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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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11202 Results
10602
Treatment selection and treatment initialization in guideline-based stepped and collaborative care for depression
Type: Journal Article
Authors: D. Heddaeus, M. Steinmann, A. Daubmann, M. Harter, B. Watzke
Year: 2018
Publication Place: United States
Abstract: In order to optimize patient allocation, guidelines recommend stepped and collaborative care models (SCM) including low-intensity treatments. The aim of this study is to investigate the implementation of guideline-adherent treatments in a SCM for depression in routine care. We analyzed care provider documentation data of n = 569 patients treated within a SCM. Rates of guideline-adherent treatment selections and initializations as well as accordance between selected and initialized treatment were evaluated for patients with mild, moderate and severe depression. Guideline-adherent treatment selection and initialization was highest for mild depression (91% resp. 85%). For moderate depression, guideline-adherent treatments were selected in 68% and applied in 54% of cases. Guideline adherence was lowest for severe depression (59% resp. 19%). In a multiple mixed logistic regression model a significant interaction between guideline adherence in treatment selection/initialization and severity degree was found. The differences between treatment selection and initialization were significant for moderate (OR: 1.8 [95% CI: 1.30 to 2.59; p = 0.0006]) and severe depression (OR: 6.9; [95% CI: 4.24 to 11.25; p < .0001] but not for mild depression (OR = 1.8, [95%-CI: 0.68 to 4.56; p = 0.2426]). Accordance between selected and initialized treatment was highest for mild and lowest for severe depression. We conclude that SCMs potentially improve care for mild depression and guideline adherence of treatment selections. Guideline adherence of treatment initialization and accordance between treatment selection and initialization varies with depression severity. Deficits in treating severe depression adequately may be more a problem of failed treatment initializations than of inadequate treatment selections.
Topic(s):
General Literature See topic collection
10603
Treatment selection and treatment initialization in guideline-based stepped and collaborative care for depression
Type: Journal Article
Authors: D. Heddaeus, M. Steinmann, A. Daubmann, M. Harter, B. Watzke
Year: 2018
Publication Place: United States
Abstract: In order to optimize patient allocation, guidelines recommend stepped and collaborative care models (SCM) including low-intensity treatments. The aim of this study is to investigate the implementation of guideline-adherent treatments in a SCM for depression in routine care. We analyzed care provider documentation data of n = 569 patients treated within a SCM. Rates of guideline-adherent treatment selections and initializations as well as accordance between selected and initialized treatment were evaluated for patients with mild, moderate and severe depression. Guideline-adherent treatment selection and initialization was highest for mild depression (91% resp. 85%). For moderate depression, guideline-adherent treatments were selected in 68% and applied in 54% of cases. Guideline adherence was lowest for severe depression (59% resp. 19%). In a multiple mixed logistic regression model a significant interaction between guideline adherence in treatment selection/initialization and severity degree was found. The differences between treatment selection and initialization were significant for moderate (OR: 1.8 [95% CI: 1.30 to 2.59; p = 0.0006]) and severe depression (OR: 6.9; [95% CI: 4.24 to 11.25; p < .0001] but not for mild depression (OR = 1.8, [95%-CI: 0.68 to 4.56; p = 0.2426]). Accordance between selected and initialized treatment was highest for mild and lowest for severe depression. We conclude that SCMs potentially improve care for mild depression and guideline adherence of treatment selections. Guideline adherence of treatment initialization and accordance between treatment selection and initialization varies with depression severity. Deficits in treating severe depression adequately may be more a problem of failed treatment initializations than of inadequate treatment selections.
Topic(s):
General Literature See topic collection
10604
Treatment setting and buprenorphine discontinuation: an analysis of multi-state insurance claims
Type: Journal Article
Authors: K . Y. Xu, A. K. Gertner, S. F. Greenfield, A. R. Williams, R. A. Grucza
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
10605
Treatment trajectories and barriers in opioid agonist therapy for people who inject drugs in rural Puerto Rico
Type: Journal Article
Authors: Roberto Abadie, Katherine McLean, Patrick Habecker, Kirk Dombrowski
Year: 2021
Publication Place: Elmsford
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10606
Treatment Use and Costs Among Privately Insured Youths With Diagnoses of Bipolar Disorder
Type: Journal Article
Authors: S. B. Dusetzina, J. F. Farley, M. Weinberger, B. N. Gaynes, B. Sleath, R. A. Hansen
Year: 2012
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
10607
Treatment utilization among persons with opioid use disorder in the United States
Type: Journal Article
Authors: Li-Tzy Wu, He Zhu, Marvin S. Swartz
Year: 2016
Topic(s):
Opioids & Substance Use See topic collection
10608
Treatment utilization among persons with opioid use disorder in the United States
Type: Journal Article
Authors: Li-Tzy Wu, He Zhu, Marvin S. Swartz
Year: 2016
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10609
Treatments for opioid use disorder among pregnant and reproductive-aged women
Type: Journal Article
Authors: D. J. Hand, V. L. Short, D. J. Abatemarco
Year: 2017
Publication Place: United States
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
10610
Treatments for Substance Use Disorders
Type: Web Resource
Authors: Substance Abuse and Mental Health Administration
Year: 2016
Topic(s):
Grey Literature 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.

