{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:03:15Z","timestamp":1786964595355,"version":"build-2736575974"},"reference-count":20,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":315,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,18]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the paramount importance of oral health, individuals undergoing treatment for opioid use disorder face unique challenges beyond traditional addiction care. This qualitative study explores the challenges Opioid Treatment Program (OTP) clients in Australia encounter when accessing oral health care, aiming to understand the underlying factors and identify effective strategies for integrating oral health into an OTP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured interviews were conducted with OTP clients, OTP clinicians and oral health clinicians using tested interview guides. Thematic analysis identified patterns and themes across participants\u2019 responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Client behaviour and traits such as inadequate health prioritisation, crisis-driven care and lack of motivation, shaped by a complex social environment, contribute significantly to inconsistent care and neglected oral health. Addiction exacerbates oral health issues as clients prioritise drug use over oral care and financial constraints, resulting in poor oral hygiene and a higher prevalence of dental problems. Psychological barriers such as dental anxiety deter clients from seeking care, while access issues including administrative burdens and system barriers, lost phones and unstable living conditions hinder consistent management of oral health. Stakeholders recommend actionable steps to address OTP clients\u2019 challenges, including integrating holistic care, establishing collaborative support systems, improving awareness and education and enhancing accessibility and flexible scheduling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study established a framework for improving OTP clients\u2019 oral health through integrated, holistic strategies. By addressing gaps in existing research, it supports the development of public health policies integrating oral health care into OTPs, aiming to foster collaboration, improve access and advance client education for better health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/py24134","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T17:12:11Z","timestamp":1736183531000},"source":"Crossref","is-referenced-by-count":1,"title":["Exploring oral health challenges and integration strategies in opioid treatment programs: perspectives from clinicians and clients"],"prefix":"10.1071","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1364-6866","authenticated-orcid":true,"given":"Grace","family":"Wong","sequence":"first","affiliation":[{"name":"APrimary and Community Health, Oral Health Services, Northern Sydney Local Health District, NSW Health, St Leonards, NSW, Australia."},{"name":"BSydney Dental School, Faculty of Medicine and Health, the University of Sydney, Sydney, NSW, Australia."},{"name":"CSchool of Nursing and Midwifery, Western Sydney University, Liverpool, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Cheng","sequence":"additional","affiliation":[{"name":"APrimary and Community Health, Oral Health Services, Northern Sydney Local Health District, NSW Health, St Leonards, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Cheng","sequence":"additional","affiliation":[{"name":"APrimary and Community Health, Oral Health Services, Northern Sydney Local Health District, NSW Health, St Leonards, NSW, Australia."},{"name":"BSydney Dental School, Faculty of Medicine and Health, the University of Sydney, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Masoe","sequence":"additional","affiliation":[{"name":"DCentre for Oral Health Strategy, NSW Health, St Leonards, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjana","family":"D\u2019Hary","sequence":"additional","affiliation":[{"name":"APrimary and Community Health, Oral Health Services, Northern Sydney Local Health District, NSW Health, St Leonards, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Enea","family":"Montebello","sequence":"additional","affiliation":[{"name":"EDrug and Alcohol Services, Northern Sydney Local Health District, NSW Health, St Leonards, NSW, Australia."},{"name":"FSpecialty of Addiction Medicine, Northern Clinical School, The University of Sydney, St Leonards, NSW, Australia."},{"name":"GNational Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"issue":"1","key":"2025111818075798000_R1","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1002\/cre2.476","article-title":"Oral health related quality of life and reasons for non-dental attendance among patients with substance use disorders in withdrawal rehabilitation","volume":"8","author":"\u00c5str\u00f8m","year":"2022","journal-title":"Clinical and Experimental Dental Research"},{"issue":"6","key":"2025111818075798000_R2","first-page":"ZE21","article-title":"Oral health and quality of life: current concepts.","volume":"11","author":"Baiju","year":"2017","journal-title":"Journal of Clinical and Diagnostic Research: JCDR"},{"issue":"2","key":"2025111818075798000_R3","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology.","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"issue":"7","key":"2025111818075798000_R4","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1080\/00016357.2022.2041719","article-title":"Facilitators for use of oral healthcare services among people with substance use disorders: a qualitative