-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/behavior-change_research.pdf
August 01, 2015 - One KI’s SR on alcohol policy even included an ethnographic
study. … Misuse (July 2012)10
Counseling, support
Screening and Diagnosing Gestational Diabetes Mellitus … Screening, behavioral counseling, and
referral in primary care to reduce alcohol
misuse. … For example in a review of screening for alcohol misuse,12 behavioral interventions were
grouped as … Screening and Behavioral Counseling
Interventions in Primary Care to Reduce
Alcohol Misuse. U.S.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/primary-healthcare-spending-draft-tech-brief-appendix-g.xlsx
June 01, 2023 - Audit/Dast 15-30 Min 93% X X X X X X X X X X X X X X
Screenings & Assessments Behavioral Health 99409 Alcohol … Care Addl 30 Min 60% X X X X X X X X X
Screenings & Assessments Behavioral Health G0442 Annual Alcohol … Screen 15 Min 60% X X X X X X X X X
Counseling Behavioral Health G0443 Brief Alcohol Misuse Counsel … /Subs Misuse Intervention 15-30 Min 47% X X X X X X X
Screenings & Assessments OB/GYN Q0091 … /Subs Misuse Intervention 30 Min < 40% X X X X X X
Screenings & Assessments OB/GYN G0476 HPV
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effectivehealthcare.ahrq.gov/sites/default/files/cer-240-acute-pain-revised-comments.pdf
December 29, 2020 - Certainly, the risk of misuse is a concern,
but as the studies showed, only 1% of
patients prescribed … For example, are younger people more
likely to misuse the medications vs. other
age groups? … We still have
more people overdosing on drugs and
alcohol than ever before. … Alcohol is a bigger killer
than Opioids! … I do not see any restrictions
on alcohol other than an age limit of 21.
-
effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-disposition-mental-health-pregnancy_0.pdf
June 01, 2021 - pregnancy. 3
In a 2012 national survey, 5.9% of pregnant women use illicit drugs and 8.5% drink alcohol … ,
resulting in over 380,000 offspring exposed to illicit substances, over 550,000 exposed to
alcohol … five-fold increase in opiate use in
pregnancy, coincident with the general epidemic of prescription opiate misuse … but qualitative review, which used the Rand
Appropriateness Method. 6
o We found no reviews for alcohol … We found few studies of medications for SUD, and none of these addressed more common
alcohol abuse disorder
-
effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
December 01, 2013 - We are tracking substance-abuse topics that span
the areas of alcohol, cocaine, and opioid dependence … No topics on alcohol, cannabis, or cocaine dependence emerged as having high-
impact potential. … Lazarus)
Unmet need: Increased prescribing of opioids has led to a corresponding increase in abuse,
misuse
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-pregnancy-postpartum_executive.pdf
July 01, 2014 - nutrition, poor
prenatal medical care, risk of suicide, and
harmful health behaviors (e.g., smoking and
alcohol … or other substance misuse). … be adjusted
for in analyses of observational studies—age, race, parity,
and other exposures (e.g., alcohol … misuse or abuse, other Axis I disorders,
and suicidal ideation; lack of health outcomes and
comprehensive … history, depression severity, age, race, parity,
socioeconomic status, and other exposures (e.g., alcohol
-
effectivehealthcare.ahrq.gov/products/mental-illness-adults-prisons/research-protocol
September 13, 2012 - use disorders require that formularies limit or exclude medications that have a high potential for misuse … Psychiatric symptoms that characterize SMI
Hospitalization for SMI
Time to re-hospitalization
Drug or alcohol … Studies will be considered to address the dually diagnosed if at least 75% of the subjects also have an alcohol … less than a 75% rate of substance use disorders, unless the study specifically excluded those with alcohol … For adherence to pharmacotherapy and avoidance of drug/alcohol use, we will consider it objective if
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/mental-illness-adults-prisons_research-protocol.pdf
September 13, 2012 - use disorders require that formularies limit or exclude medications that
have a high potential for misuse … , schizoaffective disorder,
bipolar disorder, or major depression) with and without a co-occurring alcohol … , schizoaffective disorder, bipolar
disorder, or major depression) with and without a co-occurring alcohol … symptoms that characterize SMI
o Hospitalization for SMI
o Time to re-hospitalization
o Drug or alcohol … For adherence to pharmacotherapy and avoidance
of drug/alcohol use, we will consider it objective if
-
effectivehealthcare.ahrq.gov/products/distributed-network-ambulatory-therapeutics/research
July 28, 2009 - showed that DARTNet can collect clinically-relevant data such as body weight, height, self-reported alcohol … realization of some of the problems that can potentially arise with the intentional or unintentional misuse … Social history (alcohol and tobacco use, etc.) … realization of some of the problems that can potentially arise with the intentional or unintentional misuse … For instance, alcohol intake, smoking status, disease severity and minor drug side effects, as well as
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/plant-based-chronic-pain-review-q2.pdf
May 01, 2021 - pain, addressing the impact on pain and function, as well as concerns about
adverse effects, abuse, misuse … Am J Drug Alcohol
Abuse. 2019;45(6):580-95. doi:
https://dx.doi.org/10.1080/00952990.2019.1
669628. … Opioid and Cannabis Co-Use among Adults
With Chronic Pain: Relations to Substance
Misuse, Mental Health … Drug
Alcohol Depend. 2018 Feb 1;183:134-40.
doi: 10.1016/j.drugalcdep.2017.10.012. … Drug Alcohol Rev. 2020 Sep 22;22:22.
doi: https://dx.doi.org/10.1111/dar.13171.
