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• W4386820481 abstract "AbstractBackground: The COVID-19 pandemic rapidly changed how substance use disorder (SUD) treatment services are delivered. In this qualitative study, we examined what changes SUD treatment programs in Arkansas implemented in response to the pandemic, what factors influenced their ability to implement these changes, and their reflections, outlook, and future recommendations. Methods: Between May and August 2020, we conducted semi-structured phone interviews with 29 leaders at 21 SUD programs throughout Arkansas. Interview questions focused on what changes programs implemented in response to the pandemic, barriers and facilitators to implementation, and future outlook. Interviews were thematically analyzed. Results: Programs implemented similar infection control practices, including COVID-19 screening at entry, masks, hand hygiene, and social distancing. Residential programs discontinued outside visitations and capped admissions, and outpatient programs implemented telehealth services. Clients generally responded well to the changes, however many experienced difficulties (e.g., anxiety, lack of access to telehealth). While programs welcomed additional financial support (e.g., CARES act) and looser regulatory restrictions (e.g., telehealth use), many struggled economically due to lower demand and insufficient reimbursement. Programs varied in leadership and staff responses to the pandemic, and in their capacity to implement the changes (e.g., facilities, staffing). Finally, interviewees acknowledged they were unprepared for the pandemic and were uncertain about the future. Conclusions: The insights from the COVID-19 pandemic and SUD programs’ responses helps researchers, policymakers and practitioners understand what has happened during the pandemic, how to prepare for future crises, and how to build more resilient SUD and public health systems.Keywords: COVID-19emergency preparednessimplementationleadershipqualitative AcknowledgmentsWe thank study participants for their time and the information they shared with us to inform our research.Disclosure statementNo potential conflict of interest was reported by the author(s).Declaration of interestNo potential conflict of interest was reported by the authors.Additional informationFundingThis work was supported by the National Center for Advancing Translational Sciences under Grants KL2 TR003108 and UL1 TR003107." @default.
• W4386820481 created "2023-09-19" @default.
• W4386820481 creator A5033103127 @default.
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• W4386820481 date "2023-09-18" @default.
• W4386820481 modified "2023-10-17" @default.
• W4386820481 title "Substance Use Disorder Treatment Programs during a Health Crisis: Response to the COVID-19 Pandemic and Future Implications" @default.
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• W4386820481 doi "https://doi.org/10.1080/10826084.2023.2257305" @default.
• W4386820481 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37722809" @default.
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