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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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Conclusion Some Medicaid recipients who gained coverage under the ACA may have become addicted to opioids, but we find little evidence that Medicaid expansion caused aggregate drug-related death rates to increase. Future research on the opioid epidemic should develop approaches that untangle the effects of Medicaid expansion from pre-existing economic trends and the spread of accessible illegal drugs. That said, by addressing the causes of addiction and promoting appropriate treatment, Medicaid could be an important tool for policy makers in the fight against opioid abuse. In January 2016, the Centers for Medicare and Medi...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Following the ACA Medicaid and CHIP Public Health Quality Medicaid expansion opioid epidemic Source Type: blogs
Researchers say hospitals are missing an opportunity to help people with opioid addiction get into treatment by not doing enough when they show up in emergency rooms after an overdose.(Image credit: FangXiaNuo/Getty Images)
Source: NPR Health and Science - Category: Consumer Health News Authors: Source Type: news
Few receive anti-addiction medications after hospital discharge, researchers find Source: HealthDay Related MedlinePlus Pages: Opioid Abuse and Addiction
Source: MedlinePlus Health News - Category: Consumer Health News Source Type: news
Minister focuses remarks on three of the country's most vulnerable groups — Indigenous Peoples, those addicted to opioids and at risk of dying of an overdose, and young people with mental health issues.
Source: CBC | Health - Category: Consumer Health News Tags: News/Health Source Type: news
Joanne Peterson is the Founder and Executive Director of Learn to Cope (LTC), a non-profit peer-led support network which began in 2004. Mrs. Peterson’s journey started as a young girl with siblings experiencing issues with mental illness and addiction. Years later when Joanne discovered that her own son’s experimentation with prescription drugs led to an opioid addiction, she was motivated and empowered to use her voice to bring about change. Today her son is in long term recovery. She designed LTC to offer families the support, education, resources and hope that her family would have benefited from.   Fu...
Source: PsychSplash - Category: Psychiatry & Psychology Authors: Tags: Addiction Anyone Articles Clinical Psychology Community and Social Networking Counselling Depression Features For Foundation Website General Psychology Information Links Newsletter Resources Social Bookmarking Societal or O Source Type: blogs
The 20-year opioid overdose epidemic confronting our nation has continued unabated largely because of an uncoordinated response that has over emphasized supply-side interventions (i.e. prescriber guidelines, Prescription Drug Monitoring Programs, law enforcement) rather than dramatically increasing access to evidence-based treatment as occurred in other Western nations with great success. The White House’s Opioid Commission (chaired by Governor Chris Christie, R-NJ) in declaring a national emergency and breaking with this failed tradition offers much hope for stemming the overdose death rate. The Opioid Commission&rs...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Featured Public Health Quality Opioid Addiction opioid epidemic Source Type: blogs
This is the patient’s eight admission over the course of two weeks. The patient is a heroin abuser and has bacteremia and endocarditis. Their heart valve is failing and they are in and out of congestive heart failure. Every day, dozens of medical professionals converge on the patient to give treatment and advice. And every day after hearing that advice, the patient leaves the hospital against medical advice and goes to use IV drugs. They wind up back in the hospital out of fear or panic, or they are brought back in after overdosing by the police. The cycle continues. In this common daily scenario, it is very easy as ...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Cardiology Hospital-Based Medicine Infectious Disease Primary Care Source Type: blogs
ST. LOUIS (AP) — The nation's largest pharmacy benefit manager will soon limit the number and strength of opioid drugs prescribed to first-time users as part of a wide-ranging effort to curb an epidemic affecting millions of Americans. But the new program from Express Scripts is drawing criticism from the American Medical Association, the largest association of physicians and medical students in the U.S., which believes treatment plans should be left to doctors and their patients. About 12.5 million Americans misused prescription opioids in 2015, according to the U.S. Department of Health and Human Services. More tha...
Source: JEMS Administration and Leadership - Category: Emergency Medicine Authors: Tags: News Administration and Leadership Source Type: news
Aaron McCaffrey (pictured), 27, from Manchester became addicted to diarrhoea-relief tablets that he had stockpiled.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Conclusions: These new resources offer substantial advances to classical toxicity testing paradigms by including genetically sensitive individuals that may inform toxicity risks for sensitive subpopulations. Both in vivo and complementary in vitro resources provide platforms with which to reduce uncertainty by providing population-level data around biological variability. https://doi.org/10.1289/EHP1274 Received: 25 October 2016 Revised: 19 April 2017 Accepted: 27 April 2017 Published: 15 August 2017 Address correspondence to K.A. McAllister, Program Administrator, Genes, Environment, and Health Branch, Division of E...
Source: EHP Research - Category: Environmental Health Authors: Tags: Review Source Type: research
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