Maeve O'Leary Sloan, PsyD, is a 2023 graduate of the PsyD Program in Clinical Psychology at Antioch University, Seattle.
Michael J. Toohey, PhD, ABPP, Committee Chair
Michelle Peavy, PhD, MAC, SUDP, Committee Member
Melissa Kennedy, PhD, Committee Member
grounded theory, constructivist grounded theory, qualitative, primary care providers, youth with OUD, youth with opioid use disorder, youth, youth in primary care, primary care, outpatient medical clinics, office-based treatment, medications for opioid use disorder, opioid use disorder, OUD, MOUD, buprenorphine, suboxone, sublocade, access to MOUDs
This study utilized Primary Care Provider (PCP) perspectives to unveil major barriers to prescribing buprenorphine to youth (ages 16-25) with opioid use disorder (OUD). Semi-structured interviews were conducted with seven PCPs recruited through convenience and snowball sampling. Interviews were conducted and recorded via Zoom video conferencing. Transcripts were generated and analyzed for themes using a Constructivist Grounded Theory (CGT) approach. The CGT of the present study describes four major barriers that limit PCP prescription of buprenorphine to youth: 1) PCPs Feel Overwhelmed, 2) PCPs Feel Ill Equipped to Treat Youth Patients with OUD, 3) PCPs Hold and Observe Stigma toward Patients with OUD—Especially Youth, and 4) Structural and Systemic Barriers. Each major barrier consists of related subcategories and sub-subcategories. Findings offer stakeholders suggestions for targeting individual, relational, clinical, and systemic level changes to increase primary care access to buprenorphine for youth ages 16-25.
O'Leary Sloan, M. (2023). A Constructivist Grounded Theory Analysis of Seven Medical Provider Perspectives on Major Barriers to Prescribing Buprenorphine to Youth with Opiold Use Disorder in Outpatient Medical Settings: "We Should Be Providing Them with What We Know to be the Gold Standard of Care".. https://aura.antioch.edu/etds/977