Cargando…
Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder
BACKGROUND: Psychiatric co-occurring disorders among individuals with opioid use disorder has primarily focused on epidemiological surveys of patients in continuous or long-term treatment, yet little is known about the socio-economically vulnerable who are non-treatment seeking prior to an emergency...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756048/ https://www.ncbi.nlm.nih.gov/pubmed/33424227 http://dx.doi.org/10.1177/1178221820981998 |
_version_ | 1783626456809603072 |
---|---|
author | Bakos-Block, Christine Langabeer, James R Yatsco, Andrea Cardenas-Turanzas, Marylou Champagne-Langabeer, Tiffany |
author_facet | Bakos-Block, Christine Langabeer, James R Yatsco, Andrea Cardenas-Turanzas, Marylou Champagne-Langabeer, Tiffany |
author_sort | Bakos-Block, Christine |
collection | PubMed |
description | BACKGROUND: Psychiatric co-occurring disorders among individuals with opioid use disorder has primarily focused on epidemiological surveys of patients in continuous or long-term treatment, yet little is known about the socio-economically vulnerable who are non-treatment seeking prior to an emergency response. METHODS: We retrospectively analyzed data from patients who had enrolled in a study involving home outreach to patients referred from police, emergency medical services (EMS), or hospital emergency departments following an emergency response. The sample is largely socio-economically vulnerable with high rates of unemployment and uninsured. Eligible consenting patients received an intervention consisting of medication (buprenorphine), behavioral counseling, and peer support. Participants completed semi-structured, psychological instruments to assess current and prior history for both substance use and mental health disorders. We used descriptive statistics to evaluate rates of co-occurring mental health comorbidity. RESULTS: Among 102 patients (average age = 36.5 years old), approximately 61 (59.8%) reported a prior mental health diagnosis, with 31 (30.3%) currently on medications for their diagnoses. Mood and anxiety disorders were most frequently recorded. Just over half (51%) had received any prior treatment for their substance use. Of those with dual disorders, 67.2% had experienced prior suicidal thoughts, and 63.7% reported polysubstance use of 5 or more substances. CONCLUSION: Co-occurring psychiatric disorders, and specifically mood and anxiety disorders, appear to be prevalent in vulnerable populations at an increased rate. Mental health assessments should routinely be performed in the emergency setting and in early stages of treatment. |
format | Online Article Text |
id | pubmed-7756048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-77560482021-01-07 Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder Bakos-Block, Christine Langabeer, James R Yatsco, Andrea Cardenas-Turanzas, Marylou Champagne-Langabeer, Tiffany Subst Abuse Original Research BACKGROUND: Psychiatric co-occurring disorders among individuals with opioid use disorder has primarily focused on epidemiological surveys of patients in continuous or long-term treatment, yet little is known about the socio-economically vulnerable who are non-treatment seeking prior to an emergency response. METHODS: We retrospectively analyzed data from patients who had enrolled in a study involving home outreach to patients referred from police, emergency medical services (EMS), or hospital emergency departments following an emergency response. The sample is largely socio-economically vulnerable with high rates of unemployment and uninsured. Eligible consenting patients received an intervention consisting of medication (buprenorphine), behavioral counseling, and peer support. Participants completed semi-structured, psychological instruments to assess current and prior history for both substance use and mental health disorders. We used descriptive statistics to evaluate rates of co-occurring mental health comorbidity. RESULTS: Among 102 patients (average age = 36.5 years old), approximately 61 (59.8%) reported a prior mental health diagnosis, with 31 (30.3%) currently on medications for their diagnoses. Mood and anxiety disorders were most frequently recorded. Just over half (51%) had received any prior treatment for their substance use. Of those with dual disorders, 67.2% had experienced prior suicidal thoughts, and 63.7% reported polysubstance use of 5 or more substances. CONCLUSION: Co-occurring psychiatric disorders, and specifically mood and anxiety disorders, appear to be prevalent in vulnerable populations at an increased rate. Mental health assessments should routinely be performed in the emergency setting and in early stages of treatment. SAGE Publications 2020-12-21 /pmc/articles/PMC7756048/ /pubmed/33424227 http://dx.doi.org/10.1177/1178221820981998 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Bakos-Block, Christine Langabeer, James R Yatsco, Andrea Cardenas-Turanzas, Marylou Champagne-Langabeer, Tiffany Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder |
title | Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder |
title_full | Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder |
title_fullStr | Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder |
title_full_unstemmed | Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder |
title_short | Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder |
title_sort | prevalence of mental health disorders among individuals enrolled in an emergency response program for treatment of opioid use disorder |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756048/ https://www.ncbi.nlm.nih.gov/pubmed/33424227 http://dx.doi.org/10.1177/1178221820981998 |
work_keys_str_mv | AT bakosblockchristine prevalenceofmentalhealthdisordersamongindividualsenrolledinanemergencyresponseprogramfortreatmentofopioidusedisorder AT langabeerjamesr prevalenceofmentalhealthdisordersamongindividualsenrolledinanemergencyresponseprogramfortreatmentofopioidusedisorder AT yatscoandrea prevalenceofmentalhealthdisordersamongindividualsenrolledinanemergencyresponseprogramfortreatmentofopioidusedisorder AT cardenasturanzasmarylou prevalenceofmentalhealthdisordersamongindividualsenrolledinanemergencyresponseprogramfortreatmentofopioidusedisorder AT champagnelangabeertiffany prevalenceofmentalhealthdisordersamongindividualsenrolledinanemergencyresponseprogramfortreatmentofopioidusedisorder |