Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
The Journal of Behavioral Health Services & Research
Published in: The Journal of Behavioral Health Services & Research 2/2018

01-04-2018

Linking Individuals with Substance Use Disorders (SUDs) in Primary Care to SUD Treatment: the Recovery Management Checkups–Primary Care (RMC-PC) Pilot Study

Authors: Christy K Scott, PhD, Christine E. Grella, PhD, Michael L. Dennis, PhD, Lisa Nicholson, MPH

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2018

Login to get access

Abstract

Linking individuals in primary care settings with substance use disorders (SUDs) to SUD treatment has proven to be challenging, despite the widespread use of Screening, Brief Intervention, and Referral to Treatment (SBIRT). This paper reports findings from a pilot study that examined the efficacy of the Recovery Management Checkups intervention adapted for primary care settings (RMC-PC), for assertively linking and engaging patients from Federally Qualified Health Centers into SUD treatment. Findings showed that patients in the RMC-PC (n=92) had significantly higher rates of SUD treatment entry and received more days of SUD treatment compared with those who receive the usual SBIRT referral (n=50). Receipt of RMC-PC had both direct and indirect effects, partially mediated through days of SUD treatment, on reducing days of drug use at 6 months post intake. RMC-PC is a promising intervention to address the need for more assertive methods for linking patients in primary care to SUD treatment.
Literature
1.
Dennis M, Scott CK. Managing addiction as a chronic condition. Addiction Science & Clinical Practice. 2007;4(1):45–55.CrossRef
2.
Scott CK, Dennis ML, Laudet A, et al. Surviving drug addiction: The effect of treatment and abstinence on mortality. American Journal of Public Health. 2011;101(4):737–744.CrossRefPubMedPubMedCentral
3.
Hser YI, Evans L, Grella C, et al. Long-term course of opioid addiction. Harvard Review of Psychiatry. 2015;23(2):76–89.CrossRefPubMed
4.
Scott CK, Dennis ML, Foss MA. Utilizing recovery management checkups to shorten the cycle of relapse, treatment reentry, and recovery. Drug and Alcohol Dependence. 2005;78(3):325–338.CrossRefPubMed
5.
McLellan AT, Lewis DC, O’Brien CP, et al. Drug dependence: A chronic medical illness. The Journal of the American Medical Association. 2000;284:1689–1695.CrossRefPubMed
6.
Martire LINKAGE MANAGER, Lustig AP, Schulz R, et al. Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology. 2004;23(6):599–611.CrossRef
7.
Hartmann M, Bäzner E, Wild B, et al. Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: A meta-analysis. Psychotherapy & Psychosomatics. 2010;79(3):136–148.CrossRef
8.
Scott CK, Dennis ML. Recovery Management Checkups with adult chronic substance users. In J.F. Kelly and W.L. White (eds.), Addiction Recovery Management: Theory, Research and Practice, Current Clinical Psychiatry. New York, NY: Springer Science+Business Media, LLC, 2011 pp. 87–101.
9.
Cucciare MA, Timko C. Bridging the gap between medical settings and specialty addiction treatment. Addiction. 2015;110(9):1416–1420.CrossRef
10.
Cucciare MA, Coleman EA, Timko C. A conceptual model to facilitate transitions from primary care to specialty substance use disorder care: a review of the literature. Primary Health Care Research & Development. 2015;16(5):492–505.CrossRef
11.
Ducharme LJ, Chandler RK, Harris AHS. Implementing effective substance abuse treatments in general medical settings: Mapping the research terrain. Journal of Substance Abuse Treatment. 2016;60:110–118.CrossRefPubMed
12.
Samet JH, Friedmann P, Saitz R. Benefits of linking primary medical care and substance abuse services: patient, provider, and societal perspectives. Archives of Internal Medicine. 2001;161(1):85–91.CrossRefPubMed
13.
14.
Otiniano Verissimo AD, Grella CE. Influence of gender and race/ethnicity on perceived barriers to help-seeking for alcohol or drug problems. Journal of Substance Abuse Treatment. 2017;75:54–61.CrossRef
