Abstract

Introduction: Studies suggest that a large proportion of patients with substance use disorders (SUDs) also have underlying chronic pain. There is limited data on prevalence of chronic pain treatment as a component of residential substance use treatment. This initiative sought to investigate the prevalence and type of chronic pain services offered at these residential programs.Methods: This study was a retrospective review of information obtained from residential substance use treatment facility websites contained in SAMHSA’s treatment navigator. Nine hundred-fifty out of 2952 websites were randomly selected for analysis. The primary outcome was prevalence of facilities that had chronic pain programs. Services offered were specified as available. Descriptive statistics were used to summarize data.Results: Nine-hundred nine websites (95.7%, [94,97]) were accessible. Twenty-six facilities (2.9%,[1.9,4.2]) had a chronic pain program and of these 22 (84.6%, [64.3,95.0]) specified services offered. Common services included physical therapy (6, 27.3%), massage (12, 54.6%), and acupuncture (10, 45.5%). Of the remaining sites, 630 (69.3%, [66.2,72.3]) specified services offered, including yoga (122, 19.4%) and exercise (199, 31.6%).Conclusion: Our study demonstrated that despite most facilities offering adjunctive services, few had chronic pain programs. This suggests that there is a possible need for better updating of facility websites or possibly an area for improvement in residential substance use treatment settings.

摘要

简介：研究表明，很大一部分物质使用障碍 (SUD) 患者还患有潜在的慢性疼痛。关于慢性疼痛治疗作为住院药物滥用治疗的一部分的流行率的数据有限。该倡议旨在调查这些住院项目提供的慢性疼痛服务的流行率和类型。方法：本研究是对从 SAMHSA 治疗导航器中包含的住宅药物使用治疗机构网站获得的信息进行回顾性审查。从 2952 个网站中随机选择了 950 个进行分析。主要结果是开展慢性疼痛项目的机构的普及率。所提供的服务被指定为可用。使用描述性统计来总结数据。结果： 909 个网站 (95.7%, [94,97]) 可以访问。26 个机构 (2.9%,[1.9,4.2]) 制定了慢性疼痛计划，其中 22 个机构 (84.6%, [64.3,95.0]) 提供了指定服务。常见服务包括物理治疗（6 例，27.3%）、按摩（12 例，54.6%）和针灸（10 例，45.5%）。其余网站中，630 个（69.3%，[66.2,72.3]）指定提供服务，包括瑜伽（122 个，19.4%）和锻炼（199 个，31.6%）。结论：我们的研究表明，尽管大多数机构提供辅助服务，但很少有机构有慢性疼痛项目。这表明可能需要更好地更新设施网站，或者可能需要改进住宅药物使用治疗环境。