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Erschienen in: The Journal of Behavioral Health Services & Research 2/2018

27.11.2017

Linking Individuals with Substance Use Disorders (SUDs) in Primary Care to SUD Treatment: the Recovery Management Checkups–Primary Care (RMC-PC) Pilot Study

verfasst von: Christy K Scott, PhD, Christine E. Grella, PhD, Michael L. Dennis, PhD, Lisa Nicholson, MPH

Erschienen in: The Journal of Behavioral Health Services & Research | Ausgabe 2/2018

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Abstract

Linking individuals in primary care settings with substance use disorders (SUDs) to SUD treatment has proven to be challenging, despite the widespread use of Screening, Brief Intervention, and Referral to Treatment (SBIRT). This paper reports findings from a pilot study that examined the efficacy of the Recovery Management Checkups intervention adapted for primary care settings (RMC-PC), for assertively linking and engaging patients from Federally Qualified Health Centers into SUD treatment. Findings showed that patients in the RMC-PC (n=92) had significantly higher rates of SUD treatment entry and received more days of SUD treatment compared with those who receive the usual SBIRT referral (n=50). Receipt of RMC-PC had both direct and indirect effects, partially mediated through days of SUD treatment, on reducing days of drug use at 6 months post intake. RMC-PC is a promising intervention to address the need for more assertive methods for linking patients in primary care to SUD treatment.
Literatur
1.
Zurück zum Zitat Dennis M, Scott CK. Managing addiction as a chronic condition. Addiction Science & Clinical Practice. 2007;4(1):45–55.CrossRef Dennis M, Scott CK. Managing addiction as a chronic condition. Addiction Science & Clinical Practice. 2007;4(1):45–55.CrossRef
2.
Zurück zum Zitat Scott CK, Dennis ML, Laudet A, et al. Surviving drug addiction: The effect of treatment and abstinence on mortality. American Journal of Public Health. 2011;101(4):737–744.CrossRefPubMedPubMedCentral Scott CK, Dennis ML, Laudet A, et al. Surviving drug addiction: The effect of treatment and abstinence on mortality. American Journal of Public Health. 2011;101(4):737–744.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Hser YI, Evans L, Grella C, et al. Long-term course of opioid addiction. Harvard Review of Psychiatry. 2015;23(2):76–89.CrossRefPubMed Hser YI, Evans L, Grella C, et al. Long-term course of opioid addiction. Harvard Review of Psychiatry. 2015;23(2):76–89.CrossRefPubMed
4.
Zurück zum Zitat Scott CK, Dennis ML, Foss MA. Utilizing recovery management checkups to shorten the cycle of relapse, treatment reentry, and recovery. Drug and Alcohol Dependence. 2005;78(3):325–338.CrossRefPubMed Scott CK, Dennis ML, Foss MA. Utilizing recovery management checkups to shorten the cycle of relapse, treatment reentry, and recovery. Drug and Alcohol Dependence. 2005;78(3):325–338.CrossRefPubMed
5.
Zurück zum Zitat McLellan AT, Lewis DC, O’Brien CP, et al. Drug dependence: A chronic medical illness. The Journal of the American Medical Association. 2000;284:1689–1695.CrossRefPubMed McLellan AT, Lewis DC, O’Brien CP, et al. Drug dependence: A chronic medical illness. The Journal of the American Medical Association. 2000;284:1689–1695.CrossRefPubMed
6.
Zurück zum Zitat Martire LINKAGE MANAGER, Lustig AP, Schulz R, et al. Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology. 2004;23(6):599–611.CrossRef Martire LINKAGE MANAGER, Lustig AP, Schulz R, et al. Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology. 2004;23(6):599–611.CrossRef
7.
Zurück zum Zitat Hartmann M, Bäzner E, Wild B, et al. Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: A meta-analysis. Psychotherapy & Psychosomatics. 2010;79(3):136–148.CrossRef Hartmann M, Bäzner E, Wild B, et al. Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: A meta-analysis. Psychotherapy & Psychosomatics. 2010;79(3):136–148.CrossRef
8.
