Medication for Opioid Use Disorder Service Provision and Telephone Counseling: A Concurrent Mixed-Methods Approach

Rosemarie Martin, Augustine W. Kang, Audrey A. DeBritz, Mary R. Walton, Ariel Hoadley, Courtney DelaCuesta and Linda Hurley
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Rosemarie Martin: Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA
Augustine W. Kang: Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA
Audrey A. DeBritz: Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA
Mary R. Walton: CODAC Behavioral Healthcare Inc., Cranston, RI 02910, USA
Ariel Hoadley: College of Public Health, Temple University, Philadelphia, PA 19122, USA
Courtney DelaCuesta: Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA
Linda Hurley: CODAC Behavioral Healthcare Inc., Cranston, RI 02910, USA

IJERPH, 2021, vol. 18, issue 11, 1-11

Abstract: Using quantitative and qualitative evidence, this study triangulates counselors’ perspectives on the use of telemedicine in the context of Opioid Use Disorder (OUD) treatment. A concurrent mixed-methods design examined counselors’ experiences with telephone counseling during the COVID-19 pandemic. N = 42 counselors who provided OUD counseling services completed a close-ended, quantitative survey examining their experiences in addressing clients’ anxiety, depression, anger, substance use, therapeutic relationship, and substance use recovery using telephone counseling. The survey also assessed comfort, convenience, and satisfaction with telephone counseling. Counselors also completed open-ended responses examining satisfaction, convenience, relationship with patients, substance use, and general feedback with telephone counseling. The synthesis of quantitative and qualitative evidence indicated that a majority of counselors had positive experiences with using telephone counseling to provide services to clients undergoing OUD treatment. Convenience, greater access to clients, and flexibility were among the reasons cited for their positive experience. However, counselors also expressed that the telephone counseling was impersonal, and that some clients may have difficulties accessing appropriate technology for telehealth adoption. Findings suggest that further research with counselors is needed to identify the key elements of an effective integration of telephone counseling with traditional in-person treatment approaches in the post-pandemic era.

Keywords: telehealth services; medication for opioid use disorder; needs assessment; counselors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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