Publications by authors named "J D Eveland"

Article Synopsis
  • - Long-acting antiretrovirals (LA-ART and LA-PrEP) could significantly help people who use drugs and those experiencing homelessness in managing HIV, as these groups often struggle with the daily routine of oral therapy due to various barriers.
  • - A study conducted at the Maria X. Martinez Health Resource Center in San Francisco, which focuses on low-barrier access, showed that out of 33 patients receiving LA-ART or LA-PrEP, most achieved viral suppression or maintained their HIV-negative status over the first 24 months.
  • - The success of this program demonstrates that providing LA antiretrovirals in supportive community settings is feasible and highlights the need for similar initiatives to combat the HIV epidemic among vulnerable populations.
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The COVID-19 crisis presents new challenges and opportunities in managing alcohol use disorders, particularly for people unable to shelter in place due to homelessness or other reasons. Requiring abstinence for shelter engagement is impractical for many with severe alcohol use disorders and poses a modifiable barrier to self-isolation orders. Managed alcohol programs (MAPs) have successfully increased housing adherence for those with physical alcohol dependence in Canada, but to our knowledge, they have not been implemented in the United States.

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Background: COVID-19 has exacerbated income inequality, structural racism, and social isolation-issues that drive addiction and have previously manifested in the epidemic of opioid-associated overdose. The co-existence of these epidemics has necessitated care practice changes, including the use of telehealth-based encounters for the diagnosis and management of opioid use disorder (OUD).

Methods: We describe the development of the "Addiction Telehealth Program" (ATP), a telephone-based program to reduce treatment access barriers for people with substance use disorders staying at San Francisco's COVID-19 Isolation and Quarantine (I&Q) sites.

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Importance: Several jurisdictions in the United States have secured hotels to temporarily house people experiencing homelessness who require isolation or quarantine for confirmed or suspected coronavirus disease 2019 (COVID-19). To our knowledge, little is known about how these programs serve this vulnerable population outside the hospital setting.

Objective: To assess the safety of a hotel-based isolation and quarantine (I/Q) care system and its association with inpatient hospital capacity.

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