Introduction: Integration of viral hepatitis/HIV care and substance use disorder (SUD) treatment has been shown to improve patient outcomes, but data are lacking in rural states like Maine. Our study objective was to assess the baseline characteristics and outcomes of patients with SUD who receive combined substance use and viral hepatitis/HIV treatment at a recently established “Bridge Program” in our rural state. Methods: We conducted a retrospective chart review of patients enrolled in the Bridge Program between January 2020 and November 2021. We then performed a descriptive analysis of demographics, health characteristics, preventive services, and treatment outcomes. Results: A total of 14 patients were enrolled in the Bridge Program, of which 13/14 (93%) had hepatitis C, and 3/14 (21%) had HIV. When indicated, 100% of participants received appropriate medication for addiction treatment (buprenorphine/naloxone or naltrexone), naloxone kits, and hepatitis A and B vaccinations. Among patients with hepatitis C, 12/13 (92%) started antiviral treatment, of which 10/12 (83%) either achieved treatment cure or are receiving ongoing treatment. Discussion: Integrated care models can successfully treat SUD and HIV/viral hepatitis as co-occurring medical conditions. These models must consider approaches to reduce the number of visits and travel time required for optimal treatment, and enhance recovery by consistently prescribing evidence-based medication for SUD. Conclusions: Our study shows how an integrated clinic model in a rural state can provide comprehensive care, including SUD treatment, naloxone prescribing, vaccinations, and, importantly, high rates of successful hepatitis C/HIV treatment.
{"title":"Under One Roof – An Integrated Clinic for Substance Use Disorder and Viral Hepatitis/HIV Treatment","authors":"Sarah Hipkens, E. Caron, W. Craig, K. Thakarar","doi":"10.46804/2641-2225.1140","DOIUrl":"https://doi.org/10.46804/2641-2225.1140","url":null,"abstract":"Introduction: Integration of viral hepatitis/HIV care and substance use disorder (SUD) treatment has been shown to improve patient outcomes, but data are lacking in rural states like Maine. Our study objective was to assess the baseline characteristics and outcomes of patients with SUD who receive combined substance use and viral hepatitis/HIV treatment at a recently established “Bridge Program” in our rural state. Methods: We conducted a retrospective chart review of patients enrolled in the Bridge Program between January 2020 and November 2021. We then performed a descriptive analysis of demographics, health characteristics, preventive services, and treatment outcomes. Results: A total of 14 patients were enrolled in the Bridge Program, of which 13/14 (93%) had hepatitis C, and 3/14 (21%) had HIV. When indicated, 100% of participants received appropriate medication for addiction treatment (buprenorphine/naloxone or naltrexone), naloxone kits, and hepatitis A and B vaccinations. Among patients with hepatitis C, 12/13 (92%) started antiviral treatment, of which 10/12 (83%) either achieved treatment cure or are receiving ongoing treatment. Discussion: Integrated care models can successfully treat SUD and HIV/viral hepatitis as co-occurring medical conditions. These models must consider approaches to reduce the number of visits and travel time required for optimal treatment, and enhance recovery by consistently prescribing evidence-based medication for SUD. Conclusions: Our study shows how an integrated clinic model in a rural state can provide comprehensive care, including SUD treatment, naloxone prescribing, vaccinations, and, importantly, high rates of successful hepatitis C/HIV treatment.","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44881102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emma Cronk, Adriana Isacke, Amy E. Haskins, C. Holt, Krystian Bigosinski
Recommended Citation Cronk, Emma; Isacke, Adriana; Haskins, Amy; Holt, Christina; and Bigosinski, Krystian (2023) "How Are Our Athletes Doing? A Cross-Sectional Analysis of Student-Athlete Mental Health in Fall 2022 at a Maine Division III University," Journal of Maine Medical Center: Vol. 5 : Iss. 2 , Article 7. Available at: https://knowledgeconnection.mainehealth.org/jmmc/vol5/iss2/7 https://doi.org/10.46804/ 2641-2225.1155
