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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).

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11248 Results
6701
Nonrandomized Intervention Study of Naloxone Coprescription for Primary Care Patients Receiving Long-Term Opioid Therapy for Pain
Type: Journal Article
Authors: P. O. Coffin, E. Behar, C. Rowe, G. M. Santos, D. Coffa, M. Bald, E. Vittinghoff
Year: 2016
Abstract: Background: Unintentional overdose involving opioid analgesics is a leading cause of injury-related death in the United States. Objective: To evaluate the feasibility and effect of implementing naloxone prescription to patients prescribed opioids for chronic pain. Design: 2-year nonrandomized intervention study. Setting: 6 safety-net primary care clinics in San Francisco, California. Participants: 1985 adults receiving long-term opioid therapy for pain. Intervention: Providers and clinic staff were trained and supported in naloxone prescribing. Measurements: Outcomes were proportion of patients prescribed naloxone, opioid-related emergency department (ED) visits, and prescribed opioid dose based on chart review. Results: 38.2% of 1985 patients receiving long-term opioids were prescribed naloxone. Patients prescribed higher doses of opioids and with an opioid-related ED visit in the past 12 months were independently more likely to be prescribed naloxone. Patients who received a naloxone prescription had 47% fewer opioid-related ED visits per month in the 6 months after receipt of the prescription (incidence rate ratio [IRR], 0.53 [95% CI, 0.34 to 0.83]; P = 0.005) and 63% fewer visits after 1 year (IRR, 0.37 [CI, 0.22 to 0.64]; P < 0.001) compared with patients who did not receive naloxone. There was no net change over time in opioid dose among those who received naloxone and those who did not (IRR, 1.03 [CI, 0.91 to 1.27]; P = 0.61). Limitation: Results are observational and may not be generalizable beyond safety-net settings. Conclusion: Naloxone can be coprescribed to primary care patients prescribed opioids for pain. When advised to offer naloxone to all patients receiving opioids, providers may prioritize those with established risk factors. Providing naloxone in primary care settings may have ancillary benefits, such as reducing opioid-related adverse events. Primary Funding Source: National Institutes of Health grant R21DA036776.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
6702
Nontraditional Alcohol and Opioid Agonist Treatment Interventions
Type: Journal Article
Authors: C. Fairgrieve, N. Fairbairn, J. H. Samet, S. Nolan
Year: 2018
Publication Place: United States
Topic(s):
Opioids & Substance Use See topic collection
6703
Norbuprenorphine and respiratory depression: Exploratory analyses with new lyophilized buprenorphine and sublingual buprenorphine
Type: Journal Article
Authors: John Strang, Alastair Knight, Shelagh Baillie, Kylie Reed, Karolina Bogdanowicz, James Bell
Year: 2018
Publication Place: Germany
Abstract:

OBJECTIVES: To investigate plasma levels of buprenorphine and norbuprenorphine and their relationship to respiratory depression. MATERIALS AND METHODS: Opioid-dependent subjects were randomized 2 : 1 to novel lyophilized rapid-disintegrating tablet ("bup-lyo") or standard sublingual buprenorphine tablet ("bup-SL"). Measurements included oximetry scores and linked plasma buprenorphine and norbuprenorphine levels. RESULTS: Respiratory depression (cumulative duration of SpO2 30 min) of buprenorphine and particularly with norbuprenorphine. A lower buprenorphine/norbuprenorphine ratio was predictive of respiratory depression. The mean (SD) observed ratio was significantly higher for "bup-lyo" (3.4 (2.8)) compared to "bup-SL" (1.7 (0.77)), p < 0.0001. CONCLUSION: Exploratory investigation found respiratory depression more strongly associated with norbuprenorphine than with buprenorphine. This accords with animal studies..

