Three-year retention in buprenorphine treatment for opioid use disorder nationally in the Veterans Health Administration

2017 ◽  
Vol 26 (6) ◽  
pp. 572-580 ◽  
Author(s):  
Ajay Manhapra ◽  
Ismene Petrakis ◽  
Robert Rosenheck
Keyword(s):  
Veterans Health Administration ◽  
Opioid Use Disorder ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use ◽  
Buprenorphine Treatment

Sex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration

2021 ◽  
pp. 1-11
Author(s):  
MacKenzie R. Peltier ◽  
Mehmet Sofuoglu ◽  
Ismene L. Petrakis ◽  
Elina Stefanovics ◽  
Robert A. Rosenheck
Keyword(s):  
Sex Differences ◽  
Veterans Health Administration ◽  
Opioid Use Disorder ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use

Opioid use disorder and homelessness in the Veterans Health Administration: The challenge of multimorbidity

2018 ◽  
Vol 14 (3) ◽  
pp. 171-182 ◽  
Author(s):  
Theddeus Iheanacho, MD ◽  
Elina Stefanovics, PhD ◽  
Robert Rosenheck, MD
Keyword(s):  
Risk Factor ◽  
Service Use ◽  
Veterans Health Administration ◽  
Opioid Use Disorder ◽  
Fiscal Year ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use ◽  
Agonist Therapy ◽  
Homeless Veterans

Objective: The aim of this study is to estimate the prevalence and sociodemographic and clinical correlates of opioid use disorder (OUD), a major cause of morbidity and mortality in the United States, among homeless veterans nationally in the Veterans Health Administration (VHA).Design: Administrative data on 256,404 veterans who were homeless and/or had OUD in fiscal year 2012 were analyzed to evaluate OUD as a risk factor for homelessness along with associated characteristics, comorbidities, and patterns of service use. Bivariate analyses and logistic regression were used to compare homeless veterans with OUD to veterans with OUD but no homelessness and homeless veterans with no OUD.Results: Altogether 17.9 percent of homeless VHA users were diagnosed with OUD and 34.6 percent of veterans with OUD were homeless. The risk ratio (RR) for homelessness among veterans with OUD was 28.7. Homeless veterans with OUD, compared to nonhomeless veterans with OUD showed extensive multimorbidity with greater risk for HIV (RR = 1.57), schizophrenia (RR = 1.62), alcohol use disorder (RR = 1.67), and others. Homeless veterans with OUD also showed more multimorbidity and used more services than homeless veterans without OUD. Homeless and nonhomeless OUD veterans used opiate agonist therapy at similar, but very low rates (13 and 15 percent).Conclusions: OUD is a major risk factor for homelessness. Homeless veterans with OUD have high levels of multimorbidity and greater service use than veterans with either condition alone. Tailored, facilitated access to opioid agonist therapy may improve outcomes for these vulnerable veterans.

Disparities in Access to Medications for Opioid Use Disorder in the Veterans Health Administration

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Andrea K. Finlay ◽  
Alex H. S. Harris ◽  
Christine Timko ◽  
Mengfei Yu ◽  
David Smelson ◽  
...  
Keyword(s):  
Veterans Health Administration ◽  
Opioid Use Disorder ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use

scholarly journals Response to coronavirus 2019 in Veterans Health Administration facilities participating in an implementation initiative to enhance access to medication for opioid use disorder

2020 ◽  
Vol 41 (4) ◽  
pp. 413-418
Author(s):  
Allison M. Gustavson ◽  
Adam J. Gordon ◽  
Marie E. Kenny ◽  
Haley McHenry ◽  
Julie Gronek ◽  
...  
Keyword(s):  
Veterans Health Administration ◽  
Opioid Use Disorder ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use

scholarly journals Primary care experiences of veterans with opioid use disorder in the Veterans Health Administration

2020 ◽  
Vol 113 ◽  
pp. 107996
Author(s):  
Audrey L. Jones ◽  
Stefan G. Kertesz ◽  
Leslie R.M. Hausmann ◽  
Maria K. Mor ◽  
Ying Suo ◽  
...  
Keyword(s):  
Primary Care ◽  
Veterans Health Administration ◽  
Opioid Use Disorder ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use

Underutilization of the current clinical capacity to provide buprenorphine treatment for opioid use disorders within the Veterans Health Administration

2018 ◽  
Vol 39 (3) ◽  
pp. 286-288 ◽  
Author(s):  
Helen Valenstein-Mah ◽  
Hildi Hagedorn ◽  
Chad L. Kay ◽  
Melissa L. Christopher ◽  
Adam J. Gordon
Keyword(s):  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use ◽  
Opioid Use Disorders ◽  
Buprenorphine Treatment
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