Publications by authors named "J M Gaeta"
Background: The opioid overdose epidemic disproportionately impacts people experiencing homelessness. Outpatient-based opioid treatment (OBOT) programs have been established in homeless health care settings across the USA, but little is known about the success of these programs in engaging and retaining this highly marginalized patient population in addiction care.
Objective: To evaluate predictors of initial engagement and subsequent attendance in a homeless-tailored OBOT program.
Background: Homeless-tailored office-based opioid treatment (OBOT) programs have been developed to address the ongoing opioid overdose crisis, which disproportionately affects people experiencing homelessness. The objective of this study was to evaluate the facilitators of and barriers to retention in a homeless-tailored OBOT program.
Methods: We performed in-depth qualitative interviews with 24 homeless-experienced adults who newly enrolled in Boston Health Care for the Homeless Program's OBOT program from January 6, 2022 through January 5, 2023.
Article Synopsis
- People experiencing homelessness (PEH) have significantly higher mortality rates compared to the general population, but there is limited research on how these rates differ by age, gender, and race/ethnicity.
- A study conducted from 2003 to 2018 involving over 60,000 PEH in Boston found 7,130 deaths, showing that men, particularly older White men, had the highest all-cause mortality rates.
- Leading causes of death included drug overdose and suicide, with specific demographics facing unique risks; young PEH frequently faced suicide, while Black and Hispanic/Latinx PEH were more affected by HIV and homicide.
Mobile health clinics improve access to care for marginalized individuals who are disengaged from the healthcare system. This study evaluated the association between a mobile addiction health clinic and health care utilization among people experiencing homelessness. Using Medicaid claims data, we evaluated adults who were seen by a mobile addiction health clinic in Boston, Massachusetts from 1/16/18-1/15/19 relative to a propensity score matched control cohort.
View Article and Find Full Text PDFBackground: Women who use drugs face sexism and intersectional stigma that influence their drug use experiences and treatment needs. There is a need to build the capacity of addiction medicine specialists who can deliver gender-responsive services and advance research and policy in women-focused addiction care. We describe the development of a Women's Health track within an addiction medicine fellowship program and reflect on successes, challenges, and future directions.
View Article and Find Full Text PDF