Zurück zum Zitat Scott CK, Dennis ML. Recovery Management Checkups with adult chronic substance users. In J.F. Kelly and W.L. White (eds.), Addiction Recovery Management: Theory, Research and Practice, Current Clinical Psychiatry. New York, NY: Springer Science+Business Media, LLC, 2011 pp. 87–101. Scott CK, Dennis ML. Recovery Management Checkups with adult chronic substance users. In J.F. Kelly and W.L. White (eds.), Addiction Recovery Management: Theory, Research and Practice, Current Clinical Psychiatry. New York, NY: Springer Science+Business Media, LLC, 2011 pp. 87–101.
9.
Zurück zum Zitat Cucciare MA, Timko C. Bridging the gap between medical settings and specialty addiction treatment. Addiction. 2015;110(9):1416–1420.CrossRef Cucciare MA, Timko C. Bridging the gap between medical settings and specialty addiction treatment. Addiction. 2015;110(9):1416–1420.CrossRef
10.
Zurück zum Zitat Cucciare MA, Coleman EA, Timko C. A conceptual model to facilitate transitions from primary care to specialty substance use disorder care: a review of the literature. Primary Health Care Research & Development. 2015;16(5):492–505.CrossRef Cucciare MA, Coleman EA, Timko C. A conceptual model to facilitate transitions from primary care to specialty substance use disorder care: a review of the literature. Primary Health Care Research & Development. 2015;16(5):492–505.CrossRef
11.
Zurück zum Zitat Ducharme LJ, Chandler RK, Harris AHS. Implementing effective substance abuse treatments in general medical settings: Mapping the research terrain. Journal of Substance Abuse Treatment. 2016;60:110–118.CrossRefPubMed Ducharme LJ, Chandler RK, Harris AHS. Implementing effective substance abuse treatments in general medical settings: Mapping the research terrain. Journal of Substance Abuse Treatment. 2016;60:110–118.CrossRefPubMed
12.
Zurück zum Zitat Samet JH, Friedmann P, Saitz R. Benefits of linking primary medical care and substance abuse services: patient, provider, and societal perspectives. Archives of Internal Medicine. 2001;161(1):85–91.CrossRefPubMed Samet JH, Friedmann P, Saitz R. Benefits of linking primary medical care and substance abuse services: patient, provider, and societal perspectives. Archives of Internal Medicine. 2001;161(1):85–91.CrossRefPubMed
14.
Zurück zum Zitat Otiniano Verissimo AD, Grella CE. Influence of gender and race/ethnicity on perceived barriers to help-seeking for alcohol or drug problems. Journal of Substance Abuse Treatment. 2017;75:54–61.CrossRef Otiniano Verissimo AD, Grella CE. Influence of gender and race/ethnicity on perceived barriers to help-seeking for alcohol or drug problems. Journal of Substance Abuse Treatment. 2017;75:54–61.CrossRef
15.
Zurück zum Zitat Wells K, Klap R, Koike A, et al. Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. American Journal of Psychiatry. 2001;158:2027–2032.CrossRefPubMed Wells K, Klap R, Koike A, et al. Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. American Journal of Psychiatry. 2001;158:2027–2032.CrossRefPubMed
16.
Zurück zum Zitat Benson DS, Townes PJ, Dobbs D. Quality Management Plan: A practical, patient-centered template. Bethesda, MD: National Association of Community Health Centers; 2011. Benson DS, Townes PJ, Dobbs D. Quality Management Plan: A practical, patient-centered template. Bethesda, MD: National Association of Community Health Centers; 2011.
17.
Zurück zum Zitat D'Onofrio G, Bernstein SL. Screening, brief intervention and referral of emergency department patients with unhealthy drug use: Efficacious or not? Evidence Based Mental Health. 2015;18(4):e8.CrossRefPubMed D'Onofrio G, Bernstein SL. Screening, brief intervention and referral of emergency department patients with unhealthy drug use: Efficacious or not? Evidence Based Mental Health. 2015;18(4):e8.CrossRefPubMed
18.
Zurück zum Zitat Saitz R. Commentaries on Glass et al. (2015). SBIRT is the answer? Probably not. Addiction. 2015;110(9):1416–1420.CrossRefPubMed Saitz R. Commentaries on Glass et al. (2015). SBIRT is the answer? Probably not. Addiction. 2015;110(9):1416–1420.CrossRefPubMed
19.
