ArticlePsychiatric services (Washington, D.C.)2011
Continuing care and long-term substance use outcomes in managed care: early evidence for a primary care-based model.
Article in Psychiatric services (Washington, D.C.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01671501 (Primary Care-Based Interventions to Reduce Alcohol Use Among HIV Patients), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Primary Care-Based Interventions to Reduce Alcohol Use Among HIV Patients
Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review.Substance abuse treatment, prevention, and policy · 2017Pooled it
- A randomized clinical trial of smartphone self-managed recovery support services.Journal of substance abuse treatment · 2020Trial
- Examination of the Effects of an Intervention Aiming to Link Patients Receiving Addiction Treatment With Health Care: The LINKAGE Clinical Trial.JAMA psychiatry · 2016Trial
- Posttreatment low-risk drinking as a predictor of future drinking and problem outcomes among individuals with alcohol use disorders.Alcoholism, clinical and experimental research · 2013Trial
- Effect of quality chronic disease management for alcohol and drug dependence on addiction outcomes.Journal of substance abuse treatment · 2012Trial
- Significant life events and their impact on alcohol and drug use: a qualitative study.Journal of psychoactive drugsTrial
- Patient Trust in Healthcare Providers among People on Methadone Maintenance Treatment Using Methamphetamine in Vietnam.Substance use & misuse · 2026Article
- Personalized Virtual Reality Future Selves Elicit Introspective Brain Activation in Early Substance Use Disorder Recovery.medRxiv : the preprint server for health sciences · 2026Article
- Personalized Virtual Reality Future Selves Elicit Introspective Brain Activation in Early Substance Use Disorder Recovery.Substance abuse and rehabilitation · 2026Article
- A 2-year follow-up analysis of individuals with internet use disorders treated with the webcam-based telemedicine OMPRIS intervention.Scientific reports · 2025Article
- Primary Care Training and Education in Addiction Medicine Fellowship: expanding the addiction medicine workforce.BMC medical education · 2025Article
- Association of primary care engagement with initiation and continuation of medication treatment for opioid use disorder among persons with a history of injection drug use.Drug and alcohol dependence · 2024Article
- Multimorbidity classes indicate differential patterns of health care engagement among people who inject drugs.Journal of substance abuse treatment · 2022Article
- Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner.JAMA network open · 2022Article
- Effect of Continuous Nursing Model Based on WeChat Public Health Education on Self-Management Level and Treatment Compliance of Stroke Patients.Iranian journal of public health · 2022Article
- Predictors of early and sustained cessation of heavy drinking over 5 years among adult primary care patients.Addiction (Abingdon, England) · 2022Article
- Effectiveness of spironolactone dispensation in reducing weekly alcohol use: a retrospective high-dimensional propensity score-matched cohort study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021Article
- Facilitators and barriers to utilization of medications for opioid use disorder in primary care in South Carolina.International journal of psychiatry in medicine · 2021Article
- Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders.Frontiers in psychiatry · 2021Article
- "Health Is on the Back Burner:" Multilevel Barriers and Facilitators to Primary Care Among People Who Inject Drugs.Journal of general internal medicine · 2021Article
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Authors and funding
4 authors.
Funding
Abstract
objectivesHow best to provide ongoing services to patients with substance use disorders to sustain long-term recovery is a significant clinical and policy question that has not been adequately addressed. Analyzing nine years of prospective data for 991 adults who entered substance abuse treatment in a private, nonprofit managed care health plan, this study aimed to examine the components of a continuing care model (primary care, specialty substance abuse treatment, and psychiatric services) and their combined effect on outcomes over nine years after treatment entry.
methodsIn a longitudinal observational study, follow-up measures included self-reported alcohol and drug use, Addiction Severity Index scores, and service utilization data extracted from the health plan databases. Remission, defined as abstinence or nonproblematic use, was the outcome measure.
resultsA mixed-effects logistic random intercept model controlling for time and other covariates found that yearly primary care, and specialty care based on need as measured at the prior time point, were positively associated with remission over time. Persons receiving continuing care (defined as having yearly primary care and specialty substance abuse treatment and psychiatric services when needed) had twice the odds of achieving remission at follow-ups (p<.001) as those without.
conclusionsContinuing care that included both primary care and specialty care management to support ongoing monitoring, self-care, and treatment as needed was important for long-term recovery of patients with substance use disorders.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.