Group-based treatment of opioid use disorder with buprenorphine: A systematic review

Sokol, Randi; LaVertu, Amy; Morrill, Diana; Albanese, Chiara; Schuman‐Olivier, Zev

doi:10.1016/j.jsat.2017.11.003

Cited by 39 publications

(25 citation statements)

References 42 publications

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“… 274 , 314 – 318 While the strength of evidence for mindfulness effects on certain SUDs during specific stages of treatment is strong (e.g., AUD), 319 evidence for mindfulness and other SUDs is still emerging (e.g., methamphetamine, opioid use disorder). 320 – 324 …”

Section: Mbis’ Effects On Psychiatrically Relevant Behavior Changementioning

confidence: 99%

Mindfulness and Behavior Change

Schuman‐Olivier

Trombka

Lovas

et al. 2020

Harv Rev Psychiatry

Self Cite

181

102

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Initiating and maintaining behavior change is key to the prevention and treatment of most preventable chronic medical and psychiatric illnesses. The cultivation of mindfulness, involving acceptance and nonjudgment of present-moment experience, often results in transformative health behavior change. Neural systems involved in motivation and learning have an important role to play. A theoretical model of mindfulness that integrates these mechanisms with the cognitive, emotional, and self-related processes commonly described, while applying an integrated model to health behavior change, is needed. This integrative review (1) defines mindfulness and describes the mindfulness-based intervention movement, (2) synthesizes the neuroscience of mindfulness and integrates motivation and learning mechanisms within a mindful self-regulation model for understanding the complex effects of mindfulness on behavior change, and (3) synthesizes current clinical research evaluating the effects of mindfulness-based interventions targeting health behaviors relevant to psychiatric care. The review provides insight into the limitations of current research and proposes potential mechanisms to be tested in future research and targeted in clinical practice to enhance the impact of mindfulness on behavior change.

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Section: Mbis’ Effects On Psychiatrically Relevant Behavior Changementioning

confidence: 99%

Mindfulness and Behavior Change

Schuman‐Olivier

Trombka

Lovas

et al. 2020

Harv Rev Psychiatry

Self Cite

181

102

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“…We also created a structure to improve the management of patients with OUD by creating an interdisciplinary team comprising a physician, physician assistant, nurse, an appointment scheduler, medical assistant, and psychotherapist to provide group-based opioid treatment (GBOT) as the primary treatment approach to OUD [17][18][19] and to provide oversight and support to all providers. All patients diagnosed with OUD were referred to this GBOT team for initial treatment.…”

Section: Structure: How Our System Is Organized/who Reports To Whomentioning

confidence: 99%

A Change Management Case Study for Safe Opioid Prescribing and Opioid Use Disorder Treatment

et al. 2020

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Background: Given that prescribing practices have contributed to the current opioid epidemic and that primary care clinicians are the largest prescribers of opioids, family physicians must consider the twin goals of safely prescribing opioids for patients with chronic pain while effectively identifying and treating those who have developed opioid use disorder (OUD). However, family physicians may feel constrained by a culture and systems in their offices that do not support achieving these twin goals.Methods: In a family medicine clinic within a larger academic institution that cares for an underserved, multicultural patient population in the greater Boston area, we provide a case study that illustrates the twin goals of safe opioid prescribing and treating OUD. We used 2 models of change management-Lewin's Three-Step Change Theory and the McKinsey 7S Model of Change-as a framework to describe our 5-year process of using cultural and structural elements to support these efforts.Results: Deliberate use of change management theory to support both safe opioid prescribing and treating patients with OUD over the past 5 years resulted in changes to the practices, people, skills, and infrastructure within our clinic. These changes have demonstrated a sense of stability and sustainability and hence now represent our clinic's current culture.Conclusion: The Lewin and 7S models of change can be helpful guides to creating and maintaining a foundation of office-wide culture and structural support to meet the twin goals of safe opioid prescribing and treating patients with OUD. (J Am Board Fam Med 2020;33:129 -137.)

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“…SUD, and more specifically, opioid use disorder (OUD), are current public health crises in the United States and Canada (Beletsky & Davis, 2017;Sokol et al, 2018). Approximately 21.5 million people aged 12 or older in 2014 had SUDs in the past year, including 17.0 million people with an alcohol use disorder and 7.1 million people with an illicit drug use disorder (SAMHSA 2019).…”

Section: Incidence and Prevalence Of Addictionmentioning

confidence: 99%

Adventure Therapy Treatment for Young Adult Males Struggling with Addictions

Russell

Gillis

Hayes³

2020

J Health Serv Psychol

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Adventure therapy is the prescriptive use of adventure experiences conducted in natural settings by mental health professionals that kinesthetically engage clients on cognitive, affective, and behavioral levels. Meta-analyses, specific research on skills developed through the experience, and theoretically reasoned factors inherent in the adventure therapy experience suggest that adventure therapy is a promising treatment option for adolescents and young adults. AT treatment programs are slowly gaining traction, and more families are receiving insurance reimbursement support. The American Hospital Association recognizes adventure therapy as a viable form of treatment, and the National Uniform Billing Committee established an insurance billing code for it in July 2016. Tips for practice include allowing clients to co-construct their treatment experience, matching therapeutic intentions with adventure activities rather than prescribing uniform experiences, and having clients share their therapeutic intentions to receive feedback from their cohort group before and after the experience.

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Group-based treatment of opioid use disorder with buprenorphine: A systematic review

Cited by 39 publications

References 42 publications

Mindfulness and Behavior Change

Mindfulness and Behavior Change

A Change Management Case Study for Safe Opioid Prescribing and Opioid Use Disorder Treatment

Adventure Therapy Treatment for Young Adult Males Struggling with Addictions

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