Literature Collection

2621

COVID-19 and practice transformation: Building an office-based opioid treatment program in a family medicine residency practice

Type: Journal Article

Authors: Angela L. Colistra, Yoonjie K. Chung, Sophia Harbove, Yamelisa J. Taveras, Abby Letcher, Nyann Biery, Drew M. Keister

Year: 2023

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2622

COVID-19 and treating incarcerated populations for opioid use disorder

Type: Journal Article

Authors: C. J. Donelan, E. Hayes, R. A. Potee, L. Schwartz, E. A. Evans

Year: 2021

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2623

COVID-19 guidance for the field office based opioid treatment

Type: Web Resource

Authors: Ohio Department of Mental Health and Addiction Services

Year: 2020

Abstract:

This information is meant to support providers of office based opioid treatment programs (OBOT) relating to the coronavirus (COVID-19) situation in Ohio.

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.; This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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2624

COVID-19 innovations in medication for addiction treatment at a Skid Row syringe exchange

Type: Journal Article

Authors: R. Tringale, A. M. Subica

Year: 2021

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2625

COVID-19 Is Associated With an Increase in Visits for Anxiety but Not Depression

Type: Journal Article

Authors: E. Pfoh, K. A. Martinez, J. Hohman, A. Misra-Hebert, M. Rothberg

Year: 2021

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2626

COVID-19 pandemic led to increase in loneliness around the world

Type: Report

Authors: American Psychological Association

Year: 2022

Publication Place: Washington, DC

Topic(s):

,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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2627

COVID-19-related treatment service disruptions among people with single- and polysubstance use concerns

Type: Journal Article

Year: 2020

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2628

COVID-19-related treatment service disruptions among people with single- and polysubstance use concerns

Type: Journal Article

Authors: Alexandra M. Mellis, Marc N. Potenza, Jessica N. Hulsey

Year: 2021

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2629

COVID-19, Telehealth, and Pediatric Integrated Primary Care: Disparities in Service Use

Type: Journal Article

Authors: A. Chakawa, L. T. Belzer, T. Perez-Crawford, H. W. Yeh

Year: 2021

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2630

COVID-19: A catalyst for change in telehealth service delivery for opioid use disorder management

Type: Journal Article

Authors: N. J. Mehtani, J. T. Ristau, H. Snyder, C. Surlyn, J. Eveland, S. Smith-Bernardin, K. R. Knight

Year: 2021

Publication Place: United States

Abstract: BACKGROUND: COVID-19 has exacerbated income inequality, structural racism, and social isolation-issues that drive addiction and have previously manifested in the epidemic of opioid-associated overdose. The co-existence of these epidemics has necessitated care practice changes, including the use of telehealth-based encounters for the diagnosis and management of opioid use disorder (OUD). METHODS: We describe the development of the "Addiction Telehealth Program" (ATP), a telephone-based program to reduce treatment access barriers for people with substance use disorders staying at San Francisco's COVID-19 Isolation and Quarantine (I&Q) sites. Telehealth encounters were documented in the electronic medical record and an internal tracking system for the San Francisco Department of Public Health (SFDPH) COVID-19 Containment Response. Descriptive statistics were collected on a case series of patients initiated on buprenorphine at I&Q sites and indicators of feasibility were measured. RESULTS: Between April 10 and May 25, 2020, ATP consulted on the management of opioid, alcohol, GHB, marijuana, and stimulant use for 59 I&Q site guests. Twelve patients were identified with untreated OUD and newly prescribed buprenorphine. Of these, all were marginally housed, 67% were Black, and 58% had never previously been prescribed medications for OUD. Four self-directed early discharge from I&Q-1 prior to and 3 after initiating buprenorphine. Of the remaining 8 patients, 7 reported continuing to take buprenorphine at the time of I&Q discharge and 1 discontinued. No patients started on buprenorphine sustained significant adverse effects, required emergency care, or experienced overdose. CONCLUSIONS: ATP demonstrates the feasibility of telephone-based management of OUD among a highly marginalized patient population in San Francisco and supports the implementation of similar programs in areas of the U.S. where access to addiction treatment is limited. Legal changes permitting the prescribing of buprenorphine via telehealth without the requirement of an in-person visit should persist beyond the COVID-19 public health emergency.

