Publications by authors named "P Friedmann"
Background: Restrictive Medicaid policies regarding hepatitis C virus (HCV) treatment may exacerbate rural health care disparities for people who use drugs (PWUD). We assessed associations between Medicaid restrictions and HCV treatment among rural PWUD.
Methods: We compiled state-specific Medicaid treatment policies across 8 US rural sites in 10 states and merged these with participant survey data.
Article Synopsis
- The article discusses the challenges of implementing evidence-based innovations (EBIs) effectively, highlighting the mixed outcomes in previous implementation efforts.
- Researchers have developed the Implementation Strategy Integrity Framework (ISIF) to clarify how the deployment of implementation strategies (IS) affects the success of EBIs.
- The findings reveal four key areas to evaluate IS integrity: the rigor of implementation strategies, user responsiveness, mechanism activation, and the influence of inner and outer contextual factors on EBI outcomes.
Medication for Opioid Use Disorders (MOUD) Providers' Experiences with Recovery Courts: Qualitative Study of Individual and Systemic Factors Impacting Interagency Collaboration.
Subst Use Addctn J
December 2024
Article Synopsis
- - The study explores the challenges faced by community-based providers of medications for opioid use disorders (MOUD) when collaborating with recovery courts, which mandate treatment instead of incarceration but rely on outside resources for support.
- - Providers reported that a lack of knowledge about recovery courts, negative feelings toward the criminal justice system, and staffing shortages hinder effective collaboration, while complex communication requirements and unresponsive courts were common obstacles.
- - Despite these barriers, direct interactions with recovery court staff and shared goals of helping individuals in recovery were identified as key factors that could enhance collaboration and improve access to care.
Objectives: As carceral settings increasingly offer medications for opioid use disorders (MOUD), community-based providers will need to navigate relationships with correctional agencies to ensure continuity of MOUD upon release. Although collaboration has been identified as critical between agencies, limited research is available that details how providers can work with jails. We describe the perspectives of MOUD providers about their experiences collaborating with jails that had recently begun to offer MOUD.
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