Addiction Treatment Facilities Serving Older Adults and Availability of Medications for Opioid Use Disorder

Morgan, Alexandria

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Overview

Year:: 2024
Contributor:: Morgan, Alexandria (creator); Walker, Erica (Reader); Moyo, Patience (Advisor); Brown University. Department of Health Services, Policy and Practice (sponsor)
Genre:: theses
Subject:: Opioid use disorder; older adults; addiction treatment facilities; medications for opioid use disorder
Extent:: 4, 27 p.

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Description

Abstract:: Purpose: Despite the increasing prevalence of opioid use disorder (OUD) among older adults, there is limited knowledge regarding both the availability of addiction treatment facilities that have programs specifically tailored to older adults and the provision of medication for opioid use disorder (MOUD) within facilities. Our objectives were to comprehensively characterize addiction treatment facilities serving older adults in the United States and investigate the associations between facility attributes and the provision of MOUD. Methods: This cross-sectional study utilized data from the 2019 National Survey of Substance Abuse Treatment Services (N-SSATS). Facilities were categorized based on the provision of specialized programs targeting older adult populations. Two outcomes were evaluated: the presence of programs tailored to older adults and the provision of MOUD in addiction treatment facilities. MOUD included in the analysis were methadone, buprenorphine, and naltrexone. Multivariable logistic regression analyses were conducted to estimate (1) facility characteristics associated with the availability of treatment programs tailored to older adults and (2) associations between programming tailored to older adults and the availability of MOUD in treatment facilities. A statistical significance level of 0.05 was used. Results: There were 15,961 facilities identified from the 2019 N-SSATS data. Approximately three-quarters (76.8%) of facilities did not offer programs for older adults, while 23.2% did, with private non-profit facilities being more likely to offer such programs. For-profit facilities had less odds of offering programs for older adults compared to facilities with non-profit ownership (OR=0.93, 95% CI 0.79-1.09). Variables associated with higher likelihood providing programs for older adults were cash and self-pay only, residence in U.S. territories, and marital/couples counseling services. There were nonsignificant associations between the availability of programs for older adults and provision of MOUD in facilities (OR=1.12, 95% CI 0.99-1.27). Conclusions and Relevance: This study found that almost one-quarter of U.S. addiction treatment facilities offered programs catering to older adults and that such facilities were more likely to provide antagonist MOUD rather than methadone and buprenorphine. These findings underscore the need for targeted interventions to address disparities and improve access to evidence- based treatments for older adults.
Notes:: Thesis (M. P. H.)--Brown University, 2024

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Citation

Morgan, Alexandria, "Addiction Treatment Facilities Serving Older Adults and Availability of Medications for Opioid Use Disorder" (2024). Health Services, Policy & Practice Theses and Dissertations. Brown Digital Repository. Brown University Library. https://repository.library.brown.edu/studio/item/bdr:qd9hdsfr/

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Health Services, Policy & Practice Theses and Dissertations

Theses and Dissertations for the Health Services, Policy & Practice department.
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