Alisa B. Busch
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View article: Opioid and alcohol use disorder medication availability in outpatient care: national estimates & potential policy levers
Opioid and alcohol use disorder medication availability in outpatient care: national estimates & potential policy levers Open
Medications for opioid and alcohol use disorder (MOUD/MAUD) are efficacious, important components of relapse prevention care, and markedly underused. Yet, not all programs treating substance use disorders (SUD) offer them. Using the Substa…
View article: The role and reach of alcohol reduction apps
The role and reach of alcohol reduction apps Open
Although apps are widely available and have several advantages as a tool to support alcohol reduction and recovery, little is known about how individuals are using them. In 2024, we conducted an exploratory sequential mixed-methods study t…
View article: Data-driven clustering of mental health symptoms and brain functional connectivity signatures in transdiagnostic psychiatric inpatients
Data-driven clustering of mental health symptoms and brain functional connectivity signatures in transdiagnostic psychiatric inpatients Open
Psychiatric disorders are notoriously heterogenous, often rendering diagnostic efforts challenging, and leading to poor therapeutic outcomes. The growing emphasis on ‘transdiagnostic’ approaches in psychiatry aligns well with the National …
View article: Telemedicine for Initiation of Alcohol Use Disorder Medications
Telemedicine for Initiation of Alcohol Use Disorder Medications Open
This case-control study examines the initiation of treatment with medications for alcohol use disorder (MAUD) among US adults and compares the characteristics of adults who initiate MAUD treatment via telemedicine vs in-person care.
View article: Medications for Alcohol Use Disorder: Rates and Predictors of Prescription Order and Fill in Outpatient Settings
Medications for Alcohol Use Disorder: Rates and Predictors of Prescription Order and Fill in Outpatient Settings Open
View article: Expanding Treatment Options for Alcohol Use Disorder
Expanding Treatment Options for Alcohol Use Disorder Open
This Viewpoint discusses the emergence of telemedicine as a potential treatment option for alcohol use disorder and highlights the advantages, disadvantages, and barriers of this care model.
View article: Perceptions of stimulant and buprenorphine diversion and strategies to address it
Perceptions of stimulant and buprenorphine diversion and strategies to address it Open
There is ongoing policy debate on the prescribing of controlled substances such as buprenorphine and stimulants via telemedicine. The goal of federal and state policymakers is to ensure access to care while limiting diversion risk. However…
View article: In-Person Visits Before Initiation of Telemedicine for Mental Illness
In-Person Visits Before Initiation of Telemedicine for Mental Illness Open
This cross-sectional study examines how often patients had an in-person visit before initiating telemedicine for mental illness between 2019 and 2022.
View article: Racial and Ethnic Differences in Telemedicine Use
Racial and Ethnic Differences in Telemedicine Use Open
Importance Individuals of racial and ethnic minority groups may be less likely to use telemedicine in part due to lack of access to technology (ie, digital divide). To date, some studies have found less telemedicine use by individuals of r…
View article: High-density lipoprotein (HDL) as an indicator for alcohol use in a psychiatrically ill population
High-density lipoprotein (HDL) as an indicator for alcohol use in a psychiatrically ill population Open
Aims To examine the cross sectional and longitudinal associations between the Alcohol Use Disorders Identification Test-Concise (AUDIT-C) and differences in high-density lipoprotein (HDL) in a psychiatrically ill population. Methods Retros…
View article: Changes in Healthcare Spending Attributable to High Deductible Health Plan Offer Among Enrollees with Comorbid Substance Use Disorder and Cardiovascular Disease
Changes in Healthcare Spending Attributable to High Deductible Health Plan Offer Among Enrollees with Comorbid Substance Use Disorder and Cardiovascular Disease Open
View article: Characteristics of Mental Health Specialists Who Shifted Their Practice Entirely to Telemedicine
Characteristics of Mental Health Specialists Who Shifted Their Practice Entirely to Telemedicine Open
This cohort study investigates the number and characteristics of US mental health specialists who had shifted to a fully virtual practice as of 2022.
View article: Use of Telemedicine and Quality of Care Among Medicare Enrollees With Serious Mental Illness
Use of Telemedicine and Quality of Care Among Medicare Enrollees With Serious Mental Illness Open
Importance During the COVID-19 pandemic, a large fraction of mental health care was provided via telemedicine. The implications of this shift in care for use of mental health service and quality of care have not been characterized. Objecti…
View article: Choosing Or Losing In Behavioral Health: A Study Of Patients’ Experiences Selecting Telehealth Versus In-Person Care
Choosing Or Losing In Behavioral Health: A Study Of Patients’ Experiences Selecting Telehealth Versus In-Person Care Open
It is not known how the growth of telehealth has affected patients' choice of visit modalities (telehealth versus in person). In 2023 we conducted a mixed-methods study that paired a nationally representative survey of 2,071 adults (includ…
View article: Choice of high-deductible health plans among enrollees with a substance use disorder
Choice of high-deductible health plans among enrollees with a substance use disorder Open
View article: Alcohol Use Disorder Treatment in Sexually and Gender Diverse Patients
Alcohol Use Disorder Treatment in Sexually and Gender Diverse Patients Open
Conclusions: SGD patients had higher proportions of AUD diagnosis and AUD care utilization through behavioral health as compared to non-SGD patients.
