Addiction Consultation Services for Opioid Use Disorder Treatment Initiation and Engagement

JAMA Internal Medicine, Journal Year: 2024, Volume and Issue: 184(9), P. 1106 - 1106

Published: July 29, 2024

Importance Medications for opioid use disorder (MOUD) are highly effective, but only 22% of individuals in the US with receive them. Hospitalization potentially provides an opportunity to initiate MOUD and link patients ongoing treatment. Objective To study effectiveness interprofessional hospital addiction consultation services increasing treatment initiation engagement. Design, Setting, Participants This pragmatic stepped-wedge cluster randomized implementation (hybrid type 1) trial was conducted 6 public hospitals New York, included 2315 adults hospitalizations identified Medicaid claims data between October 2017 January 2021. Data analysis December 2023. Hospitals were intervention start date, outcomes compared during as usual (TAU) conditions. Bayesian accounted clustering within open cohort nature study. The service TAU using posterior probabilities model parameters from hierarchical logistic regression models that adjusted age, sex, period. Eligible participants had admission or discharge diagnosis poisoning/adverse effects, hospitalized at least 1 night a medical/surgical inpatient unit, not receiving before hospitalization. Interventions implemented provided specialty care substance disorders. Consultation teams comprised medical clinician, social worker counselor, peer counselor. Main Outcomes Measures dual primary (1) first 14 days after (2) engagement 30 following initiation. Results Of adults, 628 (27.1%) female, mean (SD) age 47.0 (12.4) years. Initiation 11.0% Consult Addiction Treatment Care (CATCH) program vs 6.7% TAU, 7.4% 5.3%, respectively, continuation months 3.2% 2.4%. Patients CATCH 7.96 times higher odds initiating (log-odds ratio, 2.07; 95% credible interval, 0.51-4.00) 6.90 1.93; 0.09-4.18). Conclusions clinical found significantly increased postdischarge among disorder. However, observed rates still low; further efforts needed improve hospital-based community-based Trial Registration ClinicalTrials.gov Identifier: NCT03611335

Language: Английский

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Experiences of Aging with Opioid Use Disorder and Comorbidity in Opioid Treatment Programs: A Qualitative Analysis

Journal of General Internal Medicine, Journal Year: 2024, Volume and Issue: 39(9), P. 1673 - 1680

Published: March 4, 2024

The number of older adults entering opioid treatment programs (OTPs) to treat use disorder (OUD) is increasing. However, the lived experiences aging in OTPs have not been examined.

Language: Английский

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Strategies to Improve Patient-Centered Care for Drug Use-Associated Infective Endocarditis

Journal of the American College of Cardiology, Journal Year: 2024, Volume and Issue: 83(14), P. 1338 - 1347

Published: April 1, 2024

Language: Английский

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How I manage severe bacterial infections in people who inject drugs

Clinical Microbiology and Infection, Journal Year: 2024, Volume and Issue: 30(7), P. 877 - 882

Published: Feb. 3, 2024

Language: Английский

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