TY - JOUR KW - Analgesics, Opioid/adverse effects KW - Behavior Therapy KW - Chronic Disease KW - Combined Modality Therapy KW - Health Knowledge, Attitudes, Practice KW - Humans KW - Opioid-Related Disorders/therapy KW - Pain/drug therapy KW - Patient Care Team KW - Patient Compliance KW - Patient Education as Topic KW - Self Care KW - Treatment Outcome AU - C. Ruetsch A1 - AB - BACKGROUND: Failure in treating opioid dependence is costly to the patient, the employer, managed care organizations, and the overall health care system. Opioid dependent patients tend to be less productive at work and in society and utilize a great many health care resources. Optimizing outcomes is essential. OBJECTIVE: To introduce the benefit of integrated strategies and patient support in the treatment of opioid dependence. SUMMARY: Health Analytics is currently studying the benefit of HereToHelp, a behavioral support program in which registered nurses or addiction treatment counselors with specialized training in addiction education provide information and encouragement to patients receiving pharmacologic treatment for opioid dependence. A total of 470 physicians in 41 states have been enlisted to participate in this patient support study. The study hypothesis is that patients who receive behavioral support and encouragement will be more compliant with their opioid replacement therapy, leading to better outcomes. Additional treatment strategies are also being developed to minimize the risk of abuse and diversion. Prodrugs and vaccines are also being investigated. CONCLUSION: A coordinated team approach is essential in treating pain patients and opioid-dependent patients. Offering behavior modification in addition to pharmacotherapy and utilizing strategies such as prescription monitoring programs, pain contracts, and screening are all vital components necessary for positive outcomes. BT - Journal of managed care pharmacy : JMCP C5 - Opioids & Substance Use; Education & Workforce CP - 1 Suppl B CY - United States IS - 1 Suppl B JF - Journal of managed care pharmacy : JMCP N2 - BACKGROUND: Failure in treating opioid dependence is costly to the patient, the employer, managed care organizations, and the overall health care system. Opioid dependent patients tend to be less productive at work and in society and utilize a great many health care resources. Optimizing outcomes is essential. OBJECTIVE: To introduce the benefit of integrated strategies and patient support in the treatment of opioid dependence. SUMMARY: Health Analytics is currently studying the benefit of HereToHelp, a behavioral support program in which registered nurses or addiction treatment counselors with specialized training in addiction education provide information and encouragement to patients receiving pharmacologic treatment for opioid dependence. A total of 470 physicians in 41 states have been enlisted to participate in this patient support study. The study hypothesis is that patients who receive behavioral support and encouragement will be more compliant with their opioid replacement therapy, leading to better outcomes. Additional treatment strategies are also being developed to minimize the risk of abuse and diversion. Prodrugs and vaccines are also being investigated. CONCLUSION: A coordinated team approach is essential in treating pain patients and opioid-dependent patients. Offering behavior modification in addition to pharmacotherapy and utilizing strategies such as prescription monitoring programs, pain contracts, and screening are all vital components necessary for positive outcomes. PP - United States PY - 2010 SN - 1083-4087; 1083-4087 EP - 7 EP - S26+ T1 - Practice strategies to improve compliance and patient self-management T2 - Journal of managed care pharmacy : JMCP TI - Practice strategies to improve compliance and patient self-management U1 - Opioids & Substance Use; Education & Workforce U2 - 20146552 VL - 16 VO - 1083-4087; 1083-4087 Y1 - 2010 ER -