Stepped Care for Opioid Use Disorder Train the Trainer (SCOUTT) initiative: Expanding access to medication treatment for opioid use disorder within Veterans Health Administration facilities.

Abstract:

:The US is confronted with a rise in opioid use disorder (OUD), opioid misuse, and opioid-associated harms. Medication treatment for opioid use disorder (MOUD)-including methadone, buprenorphine and naltrexone-is the gold standard treatment for OUD. MOUD reduces illicit opioid use, mortality, criminal activity, healthcare costs, and high-risk behaviors. The Veterans Health Administration (VHA) has invested in several national initiatives to encourage access to MOUD treatment. Despite these efforts, by 2017, just over a third of all Veterans diagnosed with OUD received MOUD. VHA OUD specialty care is often concentrated in major hospitals throughout the nation and access to this care can be difficult due to geography or patient choice. Recognizing the urgent need to improve access to MOUD care, in the Spring of 2018, the VHA initiated the Stepped Care for Opioid Use Disorder, Train the Trainer (SCOUTT) Initiative to facilitate access to MOUD in VHA non-SUD care settings. The SCOUTT Initiative's primary goal is to increase MOUD prescribing in VHA primary care, mental health, and pain clinics by training providers working in those settings on how to provide MOUD and to facilitate implementation by providing an ongoing learning collaborative. Thirteen healthcare providers from each of the 18 VHA regional networks across the VHA were invited to implement the SCOUTT Initiative within one facility in each network. We describe the goals and initial activities of the SCOUTT Initiative leading up to a two-day national SCOUTT Initiative conference attended by 246 participants from all 18 regional networks in the VHA. We also discuss subsequent implementation facilitation and evaluation plans for the SCOUTT Initiative. The VHA SCOUTT Initiative could be a model strategy to implement MOUD within large, diverse health care systems.

journal_name

Subst Abus

journal_title

Substance abuse

authors

Gordon AJ,Drexler K,Hawkins EJ,Burden J,Codell NK,Mhatre-Owens A,Dungan MT,Hagedorn H

doi

10.1080/08897077.2020.1787299

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

275-282

issue

3

eissn

0889-7077

issn

1547-0164

journal_volume

41

pub_type

杂志文章
  • Osteonecrosis following alcohol, cocaine, and steroid use.

    abstract::Alcohol, steroids and cocaine have all been shown to be independent risk factors for osteonecrosis when taken in excess. Here we present a case of a young girl who developed debilitating osteonecrosis secondary to low doses of alcohol, steroids and cocaine. We feel it is important to highlight to those caring for such...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2011.562751

    authors: Ziraldo L,O'Connor MB,Blake SP,Phelan MJ

    更新日期:2011-07-01 00:00:00

  • Retraction: Editorial Removal.

    abstract::This article was withdrawn by the authors before final publication on October 1, 2009. ...

    journal_title:Substance abuse

    pub_type: 撤回出版物

    doi:10.1080/08897077.2015.1059109

    authors:

    更新日期:2015-01-01 00:00:00

  • Small area estimation and hotspot identification of opioid use disorder among military veterans living in the Southern United States.

    abstract:BACKGROUND:The purpose of this study was to estimate opioid use disorder prevalence rates at the county level among veterans in Alabama and to determine hotspots of said rates. Methods: By combining data from the National Survey on Drug Use and Health and the American Community Survey, we developed a mixed-effects gene...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2019.1703066

    authors: Albright DL,McDaniel J,Kertesz S,Seal D,Prather K,English T,Laha-Walsh K

    更新日期:2021-01-01 00:00:00

  • Implementation and evaluation of an opioid overdose education and naloxone distribution (OEND) program at a Veterans Affairs Medical Center.

    abstract:BACKGROUND:In recognition of the importance of safe and effective pain management, the Department of Veterans Affairs and the Office of the Under Secretary for Health have encouraged implementation of opioid overdose education and naloxone distribution (OEND) programs at Veterans Affairs Medical Centers (VAMCs). METHO...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2018.1449174

    authors: Pauly JB PharmD, BCPP,Vartan CM PharmD, BCPS,Brooks AT PharmD, BCPS

    更新日期:2018-01-01 00:00:00

  • Addiction medicine in Canada: challenges and prospects.

