Table 2.

Summary of MOUD Treatment Themes

POSITIVE CHANGES
Medication Take  Homes and Deliveries	Most participants found increased medication take home doses and newly initiated deliveries to be a favorable change   • Found less in-person MOUD program contact to be a positive change   • Allowed for a better life balance
Telehealth	Most participants found telehealth to be a favorable change   • Found less in-person MOUD program contact to be a positive change   • Allowed for providers to reach underserved communities in rural and other difficult locations
CHALLENGES
Medication Take  Homes and Deliveries	A few participants noted decreased access to basic goods that they were able to previously obtain via in-person visits at some MOUD clinics
Telehealth	A few participants noted decreased access to basic goods that they were able to previously obtain via in-person visits at some MOUD clinics
Clinic Closures,  Reduced Capacity, and  Clinic Transfers	Most participants described clinics not being able to operate at full capacity   • Mostly buprenorphine prescribers discussed clinic closures while methadone staff/clients discussed clinics reducing capacity
Social Distancing	Instituted to prevent/reduce COVID-19 spread, some participants noted challenges of   • Inability of clinics to enforce social distancing protocols   • Long lines outside clinics which could increase visibility and stigma