Medications for addiction treatment initiated from the emergency department: Ethical considerations

Marshall, Kenneth D.; Derse, Arthur R.; Iserson, Kenneth V.; Kluesner, Nicholas H.; Vearrier, Laura

doi:10.1016/j.ajem.2019.09.022

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…Likewise, a significant number of interviewees expressed interest in providing MAT in the ED or reported that they had already made this part of their practice. Providing MAT to patients who present post overdose is an appealing intervention from both clinical and ethical standpoints (41,42).…”

Section: Discussionmentioning

confidence: 99%

How Emergency Physicians Approach Refusal of Observation after Naloxone Resuscitation

Joseph

Marshall

Reich

et al. 2020

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

How Emergency Physicians Approach Refusal of Observation after Naloxone Resuscitation

Joseph

Marshall

Reich

et al. 2020

The Journal of Emergency Medicine

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“…According to recent estimates by the United States Department of Defense, daily visits for methadone treatments cost, on average, $126.00 per week or $6,552.00 per year; buprenorphine twice-weekly visits cost $115.00 per week or $5,980.00 per year; naltrexone costs $1,176.50 per month or $14,112.00 per year ("Medications to Treat Opioid Use Disorder Research Report," 2021). In addition, MAT has been proven to reduce inpatient and outpatient detoxification services significantly (Marshall et al, 2020).…”

Section: Costs Of Mat Programsmentioning

confidence: 99%

Sustainable Healthcare Provider OUD Assessment and Management in Rural Native American Communities (RNACs): Prevention, Treatment, and Recovery Approaches

Mincer

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In the US, rural Native American communities (RNACs) experience excess morbidity in mental health disorders and mortality from opioid use disorder (OUD). This study used mixed methods to evaluate and analyze the primary data from 76 healthcare providers (HPs) from 24 states across the US (physicians = 7%), to identify HP knowledge and training regarding available prevention, treatment, and recovery (PTR) programs in treating OUD, assessment and management skills, and networking and collaboration capacity among the RNACs they serve. The HP completed the Opioid Survey for Health Care Providers online. A majority of HPs reported a need for knowledge and training regarding OUD treatments (92%). Less than half of the HPs provide intensive outpatient treatment; 40% contracted out for medication assisted treatment/medications for opioid use disorder (MAT/MOUD) services. Recovery support was low at 33% for adults and 38% for youth. HPs reported use of Narcan to be effective in reversing overdose (87%). Qualitative responses supported survey findings and described barriers, including lack of resources, inadequate staffing, insufficient funding, lack of training and OUD knowledge, stigma, and lack of tribal involvement and support. The study findings indicate HPs' need for information and training about OUD and networking and collaboration of healthcare settings to meet the needs of the RNAC they serve. Efforts are needed to improve on recovery programs with an emphasis on the youth. Culturally adapted MAT/MOUD approaches are needed to sustain long-term recovery care.

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Identifying barriers to emergency department-initiated buprenorphine: A spatial analysis of treatment facility access in Michigan

Dora‐Laskey

King

Sadler

2022

The American Journal of Emergency Medicine

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Medications for addiction treatment initiated from the emergency department: Ethical considerations

Cited by 7 publications

References 17 publications

How Emergency Physicians Approach Refusal of Observation after Naloxone Resuscitation

How Emergency Physicians Approach Refusal of Observation after Naloxone Resuscitation

Sustainable Healthcare Provider OUD Assessment and Management in Rural Native American Communities (RNACs): Prevention, Treatment, and Recovery Approaches

Identifying barriers to emergency department-initiated buprenorphine: A spatial analysis of treatment facility access in Michigan

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