Evidence map›Paper›PMID 42035887›Full record

ArticleJournal of substance use and addiction treatment2026

Demonstrating the potential for utilizing mobile methadone units to serve medically institutionalized populations in New York State.

Allison O'Rourke, Brendan Saloner, Kristianny Ruelas-Vargas, Noa Krawczyk, Ashly E Jordan, Gail Jette, Megan Miller, Minna Song, Samantha J Harris, David Frank and 2 more

Abstract read
In one paragraph

Article in Journal of substance use and addiction treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Allison O'RourkeDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, 02903, USA. Electronic address: Allison_ORourke@Brown.edu.
Brendan SalonerDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, 02903, USA.
Kristianny Ruelas-VargasDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, 02903, USA.
Noa KrawczykCenter for Opioid Epidemiology and Policy, Department of Population Health, NYU Grossman School of Medicine, New York, NY, 10016, USA.
Ashly E JordanNew York State Office of Addiction Services and Supports, 501 7th Avenue, New York, NY, 10018, USA.
Gail JetteNew York State Office of Addiction Services and Supports, 501 7th Avenue, New York, NY, 10018, USA.
Megan MillerCenter for Opioid Epidemiology and Policy, Department of Population Health, NYU Grossman School of Medicine, New York, NY, 10016, USA.
Minna SongDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, 02903, USA.
Samantha J HarrisDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
David FrankDepartment of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY, 10003, USA.
Jason B GibbonsDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Frank C CurrieroDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.

Funding

NY MOVES: Evaluating the Impact of New York’s Methadone Outreach VEhicleSR01DA063711 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Ashly Elizabeth Jordan, Noa Krawczyk · 2025 to 2026
$1.6M
Implementation of Mobile Medication Units for Patients with Opioid Use Disorder in New York.R21DA058117 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SALONER, BRENDAN K · 2023 to 2024
$450k
NIDA NIH HHS R01 DA063711NIDA NIH HHS R21 DA058117
6 · The paper itself

Abstract

introductionA 2021 federal rule permits opioid treatment programs (OTPs) to provide methadone through mobile medication units (MMUs), creating an opportunity to provide medication for people in residential care facilities. We used simulations to quantify the potential of MMUs to expand methadone access to people residing in residential substance use treatment facilities (RTF), skilled nursing facilities (SNF), and nursing facilities (NF) in New York State under different scenarios.

methodsFor each facility (RTF, SNF, and NF), a need score was created using three items: facility opioid use disorder (OUD) population, driving distance to nearest OTP, and county overdose mortality rate. We then demonstrated potential patient reach following the launch of 50 hypothetical MMUs making one stop per day to the highest need facilities. In refinements, we examined three additional scenarios involving more daily stops and prioritizing rural areas.

resultsOur sample included 3214 people with OUD estimated to be housed in 1052 facilities in New York, with the majority in RTFs (51.5%). The demonstrated percentage of OUD population served ranged from 23.5% to 35.8%, and the percentage of facilities served ranged from 23.8% to 37.4%. Each scenario reached a large percentage of rural facilities (73-76%). Prioritizing rural facilities decreased the proportion of OUD population served (10% reduction) but did not substantially increase driving time. Allowing multiple stops increased the proportion of OUD population served (32-36% vs. 24-26%).

conclusionsUsing methods based on location information and spatial relationships, state officials can develop priorities and assess tradeoffs of MMU deployment and distribution strategies.

Indexed as

Health Services AccessibilityMethadoneMobile Health UnitsNursing HomesOpiate Substitution TreatmentOpioid-Related DisordersSkilled Nursing FacilitiesSubstance Abuse Treatment CentersDrug DispensariesHumansNew YorkMethadoneMethadoneOpioid treatment programOpioid use disorderResidential care facilitiesSpatial information

Identifiers

PMID42035887
PMCPMC13446212

What OpenQuestion holds

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Registered trials

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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.