    abstract::In Canada, the qualification of physicians is the jurisdiction of the College of Family Physicians and the Royal College of Physicians and Surgeons. The Colleges have promoted the training of "generalists" in family medicine and "sophisticated generalists" among the traditional specialties, and the development of subs...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2011.555705

    authors: el-Guebaly N,Crockford D,Cirone S,Kahan M

    更新日期:2011-04-01 00:00:00

  • Concerns that an opioid antidote could "make things worse": Profiles of risk compensation beliefs using the Naloxone-Related Risk Compensation Beliefs (NaRRC-B) scale.

    abstract::Background and aims: As opioid overdose death rates reach epidemic proportions in the United States, the widespread distribution of naloxone is imperative to save lives. However, concerns that people who use drugs will engage in riskier drug behaviors if they have access to naloxone remain prevalent, and the measureme...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2019.1616348

    authors: Winograd RP,Werner KB,Green L,Phillips S,Armbruster J,Paul R

    更新日期:2020-01-01 00:00:00

  • Gabapentin for the treatment of ethanol withdrawal.

    abstract::Benzodiazepines (BZDs) are the drug of choice for the suppression of alcohol withdrawal symptoms. Gabapentin, a drug approved for use as adjunctive therapy in the treatment of partial seizures, has none of the BZD-type difficulties (drug interactions, abuse potential). We retrospectively report on the use of gabapenti...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897070309511541

    authors: Voris J,Smith NL,Rao SM,Thorne DL,Flowers QJ

    更新日期:2003-06-01 00:00:00

  • Pretreatment drug use characteristics and experiences among patients in a voluntary substance abuse treatment center in Malaysia: A mixed-methods approach.

    abstract:BACKGROUND:Drug use in Malaysia remains a significant public health and social problem despite implementation of harsh punitive drug policies such as forcibly placing suspected drug users into compulsory drug detention centers (CDDCs). Following criticism over human right violations in CDDCs, Malaysia has begun to tran...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2016.1146648

    authors: Krishnan A,Brown SE,Ghani MA,Khan F,Kamarulzaman A,Altice FL

    更新日期:2016-10-01 00:00:00

  • Aversion to injection limits acceptability of extended-release naltrexone among homeless, alcohol-dependent patients.

    abstract:BACKGROUND:Ending homelessness is a major priority of the Department of Veteran Affairs (VA), and alcohol use can be a barrier to stable housing. Clinical trials suggest that depot extended-release naltrexone (XR-NTX) is efficacious in reducing alcohol consumption among alcohol-dependent subjects. METHODS:An open-labe...

    journal_title:Substance abuse

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/08897077.2012.763083

    authors: Friedmann PD,Mello D,Lonergan S,Bourgault C,O'Toole TP

    更新日期:2013-01-01 00:00:00

  • Feasibility of Implementing Shared Medical Appointments (SMAs) for Office-Based Opioid Treatment With Buprenorphine: A Pilot Study.

    abstract:BACKGROUND:Shared medical appointments (SMAs) are designed to improve patient satisfaction and increase access to treatment. In a typical SMA, 6-12 patients with similar diagnoses attend a group appointment with their health care providers, often lasting 60-120 minutes. All components of an individual visit are complet...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2014.998400

    authors: Suzuki J,Zinser J,Klaiber B,Hannon M,Grassi H,Spinosa M,Ramirez A,Issa M,Chin Feman SP

    更新日期:2015-01-01 00:00:00

  • Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis.

    abstract:BACKGROUND:Illicit drug use is common among emergency department (ED) patients, yet the association between drug use and subsequent mortality is not well understood. This study examines 36-month mortality rates for a sample of ED patients based on reported use of alcohol, cannabis, and cocaine, both individually and in...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2017.1389799

    authors: Gilmore D,Zorland J,Akin J,Johnson JA,Emshoff JG,Kuperminc GP

    更新日期:2018-01-01 00:00:00

  • Cognitive variables in alcohol dependent patients with elevated depressive symptoms: changes and predictive utility as a function of treatment modality.

    abstract::The aim of the current study was to examine, through posthoc analyses, changes in and predictive utility of mood-related cognitive variables as a function of treatment modality in a group of alcohol dependent patients with elevated depressive symptoms. In addition to the background partial hospital treatment for alcoh...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897070209511487

    authors: Ramsey SE,Brown RA,Stuart GL,Burgess ES,Miller IW

    更新日期:2002-09-01 00:00:00

  • Abstracts presented at the International Society of Addiction Medicine (ISAM) 19th Annual Meeting, Abu Dhabi, United Arab Emirates, October 2017.

    abstract::The 19th Annual Meeting of the International Society of Addiction Medicine (ISAM) was held in Abu Dhabi, United Arab Emirates, in October 2017. Contained in this paper are the abstracts of scientific work presented at the conference. ...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2018.1441946

    authors: Gordon AJ

    更新日期:2018-01-02 00:00:00

  • Implementing alcohol screening and intervention in a family medicine residency clinic.

    abstract::The purpose of this study was to evaluate the impact of simultaneous systems interventions and clinician training on management of hazardous and harmful drinking in a residency clinic. Systems interventions included forming a multi-disciplinary implementation team, training registration clerks to distribute health ris...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1300/j465v26n01_03

    authors: Seale JP,Shellenberger S,Tillery WK,Boltri J,Vogel R,Barton B,McCauley M

    更新日期:2005-03-01 00:00:00

  • Training addiction professionals in empirically supported treatments: perspectives from the treatment community.

    abstract:BACKGROUND:Large-scale dissemination efforts seek to expand opportunities for the addiction treatment community to receive training in empirically supported treatments (ESTs). Prospective consumers of such training are valuable sources of input about content of interest, preferences for how training events are structur...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2013.789816

    authors: Hartzler B,Rabun C

    更新日期:2014-01-01 00:00:00

  • Characteristics and outcomes of hospitalizations and readmissions for opioid dependence and overdose: nationally representative data.

    abstract:BACKGROUND:Despite the increasing rates of morbidity, mortality, and costs from the opioid addiction crisis, there is a paucity of literature on nationwide patterns of opioid abuse and dependence admissions and readmissions. We sought to investigate common comorbidities, readmission rates, and variables associated with...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2020.1823548

    authors: Grzebinski S,Stein L,Dhamoon MS

    更新日期:2020-10-12 00:00:00

  • The prevalence of unhealthy alcohol and drug use among inpatients in a general hospital.

    abstract::Background: Unhealthy substance use is a growing public health issue. Intersections with the health care system offer an opportunity for intervention; however, recent estimates of prevalence for unhealthy substance use among all types of hospital inpatients are unknown. Methods: Universal screening for unhealthy alcoh...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2019.1635961

    authors: Wakeman SE,Herman G,Wilens TE,Regan S

    更新日期:2020-01-01 00:00:00

  • Exploring the formation of treatment program director perceptions on entry-level social workers' substance use treatment capacities in New York.

    abstract:BACKGROUND:This article examines how program directors of substance use treatment providers in New York state form their perceptions on the overall substance use treatment service delivery capacities of newly graduated, entry-level social workers. Methods: The study discussed consisted of a cross-sectional, quantitativ...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2020.1803181

    authors: Minnick D,Park D

    更新日期:2020-08-19 00:00:00

  • Frequency of energy drink use predicts illicit prescription stimulant use.

    abstract:BACKGROUND:The purpose of this study was to examine energy drink (ED) usage patterns and to investigate the illicit use of prescription stimulants among college students. METHODS:A sample of 267 undergraduate and graduate students (mean age of 22.48 among stimulant users) from a large midwestern university and its bra...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2013.810561

    authors: Woolsey CL,Barnes LB,Jacobson BH,Kensinger WS,Barry AE,Beck NC,Resnik AG,Evans MW Jr

    更新日期:2014-01-01 00:00:00

  • "Alcoholic" or "Person with alcohol use disorder"? Applying person-first diagnostic terminology in the clinical domain.

    abstract::A recent publication by Broyles et al. has recommended extending the use of diagnostically accurate, person-first language (e.g., "person with alcohol use disorder") as an alternative to non-diagnostic, idiosyncratic terms (e.g., "addict", "alcoholic") when describing individuals with substance use disorders (SUDs) in...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2016.1268239

    authors: Robinson SM

    更新日期:2017-01-01 00:00:00

  • An exploration of substance abuse course offerings for students in counseling and social work programs.

    abstract:BACKGROUND:Counseling and social work programs educate future practitioners who are likely to be engaged in direct practice with individuals impacted by substance use disorders. Recent changes to policy and practice, including the Affordable Health Care Act and DSM-5 (Diagnostic and Statistical Manual of Mental Disorde...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2014.933153

    authors: Russett JL,Williams A

    更新日期:2015-01-01 00:00:00

  • The contribution of mindfulness practice to a multicomponent behavioral sleep intervention following substance abuse treatment in adolescents: a treatment-development study.

    abstract::Poor sleep is common in substance use disorders (SUDs) and is a risk factor for relapse. Within the context of a multicomponent, mindfulness-based sleep intervention that included mindfulness meditation (MM) for adolescent outpatients with SUDs (n = 55), this analysis assessed the contributions of MM practice intensit...

