Feasibility of Implementing Shared Medical Appointments (SMAs) for Office-Based Opioid Treatment With Buprenorphine: A Pilot Study

Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse
Joji SuzukiSiu Ping Chin Feman

Abstract

Shared medical appointments (SMAs) are designed to improve patient satisfaction and increase access to treatment. In a typical SMA, 6-12 patients with similar diagnoses attend a group appointment with their health care providers, often lasting 60-120 minutes. All components of an individual visit are completed, and additional time is spent providing education and facilitating peer support. The aim of this study was to report on patient and program outcomes after implementation of SMA-based office-based opioid treatment with buprenorphine. The study was conducted at a hospital-based outpatient psychiatric clinic that previously did not offer any office-based opioid treatment with buprenorphine. Demographic and clinical data (treatment retention, depression, anxiety, craving scores, and urine toxicology results) were extracted from the medical records. Patients were recruited to complete a survey assessing their experience. Ninety-three patients enrolled in the program, and 52.7% remained in treatment at 6 months. The proportion of aberrant opioid urine results, depression, anxiety, and craving decreased significantly from baseline to 6 months. Twenty-two patients completed the survey, who generally agreed that the SMA format all...Continue Reading

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Citations

Mar 22, 2016·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·H A Colon-RiveraSherry Nykiel
Nov 30, 2016·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Sara L DoorleyChinazo O Cunningham
Aug 17, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Randi SokolZev Schuman-Olivier
Jul 21, 2017·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Randi SokolZev Schuman-Olivier
Apr 15, 2020·Current Psychiatry Reports·Joseph H DonroeE Jennifer Edelman
Aug 28, 2018·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Christopher T Breen, David A Fiellin
Dec 29, 2019·Addiction Science & Clinical Practice·Randi SokolZev Schuman-Olivier
Feb 6, 2020·Focus : Journal of Life Long Learning in Psychiatry·Kathleen M Carroll, Roger D Weiss
Jun 5, 2020·Social Science & Medicine·Ariana Thompson-Lastad, Sara Rubin
Jun 24, 2018·The Medical Clinics of North America·E Jennifer EdelmanJeanette M Tetrault

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Methods Mentioned

BETA
SMAs
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our

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