15.
Wells K, Klap R, Koike A, et al. Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. American Journal of Psychiatry. 2001;158:2027–2032.CrossRefPubMed
16.
Benson DS, Townes PJ, Dobbs D. Quality Management Plan: A practical, patient-centered template. Bethesda, MD: National Association of Community Health Centers; 2011.
17.
D'Onofrio G, Bernstein SL. Screening, brief intervention and referral of emergency department patients with unhealthy drug use: Efficacious or not? Evidence Based Mental Health. 2015;18(4):e8.CrossRefPubMed
18.
Saitz R. Commentaries on Glass et al. (2015). SBIRT is the answer? Probably not. Addiction. 2015;110(9):1416–1420.CrossRefPubMed
19.
Saitz R, Alford PA, Bernstein J, et al. Screening and brief intervention for unhealthy drug use in primary care settings: Randomized clinical trials are needed. Journal of Addiction Medicine. 2010;4(3):123–130.CrossRefPubMedPubMedCentral
20.
Babor TF, McRee BG, Kassebaum PA, et al. Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse. 2007;28(3):7–30.CrossRefPubMed
21.
Madras BK, Compton WM, Avula D, et al. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later. Drug and Alcohol Dependence. 2009;99(1):280–295.CrossRefPubMed
22.
Glass JE, Hamilton AM, Powell BJ, et al. Specialty substance use disorder services following brief alcohol intervention: A meta-analysis of randomized controlled trials. Addiction. 2015;110(9):1404–1415.CrossRefPubMedPubMedCentral
23.
Kim TW, Bernstein J, Cheng DM, et al. Receipt of addiction treatment as a consequence of a brief intervention for drug use in primary care: A randomized trial. Addiction. 2017;112(5):828–827.
24.
Abraham AJ, Knudsen HK, Rieckmann T, et al. Disparities in access to physicians and medications for the treatment of substance use disorders between publicly and privately funded treatment programs in the United States. Journal of Studies on Alcohol and Drugs. 2013;74:258–265.CrossRefPubMedPubMedCentral
25.
Weisner CM, Mertens J, Tam TW, et al. Factors affecting the initiation of substance abuse treatment in an HMO. Addiction. 2001;96(5):705–716.CrossRefPubMed
26.
Collins C, Hunson DL, Munger R, et al. Evolving models of behavioral health integration in primary care. New York: Milbank Memorial Fund, 2010.CrossRef
27.
Chaple M, Sacks S, Randell J, et al. A technical assistance framework to facilitate the delivery of integrated behavioral health services in Federally Qualified Health Centers (FQHCs). Journal of Substance Abuse Treatment. 2016;60:62–69.CrossRefPubMed
28.
Kessler R, Miller BF, Kelly M, et al. Mental health, substance abuse, and health behavior services in patient-centered medical homes. American Board of Family Medicine. 2014;27(5):637–644.CrossRef
29.
Andrews CM. The relationship of state Medicaid coverage to Medicaid acceptance among substance abuse providers in the United States. Journal of Behavioral Health Services & Research. 2014;41:460–472.CrossRef
30.
31.
Dennis ML, Scott CK. Four-year outcomes from the Early Re-Intervention Experiment (ERI) with recovery management checkups (RMC). Drug and Alcohol Dependence. 2012;121(1):10–17.CrossRefPubMed
32.
Dennis ML, Scott CK, Funk R. An experimental evaluation of recovery management checkups (RMC) for people with chronic substance use disorders. Evaluation and Program Planning. 2003;26(3):339–352.CrossRef
33.
Scott CK, Dennis ML, Lurigio AJ. The effects of specialized probation and Recovery Management Check-Ups (RMCs) on treatment participation, substance use, HIV-risk behaviors, and recidivism among female offenders: Main findings of a three-year experiment using subject by intervention interaction analysis. Journal of Experimental Criminology. 2017;13(1):53–77.
34.
Scott CK, Dennis ML. Results from two randomized clinical trials evaluating the impact of quarterly recovery management checkups with adult chronic substance users. Addiction. 2009;104(6):959–971.CrossRefPubMedPubMedCentral
35.
Atanda R, Podrasky-Mattia L, Benton A. Developing a data collection system. Evaluation and Program Planning. 2005;28(3):335–339.CrossRef
36.
Babor TF, Higgins-Biddle JC, Saunders JB, et al. AUDIT: The alcohol use disorders identification test guidelines for use in primary care. Second Edition. Geneva, Switzerland: World Health Organization, 2001.
37.
38.
D’Onofrio G, Pantalon MV, Degutis LC, Larkin GL, O’Connor PG, Fiellin D. BNI Training Manual For Opioid Dependent Patients in the ED. New Haven, CT: Yale University School of Medicine; 2009.
39.
40.
Center for Substance Abuse Treatment. Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 35. Report No.: SMA13–4212. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.
41.
Hingson R, Compton WM. Screening and brief intervention and referral to treatment for drug use in primary care: Back to the drawing board. The Journal of the American Medical Association. 2014;312(5):488–489.CrossRefPubMed
42.
Dawson DA, Grant BF, Stinson FS, et al. Estimating the effect of help-seeking on achieving recovery from alcohol dependence. Addiction. 2006;101(6):8245–834.CrossRef
43.
Kadden R, Carbonari J, Litt M, et al. Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH Three-Year Drinking Outcomes. Alcoholism: Clinical and Experimental Research. 1998;22(6):1300–1311.
44.
Weisner C, Matzger H, Kaskutas LA. How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individuals. Addiction. 2003;98(7):901–911.CrossRefPubMed
45.
46.
Tuyet M. State Opioid Crisis Response Advisory Council: Data from the Illinois Department of Public Health. Presentation to the Illinois Opioid Crisis Response Advisory Council on January 21, 2017.
47.
Kirby D. State Opioid Crisis Response Advisory Council: Data from the Illinois Department of Human Services, Division of Alcoholism and Substance Abuse. Presentation to the Illinois Opioid Crisis Response Advisory Council on January 21, 2017.
48.
Volkow ND, Frieden TR, Hyde PS, et al. Medication-assisted therapies: Tackling the opioid-overdose epidemic. New England Journal of Medicine. 2014;370:263–266.CrossRef
49.
Degenhardt L, Whiteford HA, Ferrari AJ, et al. Global burden of disease attributable to illicit drug use and dependence: Findings from the Global Burden of Disease Study 2010. The Lancet. 2013;382:1564–1574.CrossRef
50.
French MT, McGeary KA, Chitwood DD, et al. Chronic illicit drug use, health services utilization, and the cost of medical care. Social Science and Medicine. 2000;50(12):1703–1713.CrossRefPubMed
51.
Parthasarathy S, Weisner CM. Five-year trajectories of health care utilization and cost in a drug and alcohol treatment sample. Drug and Alcohol Dependence. 2005;80(2):231–240.CrossRefPubMed
Metadata
Title
Linking Individuals with Substance Use Disorders (SUDs) in Primary Care to SUD Treatment: the Recovery Management Checkups–Primary Care (RMC-PC) Pilot Study
Authors
Christy K Scott, PhD
Christine E. Grella, PhD
Michael L. Dennis, PhD
Lisa Nicholson, MPH
Publication date
01-04-2018
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 2/2018
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-017-9576-5

Other articles of this Issue 2/2018

The Journal of Behavioral Health Services & Research 2/2018 Go to the issue

Report

The Effective Use of Psychiatric Mental Health Nurses in Integrated Care: Policy Implications for Increasing Quality and Access to Care

OriginalPaper

Community Services for Mental Illnesses and Substance Use Disorders: the Moral Test of Our Time

Report

Therapist and Organizational Factors Associated with Participation in Evidence-Based Practice Initiatives in a Large Urban Publicly-Funded Mental Health System

OriginalPaper

Race/Ethnicity, and Behavioral Health Status: First Arrest and Outcomes in a Large Sample of Juvenile Offenders

OriginalPaper

Amigas Latinas Motivando el Alma (ALMA): an Evaluation of a Mindfulness Intervention to Promote Mental Health among Latina Immigrant Mothers

OriginalPaper

Disparities in Emergency Department Wait Time Among Patients with Mental Health and Substance-Related Disorders