Secondary outcomes
non-substance, Psychiatric, OUD
SECONDARY
Substance Use: The Healthy Living Survey includes other items on opioid and other substance use for secondary analyses. Substances queried using additional questions based on the Addiction Severity Index [Other sources of data on substance use include qualitative urine drug screens to verify self-reported drug use at baseline, 6, and 12 months. The urine drug screen measures opioids, oxycodone, fentanyl, barbiturates, benzodiazepines, cocaine, amphetamine, methamphetamine, marijuana, methadone, buprenorphine, phencyclidine and ecstasy. Additionally, the RC/RA administers an assessment of risky opioid use via Timeline Follow-Back method at 90 and 180 days. This assessment will measure days of risky opioid use should the monthly assessments yield low response rates. The Psychiatric Diagnostic Screening Questionnaire (PDSQ) [For non-substance use measures, see Table Primary care provider outcomes focused on improving guideline-concordant practices with respect to patients with risky opioid use, including prescribing lower doses of opioids, avoiding concomitant benzodiazepines, increased monitoring and higher visit frequency. Provider-level outcomes are measured through chart abstraction in the Electronic Health Record, including opioid prescriptions (< 50 Morphine Milligram Equivalent (MME), 50–90 MME and =  > 90 MME), benzodiazepine prescriptions, naloxone prescriptions, number of urine drug screens ordered and completed, new diagnoses of OUD, and number of scheduled primary care visits per patient participant.