Feasibility of Implementing an Opioid Risk Mitigation System in Military Treatment Facilities to Mitigate Drug Use
Technical Report,01 Jan 2015,01 Jan 2018
TEXAS UNIV HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO United States
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Opioid analgesics are the most misused drug class in the United States, second only to marijuana. Misuse and abuse by military service members is now an urgent concern. Increased use of opioids to treat chronic pain appears to be related to increased opioid misuse and abuse. The 2009 Department of Defense DoD Survey of Health Related Behaviors among Active Duty Military Personnel revealed substantial increases in misuse of prescription drugs, attributed overwhelmingly to opioid analgesics. Both overall DoD and Army rates were significantly higher than the civilian rate of prescription drug misuse during the same period. To address similar problems with opioid misuse and abuse, states have initiated electronic prescription monitoring programs PMP that track all scheduled medications from pharmacies within the state. Objective The objective of the project is to utilize PMP technology and innovations to develop and test an opioid-related misuse prevention intervention using surveillance and detection to support clinical care in military settings. We will include standardized population level and individual-user level reports and guidelines to inform utilization of PMP data. This will support future efforts to develop further intervention activities for example, the development of provider and patient educational activities and brief interventions similar to those that have been developed by state PMPs Study Design We will use a combination of quantitative and qualitative methods to1 develop and test prescription database search algorithms similar to those used in state PMPs for identifying potential opioid misuse within the military setting 2 generate and evaluate standardized reports and guidance documents in preparation for implementing a provider-focused query and reporting system appropriate to the military context and 3 develop a final set of intervention recommendations suitable for implementation the DOD Military Health System.
- Medicine and Medical Research