STOP intervention
Depression, Overdose, Pain, pain
PCP
The STOP intervention consists of three key components: Brief advice delivered by the PCP and/or a brief video doctor on opioid use, two to six sessions of telephone health coaching, and 12 months of nurse care management. Each component was included in prior clinical trials conducted in primary care settings that were effective in decreasing drug use [Summary of Intervention Provider Roles and Timing of Patient Contacts• Brief advice• Discusses opioid use in context of overall health• Health education• Risk reduction counseling• Overdose prevention and naloxone provision• Self-management skills• Education on non-pharmacologic pain management• Referrals and support for pain, mental health, SUD treatment, other services• Healthcare and resource navigation• Supports engagement in primary care• Uses motivational enhancement strategies to engage patients in SUD treatment when indicated• Monitoring opioid prescribing and risks, when applicable2 initial coaching sessions• Offers support• Evidence-based counseling (MI) to enhance motivation for substance use behavior change• Risk reduction counseling• Suggests strategies for overcoming barriers to behavior change• Encourages engagement w/ primary care and behavioral health providers and study nurse care manager in the clinic• Encourages utilization of community and/or on-line resources to support behavior change4 enhanced coaching sessions:• Evidence-based CBT focused on substance use behavior change• Additional CBT to address other patient concerns (Pain, Depression, Anxiety)1.Baseline visit or within 10 business days2.Readdress in follow-up primary care visits1.Baseline visit2.12 months of ongoing monitoring and engagement in conjunction with PCP. Meets on an approximately monthly basis for patients prescribed chronic opioids and as needed for all patients1.Initial health coaching: Week 2 and Week 4 (approximately) following baseline visit2.Enhanced coaching: For individuals who may benefit from further intervention: Weeks 7,8,9,10 (approximately)