Zurück zum Zitat Saitz R, Alford PA, Bernstein J, et al. Screening and brief intervention for unhealthy drug use in primary care settings: Randomized clinical trials are needed. Journal of Addiction Medicine. 2010;4(3):123–130.CrossRefPubMedPubMedCentral Saitz R, Alford PA, Bernstein J, et al. Screening and brief intervention for unhealthy drug use in primary care settings: Randomized clinical trials are needed. Journal of Addiction Medicine. 2010;4(3):123–130.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Babor TF, McRee BG, Kassebaum PA, et al. Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse. 2007;28(3):7–30.CrossRefPubMed Babor TF, McRee BG, Kassebaum PA, et al. Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse. 2007;28(3):7–30.CrossRefPubMed
21.
Zurück zum Zitat Madras BK, Compton WM, Avula D, et al. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later. Drug and Alcohol Dependence. 2009;99(1):280–295.CrossRefPubMed Madras BK, Compton WM, Avula D, et al. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later. Drug and Alcohol Dependence. 2009;99(1):280–295.CrossRefPubMed
22.
Zurück zum Zitat Glass JE, Hamilton AM, Powell BJ, et al. Specialty substance use disorder services following brief alcohol intervention: A meta-analysis of randomized controlled trials. Addiction. 2015;110(9):1404–1415.CrossRefPubMedPubMedCentral Glass JE, Hamilton AM, Powell BJ, et al. Specialty substance use disorder services following brief alcohol intervention: A meta-analysis of randomized controlled trials. Addiction. 2015;110(9):1404–1415.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Kim TW, Bernstein J, Cheng DM, et al. Receipt of addiction treatment as a consequence of a brief intervention for drug use in primary care: A randomized trial. Addiction. 2017;112(5):828–827. Kim TW, Bernstein J, Cheng DM, et al. Receipt of addiction treatment as a consequence of a brief intervention for drug use in primary care: A randomized trial. Addiction. 2017;112(5):828–827.
24.
Zurück zum Zitat Abraham AJ, Knudsen HK, Rieckmann T, et al. Disparities in access to physicians and medications for the treatment of substance use disorders between publicly and privately funded treatment programs in the United States. Journal of Studies on Alcohol and Drugs. 2013;74:258–265.CrossRefPubMedPubMedCentral Abraham AJ, Knudsen HK, Rieckmann T, et al. Disparities in access to physicians and medications for the treatment of substance use disorders between publicly and privately funded treatment programs in the United States. Journal of Studies on Alcohol and Drugs. 2013;74:258–265.CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Weisner CM, Mertens J, Tam TW, et al. Factors affecting the initiation of substance abuse treatment in an HMO. Addiction. 2001;96(5):705–716.CrossRefPubMed Weisner CM, Mertens J, Tam TW, et al. Factors affecting the initiation of substance abuse treatment in an HMO. Addiction. 2001;96(5):705–716.CrossRefPubMed
26.
Zurück zum Zitat Collins C, Hunson DL, Munger R, et al. Evolving models of behavioral health integration in primary care. New York: Milbank Memorial Fund, 2010.CrossRef Collins C, Hunson DL, Munger R, et al. Evolving models of behavioral health integration in primary care. New York: Milbank Memorial Fund, 2010.CrossRef
27.
Zurück zum Zitat Chaple M, Sacks S, Randell J, et al. A technical assistance framework to facilitate the delivery of integrated behavioral health services in Federally Qualified Health Centers (FQHCs). Journal of Substance Abuse Treatment. 2016;60:62–69.CrossRefPubMed Chaple M, Sacks S, Randell J, et al. A technical assistance framework to facilitate the delivery of integrated behavioral health services in Federally Qualified Health Centers (FQHCs). Journal of Substance Abuse Treatment. 2016;60:62–69.CrossRefPubMed
28.
Zurück zum Zitat Kessler R, Miller BF, Kelly M, et al. Mental health, substance abuse, and health behavior services in patient-centered medical homes. American Board of Family Medicine. 2014;27(5):637–644.CrossRef Kessler R, Miller BF, Kelly M, et al. Mental health, substance abuse, and health behavior services in patient-centered medical homes. American Board of Family Medicine. 2014;27(5):637–644.CrossRef
29.
