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22 results on '"Mintz, Carrie M."'

4. Emergency department initiation of pharmacotherapy for alcohol use disorder: A retrospective cohort study.

Author

De Monnin, Karlee S., Terian, Emily, Yeary, Julianne, Bathon, Elizabeth, Asaro, Phillip, Mintz, Carrie M., and Baumgartner, Kevin

Subjects
SUBSTANCE abuse, HOSPITAL emergency services, RETROSPECTIVE studies, PHYSICIAN practice patterns, ALCOHOL drinking, DRUG prescribing, QUALITY assurance, NALTREXONE
Abstract

The article focuses on identifying barriers and facilitators perceived by patients regarding the initiation of naltrexone (NTX) treatment for alcohol use disorder (AUD) in the emergency department (ED). It aims to understand patient perspectives to improve the treatment pathway and address missed opportunities for AUD management in the ED setting.

Published
2024
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6. Demographic differences in the cascade of care for unhealthy alcohol use: A cross‐sectional analysis of data from the 2015–2019 National Survey on Drug Use and Health

Author

Mintz, Carrie M., primary, Knox, Justin, additional, Hartz, Sarah M., additional, Hasin, Deborah S., additional, Martins, Silvia S., additional, Kranzler, Henry R., additional, Greene, Emily, additional, Geng, Elvin H., additional, Grucza, Richard A., additional, and Bierut, Laura J., additional

Published
2023
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21. Changes in associations of prescription opioid use disorder and illegal behaviors among adults in the United States from 2002 to 20.

Author

Mintz, Carrie M., Hartz, Sarah M., Borodovsky, Jacob T., Bierut, Laura J., and Grucza, Richard A.

Subjects
*OPIOID abuse, *DRUGS & crime, *CRIME statistics, *RISK assessment, *PSYCHOLOGY of drug abusers
Abstract

Background and Aims: In the United States, the availability of prescription opioids has decreased in recent years. Whether there have been corresponding changes in the likelihood of people with prescription opioid use disorder (POUD) to engage in illegal behaviors related to drug use remains unknown. We examined changes in prevalence of illegal behaviors between people with and without POUD over time, and how transactions for obtaining opioids have changed among people with POUD over time. Design Temporal trend analysis of repeated cross‐sectional data. Setting: United States household dwelling population from all 50 states and District of Columbia. Participants: Adult subsamples from the 2002–14 National Survey of Drug Use and Health (n = 5393 people with POUD; n = 486 768 people without POUD). Measurements Outcome variables were selected illegal behaviors and sources of opioids used non‐medically. POUD was defined using the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria. Time was treated as a continuous variable. The variable of interest for each illegal behavior analysis was the interaction between POUD diagnosis and time. Covariates included age, sex and race/ethnicity. Findings During the 13‐year period examined, the adjusted interaction odds ratio (AIOR) describing the change in association between POUD and selling illicit drugs increased by a factor of 2.41 [95% confidence interval (CI) = 1.56–3.71, P < 0.001]. Similar trends were noted for stealing (AIOR = 2.12, 95% CI = 1.31–3.44, P = 0.002) and for life‐time history of arrest (AIOR = 1.53, 95% CI = 1.06–2.19, P = 0.021). People with POUD became less likely to receive opioids for free from friends and family [adjusted odds ratio (AOR) = 0.42, 95% CI = 0.25–0.71, P = 0.001] and more likely to buy them from friends and family (AOR = 3.29, 95% CI = 1.76–6.13, P < 0.001) from 2005 to 2014. Conclusions: In the United States, against a backdrop of a decreasing prescription opioid supply, rates of some crimes potentially related to drug use increased among people with prescription opioid use disorder compared with those without prescription opioid use disorder from 2002 to 2014. [ABSTRACT FROM AUTHOR]

Published
2019
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22. A Cascade of Care for Alcohol Use Disorder: Using 2015-2018 National Survey on Drug Use and Health Data to Identify Gaps in Care.

Author

Mintz CM, Hartz SM, Fisher SL, Ramsey AT, Geng EH, Grucza RA, and Bierut LJ

Abstract

Background: Although effective treatments exist, alcohol use disorder (AUD) is undertreated. We used a cascade of care framework to understand gaps in care between diagnosis and treatment for persons with AUD., Methods: Using 2015-2018 National Survey on Drug Use and Health data, we evaluated the following steps in the cascade of care: 1) prevalence of adults with AUD; 2) proportion of adults who utilized health care in the past 12 months; 3) were screened about alcohol use; 4) received a brief intervention about alcohol misuse; 5) received information about treatment for alcohol misuse; and 6) proportion of persons with AUD who received treatment. Analyses were stratified by AUD severity., Results: Of the 171,766 persons included in the sample, weighted prevalence of AUD was 7.9% (95% CI 7.7-8.0%). Persons with AUD utilized health care settings at similar rates as those without AUD. Cascades of care showed the majority of individuals with AUD utilized health care and were screened about alcohol use, but the percent who received the subsequent steps of care decreased substantially. For those with severe AUD, 83.5% (CI: 78.3%-88.7%) utilized health care in the past 12 months, 73.5% (CI: 68.1%-78.9%) were screened for alcohol use, 22.7% (CI: 19.4%-26.0%) received a brief intervention, 12.4% (CI: 10%-14.7%) received information about treatment, and 20.5% (CI: 18%-23.1%) were treated for AUD. The greatest decrease in the care continuum occurred from screening to brief intervention and referral to treatment. More persons with severe AUD received treatment than were referred, indicating other pathways to treatment outside of the healthcare system., Conclusions: Persons with AUD utilize health care at high rates and are frequently screened about alcohol use, but few receive treatment. Health care settings-particularly primary care settings-represent a prime opportunity to implement pharmacologic treatment for AUD to improve outcomes in this high-risk population.

Published
2020
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