Letter in Reply
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Letters to the Editor Source Type: research

Diversion of Buprenorphine in Low-threshold Treatment
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Letters to the Editor Source Type: research

Rise in Presence of Methamphetamine in Oral Fluid Toxicology Tests Among Outpatients in a Large Healthcare Setting in the Northeast
Conclusions: Presence of methamphetamine in oral fluid toxicology tests increased from 2014 to 2019 across a sample of outpatients receiving healthcare in Boston, Massachusetts. Regions of the country with high rates of opioid overdose may need to integrate harm reduction and addiction treatment resources for stimulant use disorder in addition to opioid use disorder. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Brief Report Source Type: research

Retention Strategies for Medications for Opioid Use Disorder in Adults: A Rapid Evidence Review
Discussion: Consistent but sparse evidence supports criminal justice prerelease MOUD initiation, and contingency management interventions for antagonist MOUD. Integrating MOUD with medical, psychiatric, social services, delivering through IT, or administering via XR-MOUD formulations did not worsen retention. Fewer than half of the studies we identified focused on retention as a primary outcome. Studies used different measures of retention, making it difficult to compare effectiveness. Additional inquiry into the causes of low retention would inform future interventions. Registration: PROSPERO: CRD42019134739 (Sourc...
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Sex-specific Associations of Alcohol Withdrawal in Patients Admitted for the Treatment of Alcohol Use Disorder
Conclusions: factors associated with AWS differ by sex which may have clinical implications for proactive management of AWS during treatment for AUD. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Development and Feasibility of a Spanish Language Version of the Tobacco, Alcohol, Prescription Drug, and Illicit Substance Use (TAPS) Tool
Conclusions: The current study represents a starting point for expanding the availability of the TAPS Tool beyond its original English language version into Spanish. The Spanish language TAPS Tool could expand options for substance use screening in primary care settings with Spanish-dominant/preferred populations. Trial registration: The studies were registered with www.clinicaltrials.gov: NCT03879785, March 19, 2019. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Suicide Behavior Following PHQ-9 Screening Among Individuals With Substance Use Disorders
Objectives: Individuals with substance use disorders (SUD) are at risk for suicide, but no studies have assessed whether routinely administered screeners for suicidal ideation accurately identify outpatients with SUD who are at risk for suicide attempt or death. Methods: Data from more than 186,000 visits by over 55,000 patients with mental health and SUD diagnoses receiving care in 7 health systems were analyzed to determine whether responses to item 9 of the 9-item Patient Health Questionnaire, which assesses frequency of thoughts of death and self-harm, are associated with suicide outcomes after an outpatient...
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Discharges “Against Medical Advice” in Patients With Opioid-related Hospitalizations
Objectives: We performed a descriptive analysis of patient and treatment characteristics in premature discharges “against medical advice” (AMA) in a cohort of patients with opioid-related hospitalizations. Methods: We abstracted data from 1152 opioid related hospitalizations of 928 adult patients in a large academic health system. Using electronic health record data, hospitalizations were categorized as AMA or conventional discharge (CD). To determine differences between AMA and CD regarding treatment characteristics, Fisher exact test, t tests, ANOVA, and logistic regression were performed. Results: ...
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Challenges and Facilitators of Implementing a Physician-approved Naloxone Protocol: A Mixed-methods Study
Conclusions: The study identified barriers and facilitators to the implementation of a physician-approved protocol within Ohio. The majority of respondents stated they could implement a protocol. However, barriers of cost, lack of public awareness of naloxone availability, and stigma remain for pharmacies and other naloxone distribution sites. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

“Like Yin and Yang”: Perceptions of Methamphetamine Benefits and Consequences Among People Who Use Opioids in Rural Communities
Conclusion: As rural communities respond to evolving drug supply and demand, there is increasing need for public health efforts to address the emerging issue of concurrent methamphetamine and opioid use. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

A Telemedicine Approach to Increase Treatment of Alcohol Use Disorder in Primary Care: A Pilot Feasibility Study
Background and Aims: Unhealthy drinking is a leading threat to health, yet few people with alcohol use disorder (AUD) receive treatment. This pilot tested the feasibility of addiction medicine video consultations in primary care for improving AUD medication adoption and specialty treatment initiation. Methods: Primary care providers (PCPs) received training and access to on-call addiction medicine consultations. Feasibility measures were training attendance, intention to use the service and/or AUD pharmacotherapy, and user feedback. Secondary outcomes were utilization, prescription and treatment initiation rates...
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Rejection of Patients With Opioid Use Disorder Referred for Post-acute Medical Care Before and After an Anti-discrimination Settlement in Massachusetts
Conclusions: Individuals hospitalized with OUD frequently experience explicit discrimination when rejected from postacute care despite federal and state protections. Efforts are needed to enhance enforcement of anti-discrimination laws, regulations, and policies to ensure access to postacute medical care for people with OUD and ongoing medical needs. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Disability Discrimination Against People With Substance Use Disorders by Postacute Care Nursing Facilities: It is Time to Stop Tolerating Civil Rights Violations
People with substance use disorders (PWSUDs), including opioid use disorder (OUD), continue to face widespread discrimination, including in health care. As hospitals increasingly provide more appropriate and integrated care for PWSUDs, nursing facilities that provide postacute care are receiving more referrals for patients whose diagnosis of substance use disorders is acknowledged rather than ignored. A concerning number of these facilities refuse to admit or treat PWSUD, especially those with OUD receiving opioid agonist therapy (OAT). This practice violates multiple federal antidiscrimination laws. Postacute care nursing...
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Commentaries Source Type: research

Can Extended-release Injectable Medications Help Curb United States and Canada's Opioid Overdose Epidemic?
Settings throughout the United States and Canada continue to face escalating overdose epidemics. Notably, history of overdose is associated with increased risk of fatal overdose. Unfortunately, despite frequent contact with health services and the well-known mortality benefits of medications for opioid use disorder (MOUD), only a fraction of overdose survivors is successfully linked to addiction care after leaving the emergency department. This may be partially explained by well-documented challenges of oral MOUD, including the need for frequent visits to the pharmacy to receive their medications, which may limit the flexi...
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Commentaries Source Type: research

The Cost of a Cigarette: Opportunities to Engage Hospitalized Patients With Opioid Use Disorder
Ensuring the safety of hospitalized patients with opioid use disorder who inject substances frequently presents management challenges for hospital staff. This commentary expounds on those challenges and offers areas of opportunity to provide patient-centered care for these patients. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - January 1, 2021 Category: Addiction Tags: Commentaries Source Type: research