Zurück zum Zitat Andrews CM. The relationship of state Medicaid coverage to Medicaid acceptance among substance abuse providers in the United States. Journal of Behavioral Health Services & Research. 2014;41:460–472.CrossRef Andrews CM. The relationship of state Medicaid coverage to Medicaid acceptance among substance abuse providers in the United States. Journal of Behavioral Health Services & Research. 2014;41:460–472.CrossRef
31.
Zurück zum Zitat Dennis ML, Scott CK. Four-year outcomes from the Early Re-Intervention Experiment (ERI) with recovery management checkups (RMC). Drug and Alcohol Dependence. 2012;121(1):10–17.CrossRefPubMed Dennis ML, Scott CK. Four-year outcomes from the Early Re-Intervention Experiment (ERI) with recovery management checkups (RMC). Drug and Alcohol Dependence. 2012;121(1):10–17.CrossRefPubMed
32.
Zurück zum Zitat Dennis ML, Scott CK, Funk R. An experimental evaluation of recovery management checkups (RMC) for people with chronic substance use disorders. Evaluation and Program Planning. 2003;26(3):339–352.CrossRef Dennis ML, Scott CK, Funk R. An experimental evaluation of recovery management checkups (RMC) for people with chronic substance use disorders. Evaluation and Program Planning. 2003;26(3):339–352.CrossRef
33.
Zurück zum Zitat Scott CK, Dennis ML, Lurigio AJ. The effects of specialized probation and Recovery Management Check-Ups (RMCs) on treatment participation, substance use, HIV-risk behaviors, and recidivism among female offenders: Main findings of a three-year experiment using subject by intervention interaction analysis. Journal of Experimental Criminology. 2017;13(1):53–77. Scott CK, Dennis ML, Lurigio AJ. The effects of specialized probation and Recovery Management Check-Ups (RMCs) on treatment participation, substance use, HIV-risk behaviors, and recidivism among female offenders: Main findings of a three-year experiment using subject by intervention interaction analysis. Journal of Experimental Criminology. 2017;13(1):53–77.
34.
Zurück zum Zitat Scott CK, Dennis ML. Results from two randomized clinical trials evaluating the impact of quarterly recovery management checkups with adult chronic substance users. Addiction. 2009;104(6):959–971.CrossRefPubMedPubMedCentral Scott CK, Dennis ML. Results from two randomized clinical trials evaluating the impact of quarterly recovery management checkups with adult chronic substance users. Addiction. 2009;104(6):959–971.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Atanda R, Podrasky-Mattia L, Benton A. Developing a data collection system. Evaluation and Program Planning. 2005;28(3):335–339.CrossRef Atanda R, Podrasky-Mattia L, Benton A. Developing a data collection system. Evaluation and Program Planning. 2005;28(3):335–339.CrossRef
36.
Zurück zum Zitat Babor TF, Higgins-Biddle JC, Saunders JB, et al. AUDIT: The alcohol use disorders identification test guidelines for use in primary care. Second Edition. Geneva, Switzerland: World Health Organization, 2001. Babor TF, Higgins-Biddle JC, Saunders JB, et al. AUDIT: The alcohol use disorders identification test guidelines for use in primary care. Second Edition. Geneva, Switzerland: World Health Organization, 2001.
37.
38.
Zurück zum Zitat D’Onofrio G, Pantalon MV, Degutis LC, Larkin GL, O’Connor PG, Fiellin D. BNI Training Manual For Opioid Dependent Patients in the ED. New Haven, CT: Yale University School of Medicine; 2009. D’Onofrio G, Pantalon MV, Degutis LC, Larkin GL, O’Connor PG, Fiellin D. BNI Training Manual For Opioid Dependent Patients in the ED. New Haven, CT: Yale University School of Medicine; 2009.
40.
Zurück zum Zitat Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 35. Report No.: SMA13–4212. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013. Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 35. Report No.: SMA13–4212. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.
41.
Zurück zum Zitat Hingson R, Compton WM. Screening and brief intervention and referral to treatment for drug use in primary care: Back to the drawing board. The Journal of the American Medical Association. 2014;312(5):488–489.CrossRefPubMed Hingson R, Compton WM. Screening and brief intervention and referral to treatment for drug use in primary care: Back to the drawing board. The Journal of the American Medical Association. 2014;312(5):488–489.CrossRefPubMed
42.
