id author title date pages extension mime words sentences flesch summary cache txt cord-331433-uwbgv0r3 Tringale, Rolando COVID-19 innovations in medication for addiction treatment at a Skid Row syringe exchange 2020-10-21 .txt text/plain 1573 57 34 It is in this context that Homeless Health Care Los Angeles (HHCLA) clinicians and staff were faced with the unprecedented challenge of adapting current medication for addiction treatment (MAT) services to ensure treatment continuity for persons who use syringe exchanges in Skid Row during the COVID-19 pandemic. Pre-pandemic, clinicians primarily delivered MAT services at HHCLA (Tringale, Subica, & Danielian, et al., 2020) face-to-face to enrolled patients of syringe exchanges using a direct dispensing model that required patients to receive, and often consume, MAT medications (i.e., buprenorphine) on-site in front of staff to (1) bolster engagement among first-time patients hesitant to stop using opioids; (2) prevent diversion; and (3) avoid medication gaps, which can lead to relapse, overdose, and death. First, we developed an innovative on-site -telephone booth‖ model that emulated the COVID-19 telemedicine-enabled social distancing that other MAT providers have used (Harris, Johnson, Mackin, & Saitz, et al., 2020; Samuels, Clark, & Wunsch, et al., 2020; Dunlop, Lokuge, & Masters, et al., 2020) , while accommodating the unique needs of patients of syringe exchanges experiencing homelessness. ./cache/cord-331433-uwbgv0r3.txt ./txt/cord-331433-uwbgv0r3.txt