TY - JOUR
KW - opioid treatment
KW - Chronic Disease
KW - integrated care
KW - Mental Health
KW - methadone maintenance
AU - M. A. O'Grady
AU - C. J. Neighbors
AU - R. Randrianarivony
AU - D. Shapiro-Luft
AU - J. Tempchin
AU - Y. Perez-Cubillan
AU - D. C. Collymore
AU - K. Martin
AU - N. Heyward
AU - M. Wu
AU - A. Beacham
AU - B. Greenfield
A1 - 
AB - Background: Individuals with opioid use disorder (OUD) often have significant medical and behavioral health needs that are unaddressed. Opioid treatment programs (OTP) are uniquely positioned to provide integrated services for OUD, physical and mental health but are underutilized for this purpose. This study aims to describe the physical and mental healthcare needs of OTP clients in order to inform integrated care implementation in OTPs. Method: OTP clients (n = 1261) in an integrated care program in the Bronx borough of New York City were assessed for mental health symptoms (e.g., anxiety, depression), chronic disease indicators (e.g., blood pressure, cholesterol), and general functioning (e.g., capability of managing healthcare needs). Results: Symptoms of anxiety, post-traumatic stress, and depression were common. Self-reported health status and level of functioning were generally poor. Heavy smoking and obesity were the most frequent physical health risks. Other chronic disease indicators (e.g., blood pressure) showed 25-46% may be at risk. Sixty percent had multiple mental health risks and 85% had multiple physical health risks. Older clients had a higher rate of hypertension and diabetes risk than younger clients. Conclusions: Integrated care programs in OTPs must be prepared to address and coordinate care for chronic mental and physical health conditions in addition to OUD.
AD - University of Connecticut School of Medicine, Farmington, Connecticut, USA.; New York University Grossman School of Medicine, New York City, New York, USA.; Partnership to End Addiction, New York City, New York, USA.; Partnership to End Addiction, New York City, New York, USA.; Partnership to End Addiction, New York City, New York, USA.; Acacia Network, New York City, New York, USA.; Acacia Network, New York City, New York, USA.; Acacia Network, New York City, New York, USA.; New York State Office of Addiction Services and Supports, Albany, New York, USA.; Partnership to End Addiction, New York City, New York, USA.; Partnership to End Addiction, New York City, New York, USA.; New York State Office of Addiction Services and Supports, Albany, New York, USA.
BT - Substance use & misuse
C5 - Healthcare Disparities; Opioids & Substance Use
CY - England
DO - 10.1080/10826084.2022.2064508
JF - Substance use & misuse
LA - eng
M1 - Journal Article
N2 - Background: Individuals with opioid use disorder (OUD) often have significant medical and behavioral health needs that are unaddressed. Opioid treatment programs (OTP) are uniquely positioned to provide integrated services for OUD, physical and mental health but are underutilized for this purpose. This study aims to describe the physical and mental healthcare needs of OTP clients in order to inform integrated care implementation in OTPs. Method: OTP clients (n = 1261) in an integrated care program in the Bronx borough of New York City were assessed for mental health symptoms (e.g., anxiety, depression), chronic disease indicators (e.g., blood pressure, cholesterol), and general functioning (e.g., capability of managing healthcare needs). Results: Symptoms of anxiety, post-traumatic stress, and depression were common. Self-reported health status and level of functioning were generally poor. Heavy smoking and obesity were the most frequent physical health risks. Other chronic disease indicators (e.g., blood pressure) showed 25-46% may be at risk. Sixty percent had multiple mental health risks and 85% had multiple physical health risks. Older clients had a higher rate of hypertension and diabetes risk than younger clients. Conclusions: Integrated care programs in OTPs must be prepared to address and coordinate care for chronic mental and physical health conditions in addition to OUD.
PP - England
PY - 2022
SN - 1532-2491; 1082-6084
SP - 1
EP - 6
EP - 
T1 - Identifying the Physical and Mental Healthcare Needs of Opioid Treatment Program Clients
T2 - Substance use & misuse
TI - Identifying the Physical and Mental Healthcare Needs of Opioid Treatment Program Clients
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 35440294
U3 - 10.1080/10826084.2022.2064508
VO - 1532-2491; 1082-6084
Y1 - 2022
Y2 - Apr 19
ER -