Implementing a Mobile Clinic for Opioid Use Disorder Treatment in an Urban and Rural Context

Abstract

Different barriers inhibit access to medications for opioid use disorder (MOUD), such as transportation limitations or reduced geographic proximity to providers. Mobile clinics for opioid use disorder (OUD) treatment provide opportunities to expand access to MOUD. There is limited literature describing the lessons learned and barriers faced when implementing a mobile clinic for OUD treatment in an urban and rural context. This paper focuses on 2 mobile clinics: Prevention Point Medical Mobile Unit, which was implemented in an urban location in Pittsburgh, Pennsylvania, and Addiction Treatment: Linking Access & Services, which was implemented in a rural location in Robeson County, North Carolina. The focal points of this paper include (1) community engagement, (2) community environment, (3) cost, (4) low-barrier MOUD, (5) mobile unit, (6) partnerships with local pharmacies, and (7) weather. With direct insight from providers who led programs in 2 different geographic contexts, this paper offers valuable guidance and lessons learned for those considering initiating mobile clinics to increase access to OUD treatment.