Abstract

The United States is facing an opioid epidemic. Access to medication-assisted treatment (MAT) is recognized as one crucial strategy in decreasing opioid abuse rates and improving population health through mitigation of infectious disease and overdose deaths. However, it has been reported that individuals suffering from opioid-use disorders have limited access to MAT. A synthesis of evidence supported project implementation of shared medical appointments (SMAs) for opioid relapse prevention as a means to support implementation of MAT, increase patient access to treatment, and promote social support in opioid abuse recovery. Accordingly, this project aimed to develop, implement, and evaluate a SMA for medical surveillance follow-up of opioid dependent patients receiving injectable naltrexone for opioid relapse prevention in a rural health clinic that is embedded within an outpatient behavioral health site. The practice change was guided by The Model for Evidence-Based Practice Change, and each component of the Chronic Care Model was integrated into each SMA's design.

Ashley M. Koch

Author Details

Ashley M. Koch, DNP, BSN, RN

Sigma Membership

Unknown

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Shared Medical Appointment, Medication-Assisted Treatment, Naltrexone, Opioids, Opioid Addiction, Rural Health

Advisor

Susan Batten

Second Advisor

Temeaka Gray

Third Advisor

Carolyn J. Lee

Degree

DNP

Degree Grantor

The University of Toledo

Degree Year

2016

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2017-01-09

Full Text of Presentation

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