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2631

Crack cocaine users views regarding treatment with contingency management in Brazil

Type: Journal Article

Authors: A. Q. C. Miguel, C. S. Madruga, V. Simões, R. Yamauchi, C. J. da Silva, R. R. Abdalla, M. McDonell, S. McPherson, J. M. Roll, J. J. Mari, R. R. Laranjeira

Year: 2018

Abstract:

BACKGROUND: Contingency management (CM) has recently shown efficacy in promoting abstinence and retention in treatment among crack cocaine users in Brazil. However, partially because of unawareness and resistance among health care providers, CM has not been widely employed. The objective of this study was to conduct a secondary analysis in order to evaluate how CM participants perceive their treatment experience. METHODS: Twenty-seven crack cocaine users, previously assigned to 12 weeks of CM treatment, were assessed with a structured questionnaire designed to assess their personal opinion of, difficulty in understanding, and acceptance of the CM intervention, as well as their opinion regarding its impact on their treatment responses. RESULTS: Descriptive analyses showed that 92.6% of the participants found it very easy to understand the CM protocol. All participants reported liking their CM experience quite a bit. For the perceived effects of CM on their treatment response, 81.5% of the participants stated that CM helped them considerably, the mean score for the impact of CM on treatment response (out of a maximum of 10) being 9 (SD = 1.5). When asked if they believed CM could help other people with crack cocaine dependence, 92.6% of the participants stated that CM could help such people a lot and 7.4% stated that it could help them a little. CONCLUSIONS: From the perspective of the patients, CM was easily assimilated, easily accepted, and had a direct positive effect on treatment response. These findings provide additional support for the incorporation of CM into substance abuse treatment services in Brazil.

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2632

CRAFFT as a Substance Use Screening Instrument for Adolescent Psychiatry Admissions

Type: Journal Article

Authors: T. S. Oesterle, M. J. Hitschfeld, T. W. Lineberry, T. D. Schneekloth

Year: 2015

Publication Place: United States

Abstract: BACKGROUND: Adolescent use of alcohol and illicit substances is quite common among pediatric psychiatry inpatients; however, little data exist on substance use screening instruments that can be used to augment thorough psychiatric diagnostic interviews. CRAFFT is a screening tool for adolescent substance use that has been validated in outpatient general medical settings. This is the first study to examine its use in adolescent psychiatric inpatients. METHODS: We performed a chart review of records from adolescents admitted to our inpatient psychiatric unit who completed a CRAFFT screen on admission. We compared CRAFFT scores with other measures of substance use, including urine drug screens and the diagnosis of a substance use disorder at discharge. We also examined measures of depression and suicidality in individuals with elevated CRAFFT scores (>/=2 positive answers out of 6) and compared them with measures in those with normal CRAFFT scores. RESULTS: Elevated CRAFFT scores were correlated with other measures of alcohol and substance use, including the diagnosis of a substance use disorder at discharge (P<0.0001), and laboratory screening for alcohol (P=0.0048) and marijuana (P<0.0001) on admission. Previous suicide attempts (P=0.005) and "psychiatric trauma" (P=0.0027) were also positively associated with elevated CRAFFT scores. CONCLUSIONS: CRAFFT scores in adolescent inpatients were correlated with other measures of substance use, supporting its efficacy as a screening tool in this population. CRAFFT scores were also positively correlated with a history of psychiatric trauma and past suicide attempts, which is consistent with the results of previous studies associating pediatric substance use and traumatic life events with an increased risk of suicide.

