicine LA - eng M1 - Journal Article N2 - : Opioid use disorder (OUD) is an unprecedented medical and public health issue both in Puerto Rico (PR) and the greater US with an increase incidence of opioid use every year. Unprecedented and compounded emergencies in PR such as those caused by hurricanes, earthquakes, and the COVID-19 pandemic coupled with limited national and local governmental support, has forced most clinics in PR to take action to be able to continue providing care. This commentary summarizes the leadership and clinical initiatives of 3 community organizations in PR to maintain services for people with OUD during the COVID-19 pandemic. Local legislation that supported the continuity of OUD care is summarized, along with unique experiences specific to each organization. In addition, the vulnerability of economically disadvantaged people or experiencing homelessness as well as those affected by these compounded events in PR is discussed, with an emphasis on how some challenges were addressed and future directions for continuity of care as our country adjusts to new demands caused by the COVID-19 pandemic. PP - United States PY - 2020 SN - 1935-3227; 1932-0620 T1 - Treating Opioid Use Disorder in Puerto Rico During the COVID-19 Pandemic: Providers' Leadership Efforts in Unprecedented Times T2 - Journal of addiction medicine TI - Treating Opioid Use Disorder in Puerto Rico During the COVID-19 Pandemic: Providers' Leadership Efforts in Unprecedented Times U1 - Education & Workforce; Healthcare Disparities; Healthcare Policy; Opioids & Substance Use U2 - 33229933 U3 - 10.1097/ADM.0000000000000764 VO - 1935-3227; 1932-0620 Y1 - 2020 Y2 - Nov 20 ER -