ArticleJournal of substance abuse treatment2021
Substance use treatment in Appalachian Tennessee amid COVID-19: Challenges and preparing for the future.
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 21 papers.
What it found
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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.
The trial behind it
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Who cites it
21 citing papers in PubMed, 34 citations in OpenAlex.
- Experiences of People Who Use Drugs in Rural Southeastern Ohio During the COVID-19 Pandemic: Harm Reduction, Substance Use Treatment, and Trusted Information Sources.Journal of studies on alcohol and drugs · 2026Article
- Barriers to Recovery from Opioid Use Disorder Reported by Women During 2020: Insights for the Next Public Health Emergency.International journal of environmental research and public health · 2026Article
- Factors Related to the Health of Ethnic Hispanic Children in the United States: Application of Multiple Disadvantage Model.Journal of racial and ethnic health disparities · 2026Article
- Factors in the Mental Health of Children from Low-Income Families in the United States: An Application of the Multiple Disadvantage Model.European journal of investigation in health, psychology and education · 2025Article
- Impact of COVID-19 on MOUD retention in a sample of rural primary care patients: A secondary analysis of electronic health records.Drug and alcohol dependence reports · 2024Article
- Rural and urban clinician views on COVID-19's impact on substance use treatment for individuals on community supervision in Kentucky.Health & justice · 2024Article
- Lessons for future pandemics: Temporal evolution and rural-urban variations in the impacts of the COVID-19 on opioid use treatment.PloS one · 2024Article
- A Causal Analysis of Young Adults' Binge Drinking Reduction and Cessation.European journal of investigation in health, psychology and education · 2023Article
- A qualitative study of people who use methamphetamine during the early COVID-19 pandemic to inform future ED harm reduction strategies.International journal of emergency medicine · 2023Article
- Impact of the COVID-19 pandemic on burnout and perceived workplace quality among addiction treatment providers.Addiction science & clinical practice · 2023Article
- Substance Use Disorder Treatment Programs during a Health Crisis: Response to the COVID-19 Pandemic and Future Implications.Substance use & misuse · 2023Article
- Telemedicine along the cascade of care for substance use disorders during the COVID-19 pandemic in the United States.Drug and alcohol dependence · 2023Review
- Testing the Multiple Disadvantage Model of Health with Ethnic Asian Children: A Secondary Data Analysis.International journal of environmental research and public health · 2022Article
- A district-level vulnerability assessment of next COVID-19 variant (Omicron BA.2) in Uttarakhand using quantitative SWOT analysis.Environment, development and sustainability · 2022Article
- Impacts of the COVID-19 Pandemic on a Rural Opioid Support Services Program.International journal of environmental research and public health · 2022Article
- Insurance barriers to substance use disorder treatment after passage of mental health and addiction parity laws and the affordable care act: A qualitative analysis.Drug and alcohol dependence reports · 2022Article
- Structural Adaptations to Methadone Maintenance Treatment and Take-Home Dosing for Opioid Use Disorder in the Era of COVID-19.American journal of public health · 2022Article
- Understanding the Effect of the COVID-19 Pandemic on Substance Use Disorder Treatment Facility Operations and Patient Success: Evidence From Mississippi.Substance abuse : research and treatment · 2022Article
- Strategies Adopted by Addiction Facilities during the Coronavirus Pandemic to Support Treatment for Individuals in Recovery or Struggling with a Substance Use Disorder: A Scoping Review.International journal of environmental research and public health · 2021Article
- COVID-19 Experiences, Behaviors, Beliefs, and Well-Being Among Students and Employees at a University In Rural Appalachia: A Cross-Sectional Study.Journal of Appalachian health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The COVID-19 pandemic created a number of rapidly emerging and unprecedented challenges for those engaged in substance use disorder (SUD) treatment, forcing service providers to improvise their treatment strategies as the crisis deepened. Drawing from five ongoing federally funded SUD projects in Appalachian Tennessee and hundreds of hours of meetings and interviews, this article explores the pandemic's impact on an already structurally disadvantaged region, its recovery community, and those who serve it. More specifically, we note detrimental effects of increased isolation since the implementation of COVID-19 safety measures, including stakeholders' reports of higher incidences of relapse, overdose, and deaths in the SUD population. Treatment providers have responded with telehealth services, but faced barriers in technology access and computer literacy among clients. Providers have also had to restrict new clients to accommodate social distancing, faced delays in health screening those they can accept, and denied family visitations, which has affected retention. In light of these challenges, several promising lessons for the future emerged--such as preparing for an influx of new and returning clients in need of SUD treatment; making arrangements for long-term housing and facility modification; developing a hybrid care delivery model, taking advantage of new regulations enabling telemedicine; budgeting for and storing personal protective equipment (PPE) and related supplies; and developing disaster protocols to withstand threats to intake, retention, and financial solvency.
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Registered trials
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.