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 Abusjournal_title
Substance abuseauthors
Gordon AJ,Drexler K,Hawkins EJ,Burden J,Codell NK,Mhatre-Owens A,Dungan MT,Hagedorn Hdoi
10.1080/08897077.2020.1787299subject
Has Abstractpub_date
2020-01-01 00:00:00pages
275-282issue
3eissn
0889-7077issn
1547-0164journal_volume
41pub_type
杂志文章相关文献
Substance Abuse文献大全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
更新日期:2011-07-01 00:00:00
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
更新日期:2015-01-01 00:00:00
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
更新日期:2021-01-01 00:00:00
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
更新日期:2018-01-01 00:00:00
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
更新日期:2011-04-01 00:00:00
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
更新日期:2020-01-01 00:00:00
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
更新日期:2003-06-01 00:00:00
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
更新日期:2016-10-01 00:00:00
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
更新日期:2013-01-01 00:00:00
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
更新日期:2015-01-01 00:00:00
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
更新日期:2018-01-01 00:00:00
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
更新日期:2002-09-01 00:00:00
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
更新日期:2018-01-02 00:00:00
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
更新日期:2005-03-01 00:00:00
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
更新日期:2014-01-01 00:00:00
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
更新日期:2020-10-12 00:00:00
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
更新日期:2020-01-01 00:00:00
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
更新日期:2020-08-19 00:00:00
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
更新日期:2014-01-01 00:00:00
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
更新日期:2017-01-01 00:00:00
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
更新日期:2015-01-01 00:00:00
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
更新日期:2010-04-01 00:00:00
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
更新日期:2020-12-03 00:00:00
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
更新日期:2013-01-01 00:00:00
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
更新日期:2017-07-01 00:00:00
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
更新日期:2012-01-01 00:00:00
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
更新日期:2002-12-01 00:00:00
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
更新日期:2017-10-01 00:00:00
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
更新日期:2018-01-01 00:00:00
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
更新日期:2008-01-01 00:00:00