RESUMO
Effective treatment of opioid use disorder (OUD) must target both the medical and psychosocial aspects of a patient's condition. This, in turn, requires a collaboration between medical providers and social supports. We would like to illustrate a key difficulty in this collaboration for some patients in our country: many post-discharge recovery houses continue to refuse to allow patients to remain on medication treatment for OUD (M-OUD). This barrier to M-OUD access in recovery houses is a significant obstacle to effective OUD treatment.
Assuntos
Casas para Recuperação/tendências , Cobertura do Seguro/tendências , Colaboração Intersetorial , Transtornos Relacionados com Narcóticos/reabilitação , Alta do Paciente/tendências , Buprenorfina/uso terapêutico , Análise Custo-Benefício/economia , Análise Custo-Benefício/tendências , Casas para Recuperação/economia , Necessidades e Demandas de Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde/tendências , Pessoas Mal Alojadas/estatística & dados numéricos , Humanos , Cobertura do Seguro/economia , Transtornos Relacionados com Narcóticos/economia , Alta do Paciente/economia , TennesseeRESUMO
Our ethnographic study on help-seeking pathways of Latino immigrants in northern California reveals that they turn to anexos in their treatment and recovery quest. Anexos are linguistically- and culturally-specific recovery houses with origins in Mexico and Alcoholics Anonymous and a long history in Latino communities across the United States. Drawing on the findings of our study, we characterize the anexos and compare them to other recovery residences using National Alliance for Recovery Residences (NARR) criteria. The description and comparison reveal that anexos cannot be placed into a single NARR residence category. We discuss why this is the case.