Topic(s):
Opioids & Substance Use See topic collection
6704
North Carolina Medicaid System Perspectives on Substance Use Disorder Treatment Policy Changes During the COVID-19 Pandemic
Type: Journal Article
Authors: P. M. Hughes, C. W. Easterly, K. C. Thomas, C. M. Shea, M. E. Domino
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Healthcare Policy See topic collection
6705
Not all (medical) homes are built alike: some work better than others
Type: Journal Article
Authors: Richard J. Baron
Year: 2014
Topic(s):
Medical Home See topic collection
6706
Not Just Squeezing the Balloon: A Comprehensive Set of State Strategies for Addressing Health Care Cost
Type: Government Report
Authors: Elliott S. Fisher, Christopher F. Koller, Carrie H. Cola, Alena Berube
Year: 2024
Publication Place: New York, NY
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Policy See topic collection
,
Grey Literature See topic collection
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.

6707
Not just talk: What a psychosocial primary care mental health service can do
Type: Journal Article
Authors: M. T. Firth
Year: 2010
Publication Place: URL
Topic(s):
Education & Workforce See topic collection
6708
Notes from the Field: Results from the Parent Acceptance of Pediatric Integrated Care Survey
Type: Journal Article
Authors: Teryn Bruni, Richard Birnbaum, Luke Turnier, Abigail Caserta, Alexandros Maragakis, Katherine Tennant, Blake Lancaster
Year: 2021
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
6709
Notes from the Field: Results from the Parent Acceptance of Pediatric Integrated Care Survey
Type: Journal Article
Authors: Bruni Teryn, Richard Birnbaum, Turnier Luke, Caserta Abigail, Maragakis Alexandros, Katherine Tennant, Blake Lancaster
Year: 2021
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
6710
Novel approach to integrating mental health care into a primary care setting: Development, implementation, and outcomes
Type: Journal Article
Authors: Jenifer L. Vohs, Molin Shi, Emily G. Holmes, Melissa Butler, Sarah A. Landsberger, Sujuan Gao, Fanqian Ouyang, Evgenia Teal, Kristen Merkitch, William Kronenberger
Year: 2022
Topic(s):
Financing & Sustainability See topic collection
6711
Novel remote electronic medication supply model for opioid-dependent outpatients with polypharmacy--first long-term case study
Type: Journal Article
Authors: S. S. Allemann, K. M. Dursteler, J. Strasser, M. Vogel, M. Stoeckle, K. E. Hersberger, I. Arnet
Year: 2017
Publication Place: England
Abstract: BACKGROUND: Patients with substance use disorders grow older thanks to effective treatments. Together with a high prevalence of comorbidities, psychological problems, and low social support, these patients are at high risk for medication non-adherence. Established treatment facilities face challenges to accommodate these complex patients within their setting. Electronic medication management aids (e-MMAs) might be appropriate to simultaneously monitor and improve adherence for these patients. CASE PRESENTATION: We report the first long-term experiences with a novel remote electronic medication supply model for two opioid-dependent patients with HIV. John (beginning dementia, 52 years, 6 tablets daily at 12 am) and Mary (frequent drug holidays, 48 years, 5-6 tablets daily at 8 pm) suffered from disease progression due to non-adherence. We electronically monitored adherence and clinical outcomes during 659 (John) and 953 (Mary) days between July 2013 and April 2016. Both patients retrieved over 90% of the pouches within 75 min of the scheduled time. Technical problems occurred in 4% (John) and 7.2% (Mary) of retrievals, but on-site support was seldom required. Viral loads fell below detection limits during the entire observation period. CONCLUSIONS: Continuous medication supply and persistence with treatment of over 1.7 years, timing adherence of more than 90%, and suppressed HIV viral load are first results supporting the feasibility of the novel supply model for patients on opioid-assisted treatment and polypharmacy.
Topic(s):
HIT & Telehealth See topic collection
,
Opioids & Substance Use See topic collection
6712
Novel Therapeutic and Program-Based Approaches to Opioid Use Disorders
Type: Journal Article
Authors: P. Liu, P. T. Korthuis, B. M. Buchheit
Year: 2024
Abstract:

Opioid use disorder continues to drive overdose deaths in many countries, including the United States. Illicit fentanyl and its analogues have emerged as key contributors to the complications and mortality associated with opioid use disorder. Medications for opioid use disorder treatment, such as methadone and buprenorphine, are safe and substantially reduce opioid use, infectious complications, and mortality risk, but remain underutilized. Polysubstance use and emerging substances such as xylazine and designer benzodiazepines create additional treatment challenges. Recent clinical and policy innovations in treatment delivery, including telemedicine, bridge clinics, and expanded models for accessing methadone have the potential to increase access to life-saving care for people living with opioid use disorder.

