The Journal of Behavioral Health Services & Research

Published in:

13-06-2023 | Opioids

Outcomes Associated with Treatment with and Without Medications for Opioid Use Disorder

Authors: Ryan Mutter, PhD, Donna Spencer, PhD, Jeffrey McPheeters, BA

Published in: The Journal of Behavioral Health Services & Research | Issue 4/2023

Abstract

There is limited research on outcomes for patients who start treatment for opioid use disorder (OUD) with only psychosocial treatment compared to those who initiate treatment with either medications for OUD (MOUD) or the combination of psychosocial treatment and MOUD. Cox proportional hazards regression was used on a database of individuals with commercial health insurance or Medicare Advantage to estimate the associations of treatment type with opioid overdose and self-harm (separately). Logistic regression was used to estimate the association of treatment type with prescription opioid fill following treatment initiation. Relative to patients who initiated treatment with only psychosocial treatment, patients who also initiated treatment with MOUD had lower risk of having an overdose inpatient or emergency department (ED) encounter, a self-harm inpatient or ED encounter, and a prescription opioid filled following treatment initiation. Starting treatment with MOUD was associated with better patient outcomes than initiating treatment with only psychosocial treatment.

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Title: Outcomes Associated with Treatment with and Without Medications for Opioid Use Disorder
Authors: Ryan Mutter, PhD
Donna Spencer, PhD
Jeffrey McPheeters, BA
Publication date: 13-06-2023
Publisher: Springer US
Keywords: Opioids
Opioids
Published in: The Journal of Behavioral Health Services & Research / Issue 4/2023
Print ISSN: 1094-3412
Electronic ISSN: 1556-3308
DOI: https://doi.org/10.1007/s11414-023-09841-8

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Outcomes Associated with Treatment with and Without Medications for Opioid Use Disorder

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Other articles of this Issue 4/2023

Telephonic Outreach to Engage Patients with Substance Use Disorder Post-Hospitalization During the COVID-19 Pandemic

Supporting Emotionally Exhausted Community Mental Health Therapists in Appropriately Adapting EBPs for Children and Adolescents

A Qualitative Exploration of Ontario Caregivers’ Perspectives of Their Role in Navigating Mental Health and/or Addiction Services for Their Youth

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Abstract

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Telephonic Outreach to Engage Patients with Substance Use Disorder Post-Hospitalization During the COVID-19 Pandemic

Supporting Emotionally Exhausted Community Mental Health Therapists in Appropriately Adapting EBPs for Children and Adolescents

A Qualitative Exploration of Ontario Caregivers’ Perspectives of Their Role in Navigating Mental Health and/or Addiction Services for Their Youth

User Feedback on the Use of a Natural Language Processing Application to Screen for Suicide Risk in the Emergency Department

Appreciation to Reviewers

Therapists' Perceived Competence in Delivering Trauma-Focused Cognitive Behavioral Therapy During Statewide Learning Collaboratives