University of Limerick
Browse
INVEST_pre-publication.pdf (163.9 kB)

Alcohol screening among opioid agonist patients in a primary care clinic and an opioid treatment program

Download (163.9 kB)
journal contribution
posted on 2015-03-05, 14:27 authored by Jan Klimas, John Muench, Katharina Wiest, Raina Croff, Traci Rieckman, Denis McCarthy
Problem alcohol use is associated with adverse health and economic outcomes, especially among people in opioid agonist treatment. Screening, brief intervention and referral to treatment (SBIRT) are effective in reducing alcohol use; however, issues involved in SBIRT implementation among opioid agonist patients are unknown. To assess identification and treatment of alcohol use disorders, we reviewed clinical records of opioid agonist patients screened for an alcohol use disorder in a primary care clinic (n =208) and in an opioid treatment program (n = 204) over a two year period. In the primary care clinic, 193 (93%) buprenorphine patients completed an annual alcohol screening and six (3%) had elevated AUDIT scores. Among the patients treated in the opioid treatment program, an alcohol abuse or dependence diagnosis was recorded for 54 (27%) methadone patients. Practitioner focus groups were completed in the primary care (n = 4 physicians) and the opioid treatment program (n = 11 counsellors) to assess experience with and attitudes towards screening opioid agonist patients for alcohol use disorders. Focus groups suggested organizational, structural, provider, patient and community variables hindered or fostered alcohol screening. Alcohol screening is feasible among opioid agonist patients. Effective implementation, however, requires physician training and systematic changes in workflow.

Funding

Using the Cloud to Streamline the Development of Mobile Phone Apps

Innovate UK

Find out more...

History

Publication

Journal of Psychoactive Drugs;47 (1), pp. 65-70

Publisher

Taylor and Francis

Note

peer-reviewed

Other Funding information

National Institute on Drug Abuse Treatment, Substance Abuse And Mental Health Services Administration for SBIRT Oregon, IRC

Rights

This is an Author's Original Manuscript of an article whose final and definitive form, the Version of Record, has been published in the Journal of Psychoactive Drugs 2015 ┬ęcopyright Taylor & Francis, available online at: http://www.tandfonline.com/ http://dx.doi.org/10.1080/02791072.2014.991859

Language

English

Usage metrics

    University of Limerick

    Categories

    No categories selected

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC