Evidence map›Paper›PMID 33375986›Full record

ArticleJournal of substance abuse treatment2021

Impacts of COVID-19 on residential treatment programs for substance use disorder.

Anna Pagano, Sindhu Hosakote, Kwinoja Kapiteni, Elana R Straus, Jessie Wong, Joseph R Guydish

Open access · bronzeAbstract 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
11.6field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 69 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

6 authors at 1 institution in 1 country.

Anna PaganoInstitute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94118, United States of America. Electronic address: Anna.Pagano@ucsf.edu.
Sindhu HosakoteInstitute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94118, United States of America.
Kwinoja KapiteniInstitute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94118, United States of America.
Elana R StrausInstitute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94118, United States of America.
Jessie WongInstitute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94118, United States of America.
Joseph R GuydishInstitute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94118, United States of America.
University of California, San Francisco · US

Funding

Translational InformaticsP30CA082103 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alan Ashworth · 1999 to 2026
$209.7M
NCI NIH HHS P30 CA082103
6 · The paper itself

Abstract

introductionThe COVID-19 pandemic may present special challenges for residential substance use disorder (SUD) treatment facilities, which may lack infrastructure and support to implement infection control protocols while maintaining on-site treatment services. However, little is known about how residential SUD treatment programs are impacted by the COVID-19 pandemic.

methodsThe research team conducted semi-structured interviews with 17 directors of 20 residential SUD treatment programs across California during the state's shelter-in-place order. The researchers then analyzed qualitative interview data thematically and coded them using ATLAS.ti software.

findingsThematic analyses identified six major themes: program-level impacts, staff impacts, client impacts, use of telehealth, program needs, and positive effects. "Program-level impacts" were decreased revenue from diminished client censuses and insufficient resources to implement infection control measures. "Staff impacts" included layoffs, furloughs, and increased physical and emotional fatigue. "Client impacts" were delayed treatment initiation; receipt of fewer services while in treatment; lower retention; and economic and psychosocial barriers to community re-entry. "Use of telehealth" included technical and interpersonal challenges associated with telehealth visits. "Program needs" were personal protective equipment (PPE), stimulus funding, hazard pay, and consistent public health guidance. "Positive effects" of the pandemic response included increased attention to hygiene and health, telehealth expansion, operational improvements, and official recognition of SUD treatment as an essential health care service.

conclusionStudy findings highlight COVID-related threats to the survival of residential SUD treatment programs; retention of the SUD treatment workforce; and clients' SUD treatment outcomes. These findings also identify opportunities to improve SUD service delivery and suggest avenues of support for residential SUD treatment facilities during and after the COVID-19 pandemic.

Indexed as

Attitude of Health PersonnelCOVID-19Program EvaluationResidential TreatmentSARS-CoV-2CaliforniaFemaleHumansInterviews as TopicMaleMiddle AgedSubstance-Related DisordersCOVID-19DisasterPandemicResidentialSubstance use disorderTreatment

Identifiers

PMID33375986
PMCPMC7953585
OpenAlexW3112391356

What OpenQuestion holds

Textmetadata
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.