Alcohol Screening among Opioid Agonist Patients in a Primary Care Clinic and an Opioid Treatment Program.

Published on Feb 25, 2015in Journal of Psychoactive Drugs
· DOI :10.1080/02791072.2014.991859
Jan Klimas15
Estimated H-index: 15
(UCD: University College Dublin),
John Muench12
Estimated H-index: 12
(OHSU: Oregon Health & Science University)
+ 3 AuthorsDennis McCarty49
Estimated H-index: 49
(OHSU: Oregon Health & Science University)
AbstractProblem alcohol use is associated with adverse health and economic outcomes, especially among people in opioid agonist treatment. Screening, brief intervention, and referral to treatment (SBIRT) are effective in reducing alcohol use; however, issues involved in SBIRT implementation among opioid agonist patients are unknown. To assess identification and treatment of alcohol use disorders, we reviewed clinical records of opioid agonist patients screened for an alcohol use disorder in a primary care clinic (n = 208) and in an opioid treatment program (n = 204) over a two-year period. In the primary care clinic, 193 (93%) buprenorphine patients completed an annual alcohol screening and six (3%) had elevated AUDIT scores. In the opioid treatment program, an alcohol abuse or dependence diagnosis was recorded for 54 (27%) methadone patients. Practitioner focus groups were completed in the primary care (n = 4 physicians) and the opioid treatment program (n = 11 counselors) to assess experience with and at...
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