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Expanding the National Drug Abuse Treatment Clinical Trials Network to Address the Management of Substance Use Disorders in General Medical Settings.

Substance Abuse and Rehabilitation 2014;5:75-80. [doi: 10.2147/SAR.S66538]

Betty Tai, PhD, Steven Sparenborg, PhD, Udi E. Ghitza, PhD, David S. Liu, MD (all from NIDA Center for the Clinical Trials Network).

The Patient Protection and Affordable Care Act (2010) and the Mental Health Parity and Addiction Equity Act (2008) expand substance use disorder (SUD) care services in the USA into general medical settings. Care offered in these settings will engage substance-using patients in an integrated and patient-centered environment that addresses physical and mental health comorbidities and follows a chronic care model. This expansion of SUD services presents a great need for evidence-based practices useful in general medical settings, and reveals several research gaps to be addressed. The National Drug Abuse Treatment Clinical Trials Network (CTN) of the National Institute on Drug Abuse can serve an important role in this endeavor. This commentary highlights high-priority research gaps, and suggests that, to meet the challenge of filling those gaps, the SUD clinical research community and, in particular, the NIDA CTN, should: expand clinical research infrastructures to include practice-based research networks in general medical settings; develop the "learning health care system" model for conducting practical trials and comparative effectiveness research; identify and evaluate feasible chronic care models for the treatment of SUDs and co-occurring conditions; and leverage modern health information technology, including electronic health records, as new resources for data collection and data sharing. These foundational steps should help to ensure that new models for mainstreamed, integrative SUD care can be built upon a sturdy base of research evidence. (Article (Peer-Reviewed), PDF, English, 2014)

Keywords: Community health services | CTN ancillary study results | CTN platform/ancillary study | HIV/AIDS | HIV rapid testing | Sexual risk behavior | Sexually transmitted diseases | JAMA (journal)

Document No: 1083, PMID: 25114611, PMCID: PMC4114899.

Submitted by Udi Ghitza, PhD, NIDA CCTN, 7/24/2014.

Ghitza, Udi E. search mail
Liu, David S. search mail
Sparenborg, Steven search
Tai, Betty search

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 7/2014 --