Psychosocial Syndemics Affecting Treatment Outcomes for Individuals Receiving Medication for Opioid Use Disorder

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dc.contributor.advisorMagidson, Jessicaen_US
dc.contributor.authorKleinman, Mary Buckleyen_US
dc.contributor.departmentPsychologyen_US
dc.contributor.publisherDigital Repository at the University of Marylanden_US
dc.contributor.publisherUniversity of Maryland (College Park, Md.)en_US
dc.date.accessioned2021-09-16T05:38:04Z
dc.date.available2021-09-16T05:38:04Z
dc.date.issued2020en_US
dc.description.abstractSuccessful engagement with medication treatment for opioid use disorder (MOUD) is an important focus in the fight against the opioid crisis. This study used qualitative methods to solicit feedback about barriers to successful outcomes in methadone maintenance treatment (MMT) and used these findings to build a conceptual framework of interaction. We recruited patients and staff from a community-based drug treatment center as well as peer recovery coaches who work in OUD recovery. Semi-structured interviews and focus groups asked about factors that influence MMT outcomes and how barriers co-occur and interact. Barriers described by participants fit into several broad themes: individual/self, social, institutional/structural, community/environmental, and stigma. Participants described co-occurrence of barriers as fueling the negative effect of one another. Understanding barriers to successful MOUD outcomes and considering their synergistic effect may assist with future identification and promotion of the types of interventions needed to effectively and efficiently mitigate their impact.en_US
dc.identifierhttps://doi.org/10.13016/5ots-wtmg
dc.identifier.urihttp://hdl.handle.net/1903/27752
dc.language.isoenen_US
dc.subject.pqcontrolledClinical psychologyen_US
dc.subject.pquncontrolledmethadoneen_US
dc.subject.pquncontrolledopioid use disorderen_US
dc.subject.pquncontrolledsocial determinants of healthen_US
dc.subject.pquncontrolledsyndemicsen_US
dc.subject.pquncontrolledtreatment outcomesen_US
dc.titlePsychosocial Syndemics Affecting Treatment Outcomes for Individuals Receiving Medication for Opioid Use Disorderen_US
dc.typeThesisen_US

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