{"title":"How Are Our Athletes Doing? A Cross-Sectional Analysis of Student-Athlete Mental Health in Fall 2022 at a Maine Division III University","authors":"Emma Cronk, Adriana Isacke, Amy E. Haskins, C. Holt, Krystian Bigosinski","doi":"10.46804/2641-2225.1155","DOIUrl":"https://doi.org/10.46804/2641-2225.1155","url":null,"abstract":"Recommended Citation Cronk, Emma; Isacke, Adriana; Haskins, Amy; Holt, Christina; and Bigosinski, Krystian (2023) \"How Are Our Athletes Doing? A Cross-Sectional Analysis of Student-Athlete Mental Health in Fall 2022 at a Maine Division III University,\" Journal of Maine Medical Center: Vol. 5 : Iss. 2 , Article 7. Available at: https://knowledgeconnection.mainehealth.org/jmmc/vol5/iss2/7 https://doi.org/10.46804/ 2641-2225.1155","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47505821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence (AI): Promise or peril for the publishing world?","authors":"R. Bing-You","doi":"10.46804/2641-2225.1166","DOIUrl":"https://doi.org/10.46804/2641-2225.1166","url":null,"abstract":"","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49553452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving PubMed for the Novice at the Expense of the Expert: Surveying Librarians 3 Years Post-New PubMed","authors":"Tim Kenny, Heather Kemp","doi":"10.46804/2641-2225.1163","DOIUrl":"https://doi.org/10.46804/2641-2225.1163","url":null,"abstract":"","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44582761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Agmas, W. Craig, Kathleen M. Fairfield, B. F. King, Elizabeth Eisenhardt, K. Thakarar
The
的
{"title":"A Cascade of Care of Patients with Hepatitis C Infection in a Rural State","authors":"W. Agmas, W. Craig, Kathleen M. Fairfield, B. F. King, Elizabeth Eisenhardt, K. Thakarar","doi":"10.46804/2641-2225.1137","DOIUrl":"https://doi.org/10.46804/2641-2225.1137","url":null,"abstract":"The","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44222368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura L. Onderko, T. Miller, Sean H Novak, J. Rosenblatt
{"title":"A Case of Congenital Coronary Sinus Ostial Atresia with Persistent Left Superior Vena Cava","authors":"Laura L. Onderko, T. Miller, Sean H Novak, J. Rosenblatt","doi":"10.46804/2641-2225.1136","DOIUrl":"https://doi.org/10.46804/2641-2225.1136","url":null,"abstract":"","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47235041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Mazzeo, E. Danielson, Benjamin Felix, Kimberly J. Toomire, Elizabeth Eisenhardt, Evelyn Roach, Katlyn Breton, Karen Thompson, Stephen M. DiGiovanni, Kathleen M. Fairfield
{"title":"HIV Screening Among Immigrants Establishing Care in Maine, 2017-2021","authors":"Elizabeth Mazzeo, E. Danielson, Benjamin Felix, Kimberly J. Toomire, Elizabeth Eisenhardt, Evelyn Roach, Katlyn Breton, Karen Thompson, Stephen M. DiGiovanni, Kathleen M. Fairfield","doi":"10.46804/2641-2225.1135","DOIUrl":"https://doi.org/10.46804/2641-2225.1135","url":null,"abstract":"","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47323748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Varaklis, T. E. Van der Kloot, Sarah A M Hallen, Thomas Gearan, Lesley B Gordon, Melissa Zelaya-Floyd, Patricia White, Alec :Luro
{"title":"Let's pick up the iPace Leveraging innovative educational research to redesign healthcare delivery","authors":"K. Varaklis, T. E. Van der Kloot, Sarah A M Hallen, Thomas Gearan, Lesley B Gordon, Melissa Zelaya-Floyd, Patricia White, Alec :Luro","doi":"10.46804/2641-2225.1142","DOIUrl":"https://doi.org/10.46804/2641-2225.1142","url":null,"abstract":"","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48807333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sean Francois, James Whiting, Kartikey A Pandya, J. Sawhney
{"title":"Weekly Review of an Academic Checklist to Operationalize Improvements to a Surgical Residency Program","authors":"Sean Francois, James Whiting, Kartikey A Pandya, J. Sawhney","doi":"10.46804/2641-2225.1134","DOIUrl":"https://doi.org/10.46804/2641-2225.1134","url":null,"abstract":"","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42513077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Do We Build an Inclusive Learning Community While Still in a Pandemic?","authors":"R. Bing-You","doi":"10.46804/2641-2225.1150","DOIUrl":"https://doi.org/10.46804/2641-2225.1150","url":null,"abstract":"","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43018833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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