Background
co-occurring mental health disorders, depression, OUD, pain, post-traumatic stress disorder, PTSD, SUDs, Depression
DISORDER, RECRUITMENT, DISORDERS
Mental health disorders often co-occur with substance use disorders (SUDs), especially opioid use disorder (OUD), and are often untreated [Depression, unhealthy drug use, and post-traumatic stress disorder (PTSD) are all common disorders in patients who receive care in PC settings [Co-occurring PTSD and OUD is common but difficult to treat. Poor treatment outcomes may be due to the lack of treatment models that can address both problems simultaneously [We implemented a feasibility and pilot study to assess identification of probable OUD and co-occurring mental health disorders in family practice clinics in New Mexico via universal screening in waiting rooms. The main objectives were to (1) assess the feasibility of implementing universal screening to identify probable OUD, depression, and PTSD among patients in PC clinics to inform recruitment operations for a planned clinical trial, and (2) assess the likelihood of waiting room screening for detecting probable OUD and co-occurring mental health disorders (“observed”) by comparing to electronic health record diagnoses (EHR, “expected”) during the same period. We hypothesized that universal screening in PC for probable OUD and co-occurring mental health disorders would yield a higher number of patients with these disorders relative to what is recorded in the EHR. An exploratory goal was to assess patients’ reports of treatments received for any of these disorders. As pain is often associated with chronic opioid use, OUD, PTSD, and depression [