Project ECHO and Opioid Education: a Systematic Review

AbstractPurpose of ReviewThe widespread incidence of morbidity and mortality associated with opioid use disorder (OUD) has resulted in a national crisis. One component of this public health epidemic includes a lack of an adequately trained healthcare workforce to provide opioid case management, prescribing, and dispensing. The Extension for Community Healthcare Outcomes (Project ECHO) is a tele-mentoring, guided practice model, which provides knowledge exchange from specialists and subspecialists to enable primary care providers and clinicians to deliver best practice care for complex health conditions like OUD. Project ECHO is considered a promising strategy to address the trained healthcare workforce shortage, especially in remote and traditionally underserved areas.Recent FindingsWe conducted a systemic review of the literature to evaluate the impact of Opioid /Addiction Treatment Project ECHO programs on participant (healthcare provider) and patient outcomes. Overall, studies show increases in provider self-efficacy and knowledge gains after participation in Project ECHO. Benefits and barriers to participation in Project ECHO clinics are discussed.SummaryProject ECHO for OUD is an effective telehealth practitioner training and support model that promotes advances in provider knowledge and self-efficacy. Further research examining evidence on cost-effectiveness, practitioner, and patient outcomes is needed.
Source: Current Treatment Options in Psychiatry - Category: Psychiatry Source Type: research

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CONCLUSIONS: Given increasing rates of opioid addiction and death, viable solutions are universally needed. Successful intervention measures should be widely shared between military, veteran, and civilian healthcare and public health communities. Increased collaboration between these groups could inculcate successful programs to prevent and decrease opioid use. Results received from recent military and veterans' programs for prescription and electronic medical record (EMR) monitoring and data sharing may also prove useful for civilian healthcare providers and hospital systems. Future evaluations from ongoing federally fund...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Abstract BACKGROUND: Emerging data points to a potential heroin use epidemic in South Africa. Despite this, access to methadone maintenance therapy and other evidence-based treatment options remains negligible. We aimed to assess retention, changes in substance use and quality of life after 6 months on methadone maintenance therapy provided through a low-threshold service in Durban, South Africa. METHODS: We enrolled a cohort of 54 people with an opioid use disorder into the study. We reviewed and described baseline socio-demographic characteristics. Baseline and 6-month substance use was assessed using ...
Source: Addiction Science and Clinical Practice - Category: Addiction Authors: Tags: Addict Sci Clin Pract Source Type: research
New largescale study in the American Journal of Preventive Medicine found overprescription of opioids by dentists common, particularly to patients at high risk for substance abuse, and that almost 1/3 of patients received more powerful drugs than neededElsevierIMAGE: In this cross-sectional analysis of 542,958 dental visits by adult patients, between 1 in 4 and 1 in 2 opioid prescriptions exceeded the recommended morphine equivalents and days'supply for...viewmore Credit: Michelle S. Woods Ann Arbor, February 4, 2020 - Dentists are among top prescribers of opioids in the US, however, whether their opioid prescrib...
Source: Dental Technology Blog - Category: Dentistry Source Type: news
The opioid epidemic plaguing the country is hitting New Hampshire especially hard as one of the top five states most affected. The issue has become a top priority for Democratic primary candidates visiting rehab clinics across the state, though for many families, the damage is already done. Major Garrett speaks to members of the Wilson family, who dealt with several generations of drug addiction for the CBS News series Every State Has A Story.
Source: Health News: - Category: Consumer Health News Source Type: news
Our ability to feel pain and react to it is both a boon and a curse, simultaneously. The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.” This means that pain is highly subjective, and it is informed by a mix of past experiences, our current emotional state, and future expectations. Since pain is an emotional and sensory experience it affects our quality of life immensely, and treatment is complex. Chronic pain management with opioids is not ideal Opioids...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Complementary and alternative medicine Mind body medicine Pain Management Source Type: blogs
Incredibly interesting story regarding the start of the opioid crisis in America. As an aspiring pharmacist entering my first year of pharmacy school I feel as though the opioid epidemic is something I will surely have to face in the future. I am wondering if any current Pharmacists have any stories they’d like to share with regards to dispensing opioids and/or other addictive medication and with dealing with the opioid epidemic.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pharmacy Source Type: forums
Authors: Conti Mica M, Ring D, Hsu JR, Mir H Abstract The opioid epidemic in the United States has changed how medicine is practiced. There are tools and resources available to help the surgeon understand pain and provide appropriate pain management. Understanding pain, setting expectations, and diagnosing underlying medical dispositions that can lead to opioid addiction should become standard practice. Understanding available tools for communication, setting appropriate expectations, and preoperative planning for postoperative pain will provide better pain control. Through physical, mental, and medicinal modalitie...
Source: Instructional Course Lectures - Category: Orthopaedics Tags: Instr Course Lect Source Type: research
If you were to sum up the overall health of a nation in one single number, what would that be? At the top of the list, you would likely find average life expectancy — the total number of years, on average, that a person in a country can expect to live. Wars, famine, and economic crises are expected to lower life expectancy. Breakthroughs in science, strong economies, and behaviors like eating a healthy diet, exercising, and avoiding tobacco typically raise average life expectancy. An amazing rise, a surprising fall Between 1959 and 2014, the United States experienced an unprecedented increase in life expectancy, whic...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Health Health care disparities Men's Health Women's Health Source Type: blogs
The opioid overdose epidemic kills about 130 people a day in the United States and it is estimated that there are about 2.1 million people who suffer from an opioid use disorder (OUD). Academic neuroscientists, psychiatrists and the National Institute of Drug Abuse have spent the last forty-years establishing the foundation of addiction as a brain disorder. It is now clear that extended opioid use causes multiple important and at times, irreversible changes to the brain, especially to its dopamine and opioid systems.
Source: Journal of the Neurological Sciences - Category: Neurology Authors: Tags: Review Article Source Type: research
The United States continues to experience an opioid epidemic of unprecedented proportions despite FDA approval of life saving medications, such as buprenorphine. This paper describes a novel group-based buprenorphine treatment model and summarizes patient characteristics and treatment retention. This model, known as the Comprehensive Opioid Addiction Treatment (COAT) program, was developed in West Virginia, the epicenter of the opioid epidemic.
Source: Journal of the Neurological Sciences - Category: Neurology Authors: Tags: Review Article Source Type: research
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