• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Chronic care management does not improve on treatment of substance dependence

byAndrew Bishara
September 20, 2013
in Chronic Disease, Psychiatry
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

[one_half][/one_half]Image: PD

1. Chronic care management and primary care intervention groups result in similar rates of past-30-day abstinence from drinking, opioids, and stimulants.

2. There was no difference in quality of life, hospital utilization, or drug biomarkers between intervention groups.

Evidence Rating Level: 1 (Excellent)

Study Rundown: Alcohol abuse accounts for 2.5 million deaths annually in the United States, while illicit drugs have been used by 22.5 millions Americans age 12 and older in the past 30 days. Substance abuse is a complex, multifaceted problem, and the optimal approach and treatment has been long debated. Chronic care management (CCM), one treatment modality, has been previously shown to be effective in treatment programs for tobacco, depression, and other medical illnesses. CCM programs employ a multidisciplinary approach in order to improve the quality of care delivered to the patient while lowering the cost.

The goal of the Addiction Health Evaluation and Disease Management (AHEAD) study was to examine the effects of CCM versus normal primary care treatment for patients with alcohol or drug dependence. The AHEAD study determined that CCM is no more effective than primary care treatment at reducing dependence, quality of life, or emergency department utilization. The study is strengthened by its broad sampling population and excellent follow up rates at 3, 6, and 12 months (>98%). Nonetheless, the complex patient population used in the study may mean that results are not generalizable to less severe substance abusers. Although CCM was not more effective than traditional approaches, this study demonstrates a need for further investigation of different approaches to tackle the complex issue of substance abuse.

Click to read the study in JAMA

RELATED REPORTS

Virtual yoga and meditation intervention may be associated with increased health-related quality of life

Dapagliflozin efficacious and safe in treating heart failure

#VisualAbstract: Canakinumab treatment did not reduce pain to clinical significance but shows anti-inflammatory effects in children and young adults with sickle cell anemia

Relevant Reading: The role of medical conditions and primary care services in 5-year substance use outcomes among chemical dependency treatment patients.

In-Depth [randomized trial]: This randomized trial recruited 563 people from Boston, MA with alcohol or drug dependence between September 2006 to 2008. Participants were recruited from a detoxification unit, an urban hospital, and advertisements. CCM and primary care groups showed no significant difference in rates of abstinence from stimulants, opioids, and heavy drinking (44% vs. 42% at 12 months). CCM was associated with lower odds of opioid abstinence throughout follow-up (52% vs. 54% at 12 months). Except for fewer alcohol related problems in the CCM group (10.4 vs. 13.1 at 12 months), no significant differences were observed in subgroups including emergency department visits and quality of life.Biomarker results showed no significant difference between intervention groups.

By John Prendergass and Rif Rahman

More from this author: Reducing surgical complications may increase costs, Protected sleep periods improve intern alertness and sleep duration, ADHD medication decreases rates of criminality in ADHD patients, Low dose aspirin shows net clinical benefit in patients with first unprovoked venous thromboembolism, Rare TREM-2 mutation implicated in Alzheimer’s Disease

© 2013 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

Tags: abstinence from drinkingdrug biomarkershospital utilizationopioidsquality of lifestimulants
Previous Post

Brain drain from sub-Saharan Africa to US worsening

Next Post

Adjuvant radiotherapy reduces recurrence of ductal carcinoma; no effect on long-term prognosis

RelatedReports

Exercise intervention linked to reduced functional decline among elderly patients admitted to the hospital
Wellness

Virtual yoga and meditation intervention may be associated with increased health-related quality of life

May 20, 2022
Radiation dose associated with increased heart disease in Hodgkin lymphoma survivors
Cardiology

Dapagliflozin efficacious and safe in treating heart failure

May 13, 2022
#VisualAbstract: Canakinumab treatment did not reduce pain to clinical significance but shows anti-inflammatory effects in children and young adults with sickle cell anemia
StudyGraphics

#VisualAbstract: Canakinumab treatment did not reduce pain to clinical significance but shows anti-inflammatory effects in children and young adults with sickle cell anemia

May 4, 2022
Gastroenterology

Steep decline in post-operative opioid prescriptions for common pediatric surgeries

April 5, 2022
Next Post
Adjuvant radiotherapy reduces recurrence of ductal carcinoma; no effect on long-term prognosis

Adjuvant radiotherapy reduces recurrence of ductal carcinoma; no effect on long-term prognosis

Statin use linked to increased risk of cataracts

Statin use linked to increased risk of cataracts

RAS mutation linked with survival in metastatic colorectal cancer

RAS mutation linked with survival in metastatic colorectal cancer

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

Get 2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Pelvic lymph node radiotherapy and androgen deprivation therapy augment progression-free status following prostatectomy
  • Operating the day after performing surgery the previous night not associated with adverse patient outcomes
  • Gratitude-focused writing may improve mental wellness during periods of chronic stress
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.