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<article article-type="abstract" dtd-version="2.0" xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v8i1e39419</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/39419</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Impact of COVID-19–related Isolation on Individuals in Treatment for Substance Use</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Pagoto</surname>
            <given-names>Sherry</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Ondrusek</surname>
            <given-names>Ashlin Ripley</given-names>
          </name>
          <degrees>BA</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Department of Social and Behavioral Sciences</institution>
            <institution>Yale School of Public Health</institution>
            <addr-line>135 College Street</addr-line>
            <addr-line>New Haven, CT, 06511</addr-line>
            <country>United States</country>
            <phone>1 713 205 0486</phone>
            <email>ashlin.ondrusek@yale.edu</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-2644-0990</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Townsend</surname>
            <given-names>Emily</given-names>
          </name>
          <degrees>BS</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-3728-2289</ext-link>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Warnock</surname>
            <given-names>Charles</given-names>
          </name>
          <degrees>BS, MPH</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-1916-5422</ext-link>
        </contrib>
        <contrib id="contrib4" contrib-type="author">
          <name name-style="western">
            <surname>Lowe</surname>
            <given-names>Sarah</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0001-9544-4234</ext-link>
        </contrib>
        <contrib id="contrib5" contrib-type="author">
          <name name-style="western">
            <surname>Muilenburg</surname>
            <given-names>Jessica</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
        <contrib id="contrib6" contrib-type="author">
          <name name-style="western">
            <surname>Kershaw</surname>
            <given-names>Trace</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Department of Social and Behavioral Sciences</institution>
        <institution>Yale School of Public Health</institution>
        <addr-line>New Haven, CT</addr-line>
        <country>United States</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>College of Public Health</institution>
        <institution>University of Georgia</institution>
        <addr-line>Athens, GA</addr-line>
        <country>United States</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Ashlin Ripley Ondrusek <email>ashlin.ondrusek@yale.edu</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Jan-Dec</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>8</day>
        <month>7</month>
        <year>2022</year>
      </pub-date>
      <volume>8</volume>
      <issue>1</issue>
      <elocation-id>e39419</elocation-id>
      <history>
        <date date-type="received">
          <day>9</day>
          <month>5</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>24</day>
          <month>6</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Ashlin Ripley Ondrusek, Emily Townsend, Charles Warnock, Sarah Lowe, Jessica Muilenburg, Trace Kershaw. Originally published in Iproceedings (https://www.iproc.org), 08.07.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2022/1/e39419" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>For individuals in treatment for substance use, supportive social networks are essential to protect against a return to use.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>This study aimed to explore the impact of the swift and severe isolation brought on by the COVID-19 pandemic, specifically for individuals in treatment for substance use disorder, by exploring the relationships amongst social connectedness and isolation to treatment accessibility, mental health, and substance use.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>A total of 24 semistructured interviews were conducted from May 2020 to August 2020 with participants engaged in substance use treatment asking about the impact of the pandemic on social networks, substance use, access to treatment, and mental health. Interviews were coded and analyzed using grounded theory.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>Results centered around two main themes: (1) access to support (eg, formal and informal networks) and (2) individual outcomes regarding substance use and worsened mental health.</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>This research suggests that the COVID-19 pandemic has greatly disrupted access to resources for individuals in treatment for substance use, and calls for treatment centers and governing bodies to put more resources into telehealth and alternative treatment plans in the event of major disruptions, such as national disasters and global pandemics.</p>
        </sec>
        <sec>
          <title>Conflicts of Interest</title>
          <p>None declared.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>substance use</kwd>
        <kwd>COVID-19</kwd>
        <kwd>treatment accessibility</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>
