Evaluating Clinicians’ Perspectives on Initiation of Medications for Opioid Use Disorder During Psychiatric Admissions

Staff recognized the high prevalence of OUD in psychiatric units and the need for treatment. Despite some reluctance about MOUD initiation in this setting, MOUD remains the gold standard and should be available to patients with OUD wherever they seek medical care, consistent with a "No Wrong Door" approach. Improved education and multidisciplinary collaboration may increase staff acceptance of MOUD. Finally, MOUD initiation for dually diagnosed patients will be most successful when integrated within a multidisciplinary treatment model and coordinated community-based care.