    journal_title:Substance abuse

    pub_type: 临床试验,杂志文章

    doi:10.1080/08897071003641297

    authors: Britton WB,Bootzin RR,Cousins JC,Hasler BP,Peck T,Shapiro SL

    更新日期:2010-04-01 00:00:00

  • Implementing a peer recovery coach model to reach low-income, minority individuals not engaged in substance use treatment.

    abstract::Background: Low-income, racial/ethnic minority individuals face significant barriers in access to substance use (SU) treatment. Peer recovery coaches (PRCs), individuals with lived experience with substance use disorder (SUD), may be uniquely well suited to assist those encountering barriers to treatment. PRCs can als...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2020.1846663

    authors: Kleinman MB,Doran K,Felton JW,Satinsky EN,Dean D,Bradley V,Magidson JF

    更新日期:2020-12-03 00:00:00

  • Why would khat chewers quit? An in-depth, qualitative study on Saudi Khat quitters.

    abstract:BACKGROUND:Khat chewing, which has many adverse health and social consequences, is highly prevalent and socially accepted in the Jazan region of the Kingdom of Saudi Arabia. METHODS:A qualitative study was conducted with 47 adult male former khat users regarding their khat initiation, continuance, and cessation, the a...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2013.783526

    authors: Alsanusy R,El-Setouhy M

    更新日期:2013-01-01 00:00:00

  • Self-regulating profession? Administrative discipline of "pill mill" physicians in Florida.

    abstract:BACKGROUND:A relatively large number of "pill mills," in which physicians prescribed and sometimes dispensed controlled substances without medical justification, operated in Florida beginning in the mid-2000s. Investigations into these operations have resulted in the arrest and conviction of dozens of physicians for ac...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2017.1316812

    authors: Davis CS,Carr DH

    更新日期:2017-07-01 00:00:00

  • Baylor SBIRT Medical Residency Training Program: model description and initial evaluation.

    abstract::The Baylor College of Medicine SBIRT Medical Residency Training Program is a multilevel project that trains residents and faculty in evidenced-based screening, brief intervention, and referral to treatment (SBIRT) methods for alcohol and substance use problems. This paper describes the training program and provides in...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2011.640160

    authors: Bray JH,Kowalchuk A,Waters V,Laufman L,Shilling EH

    更新日期:2012-01-01 00:00:00

  • Creating meaning and value in substance abuse education.

    abstract::Medical faculty committed to teaching about substance abuse face the challenges of teaching about a stigmatized disease. They often work with little support and few colleagues. These clinician educators must find tools to help sustain them in this work. Knowledge of emerging data on effective diagnosis and treatment o...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897070209511492

    authors: Barnes HN

    更新日期:2002-12-01 00:00:00

  • Trainees' knowledge, attitudes, and practices towards caring for the substance-exposed mother-infant dyad.

    abstract:BACKGROUND:As rates of substance use disorder during pregnancy rise, pediatric trainees are increasingly caring for infants with neonatal abstinence syndrome (NAS). This study evaluated the knowledge, attitudes, and practices of trainees caring for substance-exposed newborns and their families, comparing differences by...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2017.1356423

    authors: Schiff DM,Zuckerman B,Wachman EM,Bair-Merritt M

    更新日期:2017-10-01 00:00:00

  • Hepatitis C cascade of care among people who inject drugs in Vancouver, Canada.

    abstract:BACKGROUND:People who inject drugs (PWID) have high rates of hepatitis C virus (HCV) infection. Little is known about the rates of diagnosis and treatment for HCV among PWID. Therefore, this study aims to characterize the cascade of care in Vancouver, Canada, to improve HCV treatment access and delivery for PWID. METH...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2018.1485128

    authors: Young S,Wood E,Milloy MJ,DeBeck K,Dobrer S,Nosova E,Kerr T,Hayashi PhD K

    更新日期:2018-01-01 00:00:00

  • Challenges and opportunities in the treatment of adolescents with substance use disorder and suicidal behavior.

    abstract::Many youth who present for substance abuse treatment report co-occurring suicidality. Therefore, it is important to learn about the characteristics of this population and effective treatment strategies. The purpose of this paper is to provide an overview of some of the key issues that arise when treating youth with su...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897070802092835

    authors: Esposito-Smythers C,Goldston DB

    更新日期:2008-01-01 00:00:00