| Adoption and implementation of medications in addiction treatment programs. | |
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MedLine Citation:
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PMID: 21359109 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Little is known about the extent to which medications are being implemented as routine care in addiction treatment programs. This research describes medication adoption and implementation within the privately funded treatment sector. METHODS: Face-to-face interviews were conducted with 345 administrators of a nationally representative sample of privately funded substance treatment organizations in the United States. RESULTS: Rates of adoption of addiction treatment medications in private sector programs were lower than the adoption of psychiatric medications. Even when analyses were restricted to programs with access to physicians, adoption of each addiction treatment medication had occurred in less than 50% of programs. Within adopting programs, implementation was highly variable. While about 70% of patients with co-occurring psychiatric diagnoses received psychiatric medications, rates of implementation of medication-assisted treatment for opioid dependence and alcohol use disorders were just 34.4% and 24.0%, respectively. CONCLUSIONS: Although previous research has documented higher rates of medication adoption in privately funded treatment programs, this study revealed that both adoption and implementation of pharmacotherapies to treat addiction remains modest. Future research should examine the different types of barriers to implementation, such as physician decision-making, patient preferences, and system-level barriers stemming from financing and public policy. |
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Authors:
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Hannah K Knudsen; Amanda J Abraham; Paul M Roman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of addiction medicine Volume: 5 ISSN: 1932-0620 ISO Abbreviation: J Addict Med Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-07-19 Completed Date: 2011-09-06 Revised Date: 2013-05-29 |
Medline Journal Info:
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Nlm Unique ID: 101306759 Medline TA: J Addict Med Country: United States |
Other Details:
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Languages: eng Pagination: 21-7 Citation Subset: IM |
Affiliation:
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Department of Behavioral Science and Center on Drug and Alcohol Research, College of Medicine, University of Kentucky, Lexington, KY 40536-0086, USA. Hannah.Knudsen@uky.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Alcohol Deterrents
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therapeutic use Alcoholism / rehabilitation* Comorbidity Drug Utilization / statistics & numerical data Health Plan Implementation / statistics & numerical data* Health Services Accessibility / statistics & numerical data Health Services Research Humans Mental Disorders / rehabilitation* Narcotic Antagonists / therapeutic use Narcotics / therapeutic use Opioid-Related Disorders / rehabilitation* Psychotropic Drugs / therapeutic use* Substance Abuse Treatment Centers / statistics & numerical data* United States |
| Grant Support | |
ID/Acronym/Agency:
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F32 AA016872-03/AA/NIAAA NIH HHS; R01 AA015974-02/AA/NIAAA NIH HHS; R01 DA013110-08/DA/NIDA NIH HHS; R37 DA013110-12/DA/NIDA NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Alcohol Deterrents; 0/Narcotic Antagonists; 0/Narcotics; 0/Psychotropic Drugs |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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