"This whole thing is relationship medicine": A qualitative analysis of mobile and street-delivered medication for opioid use disorder in King County, Washington, using RE-AIM.
Strong, Marin; Rodgers, Chelsea; Harbick, Kaitlyn; Wang, Kathy; Gatanaga, Ohshue S.; Glick, Sara N.; Corcorran, Maria; Heidari, Omeid
Why this matters
Sustaining a mobile addiction program depends on things that never appear in a clinical protocol. Interviews with 21 providers across 13 King County programs found flexibility in training, staff roles, and medication protocols drove adoption, while community partnerships and diverse funding kept programs running.
Abstract
Semi-structured interviews with 21 frontline providers and administrators from 13 unique MOUD programs in King County, WA examined care delivery and sustainability of mobile and street-based MOUD models using RE-AIM framework. Patients reached were often living unhoused with complex comorbidities. Flexibility in training, staff roles, and medication protocols was key to adoption. Programmatic maintenance depended on strong community partnerships and diverse funding streams.