Zurück zum Zitat Dawson DA, Grant BF, Stinson FS, et al. Estimating the effect of help-seeking on achieving recovery from alcohol dependence. Addiction. 2006;101(6):8245–834.CrossRef Dawson DA, Grant BF, Stinson FS, et al. Estimating the effect of help-seeking on achieving recovery from alcohol dependence. Addiction. 2006;101(6):8245–834.CrossRef
43.
Zurück zum Zitat Kadden R, Carbonari J, Litt M, et al. Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH Three-Year Drinking Outcomes. Alcoholism: Clinical and Experimental Research. 1998;22(6):1300–1311. Kadden R, Carbonari J, Litt M, et al. Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH Three-Year Drinking Outcomes. Alcoholism: Clinical and Experimental Research. 1998;22(6):1300–1311.
44.
Zurück zum Zitat Weisner C, Matzger H, Kaskutas LA. How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individuals. Addiction. 2003;98(7):901–911.CrossRefPubMed Weisner C, Matzger H, Kaskutas LA. How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individuals. Addiction. 2003;98(7):901–911.CrossRefPubMed
46.
Zurück zum Zitat Tuyet M. State Opioid Crisis Response Advisory Council: Data from the Illinois Department of Public Health. Presentation to the Illinois Opioid Crisis Response Advisory Council on January 21, 2017. Tuyet M. State Opioid Crisis Response Advisory Council: Data from the Illinois Department of Public Health. Presentation to the Illinois Opioid Crisis Response Advisory Council on January 21, 2017.
47.
Zurück zum Zitat Kirby D. State Opioid Crisis Response Advisory Council: Data from the Illinois Department of Human Services, Division of Alcoholism and Substance Abuse. Presentation to the Illinois Opioid Crisis Response Advisory Council on January 21, 2017. Kirby D. State Opioid Crisis Response Advisory Council: Data from the Illinois Department of Human Services, Division of Alcoholism and Substance Abuse. Presentation to the Illinois Opioid Crisis Response Advisory Council on January 21, 2017.
48.
Zurück zum Zitat Volkow ND, Frieden TR, Hyde PS, et al. Medication-assisted therapies: Tackling the opioid-overdose epidemic. New England Journal of Medicine. 2014;370:263–266.CrossRef Volkow ND, Frieden TR, Hyde PS, et al. Medication-assisted therapies: Tackling the opioid-overdose epidemic. New England Journal of Medicine. 2014;370:263–266.CrossRef
49.
Zurück zum Zitat Degenhardt L, Whiteford HA, Ferrari AJ, et al. Global burden of disease attributable to illicit drug use and dependence: Findings from the Global Burden of Disease Study 2010. The Lancet. 2013;382:1564–1574.CrossRef Degenhardt L, Whiteford HA, Ferrari AJ, et al. Global burden of disease attributable to illicit drug use and dependence: Findings from the Global Burden of Disease Study 2010. The Lancet. 2013;382:1564–1574.CrossRef
50.
Zurück zum Zitat French MT, McGeary KA, Chitwood DD, et al. Chronic illicit drug use, health services utilization, and the cost of medical care. Social Science and Medicine. 2000;50(12):1703–1713.CrossRefPubMed French MT, McGeary KA, Chitwood DD, et al. Chronic illicit drug use, health services utilization, and the cost of medical care. Social Science and Medicine. 2000;50(12):1703–1713.CrossRefPubMed
51.
Zurück zum Zitat Parthasarathy S, Weisner CM. Five-year trajectories of health care utilization and cost in a drug and alcohol treatment sample. Drug and Alcohol Dependence. 2005;80(2):231–240.CrossRefPubMed Parthasarathy S, Weisner CM. Five-year trajectories of health care utilization and cost in a drug and alcohol treatment sample. Drug and Alcohol Dependence. 2005;80(2):231–240.CrossRefPubMed
Metadaten
Titel
Linking Individuals with Substance Use Disorders (SUDs) in Primary Care to SUD Treatment: the Recovery Management Checkups–Primary Care (RMC-PC) Pilot Study
verfasst von
Christy K Scott, PhD
Christine E. Grella, PhD
Michael L. Dennis, PhD
Lisa Nicholson, MPH
Publikationsdatum
27.11.2017
Verlag
Springer US
Erschienen in
The Journal of Behavioral Health Services & Research / Ausgabe 2/2018
Print ISSN: 1094-3412
Elektronische ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-017-9576-5

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