In episode 419, Tina, Mike and James finish talking about managing opioid use disorder in primary care. We find that positive reinforcement and brief counseling can be of some value but not the opposite – we realize we should treat this in a similar way to a chronic condition. We also realize that the evidence around urine drug testing and contracts is at best confusing and very limited.
Opioid use disorder in primary care: PEER umbrella systematic review of systematic reviews
Managing opioid use disorder in primary care: PEER simplified guideline