Pain Medication Prescriptions and Misuse Following Treatment for Alcohol Use Disorders

Leonard | Elkin
This project will create an integrated database of the Client Data System of the NYS Office of Alcoholism and Substance Abuse Services (OASAS) and NYS Medicaid records to determine the risk of opioid/benzodiazepine use and misuse for patients with alcohol use disorder.

The presence of chronic pain among individuals with AUD combined with the chronic, relapsing nature of alcohol use disorders raises the possibility that individuals with an alcohol use disorder may receive opioid and/or benzodiazepine prescriptions for pain. These medications may contribute to heightened risk for morbidity and mortality in this population. This project will create an integrated database of the Client Data System of the New York State Office of Alcoholism and Substance Abuse Services (OASAS) and New York State Medicaid records to determine the risk of opioid/benzodiazepine use and misuse for patients with alcohol use disorder and medical and treatment factors that increase risk in this population. These findings will have important clinical implications for the management of patients in primary care with an unrecognized history of an alcohol use disorder as well as policy implications with respect to medical access to alcohol treatment records.

Co-Principal Investigators
Kenneth Leonard, PhD
Clinical and Research Institute on Addictions
Department of Psychiatry

Peter L. Elkin MD, MACP, FACMI, FNYAM
Department of Biomedical Informatics
Clinical and Research Institute on Addictions

Funding Agency
National Institue on Alcohol Abuse and Alcoholism (NIAAA)

Grant Number
R21-AA026954

Dates
2018-2020