scholarly journals Characteristics of Our Patient Population

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 527-527
Author(s):  
Kyrsten Hill
Keyword(s):  
Primary Care Clinic ◽  
Post Traumatic Stress ◽  
Opioid Use ◽  
Childhood Experiences ◽  
Care Clinic ◽  
Rural Primary Care ◽  
High School Degree ◽  
Objective Health ◽  
Clinically Significant ◽  
Residential Rehabilitation

Abstract To date, 106 patients have completed behavioral health assessments across three sites: a rural primary care clinic (n = 32), urban federally qualified health center (n = 33), and state-certified residential rehabilitation facility (n = 41). Patients ranged from 18 to 65 years of age (M = 38.6, SD = 11.4). Approximately 51% were female and 75% were non-Hispanic White (followed by 22% African American). Over 60% had a high school degree or less and found it at least somewhat difficult to pay for basic needs. Most patients endorsed substantial (44%) or severe (39%) drug use, with 40% endorsing opioid use. There were no significant differences in substance use by age group. Moderate to severe symptoms of depression (43%) and anxiety (49%) were common. Approximately 70% endorsed adverse childhood experiences, and 44% reported clinically significant post-traumatic stress symptoms. Measures of cognitive functioning and objective health literacy are currently being collected.

scholarly journals Chronic Pelvic Pain and Sexual Dysfunction Among Females and Males Receiving Treatment for Opioid Use Disorder

2022 ◽  
Vol 2 ◽  
Author(s):  
Geetika Reichmann ◽  
Anna Beth Parlier-Ahmad ◽  
Lori Beck ◽  
Bhushan Thakkar ◽  
Meryl Alappattu ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Primary Care Clinic ◽  
Opioid Use Disorder ◽  
Primary Objective ◽  
Opioid Use ◽  
Symptom Index ◽  
Care Clinic

Introduction: Chronic pain brings complexity to opioid use disorder (OUD). Psychosocial and neurobiological risks for Chronic Pelvic Pain (CPP) and OUD overlap. The primary objective of this exploratory study is to compare sex-specific prevalence of CPP and sexual dysfunction between individuals receiving buprenorphine for OUD and a comparison group receiving treatment for other chronic medical conditions (CMC).Methods: Participants from an OUD treatment (n = 154) and primary care clinic (n = 109) completed a survey between July 2019 and February 2020 assessing reproductive and sexual health. Sex-stratified CPP and pain interference measures were adapted from the Brief Pain Inventory for females, and for males, the Brief Male Sexual Function Inventory and NIH Chronic Prostatitis Symptom Index. The Male and Female Sexual Function Index assessed sexual dysfunction. Prevalence of CPP and sexual dysfunction between groups were compared using Pearson χ2 and Fisher's Exact tests.Results: Participants were 54.4% female and 75.0% Black with almost half having a psychiatric diagnosis. Among OUD females, the highest pain severity reported was for menstrual-related pain, and for OUD males, testicular pain. CPP most interfered with mood in OUD females vs. sleep and enjoyment of life in OUD males. There were no differences in prevalence for global sexual dysfunction with 91.6% of females and 84.2% of males screening positive across groups.Discussion/Implications: CPP and sexual dysfunction are important components of wellness and may play a role in OUD recovery trajectories. The value of addressing CPP and sexual dysfunction in tailored comprehensive, sex-informed OUD treatment approaches should be further investigated.

scholarly journals A GWEP COLLABORATION: IMPLEMENTING THE AWV IN A RURAL PRIMARY CARE CLINIC

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S393-S393
Author(s):  
Christine McKibbin
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Primary Care Clinic ◽  
Lessons Learned ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Rural Primary Care

Abstract This presentation will focus on the collaboration with the Dartmouth GWEP to implement the AWV in a rural primary care clinic. The challenges of practice transformation in busy primary care clinics will be discussed along with lessons learned on a successful GWEP partnership to achieve improved patient outcomes in primary care.

