Select Participant Statements Describing the Four Factors That Shape Perspective of Care
| Factors | Participant Statement |
|---|---|
| Societal structures | “I'm about to lose Medicaid because I make too much money [working at McDonalds] and I will have to pay for it.” |
| “I have to drive from Tennessee [in order to receive treatment].” | |
| “The only clinic for treatment in my home town doesn't accept Medicaid.” | |
| “My past is my past, people [including healthcare providers] tend to look down on you.” | |
| Life before treatment | “I was not in a good place before coming here.” |
| “I was hanging out with people I should not have.” | |
| “I had never been addicted to anything before except smoking… being addicted to narcotics made me feel like a bad mother.” | |
| “My life is more in control [now].” | |
| “I'm not a horrible person anymore.” | |
| “I'm a great person in society instead of a bad one.” | |
| Treatment history | “[You can] get more drugs there than anywhere. You can get anything standing in line at the clinic.” |
| “Everyone knows your business there, they may not tell it but they know it.” | |
| “Still going to a drug dealer.” | |
| “No freedom, no life, they don't care about you.” | |
| “Don't have to come every day.” [previous care at Opioid Treatment Program] | |
| “You have to come often” [no previous treatment] | |
| Experiences in office-based opioid treatment | “[If it wasn't for the staff here] I'm not sure what I would have done.” |
| “[They] make you feel more human here than other places.” | |
| “[I can get care] all in one place.” | |
| “Superman cape.” | |
| “[I've] woken up.” | |
| “It's a world of difference to wake up and feel good.” |