Bridging the gap between medical settings and specialty addiction treatment

Alcohol Screening and Intervention Among United States Adults who Attend Ambulatory Healthcare

“…Because brief alcohol interventions appear to be ineffective for alcohol dependence, 30 and because there is a lack of evidence that brief interventions are efficacious in linking patients to counseling or treatment for alcohol problems, 31 more efficacious clinical management options and referral strategies are needed in healthcare settings. [32][33][34] Alcohol pharmacotherapy is efficacious 35 and alcohol care management in primary care settings may be helpful, 36,37 but current evidence for chronic care management for alcohol dependence in primary care settings appears mixed. 36,38 Future national surveys should track whether and where pharmacotherapy was offered and received by patients with alcohol use disorder.…”

Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

“…In particular, their post-hoc analysis showed that the association between the number of brief intervention sessions attended (there were up to three) and alcohol treatment utilization was positive and statistically significant. Interestingly, the two commentaries published in this journal in response to our meta-analysis, as well as our response to them [11][12][13], argued that more intensive interventions may be needed to facilitate linkage from medical settings to addiction treatment. Liu and colleagues' study supports this hypothesis.…”

“…Liu and colleagues' study supports this hypothesis. There is an emerging consensus that our field needs to study more intensive referral to treatment efforts [11][12][13][14].…”

Preventing, Identifying, and Treating Prescription Drug Misuse Among Active-Duty Service Members

“…It could remove patient barriers through the broad-scale implementation of a modified limited-use policy, such as the Army's Confidential Alcohol Treatment and Education Program (CATEP), but applied to PDM. Health system barriers might be overcome through electronic connectivity between providers, brief case-management strategies, and supportive care activities to better connect care received in the medical and specialty treatment settings (Cucciare and Timko, 2015;Molfenter et al, 2012;Rapp et al, 2008). These are just a couple of strategies currently being adopted within the civilian health care system in light of mandates associated with the Patient Protection and Affordable Care Act (Pub.…”