243638 Differences in patient and provider views in substance use treatment services

Tuesday, November 1, 2011

Sarah Haverly, BA , Research Department, CODA, Inc., Portland, OR
Katharina Wiest, PhD , Research Department, CODA, Inc., Portland, OR
Allison O'Neill, BA , Research Department, CODA, Inc., Portland, OR
Diane Lape, BA, CCRP , Department of Public Health & Preventive Medicine, Oregon Health & Science University, Portland, OR
Rachael Baker, BS , Research Department, CODA, Inc., Portland, OR
Katherine Thornton, RN , Dispensary, CODA, Inc., Portland, OR
Diane Gasperin, BA , Research Department, CODA, Inc., Portland, OR
Tim Hartnett, MSW, MHA , Executive Director, CODA, Inc, Portland, OR
Discordance may exist between what providers believe are desired ancillary services for substance use disorder (SUD) treatments and self-reported patient needs. Prior to implementation of new services, CODA, Inc., the largest non-profit SUD treatment facility in Oregon, conducted three anonymous patient surveys to determine: 1) leading health concerns (n = 85); 2) desired patient services (n = 311); and 3) smoking practices (n = 63). A priori, staff advocated for annual medical screening and yoga as a Complimentary and Alternative Medicine (CAM) option. Patient self-reports were not in alignment with initial staff assessments. Taken together the surveys form a compelling composite of patient reported health concerns, CAM services wanted, and smoking habits. Age (mean = 40 years), gender (57% female), and race (85% white) were comparable between the surveys. Chronic pain (53%), anxiety (40%), and liver disease, i.e. Hepatitis C (27%) were the leading patient reported health concerns. Desired CODA patient CAM services were massage (65%), weight training and exercise (59%), and acupuncture (53%). 30% of patients listed massage as the first choice service, compared to 27% of patients that listed chronic pain as the primary concern. Similarly, 47% of patients requested smoking cessation services and 47% of smokers listed smoking cessation as a health concern. However, 58% of smokers reported spending $11-30 per week on cigarettes, while 43% reported unwillingness to spend anything on smoking cessation services. Assessment and incorporation of patient-driven services may lead to enhanced patient compliance and retention with SUD treatment.

Learning Areas:
Public health or related research

Learning Objectives:
1.List the different health concerns expressed by patients. 2.Describe the correlation between services requested, and patient health concerns. 3.Implement patient services as dictated by patient concerns and requests.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am director of research in a substance use disorder treatment program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.