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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
1341
Attitudes toward medication for opioid use disorder among substance use treatment providers
Type: Journal Article
Authors: Emily Pasman, Guijin Lee, Rachel Kollin, Brooke Rodriguez, Elizabeth Agius, Erin Fanning Madden, Stella M. Resko
Year: 2022
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
1343
Attitudes toward opioids and risk of misuse/abuse in patients with chronic noncancer pain receiving long-term opioid therapy
Type: Journal Article
Authors: Grisell Vargas-Schaffer, Jennifer Cogan
Year: 2018
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
,
Opioids & Substance Use See topic collection
1344
Attitudes toward syringe exchange programs in a rural Appalachian community
Type: Journal Article
Authors: Timothy A. Zeller, Taylor Beachler, Liam Diaz, Richard P. Thomas, Moonseong Heo, Jennifer Lanzillotta-Rangeley, Alain H. Litwin
Year: 2022
Topic(s):
Measures See topic collection
,
Opioids & Substance Use See topic collection
1345
Attitudes toward syringe exchange programs in a rural Appalachian community
Type: Journal Article
Authors: T. A. Zeller, T. Beachler, L. Diaz, R. P. Thomas, M. Heo, J. Lanzillotta-Rangeley, A. H. Litwin
Year: 2021
Publication Place: England
Abstract:

OBJECTIVES: To evaluate community attitudes concerning syringe exchange programs (SEPs) in a rural community as part of an effort to implement evidence-based harm reduction strategies and improve health outcomes related to opioid use disorder. METHODS: Dissemination of a 24-item survey to individuals living in a rural community followed by comparative analysis of survey results based on support for SEPs. RESULTS: Three hundred and sixty-one individuals responded. Overall, 49.3% of respondents indicated support for syringe exchange. Individuals who support syringe exchange as a harm reduction service are more likely to: agree that opioid use disorder is a real illness (p < 0.0001); agree that anyone can become addicted to pain medications (p = 0.01); agree that medication assisted treatment is effective (p < 0.0001); agree that individuals with OUD have the same right to a job (p < 0.0001); be willing to administer naloxone to a stranger (p < 0.0001); support HIV and HCV screening (p < 0.0001), condom distribution (p < 0.0001), and medication for opioid use disorder (p < 0.0001). They are less likely to believe that harm reduction services encourage drug use (p < 0.0001). CONCLUSIONS: Positive correlations exist between support for SEPs, awareness of OUD as a chronic illness, less stigmatizing attitudes toward individuals with OUD, and support for other harm reduction strategies. Efforts to increase awareness of OUD as a chronic illness may lead to greater acceptance of harm reduction strategies in rural areas, easing evolution of evidence-based healthy policy.

Topic(s):
Opioids & Substance Use See topic collection
1347
Attitudes, practices, and preparedness to care for patients with substance use disorder; Results from a survey of general internists
Type: Journal Article
Authors: S. E. Wakeman, G. Pham-Kanter, K. Donelan
Year: 2016
Abstract: BACKGROUND: Previous research demonstrates that most primary care physicians feel unprepared to diagnose and treat substance use disorder (SUD). Confidence in SUD management has been associated with improved clinical practices. METHODS: A Cross-sectional survey of 290 inpatient and outpatient general internists in an academic medical center evaluating attitudes, preparedness, and clinical practice related to SUD. RESULTS: 149 general internists responded, a response rate of 51%. 46% frequently cared for patients with SUD. 16% frequently referred patients to treatment and 6% frequently prescribed a medication to treat SUD. 20% felt very prepared to screen for SUD, 9% to provide a brief intervention, 7% to discuss behavioral treatments, and 9% to discuss medication treatments. 31% felt that SUD is different from other chronic diseases because they believe using substances is a choice. 14% felt treatment with opioid agonists was replacing one addiction with another. 12% of hospitalists and 6% of PCPs believe that someone who uses drugs is committing a crime and deserves punishment. Preparedness was significantly associated with evidence-based clinical practice and favorable attitudes. Frequently caring for patients with SUD was significantly associated with preparedness, clinical practice, and favorable attitudes. CONCLUSIONS: SUD is a treatable and prevalent disease, yet a majority of general internists do not feel very prepared to screen, diagnose, provide a brief intervention, refer to treatment, or discuss treatment options with patients. Very few frequently prescribe medications to treat SUD. Some physicians view substance use as a crime and a choice. Physician preparedness and exposure to SUD is associated with improved clinical practice and favorable attitudes towards SUD. Physicians need education and support to provide better care for patients with SUD.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
1348
Attributes of Provider Referrals for Digital Mental Health Applications in an Integrated Health System, 2019-2021
Type: Journal Article
Authors: L. Eberhart, P. Seegan, J. McGuire, H. Hu, B. R. Tripuraneni, M. J. Miller
Year: 2024
Abstract:

OBJECTIVE: This article describes trends and attributes associated with digital mental health application (DMHA) referrals from December 2019 through December 2021. METHODS: In total, 43,842 DMHA referrals for 25,213 unique patients were extracted from the electronic health record of a large, diverse, integrated health system. DMHAs were aggregated by type (cognitive-behavioral therapy [CBT] or mindfulness and meditation [MM]). Monthly referral patterns were described and categorized into mutually exclusive clusters (MM, CBT, or MM and CBT). Multinomial logistic regression and post hoc predicted probabilities were used to profile patient, clinical, and encounter attributes among referral clusters. RESULTS: DMHA referrals increased, reached equilibrium, and then began to decline over the 25-month observation period. Compared with the referral cluster average, MM-alone referrals were more likely to occur for patients who were ages ≥65, who were Hispanic or Asian, whose reason for visit concerned mental health, and who had a primary diagnosis of other anxiety disorders. CBT-alone referrals were more likely to occur for patients with a primary diagnosis of depression and less likely to occur for Hispanic patients. Combined MM and CBT referrals were more likely to occur for patients who were ages 18-30, whose reason for visit was "other," and who had a primary diagnosis of depression and were less likely to occur for Hispanic patients and those ages ≥65. CONCLUSIONS: Although this study demonstrates readiness to integrate DMHA referral into clinical workflows, observed variations in attributes of referral clusters support the need to further investigate provider decision making and whether referral patterns are optimal and sustainable.

