Outcomes from the medication assisted treatment pilot program for adults with opioid use disorders in rural Colorado

As Colorado ranked among the top nationally in non-medical use of opioids, a pilot medication for opioid use disorder (MOUD) program was developed to increase the number of NPs and PAs providing MOUD in order to bring this evidence- based treatment to 2 counties showing disproportionally high opioid...

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Bibliographic Details
Published in:	Substance abuse treatment, prevention and policy prevention and policy, 2022-01, Vol.17 (1), p.1-11, Article 1
Main Authors:	Amura, Claudia R, Sorrell, Tanya R, Weber, Mary, Alvarez, Andrea, Beste, Nancy, Hollins, Ursula, Cook, Paul F
Format:	Article
Language:	eng
Subjects:	Adult Analgesics, Opioid - therapeutic use Buprenorphine - therapeutic use Care and treatment Colorado - epidemiology Community settings Data collection Demographic aspects Demographics Drug addiction Drug overdose Drug use Evidence-based medicine Evidence-based nursing Health care access Heroin Human subjects Humans Medication-assisted treatment for opioid use disorder Mental health Narcotics Nurse practitioners Opioid-Related Disorders - drug therapy Pain Patient centered outcomes Patients Pilot Projects Planning Rural Rural areas Rural health Substance abuse treatment Variables
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Summary:	As Colorado ranked among the top nationally in non-medical use of opioids, a pilot medication for opioid use disorder (MOUD) program was developed to increase the number of NPs and PAs providing MOUD in order to bring this evidence- based treatment to 2 counties showing disproportionally high opioid overdose deaths. Over the first 18 months, the MOUD Pilot Program led to 15 new health care providers receiving MOUD waiver training and 1005 patients receiving MOUD from the 3 participating organizations. Here we evaluate patient centered clinical and functional outcomes of the pilot MOUD program implemented in 2 rural counties severely affected by the opioid crisis. Under state-funded law (Colorado Senate Bill 17-074), three rural agencies submitted de-identified patient-level data at baseline (N = 1005) and after 6 months of treatment (N = 190, 25%) between December 2017 and January 2020. The Addiction Severity Index, PhQ9 and GAD-7 with McNemar-Bowker, and Wilcoxon Signed Rank tests analysis were used to measure patient outcomes across after participation in the program. . Patients in treatment reported using less heroin (52.1% vs 20.4%), opioids (22.3% vs 11.0%), and alcohol (28.6% vs 13.1%, all P
ISSN:	1747-597X 1747-597X