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2633

CRAFFT Screen

Type: Web Resource

Year: 2021

Publication Place: Children's Hospital Boston

Topic(s):

,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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2634

Craving for heroin: difference between methadone maintenance therapy patients with and without ADHD

Type: Journal Article

Authors: M. Coppola, G. Sacchetto, R. Mondola

Year: 2019

Publication Place: Brazil

Abstract: INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder persisting in adulthood in 40-60% of cases. Clinical and neuroimaging studies suggest that patients affected by both drug addiction and ADHD show higher rates of craving for drug than patients without ADHD. We designed a pilot open-label study to investigate the effects of ADHD on craving for heroin in methadone maintenance therapy patients. METHOD: Patients were recruited from outpatient facilities in an addiction treatment unit in the municipality of Alba, Italy. They were assessed using the Structured Clinical Interview for DSM-5 (SCID-5), the SCID-5 for Personality Disorders (SCID-5-PD), the Diagnostic Interview for Adult ADHD, second edition (DIVA 2.0), and the Clinical Opiate Withdrawal Scale (COWS). Categorical variables were examined using the chi-square test, and continuous variables, the t-test and Mann-Whitney's U test for normally and non-normally distributed data, respectively. Data distribution was evaluated using Shapiro-Wilk's test. Significance was set at p=0.05. Bonferroni correction was applied (0.0063) to avoid type I error. RESULTS: A total of 104 patients were included in the study: 14 affected by ADHD (13.5%) and 90 were not affected (86.5%). Patients with ADHD showed higher intensity of craving for heroin than patients without ADHD in the absence of withdrawal symptoms. CONCLUSION: Drug addiction and ADHD share various neurobiological mechanisms that mutually influence the evolution of both disorders. In particular, dopamine dysfunction within various brain circuits may influence impulsivity levels, motivation, inhibitory control, executive functions, and behavior and, consequently, the intensity of craving.

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2635

Creating a 'reverse' integrated primary and mental healthcare clinic for those with serious mental illness

Type: Journal Article

Authors: A. Maragakis, R. Siddharthan, J. RachBeisel, C. Snipes

Year: 2016

Publication Place: England

Abstract: Individuals with serious mental illness (SMI) are more likely to experience preventable medical health issues, such as diabetes, hyperlipidemia, obesity, and cardiovascular disease, than the general population. To further compound this issue, these individuals are less likely to seek preventative medical care. These factors result in higher usage of expensive emergency care, lower quality of care, and lower life expectancy. This manuscript presents literature that examines the health disparities this population experiences, and barriers to accessing primary care. Through the identification of these barriers, we recommend that the field of family medicine work in collaboration with the field of mental health to implement 'reverse' integrated care (RIC) systems, and provide primary care services in the mental health settings. By embedding primary care practitioners in mental health settings, where individuals with SMI are more likely to present for treatment, this population may receive treatment for somatic care by experts. This not only would improve the quality of care received by patients, but would also remove the burden of managing complex somatic care from providers trained in mental health. The rationale for this RIC system, as well as training and policy reforms, are discussed.

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2636

Creating a "Pull Request" for Collaborative Care

Type: Journal Article

Authors: Barkil-Oteo A.

Year: 2013

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2637

Creating A Culture of Whole Health: Recommendations for Integrating Behavioral Health and Primary Care

Type: Report

Authors: B. F. Miller, E. C. Gilchrist, K. M. Ross, S. L. Wong, L. A. Green

Year: 2016

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2638

Creating a medical home for homeless persons with serious mental illness

Type: Journal Article

Authors: B. F. Henwood, L. C. Weinstein, S. Tsemberis

Year: 2011

Publication Place: United States

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2639

Creating a movement: Integrating Health Care [Video]

Type: Web Resource

Authors: Health Research and Educational Trust

Year: 2013

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2640

Creating a network of care: Healthy San Francisco connects uninsured residents to a primary care home

Type: Journal Article

Authors: D. S. Finley, T. Brigham

Year: 2011

Publication Place: United States

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