Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Problem Drug-related Behavior and Discontinuation of Opioids Following the Introduction of an Opioid Management Program

Lucinda A. Grande, Ellen Campbell Thompson, Margaret A. Au, Devin Sawyer, Laura-Mae Baldwin and Roger Rosenblatt
The Journal of the American Board of Family Medicine November 2016, 29 (6) 718-726; DOI: https://doi.org/10.3122/jabfm.2016.06.160073
Lucinda A. Grande
From the Department of Family Medicine, University of Washington School of Medicine, Seattle (LAG, ECT, MAA, L-MB, RR); and Providence St. Peter Family Medicine, Olympia, WA (DS).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ellen Campbell Thompson
From the Department of Family Medicine, University of Washington School of Medicine, Seattle (LAG, ECT, MAA, L-MB, RR); and Providence St. Peter Family Medicine, Olympia, WA (DS).
BA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Margaret A. Au
From the Department of Family Medicine, University of Washington School of Medicine, Seattle (LAG, ECT, MAA, L-MB, RR); and Providence St. Peter Family Medicine, Olympia, WA (DS).
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Devin Sawyer
From the Department of Family Medicine, University of Washington School of Medicine, Seattle (LAG, ECT, MAA, L-MB, RR); and Providence St. Peter Family Medicine, Olympia, WA (DS).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Laura-Mae Baldwin
From the Department of Family Medicine, University of Washington School of Medicine, Seattle (LAG, ECT, MAA, L-MB, RR); and Providence St. Peter Family Medicine, Olympia, WA (DS).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Roger Rosenblatt
From the Department of Family Medicine, University of Washington School of Medicine, Seattle (LAG, ECT, MAA, L-MB, RR); and Providence St. Peter Family Medicine, Olympia, WA (DS).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    Centers for Disease Control and Prevention (CDC). Vital signs: overdoses of prescription opioid pain relievers—United States, 1999–2008. MMWR Morb Mortal Wkly Rep 2011;60:1487–92.
    OpenUrlPubMed
  2. 2.↵
    1. Chou R,
    2. Fanciullo GJ,
    3. Fine PG,
    4. et al
    ; American Pain Society–American Academy of Pain Medicine Opioids Guidelines Panel. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. J Pain 2009;10:113–30.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    Federation of State Medical Boards. Model policy on the use of opioid analgesics in the treatment of chronic pain. Available from: http://www.fsmb.org/Media/Default/PDF/FSMB/Advocacy/pain_policy_july2013.pdf. Accessed June 26, 2016.
  4. 4.↵
    Washington State Agency Medical Directors Group (AMDG). Interagency guideline on prescribing opioids for pain. Available from: http://www.agencymeddirectors.wa.gov/Files/2015AMDGOpioidGuideline.pdf. Accessed June 26, 2016.
  5. 5.↵
    1. Johnson H,
    2. Paulozzi L,
    3. Porucznik C,
    4. Mack K,
    5. Herter B
    ; Hal Johnson Consulting and Division of Disease Control and Health Promotion, Florida Department of Health. Decline in drug overdose deaths after state policy changes - Florida, 2010–2012. MMWR Morb Mortal Wkly Rep 2014;63:569–74.
    OpenUrlPubMed
  6. 6.↵
    1. Dowell D,
    2. Haegerich TM,
    3. Chou R
    . CDC guideline for prescribing opioids for chronic pain - United States, 2016. MMWR Recomm Rep 2016;65:1–49.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Ballantyne JC,
    2. Sullivan MD,
    3. Kolodny A
    . Opioid dependence vs. addiction: a distinction without a difference? Arch Intern Med 2012;172:1342–3.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. Højsted J,
    2. Nielsen PR,
    3. Guldstrand SK,
    4. Frich L,
    5. Sjøgren P
    . Classification and identification of opioid addiction in chronic pain patients. Eur J Pain 2010;14:1014–20.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Yanni LM,
