The Boston Medical Center's (BMC) Grayken Center for Addiction has recently rolled out a new program, and it highlighted the importance of giving patients access to addiction treatment even though they are hospitalized for other conditions. The program can be used to “close the gap” in addiction treatment.
Several of the patients who first signed up for the program voluntarily continued treatment once they were discharged, which proves that the program should be considered as an effective way to address addiction. (Related: Opioid addiction is bankrupting America, county by county, city by city… will America collapse into a narco-pharma state?)
At least 17 percent of the patients at the BMC reported that they have an active substance use disorder, and this pushed providers to assess new methods that patients can use to engage in addiction treatment while at the hospital. The providers then came up with an inpatient addiction consult service that was employed immediately. It is staffed by a multidisciplinary care team with members who are well-versed in treating addiction.
Paul Trowbridge, M.D., and a graduate of BMC's addiction medicine fellowship, said, “In order to help curb the epidemic, we need to take every opportunity to engage patients with substance use disorders and get them into treatment when they are ready." Trowbridge, who was also the study's lead author, added, “This service will not only prove beneficial to patients, by helping them get access to evidenced-based treatment, but also to the health care system by reducing costs and readmissions.” The study was published in the Journal of Substance Abuse Treatment.
The initial results of the study encouraged the researchers. When methadone treatment was initiated for 70 patients, 76 percent of them were pointed to a methadone clinic upon discharge. After following up, 54 percent of the patients were still receiving methadone at 30 days, 39 percent at 90 days, and 29 percent at 180 days.
Buprenorphine, another opioid, was then given to 40 patients after the methadone clinic consultation, and 49 percent were shown to an outpatient clinic at discharge. After following up, 39 percent of the patients were still engaged in treatment at 30 days, 27 percent at 90 days, and 18 percent at 180 days.
Alex Walley, M.D., MSc, a general internist at BMC's Grayken Center for Addiction, shared, “Like heart disease can cause a heart attack or a stroke, addiction causes many acute injuries requiring immediate attention, but we can't simply treat that issue without delving deeper to address the root cause.” Walley, who also oversees the addiction medicine fellowship, concluded, “Our goal is to engage willing patients in treatment and work with them on a plan that will keep them healthy and safe now and in the future.”
The authors of the study cautioned that treatment is not a catch-all solution to addressing addiction and that additional treatment programs and services are necessary to resolve the issues of other patients, especially for the short and long term resolution of this matter.
While addiction treatment is a necessary step, curbing addiction with more drugs can cause more harm than good. If you're struggling with withdrawal symptoms, try these natural remedies instead:
You can read more articles about addiction and how to address it at Addiction.news.
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