Two Different Buprenorphine Treatment Settings With Similar Retention Rates: Implications for Expanding Access to Treatment for Opioid Use Disorder

2018 ◽  
Vol 25 (4) ◽  
pp. 305-313
Author(s):  
Matthew Tierney ◽  
Katerina Melino ◽  
Adebowale Adeniji ◽  
Martha Shumway ◽  
Isabel E. Allen ◽  
...  
Keyword(s):  
Primary Care Clinic ◽  
Opioid Use Disorder ◽  
Treatment Retention ◽  
Retention Rates ◽  
Opioid Use ◽  
Access To Treatment ◽  
Care Clinic ◽  
Similar Treatment ◽  
Buprenorphine Treatment ◽  
Treatment Settings

INTRODUCTION: There is considerable need for effective and accessible treatment for opioid use disorder. AIMS: Our study explored differences in buprenorphine treatment retention and duration, with a focus on selected sociodemographic factors and treatment indicators, in two different settings: an office-based buprenorphine induction and stabilization clinic (OBIC) and a community-based primary care clinic (CPC). METHOD: This nonexperimental retrospective chart review compared demographic information and buprenorphine treatment details, including treatment retention and duration. RESULTS: There were no statistically significant differences in buprenorphine treatment indicators between the OBIC and CPC groups, with two exceptions: the number of written buprenorphine prescriptions was significantly greater for the OBIC group, as was the number of filled buprenorphine prescriptions. CONCLUSIONS: Given similar treatment retention and duration in two different buprenorphine treatment settings, our findings suggest that access to buprenorphine treatment in standard integrated care settings can be supplemented by novel treatment structures such as the OBIC in order to increase access to care during the current opioid epidemic.

scholarly journals Inflammation and Trauma-Related Psychopathology in Syrian and Iraqi Refugees

2020 ◽  
Vol 10 (4) ◽  
pp. 75
Author(s):  
Lana Ruvolo Grasser ◽  
Paul Burghardt ◽  
Ana M Daugherty ◽  
Alireza Amirsadri ◽  
Arash Javanbakht
Keyword(s):  
Objective Assessment ◽  
Primary Care Clinic ◽  
Forced Migration ◽  
The United States ◽  
War Trauma ◽  
Self Report ◽  
Anxiety And Depression ◽  
Iraqi Refugees ◽  
Post Traumatic Stress ◽  
Care Clinic

Refugees experience high rates of post-traumatic stress disorder (PTSD), anxiety, and depression due to exposure to civilian war trauma and forced migration. Inflammatory products may offer viable biological indicators of trauma-related psychopathology in this cohort, promoting rapid and objective assessment of psychopathology. Incoming Syrian and Iraqi refugees (n = 36) ages 18–65 completed self-report measures of PTSD, anxiety, and depression and provided saliva samples during an assessment at a primary care clinic within the first month of resettlement in the United States. Interleukin 1β (IL-1β) and C-reactive protein (CRP) differentially correlated with symptom severity by domain, and there was a non-significant trend for sex moderating the relation between inflammation and PTSD symptoms. Our findings show unique relations between trauma-related psychopathology and inflammation. There is a need for further research in diverse ethnic cohorts with differential trauma exposures for inflammation to be considered a biological indicator of psychopathology.

Vital Signs Screening for Alcohol Misuse in a Rural Primary Care Clinic: A Feasibility Study

2008 ◽  
Vol 24 (2) ◽  
pp. 133-135 ◽  
Author(s):  
J. Paul Seale ◽  
Monique R. Guyinn ◽  
Michael Matthews ◽  
Ike Okosun ◽  
M. Marie Dent
Keyword(s):  
Primary Care ◽  
Feasibility Study ◽  
Alcohol Misuse ◽  
Primary Care Clinic ◽  
Vital Signs ◽  
Care Clinic ◽  
Rural Primary Care

scholarly journals Age, Childhood Trauma, Post-Traumatic Stress Disorder, and Substance Use Disorder in the Deep South

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 527-528
Author(s):  
Rebecca Allen ◽  
Candice Reel
Keyword(s):  
High School ◽  
Substance Use ◽  
Childhood Trauma ◽  
Deep South ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Opioid Use ◽  
Childhood Experiences ◽  
Treatment Considerations ◽  
Relationship Of

Abstract We examined the relationship of reported childhood trauma and PTSD symptoms in a sample (N = 105) of individuals aged 19 to 80 receiving treatment for substance use and opioid use disorders in federally qualified health centers. Fifty-two percent of the sample was age 39 or younger, 30% were in their 40s and 18% were aged 50 and older. Thirty-two percent did not graduate high school and 36% had a high school education or equivalent. Seventy percent reported experiencing adverse childhood experiences (ACES). Although harmful alcohol use was low, 83% of the sample reported substantial or severe substance use, with 41% of the total reporting opioid use. ACES predicted current PTSD symptoms. Telehealth treatment considerations include: 1) internet access, 2) health and mental health literacy, and 3) monitoring for dissociation when using mindfulness-based relapse prevention treatment.

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