PMID: 32964502.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/adhd-update_research-protocol.pdf
August 18, 2016 - factors that might affect identification and treatment
include family history, prematurity, exposure to alcohol … These include prenatal factors (e.g.,
tobacco use, alcohol use, substance abuse), perinatal factors … common risk factors that could affect diagnosis and
treatment outcomes, including prenatal tobacco, alcohol … The effects of prenatal exposure to alcohol and
environmental tobacco smoke on risk for ADHD: A large … Drug Alcohol Depend. 2014;142:86-90. PMID: 24957742.
26. Charach A, Dashti B, Carson P, et al.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/adhd-heart-disease-adults_research.pdf
November 01, 2011 - For both current users and nonusers, alcohol and drug use, as
determined from medical care encounter … and drug use†
Alcohol or drug use, % 0.4 1.5
Smoking, % 0.6 0.9
Use of health services†
Psychiatric … Misuse and diversion of stimulants
prescribed for ADHD: a systematic review
of the literature. … 0.2% 0.5% 0.5% 0.6% 0.5%
Other serious health
condition§ 1.8% 1.4% 1.2% 0.90% 1.8% 1.5% 1.6% 1.1%
Alcohol … and drug use
Alcohol or drug use 1.2% 1.1% 1.5% 1.5% 0.9% 1.0% 2.1% 1.2%
Smoking 1.6% 1.4%
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/choice-of-mean_white-paper.pdf
April 01, 2015 - The
medical conditions included hip fracture, obstructive sleep apnea, depression, diabetes, and
alcohol … HDL, Triglycerides
50
Screening, Behavioral Counseling, and Referral in
Primary Care To Reduce Alcohol … Misuse20
2012 Weekly alcohol use 2
HDL = high-density lipoprotein; LDL = low-density lipoprotein … : -27%
DL: -27%
Screening,
Behavioral
Counseling, and
Referral in
Primary Care To
Reduce Alcohol … Screening, Behavioral Counseling, and
Referral in Primary Care to Reduce Alcohol
Misuse.
-
effectivehealthcare.ahrq.gov/products/depression-pregnancy-postpartum/research-protocol
March 29, 2013 - lead to harmful prenatal health behaviors such as poor nutrition, poor prenatal medical care, smoking, alcohol … or other substance misuse, and risk of suicide, each of which compromises the health of both the woman
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-pregnancy-postpartum_research-protocol.pdf
March 29, 2013 - to harmful prenatal health behaviors such as
poor nutrition, poor prenatal medical care, smoking, alcohol … or other substance misuse, and risk
of suicide, each of which compromises the health of both the woman
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-improving-health-systems-access.pdf
August 01, 2019 - Development of a Primary Care Guide
for Implementing Evidence-based
Screening and Counseling for
Unhealthy Alcohol … Dissemination Project
“Screening, Behavioral
Counseling, and Referral in
Primary Care to Reduce Alcohol … Misuse”
3
Pilot Project Grouping by EPC Pilot Project Title EPC Review
Mayo Clinic Anxiety … evidence-
based decision
making among
patients
Support
systems-wide
implementatio
n of updated
alcohol
-
effectivehealthcare.ahrq.gov/sites/default/files/draft-appendixes-plant-based-treatment.pdf
March 01, 2021 - Am J Drug Alcohol
Abuse. 2019;45(6):580-95. doi:
https://dx.doi.org/10.1080/00952990.2019.1
669628. … Opioid and Cannabis Co-Use among Adults
With Chronic Pain: Relations to Substance
Misuse, Mental Health … Drug and alcohol
dependence. 2020:108420. doi:
https://dx.doi.org/10.1016/j.drugalcdep.2020
.108420 … Drug
Alcohol Depend. 2018 Feb 1;183:134-40.
doi: 10.1016/j.drugalcdep.2017.10.012. … Drug Alcohol Rev. 2020 Sep 22;22:22.
doi: https://dx.doi.org/10.1111/dar.13171.
PMID: 32964502.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-annual-update2-appendices.pdf
January 16, 2023 - Drug Alcohol Depend. 2015 Feb
01;147:144-50. doi:
10.1016/j.drugalcdep.2014.11.031. … Alcohol and marijuana co-use among adults
with chronic low back pain: Associations
with substance misuse … Opioid and Cannabis co-use among adults
with chronic pain: relations to substance
misuse, mental health … Drug Alcohol Rev. 2020
Sep 22;22:22. doi: 10.1111/dar.13171.
PMID: 32964502. … Drug Alcohol Rev.
2021;40(2):272-80. doi: 10.1111/dar.13171.
PMID: 32964502.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/plant-based-chronic-pain-review-jan-2020.pdf
January 01, 2020 - cannabinoids and kratom used to treat chronic
pain, addressing concerns about severe adverse effects, abuse, misuse … American Journal of
Drug & Alcohol Abuse. 2019;45(6):580-95. … Drug & Alcohol Dependence. 2015
Feb 01;147:144-50. doi:
https://dx.doi.org/10.1016/j.drugalcdep.2014 … Opioid and Cannabis Co-Use among Adults
With Chronic Pain: Relations to Substance
Misuse, Mental Health
-
effectivehealthcare.ahrq.gov/sites/default/files/crosscutting_hi_impact.pdf
January 01, 2012 - University of Chicago’s Southside Medical Homes (SMH) Network is
intended to link patients who overuse or misuse … University of Chicago’s Southside Medical Homes (SMH)
Network is intended to link patients who overuse or misuse … resources.”
13
Current Approach to Care
Chronic, ambulatory-care-sensitive conditions, such as alcohol