Date of Award

2-14-2023

Document Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Graduate Department of Clinical Psychology

First Advisor

Celeste Jones, Psy.D.

Second Advisor

Jeri Turgesen, Psy.D.

Third Advisor

Kristie Knows His Gun, Psy.D.

Abstract

Background. Medication for opioid use disorder (MOUD), the use of pharmacotherapy, behavior, and psychotherapy, has been implemented in the treatment of opioid use disorders. MOUD seeks to retain patients in treatment to stabilize medication management and implement coping skills, and many studies have described an association between retention and recovery. Social Determinants of Health (SDH) are important to consider in efforts toward retention in MOUD programs. Method. The purpose of this study is to analyze the effects of SDH on retention rates in MOUD, specifically evaluating a program that uses a Collaborative Community Approach Model (CCAM), which aims to address SDH. Results. Regression results indicated that only number of behavioral health intervention visits significantly predicted total number of MOUD visits attended, and that telehealth modality was not a significant predictor of treatment engagement. Conclusions. These results are contrary to findings from past research, as they did not indicate a significant relationship between SDH risk factors and treatment engagement for this population in a CCAM MOUD program. This finding may suggest that CCAM MOUD programs in integrated care settings may be able to reduce disparities by implementing an approach that addresses SDH.

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