G2TT
来源类型Research Reports
规范类型报告
DOIhttps://doi.org/10.7249/RR1345
ISBN9780833096678
来源IDRR-1345-OSD
Preventing, Identifying, and Treating Prescription Drug Misuse Among Active-Duty Service Members
Rosalie Liccardo Pacula; Sarah B. Hunter; Allison J. Ober; Karen Chan Osilla; Raffaele Vardavas; Janice C. Blanchard; David DeVries; Emmanuel Fulgence Drabo; Kristin J. Leuschner; Warren Stewart; et al.
发表日期2016
出版年2016
页码178
语种英语
结论

More Information Is Needed to Make the Best Decisions Moving Forward

  • Few available evidence-based solutions focus specifically on the prevention or treatment of prescription drug misuse (PDM) in the military or civilian practice. Those guidelines that do exist largely focus on assessing risk, but generally within context of broader substance use.
  • Many health providers lack general knowledge or training on how to deal with complex patient cases suffering from acute or chronic pain and PDM.
  • U.S. Department of Defense (DoD) regulations are complex, emphasizing a general zero tolerance approach to drugs with little mention of addressing prescription drug use and misuse.
  • Providers reported greater collaboration between providers since the institution of patient-centered medical homes (PCMHs) through the use of embedded case managers and behavioral health therapists to facilitate chart reviews and communication about and management of active-duty service members (ADSMs) with PDM and at risk for PDM.
  • Pain management and patient-centered, complementary services are not readily available or accessible to those suffering from chronic pain, which leads many to rely on prescription pain medications. Few within the Military Health System (MHS) provide these services; where they are available, waiting lists can be long.
  • There is a need for more consistent guidelines for PDM patients and adherence to those guidelines in both the military and civilian practice.
摘要
  • Implement and parameterize the compartmental model developed in this report to enable a clear assessment of the extent to which the current prescription drug misuse (PDM) problem within the military stems from abuse following legitimate medical need or simple inappropriate use.
  • Dedicate resources to providing remedial training and support to all military health care providers in the identification and treatment of PDM in patients.
  • Facilitate interdisciplinary provider coordination in approaches to identifying and treating PDM, as well as the transition to integrated care.
  • For those suffering with chronic pain, expand the availability of and access to pain management and patient-centered practices within the military health system.
  • Encourage military provider access to and participation in state-run prescription drug monitoring programs, which are designed to help prevent over-prescribing of opioids to patients in civilian practice.
  • Determine whether military substance abuse programs should provide unique, PDM-focused treatment for service members who develop dependence on prescription medications.
  • Consider adoption, implementation, and improved dissemination of a U.S. Department of Defense–wide limited-use policy.
主题Mental Health and Illness ; Military Health and Health Care ; Pain Management ; Prescription Drug Abuse ; Substance Abuse Treatment
URLhttps://www.rand.org/pubs/research_reports/RR1345.html
来源智库RAND Corporation (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108200
推荐引用方式
GB/T 7714
Rosalie Liccardo Pacula,Sarah B. Hunter,Allison J. Ober,et al. Preventing, Identifying, and Treating Prescription Drug Misuse Among Active-Duty Service Members. 2016.
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