nj acts logoPlease read Dr. Lloyd’s article in the Journal of Substance Use & Addiction Treatment titled, “Methadone treatment utilization and overdose trends among Medicaid beneficiaries in New Jersey before and during the COVID-19 pandemic.

The COVID-19 pandemic disrupted delivery systems for the treatment for opioid use disorder (OUD). In response, the federal government and the State of New Jersey enacted emergency measures granting flexibility to health care providers to allow their patients to continue receiving or engaging in the care they need despite pandemic disruptions. The pandemic and the regulatory changes enacted to address it had a major impact on the delivery of methadone maintenance treatment (MMT) in New Jersey, and this study examines the impact that those changes had on trends in MMT receipt and overdoses among MMT patients during this critical time period. While other modalities of medication for OUD have expanded in the last decade, most notably buprenorphine and naltrexone, this study focuses on MMT given the unique impacts of the COVID-19 pandemic on service delivery in opioid treatment programs (OTPs).

MMT is a “gold standard” treatment approach for people with OUD that involves regular dosing of methadone through phases of induction, stabilization, and maintenance, and is effective in reducing opioid overdose and other opioid-related consequences. OTPs administer MMT services in the United States, where patients attend in person, often daily, to receive a dose of methadone alongside psychosocial counseling in group or individual settings and a regimen of drug testing to ensure safe administration of methadone and reduce the likelihood of accidental overdose. The facilities in which counseling, drug testing, and dosing services are delivered are often crowded – delivery methods that conflicted with infection control guidelines released during the COVID-19 public health emergency (PHE). To read the full article.
Methadone treatment utilization and overdose trends among Medicaid beneficiaries in New Jersey before and during the COVID-19 pandemic. Lloyd J, Treitler P, Lister JJ, Nowels M, Crystal S. J Subst Use Addict Treat. 2024 Aug 7;167:209476. PMID: 39097192 DOI: 10.1016/j.josat.2024.209476