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Journal of Substance Abuse Treatment

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https://www.readbyqxmd.com/read/29146290/sustained-opioid-antagonism-modulates-striatal-sensitivity-to-baby-schema-in-opioid-use-disorder
#1
An-Li Wang, Steven B Lowen, Igor Elman, Zhenhao Shi, Victoria P Fairchild, Alexander Bouril, Ruben C Gur, Daniel D Langleben
BACKGROUND: Chronic opioid misuse is associated with reduced sensitivity to natural rewards and social motivation deficits that include impaired caregiving. The neurobiological mechanisms underlying these deficits and their response to treatment are not well understood. Baby schema (Kindchenschema) is a set of juvenile physical features, which is perceived as "cute" and triggers motivation for caregiving. Recent studies suggest that the "baby schema effect" is mediated by the brain "reward" network...
October 18, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28867062/home-based-delivery-of-xr-ntx-in-youth-with-opioid-addiction
#2
Hoa T Vo, Rachael Burgower, Ilya Rozenberg, Marc Fishman
Early experience with relapse prevention medications in the treatment of opioid addiction in youth has been positive, but barriers to effectiveness and broader adoption have included problems with adherence and retention, and lack of evidence or consensus about implementation. In particular there is relatively little known about either the effectiveness of extended release naltrexone (XR-NTX) in youth, or optimal models of care for its delivery. The purpose of this study is to report on a pilot initiative to improve the effectiveness of XR-NTX by delivering doses at home with assertive outreach to patients enrolled in a community treatment outpatient program...
August 31, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129197/high-prevalence-of-urine-tampering-in-an-office-based-opioid-treatment-practice-detected-by-evaluating-the-norbuprenorphine-to-buprenorphine-ratio
#3
Anthony J Accurso, Joshua D Lee, Jennifer McNeely
The prevalence of urine tampering within office-based opioid treatment (OBOT) is not currently known. This study was a cross-sectional analysis of an OBOT practice in New York City that experienced both a change in provider and a change in electronic medical record software. At that time, every patient in the practice received a urine drug test for "quantitative buprenorphine metabolites." METHODS: Outcomes of the first three urine drug tests were tabulated and analyzed with specific attention to the frequency of buprenorphine-positive (bup+), norbuprenorphine-negative (norbup-) samples, a pattern consistent with urine tampering...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129196/measuring-sustainment-of-an-evidence-based-treatment-for-adolescent-substance-use
#4
Wenjing Huang, Sarah B Hunter, Lynsay Ayer, Bing Han, Mary E Slaughter, Bryan R Garner, Susan H Godley
BACKGROUND: Measuring the extent a behavioral treatment is sustained in usual care practice settings after initial support for implementation ends is challenging. Oftentimes dichotomous self-report measures are used to measure health program sustainment, but these measures may not adequately capture the quality or extent of behavioral treatment delivery. Using data collected from community based organizations that received support to implement the Adolescent Community Reinforcement Approach (A-CRA), a measure of the extent of sustainment was derived...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129195/barriers-to-integrating-the-continuum-of-care-for-opioid-and-alcohol-use-disorders-in-primary-care-a-qualitative-longitudinal-study
#5
Erik D Storholm, Allison J Ober, Sarah B Hunter, Kirsten M Becker, Praise O Iyiewuare, Chau Pham, Katherine E Watkins
Untreated substance use disorders remain a pervasive public health problem in the United States, especially among medically-underserved and low-income populations, with opioid and alcohol use disorders (OAUD) being of particular concern. Primary care is an underutilized resource for delivering treatment for OAUD, but little is known about the organizational capacity of community-based primary care clinics to integrate treatment for OAUD. The objective of this study was to use an organizational capacity framework to examine perceived barriers to implementing the continuum of care for OAUD in a community-based primary care organization over three time points: pre-implementation (preparation), early implementation (practice), and full implementation...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129194/the-effects-of-opioid-agonist-treatments-on-hiv-risk-and-social-stability-a-mixed-methods-study-of-women-with-opioid-use-disorder-in-ukraine
#6
Emily Hoff, Ruthanne Marcus, Martha J Bojko, Iuliia Makarenko, Alyona Mazhnaya, Frederick L Altice, Jaimie P Meyer
No abstract text is available yet for this article.
