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- W3018287620 abstract "IntroductionThe opioid use crisis has left nearly 1 million people in need of treatment. States have focused primarily on policies aimed at decreasing the prevalence of opioid use disorder. However, opioid treatment programs (OTPs), an evidence-based modality which can prevent and decrease opioid-related mortality and morbidity, remain highly complex with variation in treatment by state. Evidence-based state-level regulation of OTPs can be a powerful tool and may help improve the unmet need for treatment. This study characterized the variability in state laws that regulate OTPs and examines how this variability is associated with state characteristics. Our data provides an opportunity for policymakers to consider regulations that increase access to care and retention in OTPs, which could improve population health.Materials and methodsUtilizing policy mapping techniques, we identified all regulations governing OTPs in effect on January 1, 2017 and determined whether the most common regulations were consistent with best practices. We then examined how the number and type of regulations were associated with state characteristics. All policy mapping research was conducted between November 2017 and March 2019.ResultsWe identified 89 different regulations, the most common of which exists in fewer than half of all states; and most exist in <25% of states. Eighteen of the 30 most common regulations were inconsistent with best practice recommendations. Overall, variability in the number and type of OTP regulations was related to geographic location as opposed to state size.ConclusionsWide-ranging variability exists in the regulations of OTPs across the U.S. Most state OTP regulations are not congruent with best practices." @default.
- W3018287620 created "2020-05-01" @default.
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- W3018287620 date "2020-08-01" @default.
- W3018287620 modified "2023-09-30" @default.
- W3018287620 title "Characterizing variability in state-level regulations governing opioid treatment programs" @default.
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- W3018287620 doi "https://doi.org/10.1016/j.jsat.2020.108008" @default.
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