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    Integration of primary care into the substance use disorder outpatient treatment setting

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    Authors
    Wasserman, Rachel
    Terrien, Jill M.
    UMass Chan Affiliations
    Graduate School of Nursing
    Document Type
    Journal Article
    Publication Date
    2020-06-23
    Keywords
    Integration
    intensive outpatient program
    primary care
    recovery
    substance use
    Nursing
    Primary Care
    Substance Abuse and Addiction
    
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    Link to Full Text
    https://doi.org/10.1097/jxx.0000000000000432
    Abstract
    BACKGROUND: Americans experiencing substance use disorder (SUD) carry a significant chronic disease burden, yet only half use primary care. Patients in treatment for SUD who are connected with primary care typically have better overall health outcomes. LOCAL PROBLEM: The identified intensive outpatient program (IOP) had no protocol in place to engage patients with primary care. METHODS: This project piloted the development and implementation of an original, evidence-based primary care integration program. It consisted of a psychoeducation group, a referral by case management, and establishment of an internal referral process to affiliated primary care providers (PCPs). INTERVENTIONS: Following the psychoeducation group, pre and posttests of patient-reported knowledge and attitudes regarding primary care were compared. Participants were contacted to collect further data after IOP discharge. An education and feedback session was held with affiliated PCPs, and an internal referral process was devised by leadership. RESULTS: Mean scores measuring patient knowledge and attitudes regarding primary care increased after participation in the structured psychoeducation group. By time of IOP discharge, 100% (n = 12) of participants had either a referral or scheduled appointment with a PCP in place. At time of follow-up, 90% (n = 9) reported that they had attended or planned to attend their scheduled PCP appointment. CONCLUSIONS: A comprehensive integration program in the IOP setting can improve patient engagement with primary care. Quality improvement implementation will require consideration of challenges faced during the pilot involving scheduling, staff buy-in, changes in patient acuity, the electronic medical record, and insurance.
    Source

    Wasserman R, Terrien J. Integration of primary care into the substance use disorder outpatient treatment setting. J Am Assoc Nurse Pract. 2020 Jun 23;33(8):652-660. doi: 10.1097/JXX.0000000000000432. PMID: 32590443. Link to article on publisher's site

    DOI
    10.1097/JXX.0000000000000432
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/34495
    PubMed ID
    32590443
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1097/JXX.0000000000000432
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    Tan Chingfen Graduate School of Nursing Scholarly Publications

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