Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Department of Family Medicine, David Geffen School of Medicine at UCLA, 10880 Wilshire Blvd., Suite 1800, Los Angeles, CA, 90024, USA.
Community Ment Health J. 2023 Feb;59(2):345-356. doi: 10.1007/s10597-022-01012-x. Epub 2022 Jul 29.
Most people with co-occurring opioid use disorder (OUD) and mental illness do not receive effective medications for treating OUD. To investigate perspectives of adults in a publicly-funded mental health system regarding medications for OUD (MOUD), we conducted semi-structured telephone interviews with 13 adults with OUD (current or previous diagnosis) receiving mental health treatment. Themes that emerged included: perceiving or using MOUDs as a substitute for opioids or a temporary solution to prevent withdrawal symptoms; negative perceptions about methadone/methadone clinics; and viewing MOUD use as "cheating". Readiness to quit was important for patients to consider MOUDs. All participants were receptive to discussing MOUDs with their mental health providers and welcomed the convenience of receiving care for their mental health and OUD at the same location. In conclusion, clients at publicly-funded mental health clinics support MOUD treatment, signaling a need to expand access and build awareness of MOUDs in these settings.
大多数同时患有阿片类药物使用障碍（OUD）和精神疾病的人并未接受有效的 OUD 治疗药物。为了调查公共资助的精神卫生系统中的成年人对阿片类药物使用障碍治疗药物（MOUD）的看法，我们对 13 名接受精神卫生治疗的患有 OUD（当前或以前的诊断）的成年人进行了半结构化电话访谈。出现的主题包括：将 MOUD 视为阿片类药物的替代品或预防戒断症状的临时解决方案；对美沙酮/美沙酮诊所的负面看法；以及将 MOUD 用药视为“作弊”。准备戒断对于患者考虑 MOUD 很重要。所有参与者都愿意与他们的精神卫生提供者讨论 MOUD，并欢迎在同一地点同时接受他们的精神健康和 OUD 护理的便利性。总之，公共资助的精神卫生诊所的客户支持 MOUD 治疗，表明需要在这些环境中扩大 MOUD 的获取途径并提高对 MOUD 的认识。
