Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies
Abstract Background During public health emergencies, people with opioid use disorder (PWOUD) may be particularly impacted. Emergent disasters such as the COVID-19 pandemic disrupt already-strained harm reduction efforts and treatment availability. This study aims to answer three research questions....
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-07-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-021-11495-0 |
| _version_ | 1818353969055924224 |
|---|---|
| author | Rita Henderson Ashley McInnes Leslee Mackey Myles Bruised Head Lindsay Crowshoe Jessica Hann Jake Hayward Brian R. Holroyd Eddy Lang Bonnie Larson Ashley Jane Leonard Steven Persaud Khalil Raghavji Chris Sarin Hakique Virani Iskotoahka William Wadsworth Stacey Whitman Patrick McLane |
| author_facet | Rita Henderson Ashley McInnes Leslee Mackey Myles Bruised Head Lindsay Crowshoe Jessica Hann Jake Hayward Brian R. Holroyd Eddy Lang Bonnie Larson Ashley Jane Leonard Steven Persaud Khalil Raghavji Chris Sarin Hakique Virani Iskotoahka William Wadsworth Stacey Whitman Patrick McLane |
| author_sort | Rita Henderson |
| collection | DOAJ |
| description | Abstract Background During public health emergencies, people with opioid use disorder (PWOUD) may be particularly impacted. Emergent disasters such as the COVID-19 pandemic disrupt already-strained harm reduction efforts and treatment availability. This study aims to answer three research questions. How do public health emergencies impact PWOUD? How can health systems respond to novel public health emergencies to serve PWOUD? How can the results of this scoping review be contextualized to the province of Alberta to inform local stakeholder responses to the pandemic? Methods We conducted a scoping review using the 6-stage Arksey and O’Malley framework to analyse early-pandemic and pre-pandemic disaster literature. The results of the scoping review were contextualized to the local pandemic response, through a Nominal Group Technique (NGT) process with frontline providers and stakeholders in Alberta, Canada. Results Sixty one scientific journal articles and 72 grey literature resources were included after full-text screening. Forty sources pertained to early COVID-19 responses, and 21 focused on OUD treatment during other disasters. PWOUD may be more impacted than the general population by common COVID-19 stressors including loss of income, isolation, lack of rewarding activities, housing instability, as well as fear and anxiety. They may also face unique challenges including threats to drug supplies, stigma, difficulty accessing clean substance use supplies, and closure of substance use treatment centres. All of these impacts put PWOUD at risk of negative outcomes including fatal overdose. Two NGT groups were held. One group (n = 7) represented voices from urban services, and the other (n = 4) Indigenous contexts. Stakeholders suggested that simultaneous attention to multiple crises, with adequate resources to allow attention to both social and health systems issues, can prepare a system to serve PWOUD during disasters. Conclusion This scoping review and NGT study uncovers how disasters impact PWOUD and offers suggestions for better serving PWOUD. |
| first_indexed | 2024-12-13T19:17:58Z |
| format | Article |
| id | doaj.art-390563fe00e5460690d77aea705e12af |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T19:17:58Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-390563fe00e5460690d77aea705e12af2022-12-21T23:34:14ZengBMCBMC Public Health1471-24582021-07-0121111110.1186/s12889-021-11495-0Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergenciesRita Henderson0Ashley McInnes1Leslee Mackey2Myles Bruised Head3Lindsay Crowshoe4Jessica Hann5Jake Hayward6Brian R. Holroyd7Eddy Lang8Bonnie Larson9Ashley Jane Leonard10Steven Persaud11Khalil Raghavji12Chris Sarin13Hakique Virani14Iskotoahka William Wadsworth15Stacey Whitman16Patrick McLane17Department of Family Medicine, University of CalgaryDepartment of Family Medicine, University of CalgaryDepartment of Emergency Medicine, University of AlbertaBlood TribeDepartment of Family Medicine, University of CalgaryDepartment of Emergency Medicine, University of AlbertaDepartment of Emergency Medicine, University of AlbertaDepartment of Emergency Medicine, University of AlbertaEmergency Strategic Clinical Network, Alberta Health ServicesDepartment of Family Medicine, University of CalgaryKnowledge Resource Service, Alberta Health ServicesDepartment of Family Medicine, University of CalgaryMetro City Medical ClinicIndigenous Services CanadaMetro City Medical ClinicBlood TribeAddiction and Mental Health, Alberta Health ServicesDepartment of Emergency Medicine, University of AlbertaAbstract