What is PATHS
PATHS is an intervention developed by Oregon Health & Sciences University (OHSU) in collaboration with partners. Peer support specialists (people with lived experience) assist people who use drugs to access hepatitis C (HCV) and syphilis testing, facilitate telemedicine HCV treatment, and support participants in medication adherence. OHSU clinicians provide streamlined, low-barrier access to care. The model was tested through an NIH-funded randomized controlled trial demonstrating high levels of HCV initiation and cure. The PATHS expansion includes implementation by PRIME+ peer teams and other programs around the state. The OHSU PATHS implementation team provides training, technical assistance, and clinical coordination. Oregon Health Authority (OHA) is funding the supportive infrastructure through the state’s SAMHSA SOR grant.
Why PATHS
Hepatitis C Virus (HCV) prevalence and mortality have increased throughout the U.S., largely due to injection drug use. Despite this, less than 10% of PWUD with HCV receive treatment, with rural areas facing particular barriers. Untreated HCV can lead to severe health issues, including liver cancer. Treatment not only mitigates these risks but also catalyzes positive changes, such as recovery from substance use disorders.