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129193/experiences-of-three-states-implementing-the-medicaid-health-home-model-to-address-opioid-use-disorder-case-studies-in-maryland-rhode-island-and-vermont
#7
Lisa Clemans-Cope, Jane B Wishner, Eva H Allen, Nicole Lallemand, Marni Epstein, Brenda C Spillman
PURPOSE: The United States is facing an unprecedented opioid epidemic. The Affordable Care Act (ACA) included several provisions designed to increase care coordination in state Medicaid programs and improve outcomes for those with chronic conditions, including substance use disorders. Three states-Maryland, Rhode Island, and Vermont - adopted the ACA's optional Medicaid health home model for individuals with opioid use disorder. The model coordinates opioid use disorder treatment that features opioid agonist therapy provided at opioid treatment programs (OTPs) and Office-based Opioid Treatment (OBOT) with medical and behavioral health care and other services, including those addressing social determinants of health...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129192/healthcall-delivered-via-smartphone-to-reduce-co-occurring-drug-and-alcohol-use-in-hiv-infected-adults-a-randomized-pilot-trial
#8
Efrat Aharonovich, Malka Stohl, Daniela Cannizzaro, Deborah Hasin
AIMS: Co-occurrence of drug and alcohol use among people living with HIV is linked to poor medication adherence and lack of viral suppression. HealthCall, a technological enhancement of brief Motivational Interviewing (MI), involves brief daily self-monitoring, positive reinforcement, and personalized feedback. This randomized pilot study among people living with HIV investigated the feasibility and efficacy of reducing non-injection drug and alcohol use with MI+HealthCall as adapted for smartphone technology...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129191/alcohol-use-disorders-are-associated-with-increased-hiv-risk-behaviors-in-cocaine-dependent-methadone-patients
#9
Steven E Meredith, Carla J Rash, Nancy M Petry
People who inject drugs (PWID) are at increased risk of HIV infection. Although methadone maintenance therapy can help lower this risk, many methadone patients continue to engage in HIV risk behaviors, especially patients who use cocaine and alcohol. The purpose of the current study was to investigate relations between alcohol use disorders and HIV risk behavior in 239 cocaine-dependent methadone patients participating in a randomized controlled trial of a behavioral intervention to promote cocaine abstinence...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29129190/moderators-of-sudden-gains-after-sessions-addressing-emotion-regulation-among-women-in-treatment-for-alcohol-use
#10
Cathryn Glanton Holzhauer, Elizabeth E Epstein, Jumi Hayaki, James S Marinchak, Barbara S McCrady, Sharon M Cook
Sudden gains (SGs) are defined as abrupt and significant improvements in mental health symptoms that occur between two psychotherapy sessions. Preliminary evidence suggests that SGs may be an important pattern of symptom reduction in the treatment of alcohol use disorder (AUD) (i.e., a steep between-session reduction in drinking or alcohol craving frequency or intensity) (Drapkin, Epstein, McCrady, & Eddie, 2015). The current study examined SGs within two randomized clinical trials (RCTs) testing female-specific cognitive behavior therapy (CBT) protocol for AUD (n=146)...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021122/influencing-quality-of-outpatient-sud-care-implementation-of-alerts-and-incentives-in-washington-state
#11
Deborah W Garnick, Constance M Horgan, Andrea Acevedo, Margaret T Lee, Lee Panas, Grant A Ritter, Kevin Campbell, Jason Bean-Mortinson
Financial incentives for quality improvement and feedback on specific clients are two approaches to improving the quality of treatment for individuals with substance use disorders. We examined the impacts of these interventions in Washington State by randomizing outpatient substance use treatment agencies into intervention and control groups. From October 2013 through December 2015, agencies could earn financial incentives for meeting performance goals incorporating both achievement relative to a benchmark and improvement from agencies' own baselines...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021121/effect-of-computerized-cognitive-behavioral-therapy-on-acquisition-of-coping-skills-among-cocaine-dependent-individuals-enrolled-in-methadone-maintenance
#12
Brian D Kiluk, Elise E DeVito, Matthew B Buck, Karen Hunkele, Charla Nich, Kathleen M Carroll
The acquisition of coping skills has long been considered one of the putative mechanisms of cognitive behavioral therapy (CBT) for substance use disorders, yet consistent statistical support is lacking. This study sought to replicate and extend prior findings regarding the quality of coping skills as a mediator of abstinence outcomes from a computerized CBT program for substance users. Participants were methadone-maintained, cocaine dependent individuals enrolled in a clinical trial evaluating the efficacy of computer-based training for CBT ('CBT4CBT') as an add-on to treatment as usual (TAU+CBT4CBT) compared to TAU only...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021120/characteristics-of-pregnant-women-who-reported-alcohol-use-at-admission-to-substance-use-treatment
#13
Yukiko Washio, Caitlin E Martin, Neal D Goldstein, Mishka Terplan
OBJECTIVES: The current study analyzed the sociodemographic, treatment-related, and other substance use characteristics among pregnant women who reported alcohol use and were admitted to substance use treatment for the first time. METHODS: The Treatment Episode Data Set-Admission (TEDS-A) between 1992 and 2012 was used for conducting a cross-sectional study. RESULTS: Among pregnant women admitted to substance use treatment for the first time (N=166,863), 43...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021119/a-pilot-randomized-trial-of-motivational-interviewing-compared-to-psycho-education-for-reducing-and-preventing-underage-drinking-in-american-indian-adolescents
