TY - JOUR
T1 - Organizational Facilitators and Barriers to Medication for Opioid Use Disorder Capacity Expansion and Use
AU - Jacobson, Nora
AU - Horst, Julie
AU - Wilcox-Warren, Liam
AU - Toy, Alex
AU - Knudsen, Hannah K.
AU - Brown, Randy
AU - Haram, Eric
AU - Madden, Lynn
AU - Molfenter, Todd
N1 - Publisher Copyright:
© 2020, National Council for Behavioral Health.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Medication for opioid use disorder (MOUD) is a key strategy for addressing the opioid use disorder crisis, yet gaps in MOUD provision impede this strategy’s benefits. The research reported here sought to understand what distinguishes low- and high-performing organizations in building and using capacity to provide MOUD. As part of a mixed methods MOUD implementation trial, semi-structured telephone interviews were conducted with personnel from low- and high-performing MOUD-providing organizations. Seventeen individuals from 17 organizations were interviewed. Findings demonstrate the importance of individual, organization, and community-level factors in supporting the building and use of MOUD capacity. Low- and high-performing organizations showed different patterns of facilitators and barriers during the implementation process. The key difference between low- and high-performing organizations was the level of organizational functioning. A better understanding of an organization’s assets and deficits at the individual, organizational, and community levels would allow decision-makers to tailor their approaches to MOUD implementation.
AB - Medication for opioid use disorder (MOUD) is a key strategy for addressing the opioid use disorder crisis, yet gaps in MOUD provision impede this strategy’s benefits. The research reported here sought to understand what distinguishes low- and high-performing organizations in building and using capacity to provide MOUD. As part of a mixed methods MOUD implementation trial, semi-structured telephone interviews were conducted with personnel from low- and high-performing MOUD-providing organizations. Seventeen individuals from 17 organizations were interviewed. Findings demonstrate the importance of individual, organization, and community-level factors in supporting the building and use of MOUD capacity. Low- and high-performing organizations showed different patterns of facilitators and barriers during the implementation process. The key difference between low- and high-performing organizations was the level of organizational functioning. A better understanding of an organization’s assets and deficits at the individual, organizational, and community levels would allow decision-makers to tailor their approaches to MOUD implementation.
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U2 - 10.1007/s11414-020-09706-4
DO - 10.1007/s11414-020-09706-4
M3 - Article
C2 - 32347426
AN - SCOPUS:85083995528
SN - 1094-3412
VL - 47
SP - 439
EP - 448
JO - Journal of Behavioral Health Services and Research
JF - Journal of Behavioral Health Services and Research
IS - 4
ER -