Topic(s):
Opioids & Substance Use See topic collection
6714
Now More Than Ever, Mental Health Care Needs Family Medicine
Type: Journal Article
Authors: Alexander Kieu
Year: 2021
Topic(s):
Education & Workforce See topic collection
6715
Now what should I do? Primary care physicians' responses to older adults expressing thoughts of suicide
Type: Journal Article
Authors: S. D. Vannoy, M. Tai-Seale, P. Duberstein, L. J. Eaton, M. A. Cook
Year: 2011
Publication Place: United States
Abstract: BACKGROUND: Many older adults who die by suicide have had recent contact with a primary care physician. As the risk-assessment and referral process for suicide is not readily comparable to procedures for other high-risk behaviors, it is important to identify areas in need of quality improvement (QI). OBJECTIVE: Identify patterns in physician-patient communication regarding suicide to inform QI interventions. DESIGN: Qualitative thematic analysis of video-taped clinical encounters in which suicide was discussed. PARTICIPANTS: Adult primary care patients (n = 385) 65 years and older and their primary care physicians. RESULTS: Mental health was discussed in 22% of encounters (n = 85), with suicide content found in less than 2% (n = 6). Three patterns of conversation were characterized: (1) Arguing that "Life's Not That Bad." In this scenario, the physician strives to convince the patient that suicide is unwarranted, which results in mutual fatigue and discouragement. (2) "Engaging in Chitchat." Here the physician addresses psychosocial matters in a seemingly aimless manner with no clear therapeutic goal. This results in a superficial and misleading connection that buries meaningful risk assessment amidst small talk. (3) "Identify, assess, and...?" This pattern is characterized by acknowledging distress, communicating concern, eliciting information, and making treatment suggestions, but lacks clearly articulated treatment planning or structured follow-up. CONCLUSIONS: The physicians in this sample recognized and implicitly acknowledged suicide risk in their older patients, but all seemed unable to go beyond mere assessment. The absence of clearly articulated treatment plans may reflect a lack of a coherent framework for managing suicide risk, insufficient clinical skills, and availability of mental health specialty support required to address suicide risk effectively. To respond to suicide's numerous challenges to the primary care delivery system, QI strategies will require changes to physician education and may require enhancing practice support.
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
6716
NP Safe Prescribing Of Controlled Substances While Avoiding Drug Diversion
Type: Report
Authors: A. M. Dydyk, D. C. Sizemore, L. M. Haddad, L. Lindsay, B. R. Porter
Year: 2022
Publication Place: Treasure Island (FL)
Topic(s):
Grey Literature See topic collection
,
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
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.

6717
NSDUH Data Spotlight: Health Disparities among the Asian Population
Type: Web Resource
Authors: Substance Abuse and Mental Health Services Administration
Year: 2024
Publication Place: Rockville, MD
Topic(s):
Healthcare Disparities See topic collection
,
Grey Literature See topic collection
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.

6718
NSDUH Data Spotlight: Health Disparities among the Hispanic/Latino Population
Type: Web Resource
Authors: Substance Abuse and Mental Health Services Administration
Year: 2024
Publication Place: Rockville, MD
Topic(s):
Healthcare Disparities See topic collection
,
Grey Literature See topic collection
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.

6720
Nuestra Recuperación [Our Recovery]: using photovoice to understand the factors that influence recovery in Latinx populations
Type: Journal Article
Authors: J. Muroff, D. Do, C. A. Brinkerhoff, D. Chassler, M. A. Cortes, M. Baum, G. Guzman-Betancourt, D. Reyes, L. M. López, M. Roberts, D. De Jesus, E. Stewart, L. S. Martinez
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection