Recovery from a Substance Use Disorder

2019 ◽  
pp. 54-57
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Short Term ◽  
Professional Help ◽  
The Real ◽  
Real Work ◽  
The Many ◽  
Personal Changes ◽  
Over Time

The chapter discusses the many possible paths that those with SUDs can take to recovery. Recovery refers to everything that a person with an SUD does to manage the problem and make positive changes. Abstinence is a first step for those who choose this goal, but the real work of recovery is staying abstinent over time and making personal changes to support this. Recovery is not short term; it is a process that takes place over years for many people with SUDs. People with more severe problems may require professional help. Those addicted to opioids or alcohol may also benefit from medications to help sustain recovery.

Short-Term Treatment Effects of a Substance Use Disorder Therapy Involving Traditional Amazonian Medicine

2019 ◽  
Vol 51 (4) ◽  
pp. 323-334 ◽  
Author(s):  
Ilana Berlowitz ◽  
Heinrich Walt ◽  
Christian Ghasarian ◽  
Fernando Mendive ◽  
Chantal Martin-Soelch
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Treatment Effects ◽  
Term Treatment ◽  
Short Term ◽  
Short Term Treatment

scholarly journals Substance use identification and follow-up rates among commercial and Medicare health insurance members in primary care and other settings

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
John G. Baker ◽  
David R. Doxbeck ◽  
Melanie E. Washington ◽  
Angela Horton ◽  
Adam Dunning
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Health Insurance ◽  
Substance Use Disorder ◽  
Alcohol Problems ◽  
Adult Males ◽  
Linear Regression Models ◽  
Short Term ◽  
Private Health Insurer

Abstract Background The objective of this study was to investigate factors associated with substance use disorder identification and follow-up rates among samples of members of a private health insurance plan. Methods In an observational study, samples of claims data for 2017 for Commercial and Medicare members from a private health insurer were accessed and analyzed using descriptive statistics, decision tree analysis, and linear regression models. Results Commercial and Medicare members differed in age. Medicare members had higher rates of inclusion in a measure of substance use disorder than Commercial members, lower rates of initial short term follow-up, more opioid prescriptions from primary care provides, fewer prescriptions for opioid treatment, and higher rates of selected comorbid conditions. Mental health diagnoses and substance use disorder co-occurred frequently and to a greater extent in the Medicare sample. Among commercial members, there were primarily alcohol problems that increased with age, while opioid problems at about 10% peaked in the mid-twenties. More males were included among all substance types. The overall rate for an initial short term follow-up visit indicating initiation of treatment was 30%. There were large differences in the follow-up rates across settings with a very low rate (4.6% for alcohol and 6.9% for opioid) in primary care settings. Conclusions These results suggest that increased attention in primary care to young adult males and to older adults, may help to reduce substance use disorder rates, especially alcohol use disorders.

scholarly journals Substance Use Identification and Follow-up Rates among Commercial and Medicare Health Insurance Members in Primary Care and Other Settings

2020 ◽  
Author(s):  
John G. Baker ◽  
David R. Doxbeck ◽  
Melanie E. Washington ◽  
Angela Horton ◽  
Adam Dunning
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Health Insurance ◽  
Substance Use Disorder ◽  
Alcohol Problems ◽  
Adult Males ◽  
Linear Regression Models ◽  
Short Term ◽  
Private Health Insurer

Abstract Background: The objective of this study was to investigate factors associated with substance use disorder identification and follow-up rates among samples of members of a private health insurance plan. Methods: In an observational study, samples of claims data for 2017 for Commercial and Medicare members from a private health insurer were accessed and analyzed using descriptive statistics, decision tree analysis, and linear regression models. Results: Commercial and Medicare members differed in age. Medicare members had higher rates of inclusion in a measure of substance use disorder than Commercial members, lower rates of initial short term follow-up, more opioid prescriptions from primary care provides, fewer prescriptions for opioid treatment, and higher rates of selected comorbid conditions. Mental health diagnoses and substance use disorder co-occurred frequently and to a greater extent in the Medicare sample. Among commercial members, there were primarily alcohol problems that increased with age, while opioid problems at about 10% peaked in the mid-twenties. More males were included among all substance types. The overall rate for an initial short term follow-up visit indicating initiation of treatment was 30%. There were large differences in the follow-up rates across settings with a very low rate (4.6% for alcohol and 6.9% for opioid) in primary care settings. Conclusions: These results suggest that increased attention in primary care to young adult males and to older adults, may help to reduce substance use disorder rates, especially alcohol use disorders.

scholarly journals Substance Use Identification and Follow-up Rates among Commercial and Medicare Health Insurance Members in Primary Care and Other Settings

2020 ◽  
Author(s):  
John G. Baker ◽  
David R. Doxbeck ◽  
Melanie E. Washington ◽  
Angela Horton ◽  
Adam Dunning
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Health Insurance ◽  
Substance Use Disorder ◽  
Alcohol Problems ◽  
Adult Males ◽  
Linear Regression Models ◽  
Short Term ◽  
Private Health Insurer

Abstract Background: The objective of this study was to investigate factors associated with substance use disorder identification and follow-up rates among samples of members of a private health insurance plan. Methods: In an observational study, samples of claims data for 2017 for Commercial and Medicare members from a private health insurer were accessed and analyzed using descriptive statistics, decision tree analysis, and linear regression models. Results: Medicare members had higher rates of inclusion in a measure of substance use disorder than Commercial members, lower rates of initial short term follow-up, more opioid prescriptions from primary care provides, fewer prescriptions for opioid treatment, and higher rates of selected comorbid conditions. Mental health diagnoses and substance use disorder co-occurred frequently and to a greater extent in the Medicare sample. Among commercial members, there were primarily alcohol problems that increased with age, while opioid misuse at about 10% peaked in the mid-twenties. More males were included among all substance types. The overall rate for an initial short term follow-up visit indicating initiation of treatment was 30%. There were large differences in the follow-up rates across settings with a very low rate (4.6% for alcohol and 6.9% for opioid) in primary care settings. Conclusions: These results suggest that increased attention in primary care to young adult males and to older adults, may help to reduce substance use disorder rates, especially alcohol misuise.

scholarly journals Access to and Engagement in Substance Use Disorder Treatment Over Time

2020 ◽  
Vol 71 (7) ◽  
pp. 722-725
Author(s):  
Junqing Liu ◽  
Amy Storfer-Isser ◽  
Tami L. Mark ◽  
Tyler Oberlander ◽  
Constance Horgan ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Substance Use Disorder Treatment ◽  
Disorder Treatment ◽  
Over Time

scholarly journals Has the Real-Time Reliability of Monthly Indicators Changed over Time?

2019 ◽  
pp. 1-7
Author(s):  
Mark Bognanni
Keyword(s):  
Time Series ◽  
Real Time ◽  
Economic Data ◽  
Short Term ◽  
Monthly Data ◽  
The Real ◽  
Data Release ◽  
Macroeconomic Indicators ◽  
Over Time

Economic data are routinely revised after they are initially released. I examine the extent to which the real-time reliability of six monthly macroeconomic indicators important to policymakers has remained stable over time by studying the time-series properties of their short-term and long-term revisions. I show that the revisions to many monthly economic indicators display systematic behaviors that policymakers could build into their real-time assessments. I also find that some indicators’ revision series have varied substantially over time, suggesting that these indicators may now be less useful in real time than they once were. Lastly, I find that substantial revisions tend to occur indefinitely after the initial data release, a result which suggests a certain degree of caution is in order when using even thrice-revised monthly data in policymaking.

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