Publications by authors named "Shivani Nishar"
Article Synopsis
- Referrals for skilled nursing facilities (SNFs) for people with opioid use disorder (OUD) are increasing, with legal guidance emphasizing that these individuals cannot face discrimination in healthcare settings due to their condition or treatment, which highlights the need for proper access to medication for OUD (MOUD).
- The commentary discusses policies to improve access to MOUD in SNFs, including potential changes to regulations allowing these facilities to administer methadone similarly to hospitals, and advocates for funding mobile substance use services and partnerships with opioid treatment programs (OTPs).
- It stresses the importance of preparing SNFs to provide continued MOUD for patients, given the rising rates of drug-related overdoses among older
Despite growing research on peer recovery specialists and community health workers (CHWs) in fields such as substance use disorder (SUD) treatment and recovery support, their workplace experiences are little understood. Through semi-structured interviews with 21 CHWs and peer recovery specialists working within substance use disorder treatment and/or traditional health care settings, we identified six prevalent themes: Benefits/Pleasures of the Role; Reciprocity; Challenges; Duality of Lived Experience; Relationships with Medical Professionals and Supervisors; and Defining Metrics. These themes reveal a complex narrative of system failures, organizational hierarchies, and experiential realities in which shared experiences and personal connections with clients undergird both positive and negative aspects of the role.
View Article and Find Full Text PDFImportance: Skilled nursing facilities (SNFs) are being referred more individuals with opioid use disorder (OUD), even when their medical needs are not directly associated with OUD.
Objective: To characterize factors that influence SNF admission for individuals with OUD and identify strategies for providing medications for OUD (MOUD) in SNFs.
Design, Setting, And Participants: In this semistructured qualitative study, interviews were conducted with SNF administrators from 27 SNFs in Rhode Island from November 5, 2021, to April 27, 2022.
Background: This qualitative study seeks to understand how formerly incarcerated individuals in Rhode Island conceptualize their mental health and perceive obstacles to accessing and utilizing mental health services following recent incarceration.
Methods: We conducted in-depth semi-structured interviews from 2021 to 2022 with 25 people who had been released from incarceration within the past five years. We identified participants using voluntary response and purposive sampling.