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Does paying service providers by results improve recovery outcomes for drug misusers in treatment in England?

Abstract AimTo compare drug recovery outcomes in commissioning areas included in a ‘payment by results’ scheme with all other areas. DesignObservational and data linkage study of the National Drug Treatment Monitoring System, Office for National Statistics mortality database, and Police National Computer criminal records, for two years before and after introduction of the scheme. Pre‚Äźpost controlled comparison compared outcomes in participating versus non‚Äźparticipating areas following adjustment for drug use, functioning and drug treatment status. SettingDrug services in England providing publicly‚Äźfunded, structured treatment. ParticipantsAdults in treatment (between 2010 and 2014): 154,175 (10,716 in participating areas, 143,459 non‚Äźparticipating) treatment journeys in the two years before, and 148,941 (10,012 participating, 138,929 non‚Äźparticipating) after the introduction of the scheme. InterventionScheme participation, with payment to treatment providers based on patient outcomes versus all other areas. MeasurementsRate of treatment initiation; waiting time (> or
Source: Addiction - Category: Addiction Authors: Tags: Research Report Source Type: research

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©iStock/windslegend With the current concerns related to opioid addiction and overdose, researchers from the National Institute on Drug Abuse (NIDA) are exploring ways to reduce the use of opioids for pain relief, while still effectively managing pain. In a randomized clinical trial, 422 patients. ..
Source: NIDA News - Category: Addiction Source Type: news
Approximately 64 ‚ÄĮ000 people died from drug overdose deaths in 2016, and many of these deaths involved opioids. Opioid prescribing decisions are a major contributor to the ongoing opioid crises in America. Prescription opioids are by far the most commonly misused opioids, and 88% of people misusing prescription op ioids obtained these medications from 1 physician (35%) or from a friend or relative (53%). The duration of opioid use following surgery may be a critical determinant to the development of chronic opioid use, which is then associated with an increased risk of patient harm, including the development of misuse, abuse, and addiction.
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
U.S. Senate, Committee on Health, Education, Labor, and Pensions. 11/30/2017 This two-hour, 30-minute Congressional hearing discusses the current opioid crisis, with providers, public safety officials, and state health officials who are on the front lines fighting the epidemic, speak to what is happening on the ground, and what more Congress can do to help them address the crisis. Topics include Rhode Island's Strategic Plan to Address Opioid Addiction and Overdose, which recommended specific, evidence-based strategies in four areas: prevention, rescue, treatment, and recovery. (Video or Multimedia)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - Category: International Medicine & Public Health Authors: Source Type: news
On December 5, 2017, the Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies held a hearing to discuss the opioid epidemic and the possible role that Congress could play in the prevention, treatment, and recovery. Senator Roy Blunt, the Subcommittee Chairman, opened the hearing by discussing the fact that overdose related deaths outnumber the deaths at the peak of the AIDS/HIV epidemic. Overdose deaths have also overtaken automobile accident fatalities to become the number one cause of accidental death in the United States. Senator Blunt also spoke about the three propos...
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs
Abstract BACKGROUND: Methadone toxicity is one of the major causes of death in opioid dependent individuals. OBJECTIVE: We aimed to compare two different protocols for naloxone in terms of reversal of overdose and frequency of complications in opioid-dependent methadone-intoxicated patients. METHODS: One-hundred opioid-dependent patients with signs/symptoms of methadone overdose were included. The patients were consecutively assigned into Tintinalli (group 1) or Goldfrank regimen protocol (group 2) of naloxone administration. Group 1 received naloxone with the dose 0.1 mg given every 2-3 minutes while gr...
Source: Current Clinical Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Curr Clin Pharmacol Source Type: research
We describe the articles and commentaries thematically to include topics that address 1) the contemporary history of methadone maintenance, 2) the provision of and access and barriers to MAT, 3) compliance and outcomes of MAT, 4) health issues among MAT patients, 5) race, ethnicity, and social class backgrounds of MAT patients, 6) criminalization and stigma, and 7) challenges associated with the expansion of MAT. PMID: 29220615 [PubMed - as supplied by publisher]
Source: Substance Use and Misuse - Category: Addiction Tags: Subst Use Misuse Source Type: research
See something of interest? Please share our postings with colleagues in your institutions! Spotlight The National Network of Libraries of Medicine (NNLM) is pleased to announce a partnership with the NIH All of Us Research Program (All of Us), part of the Precision Medicine Initiative. Through this collaboration, NNLM’s Regional Medical Libraries and National Offices will focus on improving consumer access to high quality health information in communities throughout the U.S., specifically, by working with public libraries. Check out the Fall 2017 issue of the MAReport! This quarter, Lydia Collins discusses “Rai...
Source: NN/LM Middle Atlantic Region Blog - Category: Databases & Libraries Authors: Tags: Weekly Postings Source Type: news
BACKGROUND: Opioid addiction and overdose are epidemic in the U.S. Victims of traumatic injury are at greater than average risk for opioid misuse and related complications. Potential risk screens and preventive interventions in this clinical population rem...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
(American College of Neuropsychopharmacology) As the opioid crisis continues to escalate, the number of people who need treatment for their dependency on heroin or prescription pain killers far exceeds the capacity of available treatment programs. People seeking treatment can wait months or even years for spots in clinics or with certified doctors -- and while they wait, they risk becoming infected with HIV or hepatitis, as well as dying from an overdose.
Source: EurekAlert! - Social and Behavioral Science - Category: International Medicine & Public Health Source Type: news
Introduction: In the UK, opioid-related deaths have increased by 64% in 2 years (ONS, 2016). Previous findings suggest that the degree of acute opioid-induced RDP is greatest in ODP with chronically-suppressed neural respiratory drive as a consequence of drug misuse (Jolley et al 2015).Aims: To investigate the severity of RDP in ODP and test the hypothesis that ODP exhibit more severe RDP than matched healthy controls (HC).Methods: ODP: Convenience sample of 6 opioid-maintained patients (4 male) attending a community Drug &Alcohol Treatment Centre (median (IQR) age (years): 48 (47-49).HC: n=6 with no history of drug ad...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Clinical Problems Others Source Type: research
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