Evidence map›Paper›PMID 37840212›Full record

ArticleSubstance abuse2023

Care Practices of Mental Health Clinical Pharmacist Practitioners Within an Interdisciplinary Primary Care Model for Patients With Substance Use Disorders.

Annette Percy, A Taylor Kelley, Natalie Valentino, Amy Butz, Jacob D Baylis, Ying Suo, Adam J Gordon, Audrey L Jones

Open access · greenAbstract read
In one paragraph

Article in Substance abuse, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Annette PercyBehavioral Health Interdisciplinary Program, Southern Oregon Rehabilitation Center and Clinics, White City, OR, USA.
A Taylor KelleyVulnerable Veteran Innovative Patient-Aligned Care Team (VIP), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Natalie ValentinoVulnerable Veteran Innovative Patient-Aligned Care Team (VIP), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Amy ButzVulnerable Veteran Innovative Patient-Aligned Care Team (VIP), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Jacob D BaylisVulnerable Veteran Innovative Patient-Aligned Care Team (VIP), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Ying SuoVulnerable Veteran Innovative Patient-Aligned Care Team (VIP), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Adam J GordonVulnerable Veteran Innovative Patient-Aligned Care Team (VIP), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.ORCID 0000-0002-2453-8871
Audrey L JonesVulnerable Veteran Innovative Patient-Aligned Care Team (VIP), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.ORCID 0000-0003-1533-7469
University of Utah · USVA Salt Lake City Healthcare System · US

Funding

Greater Intermountain Node (CTN-0151)UG1DA049444 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Gerald T. Cochran, Gerald T. Cochran · 2019 to 2026
$16.8M
Informatics, Decision-Enhancement and Analytic Sciences CenterI50HX001240 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI SAMORE, MATTHEW H · 2015 to 2015
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Quality of Mental Health Services for Homeless Veterans in Primary Care SettingsIK2HX003090 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI AUDREY L JONES · 2021 to 2026
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HSRD VA IK2 HX003090NIDA NIH HHS UG1 DA049444
6 · The paper itself

Abstract

backgroundClinical pharmacist practitioners (CPPs) play an increasingly important role in interdisciplinary care for patients with substance use disorders (SUDs). However, CPPs' scope of practice varies substantially across clinics and settings.

objectivesWe sought to describe CPP practices and activities within an interdisciplinary, team-based primary care clinic dedicated to treat Veterans with histories of substance use disorders, experience of homelessness, high medical complexity, and other vulnerabilities.

methodsWe conducted a retrospective cohort study of CPP activities using Department of Veterans Affairs (VA) administrative data in 2019.

resultsCPPs provided care for 228 patients, including 766 in-clinic visits, 341 telephone visits, and 626 chart reviews, with an average of 2.5 hours spent per patient per year. Patients seen by CPPs frequently experience mental health conditions and SUDs, including depression (66%), post-traumatic stress disorder (52%), opioid use disorder (OUD) (45%), and alcohol use disorder (44%). CPPs managed buprenorphine medications for OUD or chronic pain in 76 patients (33%). Most CPP interventions (3330 total) were for SUDs (33%), mental health conditions (24%), and pain management (24%), with SUD interventions including medication initiation, dose changes, discontinuations and monitoring. As part of opioid risk mitigation efforts, CPPs queried the state's prescription drug monitoring program 769 times and ordered 59 naloxone kits and 661 lab panels for empaneled patients.

conclusionCPPs managed a high volume of vulnerable patients and provided complex care within an interdisciplinary primary care team. Similar CPP roles could be implemented in other primary care settings to increase access to SUD treatment.

Indexed as

Mental HealthOpioid-Related DisordersHumansPharmacistsPrimary Health CareRetrospective StudiesUnited StatesUnited States Department of Veterans Affairsclinical pharmacist practitionersclinical pharmacistsinterdisciplinary care teamopioid related disorderssubstance use disordersveterans

Identifiers

PMID37840212
PMCPMC10773467
OpenAlexW4387661163

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.