David T O'Gurek1, Jillian Jatres2, Jonetta Gibbs2, Ian Latham2, Byron Udegbe2, Kathleen Reeves2. 1. Department of Family & Community Medicine, Lewis Katz School of Medicine at Temple University, 1316 W Ontario St, Philadelphia, PA 19140, United States of America; Center for Urban Bioethics, Lewis Katz School of Medicine at Temple University, 3200 N Broad St, Philadelphia, PA 19140, United States of America. Electronic address: David.ogurek@temple.edu. 2. Center for Urban Bioethics, Lewis Katz School of Medicine at Temple University, 3200 N Broad St, Philadelphia, PA 19140, United States of America.
Abstract
BACKGROUND AND OBJECTIVES: Inequities in access to buprenorphine treatment remain despite measures to increase access to treatment. "Begin the Turn," a low-barrier, multidisciplinary mobile care unit with access to outreach services, counseling, case management, and buprenorphine treatment addresses these disparities in an urban setting. METHODS: Retrospective medical record review of patients during the initial 6 months of operation abstracted patient demographics and clinical data, including 10 categories of adverse childhood experiences (ACEs) using a total number of ACEs (ACE score) and measuring scores greater than or equal to 4 given higher risk of chronic disease states at this level. The study collected data in electronic data capture tools. The study assessed retention rates at 1, 3, and 5 months. RESULTS: Among the 147 individuals who received care, the mean age was 39.6 years and median onset of opioid use was 21 years of age. Among study participants, 67.3% (n = 99) reported IV use, 91.9% (n = 135) reported previous experiences with addiction treatment, and 49.7% (n = 73) had previously suffered an overdose. Adverse Childhood Experiences surveys demonstrated a mean score of 4.6 (n = 141), with 63.1% (n = 89) having a score of 4 or greater. The percentages of patients retained in care at 1, 3, and 5 months were 61.2%, 36.6%, and 27.6%, respectively. CONCLUSION AND SCIENTIFIC SIGNIFICANCE: The program serves a population with high rates of trauma and overdose. The program can serve as a model for treatment for this population.
BACKGROUND AND OBJECTIVES: Inequities in access to buprenorphine treatment remain despite measures to increase access to treatment. "Begin the Turn," a low-barrier, multidisciplinary mobile care unit with access to outreach services, counseling, case management, and buprenorphine treatment addresses these disparities in an urban setting. METHODS: Retrospective medical record review of patients during the initial 6 months of operation abstracted patient demographics and clinical data, including 10 categories of adverse childhood experiences (ACEs) using a total number of ACEs (ACE score) and measuring scores greater than or equal to 4 given higher risk of chronic disease states at this level. The study collected data in electronic data capture tools. The study assessed retention rates at 1, 3, and 5 months. RESULTS: Among the 147 individuals who received care, the mean age was 39.6 years and median onset of opioid use was 21 years of age. Among study participants, 67.3% (n = 99) reported IV use, 91.9% (n = 135) reported previous experiences with addiction treatment, and 49.7% (n = 73) had previously suffered an overdose. Adverse Childhood Experiences surveys demonstrated a mean score of 4.6 (n = 141), with 63.1% (n = 89) having a score of 4 or greater. The percentages of patients retained in care at 1, 3, and 5 months were 61.2%, 36.6%, and 27.6%, respectively. CONCLUSION AND SCIENTIFIC SIGNIFICANCE: The program serves a population with high rates of trauma and overdose. The program can serve as a model for treatment for this population.
Authors: Andrea Jakubowski; Brianna L Norton; Benjamin T Hayes; Brent E Gibson; Christine Fitzsimmons; L Synn Stern; Franklin Ramirez; Mercedes Guzman; Susan Spratt; Pia Marcus; Aaron D Fox Journal: J Addict Med Date: 2021-11-12 Impact factor: 4.647
Authors: Lauren K Whiteside; Ly Huynh; Sophie Morse; Jane Hall; William Meurer; Caleb J Banta-Green; Hannah Scheuer; Rebecca Cunningham; Mark McGovern; Douglas F Zatzick Journal: J Subst Abuse Treat Date: 2021-11-24
Authors: Cayley Russell; Michelle Pang; Frishta Nafeh; Shanna Farrell Macdonald; Dena Derkzen; Jürgen Rehm; Benedikt Fischer Journal: Int J Qual Stud Health Well-being Date: 2022-12