10611
Tree analysis modeling of the associations between phq-9 depressive symptoms and doctor diagnosis of depression in primary care
Type: Journal Article
Authors: Weng-Yee Chin, Eric Yuk Fai Wan, Christopher Dowrick, Bruce Arroll, Cindy Lo Kuen Lam
Year: 2018
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
10612
Trending the evidence on opioid use disorder (OUD) continuum of care among rural American Indian/Alaskan Native (AI/AN) tribes: A systematic scoping review
Type: Journal Article
Authors: Elias Mpofu, Stanley Ingman, Patricia Matthews-Juarez, Solymar Rivera-Torres, Paul D. Juarez
Year: 2021
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10613
Trends and Disparities in Perinatal Opioid Use Disorder Treatment in Medicaid, 2007-2012
Type: Journal Article
Authors: R. K. Landis, B. D. Stein, A. W. Dick, B. A. Griffin, B. K. Saloner, M. Terplan, L. J. Faherty
Year: 2024
Abstract:

We described Medicaid-insured women by receipt of perinatal opioid use disorder (OUD) treatment; and trends and disparities in treatment. Using 2007 to 2012 Medicaid Analytic eXtract data from 45 states and D.C., we identified deliveries among women with OUD. Regressions modeled the association between patient characteristics and receipt of any OUD treatment, medication for OUD (MOUD), and counseling alone during the perinatal period. Rates of any OUD treatment and MOUD for women with perinatal OUD increased over the study period, but trends differed by subgroup. Compared with non-Hispanic White women, Black and American Indian/Alaskan Native (AI/AN) women were less likely to receive any OUD treatment, and Black women were less likely to receive MOUD. Over time, the disparity in receipt of MOUD between Black and White women increased. Overall gains in OUD treatment were driven by improvements in perinatal OUD care for White women and obscured disparities for Black and AI/AN women.

Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
Financing & Sustainability See topic collection
10614
Trends and Outcomes Associated With Using Long-Acting Opioids During Delivery Hospitalizations
Type: Journal Article
Authors: Cassandra R. Duffy, Jason D. Wright, Ruth Landau, Mirella J. Mourad, Zainab Siddiq, Adina R. Kern-Goldberger, Mary E. D'Alton, Alexander M. Friedman
Year: 2018
Publication Place: United States
Abstract:

OBJECTIVE: To assess trends in use of long-acting opioids during delivery hospitalizations. METHODS: The Perspective database, an administrative inpatient database that includes medication receipt, was analyzed to evaluate patterns of long-acting opioid use during delivery hospitalizations from January 2006 through March 2015. Medications evaluated included methadone, formulations including buprenorphine and extended-release formulations of oxycodone, morphine, fentanyl, and other opioids. Temporal trends in use of these medications were determined. Unadjusted and adjusted models evaluating the role of demographic and hospital factors were created evaluating both use of these medications and risk for severe morbidity. Risk for severe morbidity was determined based on Centers for Disease Control and Prevention criteria. RESULTS: Our analysis included 2,994,630 delivery hospitalizations meeting study criteria. Over the entire study period, use of long-acting opioids increased significantly from 457 to 844 per 100,000 deliveries. Although buprenorphine and methadone use increased, use of other long-acting opioids decreased. In 2006, methadone and buprenorphine accounted for less than one third of all long-acting opioids used during delivery hospitalizations. By 2015, buprenorphine and methadone represented 73.5% of long-acting opioids used. In adjusted and unadjusted models, risk for severe morbidity was significantly lower with buprenorphine or methadone compared with other long-acting opioids. Restricting the cohort to only women with drug abuse or dependence, risk for severe morbidity was lower with methadone and buprenorphine than without any long-acting opioids. CONCLUSION: Increased use of methadone and buprenorphine in this study supports the feasibility of use of these medications during pregnancy and uptake of clinical recommendations for women with opioid use disorder. Use of methadone and buprenorphine is associated with decreased maternal morbidity, although causation cannot be presumed from this study model.

Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10615
Trends in Abstinence and Retention Associated with a Medication-Assisted Treatment Program for People with Opioid Use Disorders
Type: Journal Article
Authors: Kimberly D. Brunisholz, Andrew J. Knighton, Amulya Sharma, Lisa Nichols, Kristen Reisig, Jed Burton, Debbie Scovill, Carolyn Tometich, Mark Foote, Shelly Read, Scott Whittle
Year: 2020
Publication Place: Baltimore
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10616
Trends in comorbid opioid and stimulant use disorders among Veterans receiving care from the Veterans Health Administration, 2005-2019
Type: Journal Article
Authors: S. C. Warfield, C. Bharat, R. M. Bossarte, D. DePhilippis, M. Farrell, M. Hoover Jr, S. Larney, P. Marshalek, R. McKetin, L. Degenhardt
Year: 2022
Publication Place: Ireland
Abstract:

BACKGROUND: Identifying solutions to the continued rise in overdose deaths is a public health priority. However, there is evidence of change in recent substance type associated with morbidity and mortality. To better understand the continued rise in overdose deaths, in particular those attributed to opioid and stimulant use disorders, increased knowledge of patterns of use is needed. METHODS: Retrospective cohort study of Veterans diagnosed with an opioid or stimulant use disorder between 2005 and 2019. The outcome of interest was diagnosis of substance use disorders, specifically examining combinations of opioid and stimulant use disorders among this population. RESULTS: A total of 1932,188 Veterans were diagnosed with at least one substance use disorder (SUD) during the study period, 2005 through 2019. While the annual prevalence of opioid use disorder (OUD) diagnoses increased more than 155%, OUD diagnoses absent of any other SUD diagnosis increased by an average of 6.9% (95% CI, 6.4, 7.5) per year between 2005 and 2019. Between 2011 and 2019, diagnoses of co-morbid methamphetamine use disorder (MUD) and OUD increased at a higher rate than other SUD combinations. CONCLUSIONS: The prevalence of comorbid SUD, in particular co-occurring opioid and methamphetamine use disorder, increased at a higher rate than other combinations between 2005 and 2019. These findings underscore the urgent need to offer patients a combination of evidence-based treatments for each co-morbid SUD, such MOUD and contingency management for persons with comorbid opioid and methamphetamine use disorders.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10617
Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States, July 2016-September 2017
Type: Journal Article
Authors: Alana M. Vivolo-Kantor, Puja Seth, Matthew Gladden, Christine L. Mattson, Grant T. Baldwin, Aaron Kite-Powell, Michael A. Coletta
Year: 2018
Abstract: Introduction: From 2015 to 2016, opioid overdose deaths increased 27.7%, indicating a worsening of the opioid overdose epidemic and highlighting the importance of rapid data collection, analysis, and dissemination. Methods: Emergency department (ED) syndromic and hospital billing data on opioid-involved overdoses during July 2016�September 2017 were examined. Temporal trends in opioid overdoses from 52 jurisdictions in 45 states were analyzed at the regional level and by demographic characteristics. To assess trends based on urban development, data from 16 states were analyzed by state and urbanization level. Results: From July 2016 through September 2017, a total of 142,557 ED visits (15.7 per 10,000 visits) from 52 jurisdictions in 45 states were suspected opioid-involved overdoses. This rate increased on average by 5.6% per quarter. Rates increased across demographic groups and all five U.S. regions, with largest increases in the Southwest, Midwest, and West (approximately 7%�11% per quarter). In 16 states, 119,198 ED visits (26.7 per 10,000 visits) were suspected opioid-involved overdoses. Ten states (Delaware, Illinois, Indiana, Maine, Missouri, Nevada, North Carolina, Ohio, Pennsylvania, and Wisconsin) experienced significant quarterly rate increases from third quarter 2016 to third quarter 2017, and in one state (Kentucky), rates decreased significantly. The highest rate increases occurred in large central metropolitan areas. Conclusions and Implications for Public Health Practice: With continued increases in opioid overdoses, availability of timely data are important to inform actions taken by EDs and public health practitioners. Increases in opioid overdoses varied by region and urbanization level, indicating a need for localized responses. Educating ED physicians and staff members about appropriate services for immediate care and treatment and implementing a post-overdose protocol that includes naloxone provision and linking persons into treatment could assist EDs with preventing overdose.
Topic(s):
Opioids & Substance Use See topic collection
10618
Trends in engagement in the cascade of care for opioid use disorder, Vancouver, Canada, 2006-2016
Type: Journal Article
Authors: M. E. Socias, E. Wood, T. Kerr, S. Nolan, K. Hayashi, E. Nosova, J. Montaner, M. J. Milloy
Year: 2018
Publication Place: Ireland
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10619
Trends in fatal and nonfatal overdose by race among people who inject drugs in Baltimore, Maryland from 1998 to 2019
Type: Journal Article
Authors: Becky L. Genberg, Rachel E. Gicquelais, Jacquie Astemborski, Jennifer Knight, Megan Buresh, Jing Sun, Danielle German, David L. Thomas, Gregory D. Kirk, Shruti H. Mehta
Year: 2021
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
10620
Trends in Fatal Opioid-Related Overdose in American Indian and Alaska Native Communities, 1999-2021
Type: Journal Article
Authors: C. Bauer, G. H. Hassan, R. Bayly, J. Cordes, D. Bernson, C. Woods, X. Li, W. Li, L. K. Ackerson, M. R. Larochelle, T. J. Stopka
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection