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Title: Telehealth-Based Delivery of Medication-Assisted Treatment for Opioid Use Disorder: a Critical Review of Recent Developments
Authors: Mahmoud, Hossam
Naal, Hady
Whaibeh, Emile
Smith, Alyson
Affiliations: Faculty of Health Sciences 
Keywords: COVID-19
Medication-assisted treatment
Opioid use disorder
Telebehavioral health
Issue Date: 2022-07-27
Publisher: National Library of Medicine
Part of: Current Psychiatry Reports
Volume: 24
Issue: 9
Start page: 375
End page: 386
Purpose of Review
Telehealth-delivered medication-assisted treatment for opioid use disorder (tele-MOUD) has received increased attention, with the intersection of the opioid epidemic and COVID-19 pandemic, but research on recent developments is scattered. We critically review recent literature on tele-MOUD and synthesize studies reporting primary data under four themes: clinical effectiveness, non-clinical effectiveness, perceptions, and regulatory considerations.

Recent Findings
Despite increasing publications, most failed to include long-term comprehensive assessments. Findings indicate favorable outcomes such as improvements in retention and abstinence rates, positive experiences, and improved feasibility with the relaxation of regulatory measures. With increased adoption, clinician and patient perceptions appeared largely positive. Negative findings, albeit minor, were primarily associated with workflow adaptation difficulties and limited access of underserved populations to technology and internet connection.

Additional financial, logistical, outreach, and training support for clinicians, patients, and support staff is recommended, in addition to permanent evidence-based regulatory reforms, to scale and optimize tele-MOUD services. Comprehensive recommendations to overcome limitations are expanded therein.
ISSN: 15233812
DOI: 10.1007/s11920-022-01346-z
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Department of Public Health

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