#14
David A Gilder, Jennifer R Geisler, Juan A Luna, Daniel Calac, Peter M Monti, Nichea S Spillane, Juliet P Lee, Roland S Moore, Cindy L Ehlers
Underage drinking is an important public health issue for American Indian and Alaska Native (AI/AN) adolescents, as it is for U. S. teens of all ethnicities. One of the demonstrated risk factors for the development of alcohol use disorders in AI/AN is early age of initiation of drinking. To address this issue a randomized trial to assess the efficacy of Motivational Interviewing (MI) compared to Psycho-Education (PE) to reduce and prevent underage drinking in AI/AN youth was developed and implemented. Sixty-nine youth received MI or PE and 87% were assessed at follow-up...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021118/convergence-of-online-daily-diaries-and-timeline-followback-among-women-at-risk-for-alcohol-exposed-pregnancy
#15
Philip I Chow, Holly R Lord, Kirsten MacDonnell, Lee M Ritterband, Karen S Ingersoll
Researchers and clinicians interested in assessing drinking and unprotected sex in evaluating risk for alcohol-exposed pregnancy (AEP) have limited options. The current investigation examined the degree to which data collected from online prospectively collected daily diaries (Diaries) converged with data from interviewer-administered retrospective timeline follow back (TLFB), the standard in AEP intervention studies. 71 women (Mage=27.7, SD=6.2) at risk for AEP were recruited via online advertising and were randomly assigned to an online patient education condition or a tailored, online internet intervention to reduce AEP risk...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021117/there-is-an-app-for-that-or-is-there-a-content-analysis-of-publicly-available-smartphone-apps-for-managing-alcohol-use
#16
Bettina B Hoeppner, Melissa R Schick, Lourah M Kelly, Susanne S Hoeppner, Brandon Bergman, John F Kelly
INTRODUCTION: Smartphone apps are emerging as a promising tool to support recovery from and prevention of problematic alcohol use, yet it is unclear what type of apps are currently available in the public domain, and to what degree these apps use interactive tailoring or other dynamic features to meet users' specific needs. METHODS: We conducted a content analysis of Android apps for managing drinking available on Google Play (n=266), downloaded between November 21, 2014 and June 25, 2015...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021116/efficacy-of-a-technology-based-integrated-smoking-cessation-and-alcohol-intervention-for-smoking-cessation-in-adolescents-results-of-a-cluster-randomised-controlled-trial
#17
Severin Haug, Raquel Paz Castro, Tobias Kowatsch, Andreas Filler, Michael P Schaub
OBJECTIVE: To test the efficacy of a technology-based integrated smoking cessation and alcohol intervention versus a smoking cessation only intervention in adolescents. METHODS: This was a two-arm, parallel-group, cluster-randomised controlled trial with assessments at baseline and six months follow-up. Subjects in both groups received tailored mobile phone text messages to support smoking cessation for 3months, and the option of registering for a program incorporating strategies for smoking cessation centred around a self-defined quit date...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021115/specialty-addiction-and-psychiatry-treatment-initiation-and-engagement-results-from-an-sbirt-randomized-trial-in-pediatrics
#18
Stacy Sterling, Andrea H Kline-Simon, Ashley Jones, Derek D Satre, Sujaya Parthasarathy, Constance Weisner
OBJECTIVE: Many adolescents needing specialty addiction or psychiatry treatment never access care. We examined initiation and engagement with addiction and/or psychiatry treatment among adolescents referred to treatment from a trial comparing two different modalities of delivering Screening, Brief Intervention and Referral to Treatment (SBIRT) to Usual Care in pediatric primary care. We hypothesized that both intervention arms would have higher initiation and engagement rates than usual care...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021114/a-police-led-addiction-treatment-referral-program-in-gloucester-ma-implementation-and-participants-experiences
#19
Davida M Schiff, Mari-Lynn Drainoni, Zoe M Weinstein, Lisa Chan, Megan Bair-Merritt, David Rosenbloom
BACKGROUND: The increasing rates of opioid use disorder and resulting overdose deaths are a public health emergency, yet only a fraction of individuals in need receive treatment. OBJECTIVE: To describe the implementation of and participants' experiences with a novel police-led addiction treatment referral program. METHODS: Follow-up telephone calls to participants in the Gloucester Police Department's Angel Program from June 2015-May 2016...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021113/association-between-alcohol-consumption-and-injection-and-sexual-risk-behaviors-among-people-who-inject-drugs-in-rural-puerto-rico
#20
Melissa Welch-Lazoritz, Dane Hautala, Patrick Habecker, Kirk Dombrowski
Although alcohol use has been associated with risky behavior generally, the relationship between alcohol use and multiple types of risk behaviors that could lead to the acquisition and transmission of HIV and hepatitis C (HCV) among people who inject drugs (PWID) has not been fully examined. The current study seeks to contribute to the understanding of how alcohol use is related to both injection risk and sexual risk, among a non-treatment, cross-sectional sample of mostly male PWID in rural Puerto Rico (n=315)...
November 2017: Journal of Substance Abuse Treatment
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