Journal article
Patient Perspectives on a Rapid Access, Walk-in, Medication for Addiction Treatment Clinic
Substance abuse and rehabilitation, Vol.16(Issue 1), pp.119-128
05/01/2025
DOI: 10.2147/SAR.S517660
PMCID: PMC12053929
PMID: 40330694
Abstract
Rapid access addiction medicine (RAAM) walk-in clinics offer low-barrier, prompt treatment for substance use disorders (SUDs). These models differ from bridge clinics, which primarily address the barriers of transitioning between inpatient and outpatient SUD treatment settings. Previous RAAM models have been shown to be effective in urban areas. Through patient interviews, this qualitative study sought to describe the unique challenges and successes of a RAAM clinic that serves a primarily rural area.
Adult patients with a SUD who utilized a medication for addiction treatment (MAT) walk-in clinic participated in semi-structured, recorded interviews. Participants were asked about facilitators and barriers to attaining treatment, as well as their perspectives/experiences and unmet wants/needs. Interviewee responses were transcribed, qualitatively coded, and analyzed for prominent trends.
Twelve patients participated. Stigma, lack of rural treatment options, and accessibility concerns were identified as general barriers to receiving SUD care. MAT walk-in clinic specific barriers included distance to clinic, clinic hours, and transportation. Patients identified the clinic's walk-in structure as a primary facilitator of receiving quality SUD care and felt the clinic offered a non-judgmental and accessible environment, differing positively from past treatments. Unmet wants and needs that patients identified included more extensive social services and communication after leaving the clinic.
This MAT walk-in clinic is the only RAAM-style clinic offering same-day dual-diagnosis medication management in the state of Iowa. The walk-in structure was a key facilitator for patients accessing initial care. Expanding RAAM models in rural areas and incorporating telehealth may help address proximity barriers reported by patients.
Details
- Title: Subtitle
- Patient Perspectives on a Rapid Access, Walk-in, Medication for Addiction Treatment Clinic
- Creators
- Linda Peng - Carver College of Medicine, University of Iowa, Iowa City, IA, USANicholas L Bormann - Mayo ClinicStephan Arndt - University of IowaBenjamin A Miskle - University of Iowa, Addiction MedicineAndrea N Weber - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Substance abuse and rehabilitation, Vol.16(Issue 1), pp.119-128
- DOI
- 10.2147/SAR.S517660
- PMID
- 40330694
- PMCID
- PMC12053929
- NLM abbreviation
- Subst Abuse Rehabil
- ISSN
- 1179-8467
- eISSN
- 1179-8467
- Publisher
- DOVE MEDICAL PRESS LTD
- Grant note
- University of Iowa Carver College of Medicine's Summer Research FellowshipSubstance Abuse and Mental Health Services Administration (SAMHSA): 5H79TI085118-03, 6H79TI083998-02M002, 1H79TI087321-01 SAMHSA: 1H79TI087321-01, 1H79TI086399-01 Iowa Department of Health and Human Services (HHS)
Linda Peng received research support from the University of Iowa Carver College of Medicine's Summer Research Fellowship. Andrea Weber receives salary support from the Substance Abuse and Mental Health Services Administration (SAMHSA) for a service grant (award number 5H79TI085118-03) and two training grants (award numbers 6H79TI083998-02M002 and 1H79TI087321-01) . Benjamin Miskle receives salary support from SAMHSA for two training grants (award numbers 1H79TI086399-01 and 1H79TI087321-01) and the Iowa Department of Health and Human Services (HHS) for a service grant.
- Language
- English
- Date published
- 05/01/2025
- Academic Unit
- Psychiatry; Biostatistics; Addiction Medicine; Nursing; Pharmacy Practice and Science; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984821344502771
Metrics
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