Evidence map›Paper›PMID 33298303›Full record

ArticleJournal of substance abuse treatment2021

It's not just the money: The role of treatment ideology in publicly funded substance use disorder treatment.

Rebecca E Stewart, Courtney Benjamin Wolk, Geoffrey Neimark, Ridhi Vyas, Jordyn Young, Chris Tjoa, Kyle Kampman, David T Jones, David S Mandell

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Rebecca E StewartDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. Electronic address: restewar@upenn.edu.
Courtney Benjamin WolkDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Geoffrey NeimarkCommunity Care Behavioral Health, Pittsburgh, PA, USA.
Ridhi VyasDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Jordyn YoungDepartment of Psychology, University of Pennsylvania, Philadelphia, PA, USA.
Chris TjoaCommunity Behavioral Health, Philadelphia, PA, USA.
Kyle KampmanDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
David T JonesDepartment of Behavioral Health and Intellectual disAbility Services, Philadelphia, PA, USA.
David S MandellDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
University of Pennsylvania · USCommunity Care · US

Funding

Increasing the uptake of medication-assisted treatment for opioid use disorderK23DA048167 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI STEWART, REBECCA E · 2019 to 2023
$975k
NIDA NIH HHS K23 DA048167
6 · The paper itself

Abstract

Medications for opioid use disorder (MOUD) are a first-line treatment for opioid use disorder, yet national surveys indicate that most substance use treatment facilities do not offer MOUD. This article presents the results of a qualitative analysis of interviews with leaders from 25 treatment organizations in Philadelphia, Pennsylvania, that investigated attitudes and barriers toward MOUD. Most treatment organizations that we interviewed are adopting at least one MOUD, suggesting that Philadelphia exceeds the national average of organizations with MOUD capacity. Leaders indicated that both practical resources and ideological barriers thwart adoption and implementation of MOUD in publicly funded substance use disorder treatment agencies. Organizations that had recently adopted MOUDs revealed facilitators to MOUD adoption, such as strong leadership that champions the implementation to staff and redefining recovery from substance use disorders throughout the organization. This study's findings highlight that clients, clinicians, and leadership need to address both practical and ideological barriers to expanding MOUD use.

Indexed as

Opioid-Related DisordersHumansOpiate Substitution TreatmentPennsylvaniaMOUDNonadopterOpioid use disorderPublicly funded treatmentTreatment facility

Identifiers

PMID33298303
PMCPMC7808060
OpenAlexW3093852794

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.