Document Detail


Using medication-assisted treatment for substance use disorders: evidence of barriers and facilitators of implementation.
MedLine Citation:
PMID:  21377275     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of medications to treat substance use disorders (SUDs) has emerged as a potentially central part of the treatment armamentarium. In this paper we present data from several recent US national surveys showing that despite the clinical promise of these medications, there has been limited adoption of pharmacotherapies in the treatment of SUDs. The data reveal variable patterns of use of disulfiram, buprenorphine, tablet naltrexone, acamprosate and injectable naltrexone. After examining the environmental and institutional context for the adoption of pharmacotherapies, the specific organizational facilitators and barriers of medication adoption are considered. The paper concludes with a discussion of the minimal clinical and administrative guidance available to enhance adoption, the lack of client and consumer knowledge of medications that puts a brake on their adoption and availability, and the difficulties that must be surmounted in bringing new medications to market.
Authors:
Paul M Roman; Amanda J Abraham; Hannah K Knudsen
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-01-27
Journal Detail:
Title:  Addictive behaviors     Volume:  36     ISSN:  1873-6327     ISO Abbreviation:  Addict Behav     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-04-04     Completed Date:  2011-09-13     Revised Date:  2012-02-09    
Medline Journal Info:
Nlm Unique ID:  7603486     Medline TA:  Addict Behav     Country:  England    
Other Details:
Languages:  eng     Pagination:  584-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Center for Research on Behavioral Health and Human Services Delivery, Institute for Behavioral Research, University of Georgia, Athens GA 30602, USA.
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MeSH Terms
Descriptor/Qualifier:
Alcohol Deterrents / therapeutic use*
Buprenorphine / therapeutic use
Disulfiram / therapeutic use
Humans
Naltrexone / therapeutic use
Narcotic Antagonists / therapeutic use*
Patient Education as Topic
Substance Abuse Treatment Centers / organization & administration,  statistics & numerical data
Substance-Related Disorders / drug therapy*
Taurine / analogs & derivatives,  therapeutic use
United States
Grant Support
ID/Acronym/Agency:
R01 DA013110-12/DA/NIDA NIH HHS; R01 DA014482-10/DA/NIDA NIH HHS; R01AA015974/AA/NIAAA NIH HHS; R01DA13110/DA/NIDA NIH HHS; R01DA14482/DA/NIDA NIH HHS; R37 DA013110-12/DA/NIDA NIH HHS
Chemical
Reg. No./Substance:
0/Alcohol Deterrents; 0/Narcotic Antagonists; 107-35-7/Taurine; 16590-41-3/Naltrexone; 52485-79-7/Buprenorphine; 77337-76-9/acamprosate; 97-77-8/Disulfiram

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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