    2. Weaver MF,
    3. Johnson BA,
    4. Morgan LA,
    5. Harrington SE,
    6. Ketchum JM
    . Management of chronic nonmalignant pain: a needs assessment in an internal medicine resident continuity clinic. J Opioid Manag 2008;4:201–11.
    OpenUrlPubMed
  10. 10.↵
    1. Corrigan C,
    2. Desnick L,
    3. Marshall S,
    4. Bentoy N,
    5. Rosenblatt RA
    . What can we learn from first-year medical students' perceptions of pain in the primary care setting? Pain Med 2011;12:1216–22.
    OpenUrl
  11. 11.↵
    1. Kolodny A,
    2. Courtwright DT,
    3. Hwang CS,
    4. et al
    . The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annu Rev Public Health 2015;36:559–74.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Ballantyne JC,
    2. LaForge KS
    . Opioid dependence and addiction during opioid treatment of chronic pain. Pain 2007;129:235–55.
    OpenUrlCrossRefPubMedWeb of Science
  13. 13.↵
    1. Højsted J,
    2. Sjøgren P
    . Addiction to opioids in chronic pain patients: a literature review. Eur J Pain 2007;11:490–518.
    OpenUrlCrossRefPubMedWeb of Science
  14. 14.↵
    1. Vowles KE,
    2. McEntee MK,
    3. Julnes PS,
    4. Frohe T,
    5. Ney JP,
    6. van der Goes DN
    . Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis. Pain 2015;156:569–76.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Becker WC,
    2. Fiellin DA,
    3. Merrill JO,
    4. et al
    . Opioid use disorder in the United States: insurance status and treatment access. Drug Alcohol Depend 2008;94:207–13.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Katz NP,
    2. Sherburne S,
    3. Beach M,
    4. et al
    . Behavioral monitoring and urine toxicology testing in patients receiving long-term opioid therapy. Anesth Analg 2003;97:1097–102.
    OpenUrlPubMedWeb of Science
  17. 17.↵
    1. Ballantyne JC,
    2. Stannard C
    . New addiction criteria: diagnostic challenges persist in treating patients with opioids. Pain Clin Updates 2013;21:1–7.
    OpenUrl
  18. 18.↵
    1. Starrels JL,
    2. Becker WC,
    3. Weiner MG,
    4. Li X,
    5. Heo M,
    6. Turner BJ
    . Low use of opioid risk reduction strategies in primary care even for high risk patients with chronic pain. J Gen Intern Med 2011;26:958–64.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Turner JA,
    2. Saunders K,
    3. Shortreed SM,
    4. et al
    . Chronic opioid therapy risk reduction initiative: impact on urine drug testing rates and results. J Gen Intern Med 2014;29:305–11.
    OpenUrlCrossRefPubMed
  20. 20.↵
    1. Cheatle MD,
    2. Klocek JW,
    3. McLellan AT
    . Managing pain in high-risk patients within a patient-centered medical home. Transl Behav Med 2012;2:47–56.
    OpenUrlCrossRefPubMed
  21. 21.↵
    1. Rudd RA,
    2. Paulozzi LJ,
    3. Bauer MJ,
    4. et al
    ; Centers for Disease Control and Prevention (CDC). Increases in heroin overdose deaths - 28 states, 2010 to 2012. MMWR Morb Mortal Wkly Rep 2014;63:849–54.
    OpenUrlPubMed
  22. 22.↵
    1. Wiedemer NL,
    2. Harden PS,
    3. Arndt IO,
    4. Gallagher RM
    . The opioid renewal clinic: a primary care, managed approach to opioid therapy in chronic pain patients at risk for substance abuse. Pain Med 2007;8:573–84.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Bart G
    . Maintenance medication for opiate addiction: the foundation of recovery. J Addict Dis 2012;31:207–25.
    OpenUrlCrossRefPubMed
  24. 24.↵
    1. Pierce M,
    2. Bird SM,
    3. Hickman M,
    4. et al
    . Impact of treatment for opioid dependence on fatal drug-related poisoning: a national cohort study in England. Addiction 2015;111:298–308.
    OpenUrl
  25. 25.↵
    1. Daitch D,
    2. Daitch J,
    3. Novinson D,
    4. Frey M,
    5. Mitnick C,
    6. Perfolizzi J Jr.
