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The Authors’ Own Words: Why Use Group Visits for Opioid Use Disorder Treatment in Primary Care? A Patient-Centered Qualitative Study

Dec 8, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Why Use Group Visits for Opioid Use Disorder Treatment in Primary Care? A Patient-Centered Qualitative Study

Randi Sokol, MD, MPH, MMedEd; Chiara Albanese; Deviney Chaponis, MD; Jessica Early, MD; George Maxted, MD; Diana Morrill; Grace Poirier, LPN; Fran Puopolo, RN; & Zev Schuman-Olivier, MD

Substance Abuse Vol. 39, Iss. 1, 2018

“For providers aspiring to treat OUD in a way that minimizes stigma and increases access to care, this study illustrates the qualitative value of providing B/N in primary care setting through a patient-centered, team-based, group visit approach. Without physically attending a group visit recovery program and experiencing the group dynamic over time, it might be difficult for providers to appreciate the unique richness of this environment and recognize the value that this approach provides in comparison to the standard one-on-one visit approach. This study allows providers to gain a more palpable understanding of how group-based treatment can support recovery as told through the lenses of patients’ voices, illustrating how patients in a group setting communicate and relate to one another in a positive, therapeutic manner that cultivates a sense of accountability to themselves and the group, a shared identity, and a supportive community.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: group visits, OUD, patient centered, primary care, treatment

The Authors’ Own Words: Barriers to Accessing Treatment for Pregnant Women with Opioid Use Disorder in Appalachian States

Nov 30, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Barriers to Accessing Treatment for Pregnant Women with Opioid Use Disorder in Appalachian States

Stephen W. Patrick MD, MPH, MS; Melinda B. Buntin PhD; Peter R. Martin MD, MSc; Theresa A. Scott MS,William Dupont PhD; Michael Richards MD, PhD; & William O. Cooper MD, MPH

Substance Abuse Vol. 40, Iss. 3, 2019

“In a survey of opioid agonist treatment (OAT) providers in Appalachia, we found that providers frequently did not accept any insurance and frequently did not treat pregnant women in an area of the country disproportionately affected by the opioid epidemic. Policymakers could prioritize improvements in provider training, including training of obstetricians to become buprenorphine prescribers, as a means to enhance access to pregnant women or enhancing reimbursement rates as a means of improving insurance acceptance for OAT.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: barriers, OUD, pregnancy, treatment

The Authors’ Own Words: Understanding and treating opioid use disorders in lesbian, gay, bisexual, transgender, and queer populations

Nov 29, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Understanding and treating opioid use disorders in lesbian, gay, bisexual, transgender, and queer populations


Michael P. Girouard
, BA; Hilary Goldhammer, SM; & Alex S. Keuroghlian, MD, MPH

Substance Abuse Vol. 40, Iss. 3, 2019

“Our manuscript provides a commentary on the overlooked topic of opioid use disorders in LGBTQ populations. In this brief article, we bring awareness to the specific LGBTQ subpopulations most at risk of developing opioid use disorders and highlight the complex interplay between opioid use and sexual risk in LGBTQ subpopulations. Clinicians will find the article helpful in tailoring behavioral health interventions for LGBTQ people with opioid use disorders and will learn about a model program that meets the multifactorial needs of the LGBTQ population. Finally, those involved in research focused on curbing the opioid epidemic will find suggestions for how to be more inclusive of LGBTQ people in their studies.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: LGBTQ, opioid treatment, OUD, treatment

The Authors’ Own Words: Healthcare Effectiveness Data and Information Set (HEDIS) Measures of Alcohol and Drug Treatment Initiation and Engagement among People living with HIV and HIV-uninfected Patient

Nov 26, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Healthcare Effectiveness Data and Information Set (HEDIS) Measures of Alcohol and Drug Treatment Initiation and Engagement among People living with HIV and HIV-uninfected Patient

Rulin C. Hechter, MD, PhD; Michael A. Horberg, MD, MAS; Constance Weisner, DrPH, MSW; Cynthia I. Campbell, PhD, MPH; Richard Contreras, MS; Lie-Hong Chen, DrPH; Bobbi Jo H. Yarborough, PsyD; Gwen T. Lapham, PhD, MPH, MSW; Irina V. Haller, PhD, MS; Brian K. Ahmedani, PhD, LMSW; Ingrid A. Binswanger, MD, MPH, MS; Andrea H. Kline-Simon, MS; & Derek D. Satre, PhD

Substance Abuse Vol. 40, Iss. 3, 2019

“The findings of this study suggest people living with HIV and substance use disorders generally have greater number of comorbidities, including hepatitis C. Yet utilization of behavioral health services is low in this population.  This is a clinically concerning pattern and requires more intensive support from the health systems and HIV specialists.“

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: AUD, data, Healthcare, HEDIS, HIV, Initiation, treatment

The Authors’ Own Words: Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients

Nov 26, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients

Bonnie K. Lind, PhD; Dennis McCarty, PhD; Yifan Gu, MS; Robin Baker, PhD; & K. John McConnell, PhD

Substance Abuse Vol. 40, Iss. 3, 2019

“This is the first analysis that looks at predictors of SUD treatment in both adolescents and adults in a Medicaid population.  We found substantive differences in predictors of treatment initiation and engagement between adults and adolescents, including in gender and race groups, urban vs. rural residence, and presence of a psychiatric diagnosis.  These findings suggest that efforts to improve treatment and engagement generally may need to differentiate strategies for adult and adolescent populations. In particular, efforts that may be successful for improving these measures for adult populations may be ineffective for adolescent populations, and, depending on the strategies, could exacerbate existing racial and gender disparities.“

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: adolescents, engagement, Initiation, medicaid, SUD, treatment

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