April 25, 2024Open Access

“It didn’t hurt me”: patients’ and providers’ perspectives on unsupervised take-home doses, drug diversion, and overdose risks in the provision of medication for opioid use disorder during COVID-19 in San Juan, Puerto Rico

RARoberto AbadieUniversity of Wisconsin–Madison CFCelia B. FisherFordham University

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Abstract

During the COVID-19 pandemic, clinics offering medication for opioid use disorder (MOUD) needed to rapidly introduce unsupervised take-home dosing, while relapsing patients and patients unable to enter treatment faced increased risks of fentanyl-related overdose deaths and other drug-related harms. Based on a qualitative study of people who inject drugs (PWID) receiving MOUD treatment and MOUD staff in Puerto Rico, this paper documents the lived experiences of patients and providers during this period and the risk perceptions and management strategies to address substance misuse and drug diversion attributable to unsupervised take-home-dose delivery.

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Abadie et al. (Thu,) studied this question.

synapsesocial.com/papers/68e6d978b6db643587655c4d https://doi.org/https://doi.org/10.1186/s12954-024-01006-w

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