TY  - JOUR
PY  - 2024//
TI  - Providers' experiences and perspectives in treating patients with co-occurring opioid and stimulant use disorders in the hospital
JO  - Substance use and addiction journal
A1  - Shearer, Riley D.
A1  - Hernandez, Edith
A1  - Beebe, Timothy J.
A1  - Virnig, Beth A.
A1  - Bart, Gavin
A1  - Winkelman, Tyler N. A.
A1  - Bazzi, Angela R.
A1  - Shippee, Nathan D.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: The overdose crisis is increasingly characterized by opioid and stimulant co-use. Despite effective pharmacologic treatment for both opioid use disorder (OUD) and contingency management for stimulant use disorders, most individuals with these co-occurring conditions are not engaged in treatment. Hospitalization is an important opportunity to engage patients and initiate treatment, however existing hospital addiction care is not tailored for patients with co-use and may not meet the needs of this population. <br><br>METHODS: Semi-structured interviews were conducted with hospital providers about their experiences and perspectives treating patients with opioid and stimulant co-use. We used directed content analysis to identify common experiences and opportunities to improve hospital-based treatment for patients with co-use. <br><br>RESULTS: From qualitative interviews with 20 providers, we identified 4 themes describing how co-use complicated hospital-based substance use treatment: (1) patients' unstable circumstances impacting the treatment plan, (2) co-occurring withdrawals are difficult to identify and treat, (3) providers holding more stigmatizing views of patients with co-use, and (4) stimulant use is often "ignored" in the treatment plans. Participants also described a range of potential opportunities to improve hospital-based treatment of co-use that fall into 3 categories: (1) provider practice changes, (2) healthcare system changes, and (3) development and validation of clinical tools and treatment approaches. <br><br>CONCLUSIONS: We identified unique challenges providing hospital addiction medicine care to patients who use both opioids and stimulants. These findings inform the development, implementation, and testing of hospital-based interventions for patients with co-use.<p />  <p>Language: en</p>
LA  - en
SN  - 2976-7342
UR  - http://dx.doi.org/10.1177/29767342231221060
ID  - ref1
ER  -