Patient predictors of substance use disorder treatment initiation in primary care

Abstract

Individuals who initiate BT for OAUDs in a FQHC are less likely to be homeless and more likely to have greater self-stigma. Those who receive MAT are more likely to be of older age, female, and to have a diagnosis of heroin abuse or dependence, with or without concomitant alcohol abuse or dependence, rather than alcohol abuse or dependence alone. Receiving collaborative care (e.g., a warm handoff, and follow-up by a care coordinator) may be critical to initiating BT. Receiving at least one session of BT is associated with higher odds of receiving MAT, and receiving MAT is associated with higher odds of receiving BT. The Andersen model of health care access provides some insight into who initiates BT and MAT for OAUD treatment in FQHC-based primary care; further research is needed to explore system-level factors that may also influence treatment initiation.

Development of a machine learning algorithm for early detection of opioid use disorder

“…due to the serious consequences of OUD and the fact that loss of time contributes to increased morbidity, mortality, as well as social burden, family damage, and crime rate. 1,2,5 In the USA recent studies have shown a 50% increase in preva- Hastings and colleagues used state government administrative data and machine learning to predict the risk of future opioid dependence, abuse or poisoning at the time of initial prescription.…”

Opioid and Substance Use Disorder and Receipt of Treatment Among Parents Living With Children in the United States, 2015-2017

“…This is a critical knowledge gap because many studies demonstrate an association between adverse experiences in childhood, such as parental SUDs, and health problems later in life, including mental health problems and SUDs. 6,18,19 Primary care practices can play a number of important roles in addressing SUD issues among parents, including screening for SUDs, diagnosing, motivating change in substance use behaviors when appropriate (eg, by initiating a brief counseling intervention or brief treatment with motivational interviewing or cognitive-behavioral therapy and information about medication-assisted treatment [MAT] 20 ), engaging patients in treatment decision making, 21 and developing a plan for follow-up either in the primary care setting or with a specialty provider. 22 In the context of patient-centered, comprehensive care, MATs such as buprenorphine treatment for those with OUD or extended-release injectable naltrexone for those with alcohol use disorder can be provided in an officebased primary care setting.…”

The Welcome Baby Program: An Implementation and Outcomes Evaluation

“…For the independent variables, we selected variables that might predict continuing in the program or dropping out based on characteristics associated with attrition in the home visiting literature (Alonso-Marsden et al, 2013;Daro, Boller, and Hart, 2014;Daro et al, 2012;Daro et al, 2003;Holland et al, 2014;Ingoldsby et al, 2013;Lanier, Maguire-Jack, and Welch, 2015;McCurdy and Daro, 2001;McFarlane et al, 2010;McGuigan, Katzev, and Pratt, 2003) and research on access and retention in ongoing health treatment services (Andersen and Newman, 1973;Andersen, 1995;Gelberg, Andersen, and Leake, 2000;Ober et al, 2018). The variables fell into three categories:…”