Outcomes from the medication assisted treatment pilot program for adults with opioid use disorders in rural Colorado

Autor: Claudia R. Amura, Tanya R. Sorrell, Mary Weber, Andrea Alvarez, Nancy Beste, Ursula Hollins, Paul F. Cook
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Substance Abuse Treatment, Prevention, and Policy, Vol 17, Iss 1, Pp 1-11 (2022)
Druh dokumentu: article
ISSN: 1747-597X
DOI: 10.1186/s13011-021-00424-4
Popis: Abstract Background As Colorado ranked among the top nationally in non-medical use of opioids, a pilot medication for opioid use disorder (MOUD) program was developed to increase the number of NPs and PAs providing MOUD in order to bring this evidence- based treatment to 2 counties showing disproportionally high opioid overdose deaths. Over the first 18 months, the MOUD Pilot Program led to 15 new health care providers receiving MOUD waiver training and 1005 patients receiving MOUD from the 3 participating organizations. Here we evaluate patient centered clinical and functional outcomes of the pilot MOUD program implemented in 2 rural counties severely affected by the opioid crisis. Methods Under state-funded law (Colorado Senate Bill 17–074), three rural agencies submitted de-identified patient-level data at baseline (N = 1005) and after 6 months of treatment (N = 190, 25%) between December 2017 and January 2020. The Addiction Severity Index, PhQ9 and GAD-7 with McNemar-Bowker, and Wilcoxon Signed Rank tests analysis were used to measure patient outcomes across after participation in the program. . Results Patients in treatment reported using less heroin (52.1% vs 20.4%), opioids (22.3% vs 11.0%), and alcohol (28.6% vs 13.1%, all P
Databáze: Directory of Open Access Journals
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