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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).
11272 Results
8522
Recommendations for urine drug monitoring as a component of opioid therapy in the treatment of chronic pain
Type: Journal Article
Year: 2012
Publication Place: England
Abstract: OBJECTIVE: Several prominent guidelines recommend that patients on long-term opioid therapy have periodic urine drug monitoring (UDM) for appropriate use; however, none address the specific questions of which patients to test, which substances to test for, how often to test, and how to act on the results. DESIGN: In the absence of adequate scientific evidence in the literature, a panel of experts in the field of pain and addiction medicine was convened to develop consensus UDM recommendations. The panel met three times between March 2010 and April 2011, and reviewed several drafts of the recommendations document between meetings. RESULTS: The group was able to achieve consensus on a set of UDM recommendations addressing test selection, test frequency, interpretation of results, and how to handle discrepancies based on specific results. CONCLUSION: While the participating panel members recognize that there currently is a limited evidence base to support the expert panel's recommendations, primary care providers and pain specialists are largely acting today based on anecdote, intuition, and individual experience. The recommendations are meant to begin to provide a framework for standardizing practices for UDM in the treatment of chronic pain, and to serve as a catalyst to advance research that quantifies the effects of UDM on opioid therapy management and patient outcomes.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links: 
View the DOI record for Recommendations for urine drug monitoring as a component of opioid therapy in the treatment of chronic pain
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View the PubMed citation for Recommendations for urine drug monitoring as a component of opioid therapy in the treatment of chronic pain8524
Recommended content of referral letters from general practitioners to specialised mental health care: a qualitative multi-perspective study
Type: Journal Article
Year: 2013
Publication Place: England
Abstract: BACKGROUND: In most Western countries, the referral letter forms the basis for establishing the priority of patients for specialised health care and for the coordination of care between the services. To be able to define the quality of referral letters, the potential impact of the quality on the organisation of care, and to improve the quality of the letters, we need a multidimensional definition of the ideal content. The study's aim was to explore what information is seen as most important and should be included in referral letters from primary care to specialised mental health care to facilitate prioritisation and planning of treatment and follow-up of the patients. METHODS: Based on purposive sampling, four mixed discussion groups, which included general practitioners, mental health nurses from primary health care, psychiatrists and psychologists from specialised mental health care, managers and patient representatives, were formed; they were asked to identify the information they considered important in a mental health referral letter. In line with the Delphi technique, the importance of the themes was later individually rated by the participants. The study was conducted within The Western Norway Regional Health Authority. RESULTS: The four groups identified 174 information themes. After excluding themes that were assessed as duplicates, replaceable or less important, 40 themes were suggested, organised in seven units. A set of check-off points of essential information is recommended as an introduction in the referral letter. CONCLUSION: Compared with general guidelines and guidelines for somatic care, the results of this study suggest that the referral letter to specialised mental health care should have a larger emphasis on the overall treatment plan, on the specific role of specialised health care in the continuum of care, and on patient involvement. Further research should evaluate the validity of these findings for other patient groups in need of integrated care and investigate how the quality of referral letters affects patient-related and organisational outcomes. TRIAL REGISTRATION: Trial Registration number: NCT01374035.
Topic(s):
Education & Workforce
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8526
Reconsideration of assessment of the quality of studies on accuracy of screening instruments to identify aberrant drug-related behaviors in patients prescribed opioids
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Measures
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, Opioids & Substance Use
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8527
Recovery and Recovery-Oriented Systems of Care: Integrating Treatment for Substance Use, Primary Care, and Psychiatric-Mental Health Disorders
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Opioids & Substance Use
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8528
Recovery Beyond Buprenorphine: Nurse-Led Group Therapy
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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, Healthcare Policy
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Reference Links: View the PubMed citation for Recovery Beyond Buprenorphine: Nurse-Led Group Therapy
8529
Recovery capital among people receiving treatment for opioid use disorder with buprenorphine
Type: Journal Article
Year: 2021
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 Recovery capital among people receiving treatment for opioid use disorder with buprenorphine
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View the PubMed citation for Recovery capital among people receiving treatment for opioid use disorder with buprenorphine8530
Recovery from depression, work productivity, and health care costs among primary care patients
Type: Journal Article
Year: 2000
Publication Place: UNITED STATES
Abstract: We describe a secondary analysis of data from a randomized trial conducted at seven primary care clinics of a Seattle area HMO. Adults with major depression (n=290) beginning antidepressant treatment completed structured interviews at baseline, 1, 3, 6, 9, 12, 18, and 24 months. Interviews examined clinical outcomes (Hamilton Depression Rating Scale and depression module of the Structured Clinical Interview for DSM-IIIR), employment status, and work days missed due to illness. Medical comorbidity was assessed using computerized pharmacy data, and medical costs were assessed using the HMO's computerized accounting data. Using data from the 12-month assessment, patients were classified as remitted (41%), improved but not remitted (47%), and persistently depressed (12%). After adjustment for depression severity and medical comorbidity at baseline, patients with greater clinical improvement were more likely to maintain paid employment (P=.007) and reported fewer days missed from work due to illness (P<.001). Patients with better 12-month clinical outcomes had marginally lower health care costs during the second year of follow-up (P=.06). We conclude that recovery from depression is associated with significant reductions in work disability and possible reductions in health care costs. Although observational data cannot definitively prove any causal relationships, these longitudinal results strengthen previous findings regarding the economic burden of depression on employers and health insurers.
Topic(s):
Financing & Sustainability
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Reference Links: View the PubMed citation for Recovery from depression, work productivity, and health care costs among primary care patients
8535
Recreational drug use among primary care patients: Implications of a positive self-report
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Recreational drug use among primary care patients: Implications of a positive self-report
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View the PubMed citation for Recreational drug use among primary care patients: Implications of a positive self-report8539
Redefining retention: recovery from the patient's perspective
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: This study examines the process of discharge and treatment reentry for six participants who entered treatment voluntarily but were administratively discharged from methadone treatment programs. The participants completed semistructured interviews at treatment entry and at four, eight and 12 months post-treatment entry. Grounded theory methodology was used to examine the phenomenon of treatment reentry from the perspective of the patients, who often viewed their recovery as an accumulation of positive changes. Differences in terms of the patients' goals and motivations for seeking treatment from those of the treatment programs, combined with difficulties encountered during the treatment process eventually led to discharge. However, these patients were then able to navigate their way through the treatment system in different ways in order to remain in treatment. The authors conclude that failure to abide by treatment clinic rules do not necessary constitute "treatment failure" from the perspective of patients, who often wish to remain in treatment even if it is not progressing optimally from the program's perspective. As a result, the recovery process can be more fragmented and is often characterized by a series of cyclical treatment episodes rather than continuous time in treatment, thereby impeding their progress towards recovery.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Redefining retention: recovery from the patient's perspective
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View the PubMed citation for Redefining retention: recovery from the patient's perspective8540
Redesign of a brief PTSD treatment in safety net integrated primary care: Supporting implementation in the context of the COVID-19 pandemic
Type: Journal Article
Year: 2022
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, HIT & Telehealth
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