Referrals and Treatment Completion for Prescription Opioid Admissions: Five Years of National Data.

Autor: Marie BS; College of Nursing, The University of Iowa, 101 College of Nursing Building, 50 Newton Road, Iowa City, IA 52242., Sahker E; Department of Psychological and Quantitative Foundations, Counseling Psychology Program College of Education, University of Iowa, 361 Lindquist Center Iowa City, IA 52242; Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA., Arndt S; Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA; Department of Psychiatry, Carver College of Medicine, University of Iowa, 451 Newton Road 200 Medicine Administration Building, Iowa City, IA 52242; Department of Biostatistics, College of Public Health, University of Iowa, 145N. Riverside Drive 100 CPHB, Iowa City, IA 52242. Electronic address: stephan-arndt@uiowa.edu.
Jazyk: angličtina
Zdroj: Journal of substance abuse treatment [J Subst Abuse Treat] 2015 Dec; Vol. 59, pp. 109-14. Date of Electronic Publication: 2015 Jul 26.
DOI: 10.1016/j.jsat.2015.07.010
Abstrakt: This study examines sources of referral for prescription opioid admission to substance use disorder treatment facilities and their relative completion success rates using secondary analysis of an existing data set (treatment episode datasets-discharge). Five years of data from public and private treatment facilities were extracted for client discharges with no prior treatment (N=2,909,884). Healthcare professionals account for very few referrals to treatment (<10%). Prescription opioid clients referred into treatment had lower treatment success compared to other substance clients and when referred by healthcare providers had lower success rates (OR=0.72, 95% CI 0.70-0.75) than clients from other referral sources. Fewer treatment referrals for prescription opioid misuse by healthcare providers and lower success rates are significant and timely findings due to the prevalence of prescription opioid misuse. Healthcare providers are well positioned to refer early for prescription opioid misuse and continue support of their patients during treatment.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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