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Impact of External Facilitation on Healthcare Costs for Veterans with Opioid Use Disorder

Understanding the ADaPT-OUD Trial Results

The ADaPT-OUD trial aimed to help Veterans with opioid use disorder (OUD) by improving the way medications for OUD are prescribed. Here’s what the results mean for patients and clinics.

What Worked?

  • The trial showed that Veterans at intervention sites had better access to mental health services.
  • There were fewer total healthcare visits at these sites, particularly for non-VA services.

What Didn’t Work?

  • Overall healthcare costs did not significantly change for Veterans receiving care at intervention sites.
  • Outpatient psychiatric costs were higher, indicating more use of mental health services.

How Does This Help Patients and Clinics?

  • Patients may receive more comprehensive care for both OUD and mental health issues.
  • Clinics can learn to better coordinate treatment for Veterans, leading to improved health outcomes.

Real-World Opportunities

  • Hospitals can implement similar facilitation programs to improve medication prescribing for OUD.
  • Doctors can collaborate with mental health professionals to provide holistic care for Veterans.

Measurable Outcomes to Track

  • Number of Veterans receiving medications for OUD.
  • Costs associated with outpatient psychiatric services.
  • Overall healthcare visits and their types (VA vs. non-VA).

AI Tools to Consider

  • AI can help track patient data and outcomes efficiently.
  • AI tools can assist in predicting which patients may need more mental health support.

Step-by-Step Plan for Clinics

  1. Start by assessing current prescribing practices for OUD medications.
  2. Introduce training for staff on the importance of mental health in treating OUD.
  3. Implement a small pilot program to improve coordination between OUD treatment and mental health services.
  4. Gather data on patient outcomes and costs to evaluate the program’s effectiveness.
  5. Gradually expand the program based on feedback and results.

For more details on this research, you can read the full study here.

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