study in Norway.","volume":"80","author":"Carlsen","year":"2022","journal-title":"Acta Odontologica Scandinavica"},{"key":"2025111818075798000_R5","unstructured":"Centres for Disease Control and Prevention (2021) Recovery is possible: treatment for opioid addiction. Drug Overdose. Retrieved from https:\/\/www.cdc.gov\/drugoverdose\/featured-topics\/treatment-recovery.html [accessed 3 April 2024]"},{"issue":"3","key":"2025111818075798000_R6","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1111\/hsc.12423","article-title":"A qualitative study of patients\u2019 knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility.","volume":"25","author":"Cheah","year":"2017","journal-title":"Health & Social Care in the Community"},{"key":"2025111818075798000_R7"},{"issue":"1","key":"2025111818075798000_R8","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-020-01240-1","article-title":"Dental care for drug users in Norway: dental professionals\u2019 attitudes to treatment and experiences with interprofessional collaboration.","volume":"20","author":"Hovden","year":"2020","journal-title":"BMC Oral Health"},{"issue":"1","key":"2025111818075798000_R9","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1111\/hir.12015","article-title":"What is the evidence that poster presentations are effective in promoting knowledge transfer? A state of the art review.","volume":"30","author":"Ilic","year":"2013","journal-title":"Health Information & Libraries Journal"},{"issue":"1","key":"2025111818075798000_R10","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1111\/prd.12398","article-title":"Oral health\u2019s inextricable connection to systemic health: Special populations bring to bear multimodal relationships and factors connecting periodontal disease to systemic diseases and conditions.","volume":"87","author":"Kapila","year":"2021","journal-title":"Periodontology 2000"},{"issue":"10","key":"2025111818075798000_R11","doi-asserted-by":"publisher","first-page":"1355","DOI":"10.1177\/0022034515602879","article-title":"Global economic impact of dental diseases.","volume":"94","author":"Listl","year":"2015","journal-title":"Journal of Dental Research"},{"issue":"Suppl 1","key":"2025111818075798000_R12","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1922\/CDH_2643Petersen08","article-title":"The 7th WHO global conference on health promotion \u2013 towards integration of oral health (Nairobi, Kenya 2009).","volume":"27","author":"Petersen","year":"2010","journal-title":"Community Dent Health"},{"issue":"2","key":"2025111818075798000_R13","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1111\/dar.13583","article-title":"Oral health-care needs among clients receiving alcohol and other drugs treatment\u2014a scoping review.","volume":"42","author":"Poudel","year":"2023","journal-title":"Drug and Alcohol Review"},{"issue":"9","key":"2025111818075798000_R14","doi-asserted-by":"publisher","first-page":"369","DOI":"10.5281\/zenodo.887089","article-title":"Strengths and limitations of qualitative and quantitative research methods.","volume":"3","author":"Queir\u00f3s","year":"2017","journal-title":"European Journal of Education Studies"},{"issue":"6","key":"2025111818075798000_R15","doi-asserted-by":"publisher","first-page":"920","DOI":"10.1007\/s11524-010-9498-5","article-title":"Health and oral health care needs and health care-seeking behavior among homeless injection drug users in San Francisco.","volume":"87","author":"Robbins","year":"2010","journal-title":"Journal of Urban Health"},{"issue":"4","key":"2025111818075798000_R16","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1038\/sj.bdj.4812090","article-title":"Drug users: oral health-related attitudes and behaviours.","volume":"198","author":"Robinson","year":"2005","journal-title":"British Dental Journal"},{"issue":"11","key":"2025111818075798000_R17","doi-asserted-by":"publisher","first-page":"3235","DOI":"10.1111\/add.15360","article-title":"Illicit drug use and oral health.","volume":"116","author":"Rossow","year":"2021","journal-title":"Addiction"},{"issue":"1","key":"2025111818075798000_R18","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1038\/s41415-019-0472-7","article-title":"Understanding and tackling oral health inequalities in vulnerable adult populations: from the margins to the mainstream.","volume":"227","author":"Watt","year":"2019","journal-title":"British Dental Journal"},{"key":"2025111818075798000_R19"},{"key":"2025111818075798000_R20","doi-asserted-by":"publisher","DOI":"10.1071\/PY24021","article-title":"Oral health status and oral health-related quality of life: a cross-sectional study of clients in an Australian opioid treatment program.","volume":"30","author":"Wong","year":"2024","journal-title":"Australian Journal of Primary Health"}],"container-title":["Australian Journal of Primary Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/doi\/10.1071\/PY24134\/1637784\/py24134.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/doi\/10.1071\/PY24134\/1637784\/py24134.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T23:08:05Z","timestamp":1763507285000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/py\/article\/31\/1\/PY24134\/238114\/Exploring-oral-health-challenges-and-integration"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,7]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2,18]]}},"URL":"https:\/\/doi.org\/10.1071\/py24134","relation":{},"ISSN":["1448-7527","1836-7399"],"issn-type":[{"value":"1448-7527","type":"print"},{"value":"1836-7399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,7]]},"article-number":"PY24134"}}