Evidence map›Paper›PMID 34890927›Full record

ArticleDrug and alcohol dependence2022

Utilizing telemedicine during COVID-19 pandemic for a low-threshold, street-based buprenorphine program.

Robert Harris, Amanda Rosecrans, Meredith Zoltick, Catherine Willman, Ronald Saxton, Margaret Cotterell, Joy Bell, Ingrid Blackwell, Kathleen R Page

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Trial
  2. The Drug Market's Impact on the Overdose Risk Environment for Women Who Use Drugs During the COVID-19 Pandemic.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  3. Mobile addiction treatment units: a narrative review.Addiction science & clinical practice · 2025
    Review
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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.

Robert HarrisJohns Hopkins University School of Medicine, Baltimore, MD, USA; Baltimore City Health Department, Baltimore, MD, USA. Electronic address: rharr103@jhmi.edu.
Amanda RosecransJohns Hopkins University School of Medicine, Baltimore, MD, USA; Baltimore City Health Department, Baltimore, MD, USA.
Meredith ZoltickJohns Hopkins University School of Medicine, Baltimore, MD, USA; Baltimore City Health Department, Baltimore, MD, USA.
Catherine WillmanJohns Hopkins University School of Medicine, Baltimore, MD, USA; Baltimore City Health Department, Baltimore, MD, USA.
Ronald SaxtonJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Margaret CotterellJohns Hopkins University School of Medicine, Baltimore, MD, USA; Baltimore City Health Department, Baltimore, MD, USA.
Joy BellJohns Hopkins University School of Medicine, Baltimore, MD, USA; Baltimore City Health Department, Baltimore, MD, USA.
Ingrid BlackwellJohns Hopkins University School of Medicine, Baltimore, MD, USA; Baltimore City Health Department, Baltimore, MD, USA.
Kathleen R PageJohns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

Juntos (Together): A community led approach to enhance to Covid-19 testing among vulnerable LatinosR01DA045556 · NIDA · JOHNS HOPKINS UNIVERSITY · PI LUCAS, GREGORY M, PAGE, KATHLEEN R · 2017 to 2022
$6.8M
Treatment outcomes and comorbidity in HIV-infected IDUK24DA035684 · NIDA · JOHNS HOPKINS UNIVERSITY · PI LUCAS, GREGORY M · 2014 to 2024
$1.5M
NIDA NIH HHS K24 DA035684NIDA NIH HHS R01 DA045556
6 · The paper itself

Abstract

backgroundChanges in federal policy during the COVID-19 pandemic allowing for the use of telemedicine to treat opioid use disorder (OUD) have facilitated innovative strategies to engage and retain people in treatment. Since 2018, the Baltimore City Health Department has operated a mobile street medicine program called Healthcare on The Spot (The Spot) that provides treatment for OUD and infectious diseases. This study describes the transition of The Spot's buprenorphine service to telemedicine during the COVID-19 pandemic and one year treatment retention.

methodsPatients actively engaged in care at the time of transition to telemedicine and patients newly engaged in buprenorphine services through telemedicine were included in this descriptive analysis and assessed at one year for retention.

resultsFrom March 16, 2020 to March 15, 2021, The Spot provided voice-only buprenorphine treatment services to 150 patients, 70.7% (n = 106) male and 80.0% (n = 120) Black; 131 were patients who transitioned from in person services and 19 were newly engaged via telemedicine. 80.7% (n = 121) of patients remained engaged in treatment at one year, 16.0% (n = 24) were lost to follow-up, and 3.3% (n = 5) were deceased. Patients newly engaged via telemedicine were more likely to be female and white than those retained from in person services.

conclusionThe Spot's transition of patients from a street medicine program to telemedicine during the COVID-19 pandemic has implications for future practice. Increased flexibility of service delivery, extended prescription length, and decreased UDT likely contributed to high retention rates and should inform the future structure of low-threshold buprenorphine programs.

Indexed as

BuprenorphineCOVID-19Opioid-Related DisordersTelemedicineFemaleHumansMaleOpiate Substitution TreatmentPandemicsSARS-CoV-2BuprenorphineBuprenorphineLow-thresholdMobileOpioid use disorderRetentionTelemedicine

Identifiers

PMID34890927
PMCPMC8619879

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.