Access to Medications for Opioid Use Disorder Among Veterans With Homeless Experience in Permanent Supportive Housing

Among veterans with homeless experience with opioid use disorder (OUD) residing in permanent supportive housing (PSH), what factors are associated with receipt of medications for opioid use disorder (MOUD)?In a cohort study of 10 110 US veterans entering a federal supportive housing program, only 17% received MOUD within 12 months. Greater behavioral health engagement was associated with MOUD receipt, while older age, race minority status, and prior inpatient hospitalization were associated with lower odds.These results suggest that MOUD access in supportive housing should be expanding, which could require embedding addiction care into PSH teams, leveraging behavioral health touchpoints, and addressing persistent disparities.

Corresponding Author: Michael Hsu, MD, Veterans Affairs Greater Los Angeles Health Care, 11301 Wilshire Blvd, VA Research Building 206, Los Angeles, California 90073 (Michaelhsu@mednet.ucla.edu).

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