Characteristics and Red Flag Correlates of Psychiatric Outpatients in a Mandated-Use Prescription Drug Monitoring Program State: A PBRN Card Study
| Autor: | Stephen J. Zyzanski, Maureen Riley-Behringer, Christina M. Delos Reyes, James Joseph Werner, Andrew Hunt, Kathleen Clegg |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Addiction media_common.quotation_subject Chronic pain 030508 substance abuse Medicine (miscellaneous) Patient characteristics Pharmacy medicine.disease Prescription drug abuse Mental health Article 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine medicine Observational study 030212 general & internal medicine Prescription Drug Monitoring Program 0305 other medical science business Psychiatry media_common |
| Zdroj: | Addictive disorderstheir treatment. 18(1) |
| ISSN: | 1531-5754 |
| Popis: | OBJECTIVES: All 50 states have implemented a Prescription Drug Monitoring Program (PDMP) in efforts to control prescription drug abuse. Many now mandate PDMP checks before clinicians prescribe controlled substances. The aim of this study was to characterize the associations between patient characteristics, red flags found on PDMP reports, and prescriber behavior at community mental health agencies. METHODS: Prescribers at 9 practice sites, in five regional community mental health centers, were recruited by a practice-based research network (PBRN) to participate in a Card Study. Prescribers completed a PDMP attitudes survey, and cards were completed for patients who had PDMP reports checked. Data were analyzed using descriptive and inferential statistics. RESULTS: Thirty nine providers completed cards for n=249 unique patient encounters. Over 1/3 of all patients reported an addiction disorder (38%) or a diagnosis of chronic pain (34%). Twenty percent of PDMP reports were found to have red flags, most commonly multiple prescribers or multiple pharmacies. Red flags were associated with race (p |
| Databáze: | OpenAIRE |
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