Over half of all justice-involved veterans with opioid use disorder diagnoses at the Veterans Health Administration do not receive medications for opioid use disorder.
This administrative supplement was awarded to the Palo Alto Veterans Institute for Research to survey the Veterans Health Administration (VHA) justice outreach staff and treatment providers about access to medications for opioid use disorder (MOUD). The survey was linked with VHA facility-level data to help determine how a core implementation intervention should be tailored to the unique context of each facility to improve access to MOUD among veterans with justice involvement.
The goal of this supplement is to develop an intervention that is reflective of the most common sets of barriers and facilitators broadly identified across VHA facilities, as well as tailor aspects of the intervention to the unique circumstances of each VHA facility and their partnerships with the local criminal justice and community systems. The results from this research will have the potential to significantly improve the health and recovery of justice-involved veterans with opioid use disorder and advance public health.
Study Settings: Treatment/Healthcare Settings
Publications:
- Strategies to improve implementation of medications for opioid use disorder reported by veterans involved in the legal system: A qualitative study (2021)
- A national survey of barriers and facilitators to medications for opioid use disorder among legal-involved veterans in the Veterans Health Administration (2022)
Study Team
PI: Andrea Finlay
• Conduct a national survey of VHA justice outreach and provider stakeholders’ perceptions of drivers of differences in facility-level access to OUD pharmacotherapy among justice-involved veterans
• Examine differences in stakeholders’ perceptions of drivers by facility prescribing rates
Accelerator Supplement, Survey