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      Predictors of engagement and retention in care at a low-threshold substance use disorder bridge clinic.

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          Abstract

          People with substance user disorder (SUD) have frequent intersections with the health care system; however, engagement and retention in SUD care remain low, particularly for marginalized populations. Low-threshold treatment models that aim to eliminate barriers to care are one proposed intervention to increase access and equity in SUD treatment.

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          Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial.

          Gail D’Onofrio, Patrick G. O’Connor, Michael Pantalon … (2015)
          Opioid-dependent patients often use the emergency department (ED) for medical care.
          Article 0 comments Cited 272 times – based on 0 reviews     Review now
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            Buprenorphine Treatment Divide by Race/Ethnicity and Payment

            Pooja Lagisetty, Ryan Ross, Amy S.B. Bohnert … (2019)
            This study reports the seeming disparity in access to buprenorphine prescriptions among racial/ethnic minorities and individuals with lower income.
            Article 0 comments Cited 156 times – based on 0 reviews     Review now
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              Is Open Access

              Increasing Infectious Endocarditis Admissions Among Young People Who Inject Drugs

              Alysse Wurcel, Jordan E. Anderson, Kenneth K. H. Chui … (2016)
              People who inject drugs (PWID) are at risk for infective endocarditis (IE). Hospitalization rates related to misuse of prescription opioids and heroin have increased in recent years, but there are no recent investigations into rates of hospitalizations from injection drug use-related IE (IDU-IE). Using the Health Care and Utilization Project National Inpatient Sample (HCUP-NIS) dataset, we found that the proportion of IE hospitalizations from IDU-IE increased from 7% to 12.1% between 2000 and 2013. Over this time period, we detected a significant increase in the percentages of IDU-IE hospitalizations among 15- to 34-year-olds (27.1%–42.0%; P < .001) and among whites (40.2%–68.9%; P < .001). Female gender was less common when examining all the IDU-IE (40.9%), but it was more common in the 15- to 34-year-old age group (53%). Our findings suggest that the demographics of inpatients hospitalized with IDU-IE are shifting to reflect younger PWID who are more likely to be white and female than previously reported. Future studies to investigate risk behaviors associated with IDU-IE and targeted harm reduction strategies are needed to avoid further increases in morbidity and mortality in this rapidly growing population of young PWID.
              Article 0 comments Cited 138 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Subst Abuse Treat
                Title: Journal of substance abuse treatment
                Publisher: Elsevier BV
                ISSN (Electronic): 1873-6483
                ISSN (Print): 0740-5472
                Publication date (Electronic): Oct 2022
                Volume: 141
                Affiliations
                [1 ] Massachusetts General Hospital, Department of Medicine, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: Swakeman@partners.org.
                [2 ] Massachusetts General Hospital, Department of Medicine, Boston, MA, USA.
                [3 ] Massachusetts General Hospital, Department of Medicine, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
                [4 ] Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital, Department of Psychiatry, Boston, MA, USA.
                [5 ] Massachusetts General Hospital, Department of Psychiatry, Boston, MA, USA.
                Article
                Publisher Item ID: S0740-5472(22)00130-1
                DOI: 10.1016/j.jsat.2022.108848
                PubMed ID: 35926256
                SO-VID: 2c50468a-a61d-4930-a4d1-b974bc471a11
                History

                Keywords: Stimulant use disorder,Alcohol use disorder,Racial disparities,Opioid use disorder,Naltrexone,Low threshold,Buprenorphine,Bridge clinic
                Data availability:
                Keywords: Stimulant use disorder, Alcohol use disorder, Racial disparities, Opioid use disorder, Naltrexone, Low threshold, Buprenorphine, Bridge clinic

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