“Meeting Patients Where They're at”: Clinician Perspectives on Integration of Family Planning Services into Office-Based Addiction Treatment

Original research
by
Lee, Eung-Mi et al

Release Date

2023

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

We sought to understand the unique facilitators of and barriers to the integration of contraceptive services within the office-based addiction therapy (OBAT) model with a goal to support the design and implementation of a program tailored to meet the reproductive health needs of patients with substance use disorder.

Findings/Key points

Strengths included the destigmatizing and trust-building OBAT approach to care, common use of patient-centered counseling, and providers' nuanced understanding of substance use disorder–specific impacts on reproductive health. Barriers included time constraints, balancing urgent patient recovery needs, the desire for additional contraception provision training, and concern for potential contraceptive coercion.

Design/methods

Semi-structured qualitative interviews (n=20)

doi.org

Keywords

Substitution/OAT
Wrap-around services
Parents/caregivers