Topic(s):
HIT & Telehealth See topic collection
,
Healthcare Disparities See topic collection
1349
Attributions Concerning Past Opiate Use
Type: Journal Article
Authors: B. P. Bradley, M. Gossop, C. R. Brewin, G. Phillips, L. Green
Year: 1992
Topic(s):
Opioids & Substance Use See topic collection
,
Measures See topic collection
1350
Atypical alliances: the potential for social work and pharmacy collaborations in primary health care delivery
Type: Journal Article
Authors: C. Fouche, R. Butler, J. Shaw
Year: 2013
Publication Place: United States
Abstract: The growing prevalence of chronic conditions is a cause for concern globally, both in terms of its impact on the health of populations and also the strain it is predicted to place on health resources. There is a push to adopt more holistic and collaborative approaches to health care, and for the education of health care professionals to be reformed if these efforts are to be successful. A research project was undertaken in New Zealand in 2010-2011 aimed at exploring the perceptions of health care professionals on competencies in the field of chronic care. This article aims to highlight learning from the project regarding the "atypical alliance" between social work and pharmacy. Based on this, the authors argue that, with the growing expectations for interprofessional collaboration, effective primary and community health care delivery is increasingly dependent on relationships between educators in different health disciplines, between health professionals-in-training, and between education providers and health organizations.
Topic(s):
Education & Workforce See topic collection
1351
Audit to identify the number of patients with multiple diagnoses in a community mental health team in Bedford, England
Type: Journal Article
Authors: E. N. Bongards, R. Zaman, M. Agius
Year: 2013
Publication Place: Croatia
Abstract: BACKGROUND: Patients with 'simple' mental health problems should be able to be managed exclusively in primary care. It is therefore anticipated that only the more complex cases would be referred to secondary care. In order to test this hypothesis, the number of patients registered with a community mental health team (CMHT) in Bedford, United Kingdom, who had received multiple psychiatric diagnoses in 2010, 2011 and 2013, was determined and analysed. METHOD: Using a secure and anonymised Microsoft Excel(R) database that contains all patient data, the proportions of patients with more than one diagnosis were audited and thus determined for the months of August 2010, June 2011 and February 2013. The total number of patients registered was also determined for comprehensiveness. We had established the basic audit standard that every patient should have only one mental health diagnosis if this was possible. RESULTS: Many patients were indeed found to have received multiple diagnoses. Furthermore, an increase in the proportion of patients with multiple diagnoses was observed; from 23.2% in 2010 to 25.2% in 2011 to 34.3% in 2013. DISCUSSION: Several psychiatric conditions have been shown to be associated with particular psychiatric co-morbidities, which may be one reason why many of the Bedford CMHT's patients receive multiple diagnoses. Furthermore, the trend observed may reflect improving mental healthcare in primary care and therefore fewer referrals of patients with 'simple' mental health conditions to secondary care, thus causing the CMHT's caseload to become increasingly complex. It may also reflect improving communication between primary and secondary care, which may also lead to fewer referrals. Finally, the trend may merely reflect better use of the available database. CONCLUSION: We have found that numerous patients received multiple diagnoses. We have also observed an increase in the proportion of such patients over three years, which may reflect improved management of mental health problems in primary care. Our results may therefore provide an incentive to establish formal shared care of psychiatric patients between primary and secondary care to improve patient management even further. Furthermore, our results reflect the complexity of the cases referred to secondary care, which are far more difficult to treat than those exclusively managed in primary care.
Topic(s):
General Literature See topic collection
1353
Augmenting project ECHO for opioid use disorder with data-informed quality improvement
Type: Journal Article
Authors: O. B. Murray, M. Doyle, B. M. McLeman, L. A. Marsch, E. C. Saunders, K. M. Cox, D. Watts, J. Ryer
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
1354
Augmenting the efficacy of benzodiazepine taper with telehealth-delivered cognitive behavioral therapy for anxiety disorders in patients using prescription opioids: A pilot randomized controlled trial
Type: Journal Article
Authors: K. Wolitzky-Taylor, L. J. Mooney, M. W. Otto, A. Metts, E. M. Parsons, M. Hanano, R. Ram
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
1355
Augmenting the efficacy of benzodiazepine taper with telehealth-delivered cognitive behavioral therapy for anxiety disorders in patients using prescription opioids: A pilot randomized controlled trial
Type: Journal Article
Authors: K. Wolitzky-Taylor, L. J. Mooney, M. W. Otto, A. Metts, E. M. Parsons, M. Hanano, R. Ram
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
1356
Automated screening for at-risk drinking in a primary care office using interactive voice response
Type: Journal Article
Authors: G. L. Rose, J. M. Skelly, G. J. Badger, C. D. MacLean, M. P. Malgeri, J. E. Helzer
Year: 2010
Publication Place: United States
Abstract: OBJECTIVE: Screening for alcohol misuse in primary care settings is strongly recommended but grossly underused. Using interactive voice response (IVR), we developed an automated screening tool (IVR Screen) for identifying alcohol misuse in outpatient primary care offices and evaluated its use rate and acceptability for both patients and providers. METHOD: Patients (N = 101) presenting to a primary care clinic for scheduled, nonemergent health care visits called the IVR Screen by using a dedicated telephone in the waiting room and answered five questions about their health. Results were printed immediately for patient and provider to review during the visit. Medical assistants interviewed patients about the IVR Screen in the examination room. RESULTS: Ninety-six percent of patients who were invited to participate in the study consented to do so. Of those, 26% met criteria for alcohol misuse. Feedback from patients and providers was positive and included constructive suggestions for revisions to the IVR Screen for future use. CONCLUSIONS: IVR-based screening for at-risk drinking was feasible and did not interfere with the provider-patient interaction. The proportion of heavy drinkers identified by the IVR Screen was comparable to that of published reports of screening with written questionnaires. Implications for behavioral health screening, treatment, and clinical research are considerable because IVR-based screening assessments can be customized and targeted to different populations. Results suggest that continued development of IVR as a tool for health and alcohol screening in primary care settings is warranted.
Topic(s):
HIT & Telehealth See topic collection
1357
Automated Telephone Reminders: A Tool to Help Refill Medicines On Time
Type: Web Resource
Authors: AHRQ
Year: 2008
Abstract: This easy to understand telephone script is provided for use by pharmacies wishing to provide automated refill reminder calls to patients to remind them to refill their prescriptions and allow patients to order the refill on the phone.
Topic(s):
Education & Workforce 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.

1358
Availability of addiction medications in private health plans
Type: Journal Article
Authors: C. M. Horgan, S. Reif, D. Hodgkin, D. W. Garnick, E. L. Merrick
Year: 2008
Publication Place: United States
Abstract: Health plans have implemented cost sharing and administrative controls to constrain escalating prescription expenditures. These policies may impact physicians' prescribing and patients' use of these medications. Important clinical advances in the pharmacological treatment of addiction highlight the need to examine how pharmacy benefits consider medications for substance dependence. The extent of restrictions influencing the availability of these medications to consumers is unknown. We use nationally representative survey data to examine the extent and stringency of private health plans' management of naltrexone and disulfiram for alcohol dependence, and buprenorphine for opiate dependence. Thirty-one percent of insurance products excluded buprenorphine from formularies, whereas 55% placed it on the highest cost-sharing tier. Generic naltrexone is the only substance dependence medication that is both rarely excluded from formularies and usually placed on a lower cost-sharing tier. These findings demonstrate that pharmacy benefits have an impact on access to medications for substance abuse.
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
1360
Availability of long-acting injectable buprenorphine at substance use treatment facilities in 2021
Type: Journal Article
Authors: Nitin Vidyasagar, Samuel R. Bunting, Vineet M. Arora, Mim Ari
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection