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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
8741
Rosa Damascena oil improved methadone-related sexual dysfunction in females with opioid use disorder under methadone maintenance therapy - results from a double-blind, randomized, and placebo-controlled trial
Type: Journal Article
Authors: Vahid Farnia, Faeze Tatari, Mostafa Alikhani, Katayoun Yazdchi, Moshen Taghizadeh, Dena Sadeghi Bahmani, Hassan Karbasizadeh, Edith Holsboer-Trachsler, Serge Brand
Year: 2017
Publication Place: England
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
8742
Routine Assessment of Symptoms of Substance Use Disorders in Primary Care: Prevalence and Severity of Reported Symptoms
Type: Journal Article
Authors: M. Sayre, G. T. Lapham, A. K. Lee, M. Oliver, J. F. Bobb, R. M. Caldeiro, K. A. Bradley
Year: 2020
Publication Place: United States
Abstract: BACKGROUND: Most patients with substance use disorders (SUDs) never receive treatment and SUDs are under-recognized in primary care (PC) where patients can be treated or linked to treatment. Asking PC patients to directly report SUD symptoms on questionnaires might help identify SUDs but to our knowledge, this approach is previously untested. OBJECTIVE: To describe the prevalence and severity of DSM-5 SUD symptoms reported by PC patients as part of routine care. DESIGN: Cross-sectional study using secondary data. PARTICIPANTS: A total of 241,265 adult patients who visited one of 25 PC sites in an integrated health system in Washington state and had alcohol, cannabis, or other drug use screening documented in their EHRs (March 2015-July 2018) were included in main analyses if they had a positive screen for high-risk substance use defined as AUDIT-C score 7-12 points, or report of past-year daily cannabis use or any other drug use. MAIN MEASURES: The main outcome was number of SUD symptoms based on Diagnostic and Statistical Manual, 5th edition (DSM-5), reported on Symptom Checklists (0-11) for alcohol or other drugs: 2-3 mild; 4-5 moderate; 6-11 severe. RESULTS: Of screened patients, 16,776 (5.7%) reported high-risk use of alcohol (2.4%), cannabis (3.9%), and/or other drugs (1.7%), and 65.0-69.9% of those completed Symptom Checklists. Of those with high-risk alcohol use, 52.5% (95% CI 50.9-54.0%) reported >/= 2 symptoms consistent with mild-severe alcohol use disorders. Of those reporting daily cannabis use, 29.8% (28.6-30.9%) reported >/= 2 symptoms consistent with mild-severe SUDs. Of those reporting any other drug use, 37.5% (35.7-39.3%) reported >/= 2 symptoms consistent with mild-severe SUDs. CONCLUSIONS AND RELEVANCE: Many PC patients who screened positive for high-risk substance use reported symptoms consistent with DSM-5 SUDs on self-report Symptom Checklists. Use of SUD Symptom Checklists could support PC providers in making SUD diagnoses and initiating discussions of substance use.
Topic(s):
Opioids & Substance Use See topic collection
8743
Routine Assessment of Symptoms of Substance Use Disorders in Primary Care: Prevalence and Severity of Reported Symptoms
Type: Journal Article
Authors: M. Sayre, G. T. Lapham, A. K. Lee, M. Oliver, J. F. Bobb, R. M. Caldeiro, K. A. Bradley
Year: 2020
Publication Place: United States
Abstract: BACKGROUND: Most patients with substance use disorders (SUDs) never receive treatment and SUDs are under-recognized in primary care (PC) where patients can be treated or linked to treatment. Asking PC patients to directly report SUD symptoms on questionnaires might help identify SUDs but to our knowledge, this approach is previously untested. OBJECTIVE: To describe the prevalence and severity of DSM-5 SUD symptoms reported by PC patients as part of routine care. DESIGN: Cross-sectional study using secondary data. PARTICIPANTS: A total of 241,265 adult patients who visited one of 25 PC sites in an integrated health system in Washington state and had alcohol, cannabis, or other drug use screening documented in their EHRs (March 2015-July 2018) were included in main analyses if they had a positive screen for high-risk substance use defined as AUDIT-C score 7-12 points, or report of past-year daily cannabis use or any other drug use. MAIN MEASURES: The main outcome was number of SUD symptoms based on Diagnostic and Statistical Manual, 5th edition (DSM-5), reported on Symptom Checklists (0-11) for alcohol or other drugs: 2-3 mild; 4-5 moderate; 6-11 severe. RESULTS: Of screened patients, 16,776 (5.7%) reported high-risk use of alcohol (2.4%), cannabis (3.9%), and/or other drugs (1.7%), and 65.0-69.9% of those completed Symptom Checklists. Of those with high-risk alcohol use, 52.5% (95% CI 50.9-54.0%) reported >/= 2 symptoms consistent with mild-severe alcohol use disorders. Of those reporting daily cannabis use, 29.8% (28.6-30.9%) reported >/= 2 symptoms consistent with mild-severe SUDs. Of those reporting any other drug use, 37.5% (35.7-39.3%) reported >/= 2 symptoms consistent with mild-severe SUDs. CONCLUSIONS AND RELEVANCE: Many PC patients who screened positive for high-risk substance use reported symptoms consistent with DSM-5 SUDs on self-report Symptom Checklists. Use of SUD Symptom Checklists could support PC providers in making SUD diagnoses and initiating discussions of substance use.
Topic(s):
Opioids & Substance Use See topic collection
8744
Routine outcome measurement in specialist non‐government alcohol and other drug treatment services: Establishing effectiveness indicators for the NADAbase
Type: Journal Article
Authors: Peter J. Kelly, Frank P. Deane, Esther L. Davis, Suzie Hudson, Laura D. Robinson, Carol A. Keane, Emma L. Hatton, Briony Larance
Year: 2021
Topic(s):
Measures See topic collection
,
Opioids & Substance Use See topic collection
8746
Rules and values: a coordinated regulatory and educational approach to the public health crises of chronic pain and addiction
Type: Journal Article
Authors: J. G. Katzman, G. D. Comerci, M. Landen, L. Loring, S. M. Jenkusky, S. Arora, S. Kalishman, L. Marr, C. Camarata, D. Duhigg, J. Dillow, E. Koshkin, D. E. Taylor, C. M. Geppert
Year: 2014
Publication Place: United States
Abstract: Chronic pain and opioid addiction are 2 pressing public health problems, and prescribing clinicians often lack the skills necessary to manage these conditions. Our study sought to address the benefits of a coalition of an academic medical center pain faculty and government agencies in addressing the high unintentional overdose death rates in New Mexico. New Mexico's 2012-2013 mandated chronic pain and addiction education programs studied more than 1000 clinicians. Positive changes were noted in precourse and postcourse surveys of knowledge, self-efficacy, and attitudes. Controlled substance dispensing data from the New Mexico Board of Pharmacy also demonstrated safer prescribing. The total morphine and Valium milligram equivalents dispensed have decreased continually since 2011. There was also a concomitant decline in total drug overdose deaths.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
8747
Rural access to MAT in Pennsylvania (RAMP): a hybrid implementation study protocol for medication assisted treatment adoption among rural primary care providers
Type: Journal Article
Authors: G. Cochran, E. S. Cole, J. Warwick, J. M. Donohue, A. J. Gordon, W. F. Gellad, T. Bear, D. Kelley, E. DiDomenico, J. Pringle
Year: 2019
Abstract:

BACKGROUND: The continued escalation of opioid use disorder (OUD) calls for heightened vigilance to implement evidence-based care across the US. Rural care providers and patients have limited resources, and a number of barriers exist that can impede necessary OUD treatment services. This paper reports the design and protocol of an implementation study seeking to advance availability of medication assisted treatment (MAT) for OUD in rural Pennsylvania counties for patients insured by Medicaid in primary care settings. METHODS: This project was a hybrid implementation study. Within a chronic care model paradigm, we employed the Framework for Systems Transformation to implement the American Society for Addiction Medicine care model for the use of medications in the treatment of OUD. In partnership with state leadership, Medicaid managed care organizations, local care management professionals, the Universities of Pittsburgh and Utah, primary care providers (PCP), and patients; the project team worked within 23 rural Pennsylvania counties to engage, recruit, train, and collaborate to implement the OUD service model in PCP practices from 2016 to 2019. Formative measures included practice-level metrics to monitor project implementation, and outcome measures involved employing Medicaid claims and encounter data to assess changes in provider/patient-level OUD-related metrics, such as MAT provider supply, prevalence of OUD, and MAT utilization. Descriptive statistics and repeated measures regression analyses were used to assess changes across the study period. DISCUSSION: There is an urgent need in the US to expand access to high quality, evidence-based OUD treatment-particularly in rural areas where capacity is limited for service delivery in order to improve patient health and protect lives. Importantly, this project leverages multiple partners to implement a theory- and practice-driven model of care for OUD. Results of this study will provide needed evidence in the field for appropriate methods for implementing MAT among a large number of rural primary care providers.

Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
8750
Rural and Urban Differences in Neonatal Abstinence Syndrome and Maternal Opioid Use, 2004 to 2013
Type: Journal Article
Authors: N. L. Villapiano, T. N. Winkelman, K. B. Kozhimannil, M. M. Davis, S. W. Patrick
Year: 2017
Publication Place: United States
Abstract: This study uses National Inpatient Sample data to examine national trends in neonatal abstinence syndrome maternal opioid use among rural patients compared with their urban counterparts.
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
8753
Rural communities face more than an opioid crisis: Reimagining funding assistance to address polysubstance use, associated health problems, and limited rural service capacity
Type: Journal Article
Authors: Carpenedo Mun, H. Schuler, R. Baker, F. Byrne, E. Bresani, K. Meyers
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
8754
Rural community attitudes toward harm reduction for opioid users: A needs assessment
Type: Web Resource
Authors: Lauren Cain
Year: 2022
Topic(s):
Grey Literature 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.

8755
Rural Community Health Toolkit
Type: Web Resource
Authors: Rural Health Information Hub
Year: 2017
Topic(s):
Grey Literature 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.

8756
Rural Health Networks and Care Coordination: Health Care Innovation in Frontier Communities to Improve Patient Outcomes and Reduce Health Care Costs
Type: Journal Article
Authors: Pat Conway, Heidi Favet, Laurie Hall, Jenny Uhrich, Jeanette Palcher, Sarah Olimb, Nathan Tesch, Margaret York-Jesme, Joe Bianco
Year: 2016
Publication Place: Baltimore
Topic(s):
Healthcare Disparities See topic collection
8757
Rural healthcare disparities: Challenges and solutions for the pregnant opioid-dependent population
Type: Journal Article
Authors: L. R. Lander, P. Marshalek, M. Yitayew, D. Ford, C. R. Sullivan, K. K. Gurka
Year: 2013
Publication Place: United States
Abstract: Substance abuse among pregnant women is a significant public health problem affecting both maternal and fetal health. Access to both obstetrical care and substance abuse treatment is a challenge for women in rural West Virginia. A multi-disciplinary collaborative treatment approach for this population is necessary to reach and retain women in treatment. Through such collaboration, a positive impact on access to treatment for women from rural communities and reduced barriers to both prenatal care and substance abuse treatment can be achieved in order to improve outcomes for both mother and infant.
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
8758
Rural Integrated Primary Care Psychiatry Programme: A systems approach to education, training and service integration
Type: Journal Article
Authors: F. Judd, J. Davis, G. Hodgins, J. Scopelliti, B. Agin, C. Hulbert
Year: 2004
Publication Place: Australia
Abstract: OBJECTIVE: To describe the development of a rural primary care psychiatry programme, within a stepped collaborative care model. CONCLUSION: Development of a system-wide approach to the provision of mental health services offers the opportunity to increase the proportion of people with mental health problems who receive effective treatment. In addition, it enables allocation of resources and matching of interventions to patient preference and clinical need. This is particularly important in rural areas where there is a shortage of specialist mental health services and practitioners.
Topic(s):
Education & Workforce See topic collection
8759
Rural mental health and psychological treatment: A review for practitioners
Type: Journal Article
Authors: K. B. Smalley, C. T. Yancey, J. C. Warren, K. Naufel, R. Ryan, J. L. Pugh
Year: 2010
Publication Place: United States
Topic(s):
Healthcare Disparities See topic collection