    . Conversion from high-dose full-opioid agonists to sublingual buprenorphine reduces pain scores and improves quality of life for chronic pain patients. Pain Med 2014;15:2087–94.
    OpenUrl
  26. 26.↵
    1. Roux P,
    2. Sullivan MA,
    3. Cohen J,
    4. et al
    . Buprenorphine/naloxone as a promising therapeutic option for opioid abusing patients with chronic pain: reduction of pain, opioid withdrawal symptoms, and abuse liability of oral oxycodone. Pain 2013;154:1442–8.
    OpenUrl
  27. 27.↵
    1. Earnshaw V,
    2. Smith L,
    3. Copenhaver M
    . Drug addiction stigma in the context of methadone maintenance therapy: an investigation into understudied sources of stigma. Int J Ment Health Addict 2013;11:110–22.
    OpenUrl
  28. 28.↵
    Substance Abuse and Mental Health Services Administration. 2011 Opioid Treatment Program Survey: data on substance abuse treatment facilities with OTPs. BHSIS Series S-65, HHS publication no. (SMA) 14–4807. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013. Available from: http://www.samhsa.gov/data/sites/default/files/OTP2011_Web/OTP2011_Web/OTP2011_Web.pdf. Accessed June 26, 2016.
  29. 29.↵
    1. Rosenblatt RA,
    2. Andrilla CH,
    3. Catlin M,
    4. Larson EH
    . Geographic and specialty distribution of US physicians trained to treat opioid use disorder. Ann Fam Med 2015;13:23–6.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Westanmo A,
    2. Marshall P,
    3. Jones E,
    4. Burns K,
    5. Krebs EE
    . Opioid dose reduction in a VA health care system–implementation of a primary care population-level initiative. Pain Med 2015;16:1019–26.
    OpenUrlCrossRefPubMed
  31. 31.↵
    1. Weimer MB,
    2. Hartung DM,
    3. Ahmed S,
    4. Nicolaidis C
    . A chronic opioid therapy dose reduction policy in primary care. Subst Abus 2016;37:141–7.
    OpenUrl
  32. 32.↵
    Drug Addiction Treatment Act of 2000. Publ L No. 106–310, Stat 1101. Available from: http://www.samhsa.gov/medication-assisted-treatment/legislation-regulations-guidelines#DATA-2000. Accessed June 26, 2016.
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 29 (6)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 6
November-December 2016
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Problem Drug-related Behavior and Discontinuation of Opioids Following the Introduction of an Opioid Management Program
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
9 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Problem Drug-related Behavior and Discontinuation of Opioids Following the Introduction of an Opioid Management Program
Lucinda A. Grande, Ellen Campbell Thompson, Margaret A. Au, Devin Sawyer, Laura-Mae Baldwin, Roger Rosenblatt
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 718-726; DOI: 10.3122/jabfm.2016.06.160073

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Problem Drug-related Behavior and Discontinuation of Opioids Following the Introduction of an Opioid Management Program
Lucinda A. Grande, Ellen Campbell Thompson, Margaret A. Au, Devin Sawyer, Laura-Mae Baldwin, Roger Rosenblatt
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 718-726; DOI: 10.3122/jabfm.2016.06.160073
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Evaluating comparative effectiveness of psychosocial interventions for persons receiving opioid agonist therapy for opioid use disorder: protocol for a systematic review
  • Bread and Butter of Family Medicine: Guidelines, Population Screening, Diagnostic Evaluations, and Practice Models
  • Google Scholar

More in this TOC Section

  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
Show more Original Research

Similar Articles

Keywords

  • Ambulatory Care Facilities
  • Analgesics
  • Opioid
  • Opioid-Related Disorders
  • Prevalence
  • Primary Health Care
  • Registries
  • Safety-Net Providers
  • Substance Abuse Detection

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire