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Opioids & SU
The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
11199 Results
3721
Evaluation of an Electronic Health Record (EHR) Tool for Integrated Behavioral Health in Primary Care
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
HIT & Telehealth
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, Measures
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Reference Links: 
View the DOI record for Evaluation of an Electronic Health Record (EHR) Tool for Integrated Behavioral Health in Primary Care
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View the PubMed citation for Evaluation of an Electronic Health Record (EHR) Tool for Integrated Behavioral Health in Primary Care3723
Evaluation of an evidence-based contraceptive advice line used to support contraceptive provision in primary care
Type: Journal Article
Year: 2010
Publication Place: England
Abstract: BACKGROUND: An e-contraceptive advice line (contraceptionadvice.GP@hullpct.nhs) was set up by our unit to support contraceptive provision in primary care. This advice line was for general practitioners (GPs) initially and was then extended to certain pharmacists. All queries were to be answered within 24 hours. A similar e-advice line on emergency contraception for patients seeking advice had been successful in the USA and South Africa. METHODS: Our aim was to evaluate the contraceptive advice line using standards developed at its inception. A retrospective audit of the queries received by the contraceptive advice line between January and September 2009 was conducted. RESULTS: Sixty-seven queries were received from 30 GPs, nine from practice nurses and none from pharmacists. Some 61% of the queries were answered within 24 hours and 85% were answered within 72 hours; 90% were within the advice line guidelines. CONCLUSIONS: The e-mail advice line is a useful, low-cost, well-received support service for GPs. This model could be adopted by other areas wishing to increase contraceptive access in primary care.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Evaluation of an evidence-based contraceptive advice line used to support contraceptive provision in primary care
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View the PubMed citation for Evaluation of an evidence-based contraceptive advice line used to support contraceptive provision in primary care3724
Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: The study aimed to evaluate an integrated intensive cognitive behavioral therapy (CBT) group treatment for people with substance-related syndrome in outpatient care and to identify eventual gender differences. The study population consisted of 35 outpatients (18 male, 17 female) at a clinic in Western Sweden. The patients completed a four-month period of intensive group therapy and participated in the data collection at admission and discharge. The data were collected using the following inventories: Beck Depression and Anxiety Inventories, Rosenberg Self-Esteem Scale, Hopelessness Scale, and Trait Hope Scale. Results showed decreases in anxiety, depression and experience of hopelessness, and increases in self-esteem and hope. In females, the most dramatic improvement was measured for the anxiety and depression attributes, while in males the strongest effect was measured for hope and self-esteem. This study provides clinical evidence of the positive effects of integrated intensive CBT in outpatient care of people with substance-related syndrome.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care
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View the PubMed citation for Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care3726
Evaluation of an Opiate Overdose Educational Intervention and Naloxone Prescribing Program in Homeless Adults Who Use Opiates
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: Opiate overdose deaths are considered an epidemic by the Centers for Disease Control and Prevention. Homeless adults are disproportionately affected by opioid overdoses. The purpose of this project was to implement an opiate overdose training and routine naloxone prescribing program for patients at a Health Care for the Homeless clinic. Education consisted of overdose risk factors, signs of overdose, how to respond to an opiate overdose, and how to administer naloxone. Knowledge was measured with a pretest and a posttest. Intranasal naloxone was prescribed for each person who received the education, and prescription fill rates were tracked 1 week after the clinic visit. Patients had a significant increase in knowledge, and the overall naloxone fill rate was 33%. Fill rates varied by housing, insurance, and other prescription status. Opiate overdose education can effectively be delivered in a homeless medical clinic, although more research is needed regarding barriers to naloxone fill rates.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
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3728
Evaluation of buprenorphine dosage adequacy in opioid receptor agonist substitution therapy for heroin dependence: first use of the BUprenorphine-naloxone Dosage Adequacy eVAluation (BUDAVA) questionnaire
Type: Journal Article
Year: 2012
Publication Place: New Zealand
Abstract: BACKGROUND: The dosing of opioid receptor agonist medications adequately and on an individual basis is crucial in the pharmacotherapy of opioid dependence. Clinical tools that are able to measure dose appropriateness are sorely needed. The recently developed and validated Opiate Dosage Adequacy Scale (ODAS) comprehensively evaluates the main outcomes relevant for methadone dose optimization, namely relapse, cross-tolerance, objective and subjective withdrawal symptoms, craving and overdose. Based on the ODAS, we developed a new assessment tool (BUprenorphine-naloxone Dosage Adequacy eVAluation [BUDAVA]) for evaluating dosage adequacy in patients in treatment with buprenorphine-naloxone. OBJECTIVE: The main goal of this observational study was to explore whether the BUDAVA questionnaire could be used to assess buprenorphine-based, long-term substitution therapy for heroin addiction. METHODS: The study included heroin-dependent patients who had been in treatment with buprenorphine-naloxone for at least 3 months. Patients (n = 196) were recruited from 11 drug abuse treatment centres in Italy. Dosage adequacy was assessed with the BUDAVA questionnaire. Patients classified as inadequately treated had their dosage modified. After 1 week, they were again administered the questionnaire to assess the adequacy of the new dosage. RESULTS: The buprenorphine-naloxone dosage was found to be inadequate in 61 of the 196 patients. In 13 patients, the treatment scored as inadequate only in the subjective withdrawal symptoms item of the questionnaire and therefore no dosage adjustment was made in the 2 weeks that have characterized this work. The remaining 48 inadequately treated patients had their dosage modified (42 dose increases and six dose decreases). After 1 week on the modified dosage, in 24 of these patients the new regimen was found by the assessment with the questionnaire to be adequate. CONCLUSION: These preliminary results suggest that the BUDAVA questionnaire may be useful for guiding buprenorphine-naloxone maintenance dose adjustments in heroin-dependent patients.
Topic(s):
Opioids & Substance Use
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, Measures
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3730
Evaluation of Electronic Mental Health Implementation in Northern Territory Services Using the Integrated "Promoting Action on Research Implementation in Health Services" Framework: Qualitative Study
Type: Journal Article
Year: 2020
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, HIT & Telehealth
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3731
Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period: combined analysis of routine and cohort data
Type: Journal Article
Year: 2016
Publication Place: England
Topic(s):
Healthcare Disparities
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3732
Evaluation of fentanyl test strip distribution in two Mid-Atlantic syringe services programs
Type: Journal Article
Year: 2021
Publication Place: Netherlands
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Evaluation of fentanyl test strip distribution in two Mid-Atlantic syringe services programs
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View the PubMed citation for Evaluation of fentanyl test strip distribution in two Mid-Atlantic syringe services programs3733
Evaluation of Florida physicians' knowledge and attitudes toward accessing the state prescription drug monitoring program as a prescribing tool
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: OBJECTIVE: The purpose of this study is to assess Florida physicians' attitudes and knowledge toward accessing the state's prescription drug monitoring program (PDMP). DESIGN: Five thousand medical doctors and osteopathic physicians licensed in Florida were randomly selected for a voluntary and anonymous 15-question self-administered survey approved by the Institutional Review Board. Surveys were distributed through U.S. postal service mail. Likert-scale questions were used to assess prior knowledge (1 = none to 5 = excellent) and attitudes toward accessing the PDMP (1 = strongly disagree to 5 = strongly agree). RESULTS: The study yielded a response rate of 7.8%, 71.5% of whom agreed or strongly agreed that the PDMP is a useful tool. Among participants that have access and answered the PDMP usefulness question, 94.8% agree or strongly agree that it is a useful tool. There were 63 out of 64 physicians (98.4%) who conducted 25 or more searches who agreed or strongly agreed that the PDMP is a useful tool for monitoring patients' controlled substance histories. There were 72.5% of participants with access that answered the "doctor shopping" question who agreed that "doctor shopping" will decrease. Among the 64 most frequent PDMP users, 69.4% agreed or strongly agreed that they have prescribed fewer controlled substances after accessing the PDMP. CONCLUSIONS: The study revealed that a majority of participants believe that the PDMP is a useful tool for monitoring patients' controlled substance histories. More continuing education programs should be provided to Florida physicians to enhance their knowledge regarding PDMPs.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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3734
Evaluation of functional status among patients undergoing maintenance treatments for opioid use disorders
Type: Journal Article
Year: 2021
Abstract:
BACKGROUND: Methadone and buprenorphine are the most prevalent types of opioid maintenance programs in Andalusia. The main objective is comparing the functional status of patients with pharmacological opioid maintenance treatments according to different socio-demographic characteristic, health and disabilities domains and sexual difficulties. METHODS: A total of 593 patients from the Andalusia community, 329 were undergoing methadone treatment and 264 were undergoing buprenorphine treatment. The patients were interviewed by socio-demographic and opioid-related variables, assessed by functioning, disability and health domains (WHODAS 2.0.) and for sexual problems (PRSexDQ-SALSEX). RESULTS: We found significant differences in the socio-demographic and the opioid-related variables as the onset of opioid use, being on previous maintenance programs, opioid intravenous use, the length of previous maintenance programs, polydrug use and elevated seroprevalence rates (HCV and HIV) between the methadone group and the buprenorphine group. Regarding health and disability domains there were differences in the Understanding and communication domain, Getting around domain, Participation in society domain and in the WHODAS 2.0. simple and complex score, favoring buprenorphine-treated patients. The methadone group referred elevated sexual impairments compared with the buprenorphine group. Opioid-related variables as seroprevalence rates, other previous lifetime maintenance program, the daily opioid dosage and the daily alcohol use are the most discriminative variables between both groups. Participation in society variables and sexual problems were the most important clinical variables in distinguishing the methadone group from the buprenorphine group regarding their functional status. CONCLUSIONS: The methadone group showed higher prevalence in opioid dependence-related variables, elevated disabilities in participation in society activities and sexual problems compared with the buprenorphine group. This study shows the importance of carry out a functional evaluation in the healthcare follow-up, especially in those areas related with social activity and with sexual problems.
Topic(s):
Healthcare Disparities
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, Measures
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Evaluation of functional status among patients undergoing maintenance treatments for opioid use disorders
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View the PubMed citation for Evaluation of functional status among patients undergoing maintenance treatments for opioid use disorders3736
Evaluation of integrated psychological services in a university-based primary care clinic
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: Primary care is increasingly moving toward integration of psychological services; however few studies have been conducted to test the efficacy of such an integrated approach. This paper presents a program evaluation of psychological services provided by doctoral trainees in clinical and counseling psychology within a primary care clinic at an urban academic medical center. It includes: (1) a description of the program, including types of patients served, their presenting problems, and treatments administered and; (2) evidence of the impact of behavioral health services on primary care patients' emotional adjustment and progress on behavioral goals. Intake and follow-up measures of depression, anxiety, smoking, insomnia, chronic pain, and weight loss were collected on 452 adult patients (mean age = 52; 59 % African-American; 35 % uninsured) who were provided brief interventions (mean visits = 2.2) over a 16-month period. Although conclusions are limited by the lack of a control or comparison group, preliminary findings indicate that the integrated behavioral health services provided were effective. Implications and future directions are discussed.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Evaluation of integrated psychological services in a university-based primary care clinic
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View the PubMed citation for Evaluation of integrated psychological services in a university-based primary care clinic