Evidence map›Paper›PMID 38336265›Full record

ArticleJournal of substance use and addiction treatment2024

Statewide efforts to address the opioid epidemic: Results from a national survey of single state agencies.

Miguel Antonio G Estrada, Amanda J Abraham, Christina M Andrews, Colleen M Grogan

Open access · greenAbstract read
In one paragraph

Article in Journal of substance use and addiction treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 5 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

4 authors at 3 institutions in 1 country.

Miguel Antonio G EstradaDepartment of Public Administration and Policy, School of Public and International Affairs, University of Georgia, Athens, GA, USA. Electronic address: miguelantonio.estrada@uga.edu.
Amanda J AbrahamDepartment of Public Administration and Policy, School of Public and International Affairs, University of Georgia, Athens, GA, USA.
Christina M AndrewsArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Colleen M GroganCrown Family School of Social Work, Policy, and Practice, University of Chicago, Chicago, IL, USA.
University of Georgia · USUniversity of Chicago · USUniversity of South Carolina · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Technical Assistance CoreU2CDA050097 · NIDA · GEORGE MASON UNIVERSITY · PI Danielle Sheldon Rudes · 2019 to 2026
$37.0M
HEAL Accelerator: Leveraging Partnerships and Targeted Dissemination to Advance UptakeOT2OD034479 · OD · GEORGE MASON UNIVERSITY · PI TAXMAN, FAYE S · 2022 to 2023
$5.6M
Medicaid Managed Care Coverage and Utilization Management of Opioid Use Disorder TreatmentR01DA052425 · NIDA · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI ANDREWS, CHRISTINA MARIE, GROGAN, COLLEEN M. · 2021 to 2024
$2.5M
NCATS NIH HHS UL1 TR001863NIDA NIH HHS R01 DA052425NIDA NIH HHS U2C DA050097NIH HHS OT2 OD034479
6 · The paper itself

Abstract

backgroundSingle State Agencies (SSAs) are at the forefront of efforts to address the nation's opioid epidemic, responsible for allocating billions of dollars in federal, state, and local funds to ensure service quality, promote best practices, and expand access to care. Federal expenditures to SSAs have more than tripled since the early years of the epidemic, yet, it is unclear what initiatives SSAs have undertaken to address the crisis and how they are financing these efforts.

methodsThis study used data from an internet-based survey of SSAs, conducted by the University of Chicago Survey Lab from January to December 2021 (response rate of 94 %). The survey included a set of 14 items identifying statewide efforts to address the opioid epidemic and six funding sources. We calculated the percentage of SSAs that supported each statewide effort and the percentage of SSAs reporting use of each source of funding across the 14 statewide efforts.

resultsTreatment of opioid-related overdose figured most prominently among statewide efforts, with all SSAs providing funding for naloxone distribution and all but one SSA supporting naloxone training. Recovery support services, Project ECHO, and Hub and Spoke models were supported by the vast majority of SSAs. Statewide efforts related to expanding access to medications for opioid use disorder (MOUD) received somewhat less support, with 45 % of SSAs supporting mobile methadone/MOUD clinics/programs and 70 % supporting buprenorphine in emergency departments. A relatively low proportion of SSAs (54 %) provided support for syringe services programs. State Opioid Response (SOR) funds were the most common funding source reported by SSAs (57 % of SSAs), followed by block grant funds (19 %) and other state funding (15 %).

conclusionResults highlight a range of SSA efforts to address the nation's opioid epidemic. Limited adoption of efforts to expand access to MOUD and harm reduction services may represent missed opportunities. The uncertainty over reauthorization of the SOR grant post-2025 also raises concerns over sustainability of funding for many of these statewide initiatives.

Indexed as

Opioid EpidemicHumansNaloxoneNarcotic AntagonistsOpiate OverdoseOpioid-Related DisordersState GovernmentSurveys and QuestionnairesUnited StatesNaloxoneNarcotic AntagonistsHarm reductionMedicationsOpioid use disorderOverdosePublic fundsSingle state agencies

Identifiers

PMID38336265
PMCPMC11060908
OpenAlexW4391648568

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.