Publications by authors named "Terri L Schreiber"

Background: Opioid use disorder (OUD) is common among individuals who are incarcerated. However, OUD treatment services are sparse in smaller county jails found in many rural areas, which limits a healthy and supportive jail environment. This study assesses the facilitators of and barriers to medications for opioid use disorder (MOUD) adoption or expansion in rural Colorado jails.

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Background: Local governments on the front lines of the opioid epidemic often collaborate across organizations to achieve a more comprehensive opioid response. Collaboration is especially important in rural communities, which can lack capacity for addressing health crises, yet little is known about how local collaboration in opioid response relates to key outputs like treatment capacity.

Purpose: This cross-sectional study examined the association between local governments' interorganizational collaboration activity and agonist treatment capacity for opioid use disorder (OUD), and whether this association was stronger for rural than for metropolitan communities.

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: US local health departments (LHDs) have faced the COVID-19 pandemic and the opioid epidemic simultaneously. This article investigates the perceived impact of COVID-19 on the continuation of locally available services for addressing opioid use disorder (OUD). : A national survey of US LHDs was conducted from November to December 2020.

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Article Synopsis
  • This study examines the differences in opioid use disorder (OUD) prevention efforts between metropolitan and nonmetropolitan areas, highlighting a lack of systematic research in this area.
  • It involved surveying county governments in five states and comparing the implementation of 19 opioid-related policies and programs across various county classifications.
  • Results show that nonmetropolitan counties, especially noncore areas, have lower implementation rates for OUD activities compared to metropolitan counties, indicating a need for targeted support from federal and state governments to address these disparities.
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Context: Despite attention to federal and state governments' response to the US opioid crisis, few studies have systematically examined local governments' role in tackling this problem.

Objectives: To determine what opioid policy and programmatic activities local governments are implementing, which activities are more challenging and require a greater latent ability to implement, and what community, environmental, and institutional factors shape such ability.

Design: A cross-sectional survey and multistage sampling procedure.

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