{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:10:57Z","timestamp":1783210257631,"version":"3.54.6"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Background<\/jats:italic>\n                    : Clinic-imposed barriers can impede access to medication for opioid use disorder (MOUD). We evaluated a low-barrier buprenorphine program that is co-located with a syringe services program (SSP) in Seattle, Washington, USA.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic toggle=\"yes\">Methods<\/jats:italic>\n                    : We analyzed medical record data corresponding to patients who enrolled into the buprenorphine program in its first year of operation. We used descriptive statistics and tests of association to longitudinally evaluate retention, cumulative number of days buprenorphine was prescribed, and toxicology results.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                    : Demand for buprenorphine among SSP clients initially surpassed programmatic capacity. Of the 146 enrolled patients, the majority (82%) were unstably housed. Patients were prescribed buprenorphine for a median of 47\u2009days (interquartile range [IQR]\u2009=\u20098\u2013147) in the 180\u2009days following enrollment. Between the first and sixth visits, the percentage of toxicology tests that was positive for buprenorphine significantly increased (33% to 96%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.0001) and other opioids significantly decreased (90% to 41%,\n                    <jats:italic toggle=\"yes\">P\u2009&lt;<\/jats:italic>\n                    \u2009.0001) and plateaued thereafter. Toxicology test results for stimulants, benzodiazepines, and barbiturates did not significantly change.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic toggle=\"yes\">Conclusions<\/jats:italic>\n                    : SSP served as an effective point of entry for a low-barrier MOUD program. A large proportion of enrolled patients demonstrated sustained retention and reductions in opioid use, despite housing instability and polysubstance use.\n                  <\/jats:p>","DOI":"10.1080\/08897077.2019.1635557","type":"journal-article","created":{"date-parts":[[2019,8,12]],"date-time":"2019-08-12T13:15:10Z","timestamp":1565615710000},"page":"356-364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":64,"title":["Engaging an Unstably Housed Population with Low-Barrier Buprenorphine Treatment at a Syringe Services Program: Lessons Learned from Seattle, Washington"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2671-3442","authenticated-orcid":false,"given":"Julia E.","family":"Hood","sequence":"first","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb J.","family":"Banta-Green","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Washington, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey S.","family":"Duchin","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"},{"name":"School of Public Health, University of Washington, Seattle, Washington, USA;"},{"name":"School of Medicine, University of Washington, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Breuner","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Washington, Seattle, Washington, USA;"},{"name":"Swedish Family Medicine First Hill, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Dell","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad","family":"Finegood","sequence":"additional","affiliation":[{"name":"King County Department of Community and Health Services, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara N.","family":"Glick","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"},{"name":"School of Medicine, University of Washington, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malin","family":"Hamblin","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayla","family":"Holcomb","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darla","family":"Mosse","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thea","family":"Oliphant-Wells","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi-Hyun Mia","family":"Shim","sequence":"additional","affiliation":[{"name":"Public Health\u2014Seattle &amp; King County, Seattle, Washington, USA;"},{"name":"School of Medicine, University of Washington, Seattle, Washington, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20128"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.03140.x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40258-018-0402-x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2014.05.002"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.5055\/jom.2018.0447"},{"key":"e_1_3_3_7_2","unstructured":"Health and Human Services. HHS Acting Secretary Declares Public Health Emergency to Address National Opioid Crisis. 2017; https:\/\/www.hhs.gov\/about\/news\/2017\/10\/26\/hhs-acting-secretary-declares-public-health-emergency-address-national-opioid-crisis.html. Accessed July 18 2019."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022164"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.12266"},{"issue":"2","key":"e_1_3_3_10_2","first-page":"CD002207","article-title":"Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence","author":"Mattick RP","year":"2014","unstructured":"Mattick RP, , Breen C, , Kimber J, , Davoli M. Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence. 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