adolescentsadultsagonistsalcoholamongassociatedbasedbuprenorphinecareclinicalcommunitydiagnosisdifferencesdisorderdisordersdisparitiesfentanylhealthhospitalimpactimprovingincarcerationincidenceintegratinglanguagemedicationmedicationsmethadonenotesopiateopioidpatientspeopleprimaryqualitativereproductiveservicesstigmatizingsubstancesyndrometreatmenturineusewithdrawalwomenxylazine