View article: High-deductible Health Plans and Nonfatal Opioid Overdose
High-deductible Health Plans and Nonfatal Opioid Overdose Open
Objectives: Opioid-related overdose is a public health emergency in the United States. Meanwhile, high-deductible health plans (HDHPs) have become more prevalent in the United States over the last 2 decades, raising concern about their pot…
View article: Trends in Acute Care Use for Mental Health Conditions Among Youth During the COVID-19 Pandemic
Trends in Acute Care Use for Mental Health Conditions Among Youth During the COVID-19 Pandemic Open
Importance Understanding how children’s utilization of acute mental health care changed during the COVID-19 pandemic is critical for directing resources. Objective To examine youth acute mental health care use (emergency department [ED], b…
View article: Prescribing Medications for Alcohol Use Disorder: A Qualitative Study of Primary Care Physician Decision Making
Prescribing Medications for Alcohol Use Disorder: A Qualitative Study of Primary Care Physician Decision Making Open
There is a challenging implementation context for MAUD due to competing demands within primary care. Future research should explore which strategies for identifying a subset of patients for MAUD are the most appropriate and most likely to …
View article: Do High-Deductible Health Plans Incentivize Changing the Timing of Substance Use Disorder Treatment?
Do High-Deductible Health Plans Incentivize Changing the Timing of Substance Use Disorder Treatment? Open
A high-deductible health plan (HDHP) may incentivize enrollees to limit health care use at the beginning of a plan year, when they are responsible for 100% of costs, or to increase the use of care at the end of the year, when enrollees may…
View article: Patient-centered inpatient psychiatry is associated with outcomes, ownership, and national quality measures
Patient-centered inpatient psychiatry is associated with outcomes, ownership, and national quality measures Open
Following discharge from inpatient psychiatry, patients experience elevated suicide risk, unplanned readmission, and lack of outpatient follow-up visits. These negative outcomes might relate to patient-centered care (PCC) experiences while…
View article: Impact of High Deductible Health Plans on U.S. Adults With Chronic Pain
Impact of High Deductible Health Plans on U.S. Adults With Chronic Pain Open
View article: Long-Term Prospects for Telemedicine in Opioid Use Disorder (OUD) Treatment: Results from a Longitudinal Survey of OUD Clinicians
Long-Term Prospects for Telemedicine in Opioid Use Disorder (OUD) Treatment: Results from a Longitudinal Survey of OUD Clinicians Open
View article: Measurement Approaches to Estimating Methadone Continuity in Opioid Use Disorder Care
Measurement Approaches to Estimating Methadone Continuity in Opioid Use Disorder Care Open
Background: Long-term treatment with medications for opioid use disorder (OUD), including methadone, is lifesaving. There has been little examination of how to measure methadone continuity in claims data. Objectives: To develop an approach…
View article: Many Clinicians Implement Digital Equity Strategies To Treat Opioid Use Disorder
Many Clinicians Implement Digital Equity Strategies To Treat Opioid Use Disorder Open
Drawing upon a longitudinal survey of clinicians who treat patients with opioid use disorder (OUD), we report changes over time in telemedicine use, clinicians' attitudes, and digital equity strategies. Clinicians reported less use of tele…
View article: Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic
Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic Open
Importance Little is known about the potential implications of the rapid transition to telehealth during the COVID-19 pandemic for treatment of opioid use disorder (OUD). Objective To examine the association between telemedicine adoption d…
View article: Telemental health for clinical assessment and treatment
Telemental health for clinical assessment and treatment Open
Telemental health—the use of videoconferencing or audio only (telephone) in mental health care—has accelerated tremendously since the start of the covid-19 pandemic. Meta-analyses have examined the reliability (ie, concordance) of assessme…
View article: High deductible health plans and spending among families with a substance use disorder
High deductible health plans and spending among families with a substance use disorder Open
View article: A cohort study examining changes in treatment patterns for alcohol use disorder among commercially insured adults in the United States during the COVID-19 pandemic
A cohort study examining changes in treatment patterns for alcohol use disorder among commercially insured adults in the United States during the COVID-19 pandemic Open
View article: Integration of pharmacotherapy for alcohol use disorder treatment in primary care settings: A scoping review
Integration of pharmacotherapy for alcohol use disorder treatment in primary care settings: A scoping review Open