This report is a literature review meant to address the gap in knowledge in terms of health inequities present in access to treatment for substance use disorder. The authors analyzed currently available sources on the topic and found that more attention to upstream factors of substance use disorder would have a positive impact on downstream factors including overdose. 

This paper outlines a study which aimed to identify the challenges to implementing peer recovery support services in the emergency department setting for individuals presenting with opioid use disorder. The authors selected relevant stakeholders with hospital related roles or expertise on peer support workers to interview for qualitative data collection. The results of this study identified several challenges at the system, hospital, and individual level. 

This is an academic paper that describes an adaptation of one of the only syringe service programs in Florida, the IDEA Exchange, to the coronavirus pandemic. The program location had to temporarily close but a telemedicine clinic, called TeleMOUD, was started to deliver buprenorphine to their clients, which was found to be a feasible, low-threshold access program. 

This is an academic paper that provides a case study on how a community used teleconferencing among stakeholders to implement a peer program to support those who come to the emergency department after experiencing a nonfatal overdose. And in-depth analysis of a learning collaborative is provided. 

This is an academic paper which describes the implications of a community-based non-profit's transition from in-person provision of low threshold medication assisted treatment (MAT) to a tele-health model. The organization also provided services such as harm reduction, counseling, and peer support to individuals with opioid use disorder. The study concludes that while retention rates of patients did drop, they remained excellent in comparison to in-person MAT care. 

A report by AHRQ on how to implement medications for opioid use disorder (MOUD) in rural primary care including education, barriers, payment, policy, and promising models in rural settings (Volume 1). 

From AHRQ (Volume 2), a resource that provides tools and strategies for rural primary care providers to: 1) prevent opioid use disorder (OUD); 2) educate on medications for opioid use disorder (MOUD); 3) implement MOUD; and 4) prevent opioid overdose.  

This is a report from the National Academy of Medicine that highlights nine key barriers that prevent access to evidence-based care, including stigma; inadequate clinical training; a dearth of addiction specialists; lack of integration of medications for opioid use disorder (MOUD) provision in practice; regulatory, statutory, and data sharing restrictions; and financial barriers. Recommendations on how to overcome these barriers that address different stakeholder groups are discussed.  

This report acts as a resource guide for service providers on improving outcomes for American Indian and Alaskan Native individuals who were previously incarcerated and are returning to their communities. The guide outlines suggestions such as culturally responsive programs and resources offering stable housing and substance use needs. 

This is a report from the Indian Health Service that provides guidance to providers and facilities on how to implement a program to prescribe medications for opioid use disorder (MOUD) via telehealth (Tele-MAT), with a special emphasis on Native American populations. 

This issue brief, a product of several collaborating organizations including IDSA, HIVMA and PIDS, identifies policy issues and provides comprehensive recommendations for addressing infectious diseases related to opioid use disorder. 

This academic paper assesses the readiness of churches in the Appalachian Highlands to address addiction by developing the Church Addiction Response Scale. This scale is a 41 item survey which addresses views about addiction, views about interacting with people who are addicted to substances, and views about the church's role in addressing addiction. The results suggest that equipping a church-based workforce to provide support for people living with addiction seems attainable.