Background During public health emergencies, people with opioid use disorder (PWOUD) may be particularly impacted. Emergent disasters such as the COVID-19 pandemic disrupt already-strained harm reduction efforts and treatment availability. This study aims to answer three research questions. How do public health emergencies impact PWOUD? How can health systems respond to novel public health emergencies to serve PWOUD? How can the results of this scoping review be contextualized to the province of Alberta to inform local stakeholder responses to the pandemic? Methods We conducted a scoping review using the 6-stage Arksey and O’Malley framework to analyse early-pandemic and pre-pandemic disaster literature. The results of the scoping review were contextualized to the local pandemic response, through a Nominal Group Technique (NGT) process with frontline providers and stakeholders in Alberta, Canada. Results Sixty one scientific journal articles and 72 grey literature resources were included after full-text screening. Forty sources pertained to early COVID-19 responses, and 21 focused on OUD treatment during other disasters. PWOUD may be more impacted than the general population by common COVID-19 stressors including loss of income, isolation, lack of rewarding activities, housing instability, as well as fear and anxiety. They may also face unique challenges including threats to drug supplies, stigma, difficulty accessing clean substance use supplies, and closure of substance use treatment centres. All of these impacts put PWOUD at risk of negative outcomes including fatal overdose. Two NGT groups were held. One group (n = 7) represented voices from urban services, and the other (n = 4) Indigenous contexts. Stakeholders suggested that simultaneous attention to multiple crises, with adequate resources to allow attention to both social and health systems issues, can prepare a system to serve PWOUD during disasters. Conclusion This scoping review and NGT study uncovers how disasters impact PWOUD and offers suggestions for better serving PWOUD.https://doi.org/10.1186/s12889-021-11495-0CoronavirusDisaster planningOpioid epidemicEmergencyHealth servicesOpioid agonist treatment |
| spellingShingle | Rita Henderson Ashley McInnes Leslee Mackey Myles Bruised Head Lindsay Crowshoe Jessica Hann Jake Hayward Brian R. Holroyd Eddy Lang Bonnie Larson Ashley Jane Leonard Steven Persaud Khalil Raghavji Chris Sarin Hakique Virani Iskotoahka William Wadsworth Stacey Whitman Patrick McLane Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies BMC Public Health Coronavirus Disaster planning Opioid epidemic Emergency Health services Opioid agonist treatment |
| title | Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies |
| title_full | Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies |
| title_fullStr | Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies |
| title_full_unstemmed | Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies |
| title_short | Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies |
| title_sort | opioid use disorder treatment disruptions during the early covid 19 pandemic and other emergent disasters a scoping review addressing dual public health emergencies |
| topic | Coronavirus Disaster planning Opioid epidemic Emergency Health services Opioid agonist treatment |
| url | https://doi.org/10.1186/s12889-021-11495-0 |
| work_keys_str_mv | AT ritahenderson opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT ashleymcinnes opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT lesleemackey opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT mylesbruisedhead opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT lindsaycrowshoe opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT jessicahann opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT jakehayward opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT brianrholroyd opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT eddylang opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT bonnielarson opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT ashleyjaneleonard opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT stevenpersaud opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT khalilraghavji opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT chrissarin opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT hakiquevirani opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT iskotoahkawilliamwadsworth opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT staceywhitman opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies AT patrickmclane opioidusedisordertreatmentdisruptionsduringtheearlycovid19pandemicandotheremergentdisastersascopingreviewaddressingdualpublichealthemergencies |