“If You’re Willing to Work…We Can Work With You”: Obligatory Labor at Residential Substance Use Services Providers in North Carolina

More providers require residents to work in an agency-owned and operated commercial enterprise than allow access to opioid agonist treatment, the gold standard treatment for opioid use disorder. Adjustments to state regulations may help improve the availability of evidence-based services and increase regulatory supervision of these service providers.

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Publication Details

Journal
Substance Use & Misuse
Published
2026-01-07
DOI
https://doi.org/10.1080/10826084.2025.2611422
Primary Topic
Opioid Use Disorder Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

“If You’re Willing to Work…We Can Work With You”: Obligatory Labor at Residential Substance Use Services Providers in North Carolina

Sarah K. Dixon, Brandon Morrissey, Alejandra Salemi, Roxanne Saucier et al.
Substance Use & Misuse
Opioid Use Disorder Treatment
article

“If You’re Willing to Work…We Can Work With You”: Obligatory Labor at Residential Substance Use Services Providers in North Carolina

Sarah K. Dixon, Brandon Morrissey, Alejandra Salemi, Roxanne Saucier, Jennifer Carroll, Taleed El‐Sabawi, Bayla Ostrach
article en

Abstract

More providers require residents to work in an agency-owned and operated commercial enterprise than allow access to opioid agonist treatment, the gold standard treatment for opioid use disorder. Adjustments to state regulations may help improve the availability of evidence-based services and increase regulatory supervision of these service providers.

Substance Use & Misuse
Boston Medical Center (US), Open Society Foundations (US), North Carolina State University (US), Duke University (US), Wayne State University (US), Research for Action (US)
Openalex Percentile: Top 97%
Opioid Use Disorder Treatment
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“If You’re Willing to Work…We Can Work With You”: Obligatory Labor at Residential Substance Use Services Providers in North Carolina — Sarah K. Dixon, Brandon Morrissey, et al. · Substance Use & Misuse (2026) | TGRS Research Map | TGRS