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Journal of Substance Abuse Treatment

Terence V McCann, Dan I Lubman
AIMS: To identify affected family members' (AFMs) experiences of barriers and facilitators to informal and formal help-seeking for themselves and on behalf of a close relative with alcohol and other drug (AOD) misuse. METHODS: Qualitative study, informed by interpretative phenomenological analysis. Semi-structured, audio-recorded, telephone interviews were used to collect data from 31 AFMs. RESULTS: AFMs experienced several overlapping and at times competing help-seeking obstacles and enablers in accessing informal and formal support for themselves and on behalf of their relative with AOD misuse, and these are reflected in two themes and associated sub-themes: barriers to help-seeking and facilitators to help-seeking...
October 2018: Journal of Substance Abuse Treatment
Michaela Mergler, Martin Driessen, Ursula Havemann-Reinecke, Dirk Wedekind, Christel Lüdecke, Martin Ohlmeier, Claudia Chodzinski, Sibylle Teunißen, Steffen Weirich, Ulrich Kemper, Walter Renner, Ingo Schäfer
A large body of research documents the link between Posttraumatic Stress Disorder (PTSD) and the course of Substance Use Disorders (SUD). Similar relationships have been reported between Childhood Trauma (CT) and the course of illness in patients with SUD even in the absence of PTSD, but few studies have examined differential effects of PTSD and CT (independent of PTSD) in this population. We used the International Diagnostic Checklist (IDCL) and the Posttraumatic Diagnostic Scale (PDS) to diagnose PTSD in a sample of patients with SUD (N = 459)...
October 2018: Journal of Substance Abuse Treatment
Christine M Wickens, Rosely Flam-Zalcman, Robert E Mann, Gina Stoduto, Thomas Nochajski, Anja Koski-Jännes, Marilyn Herie, Lyn Watkin-Merek, Brian Rush, Rita K Thomas, Susan LaFontaine, Tara Marie Watson, Justin Matheson, Gabriela Ilie, Kamna Mehra, Thao Lan Le, Jürgen Rehm
Remedial programs for impaired driving offenders have proved valuable in reducing subsequent alcohol and other drug use and preventing recidivism in this population. Many of these programs are based on a severity-based assignment scheme, where individuals assessed to have greater problems or be at higher risk are assigned to longer, more intensive interventions. Recent research, using regression discontinuity analyses, provided support for severity-based assignment schemes in demonstrating that those with higher problem or risk levels assigned to longer and more intensive programming showed a significant reduction in drinking days over a follow-up interval, attributable to program assignment...
October 2018: Journal of Substance Abuse Treatment
Sean Esteban McCabe, Brady T West, Stephen Strobbe, Carol J Boyd
This study examined demographic and psychosocial correlates associated with persistence/recurrence of and remission from at least one of ten DSM-5 substance use disorders (SUDs) and three substance-specific SUDs (i.e., alcohol, cannabis, and prescription opioids). Data were collected from structured diagnostic interviews and national prevalence estimates were derived from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions. An estimated 25.4% of the U.S. population had at least one prior-to-past-year (prior) SUD...
October 2018: Journal of Substance Abuse Treatment
Kenneth A Feder, Ramin Mojtabai, Rashelle J Musci, Elizabeth J Letourneau
BACKGROUND: U.S. Adults with an opioid use disorder who live with a child have unique treatment needs, but little is known about the treatment use of these adults. METHODS: Data come from the 2010-2014 versions of the National Survey on Drug Use and Health, an annual, nationally representative survey assessing substance use in the United States. Adults (>18) with a heroin or pain-reliever use disorder living in a household with a child (<18) were compared to adults not living with children on their use of substance use treatment, treatment settings, payment sources, perceived unmet need for treatment, and barriers to care using logistic regression to adjust for demographic differences between groups...
October 2018: Journal of Substance Abuse Treatment
Solmaz Amiri, Robert Lutz, M Eugenia Socías, Michael G McDonell, John M Roll, Ofer Amram
OBJECTIVE: Adherence to opioid agonist therapy with methadone is associated with improved clinical and community outcomes such as reductions in drug use, criminal behavior, high-risk sexual behavior, and mortality. However, the need for daily attendance for witnessed ingestion may comprise adherence. METHODS: Data for this study were obtained from the Spokane Regional Health District's Treatment Services database. Generalized linear models with negative binomial log link function were used to assess the association between distance to the only state-funded opioid treatment program (OTP) in Spokane County, Washington and the number of missed methadone doses in the first month of treatment...
October 2018: Journal of Substance Abuse Treatment
Christopher W Jones, Zachary Christman, Christopher M Smith, Michelle R Safferman, Matthew Salzman, Kaitlan Baston, Rachel Haroz
BACKGROUND: Buprenorphine is an effective medication for the treatment of opioid addiction, but current barriers to buprenorphine access limit treatment availability for many patients. We identify and characterize regions within the United States (US) with poor buprenorphine access relative to the observed burden of overdose deaths. METHODS: This cross sectional study includes US county-level data on the number of available buprenorphine providers (Substance Abuse and Mental Health Services Administration Buprenorphine Treatment Practitioner Locator) and the number of opioid-related overdose deaths between 2013 and 2015 (Centers for Disease Control and Prevention WONDER Database)...
October 2018: Journal of Substance Abuse Treatment
Michael J Mason, Mathew Moore, Aaron Brown
OBJECTIVE: This study collected in-depth treatment satisfaction and effectiveness data to provide insight into the mechanisms of behavior change and to identify aspects of a text message- delivered treatment for cannabis use disorder that could be improved. METHODS: Data were collected via a web-based survey from 30 young adults (ages 18-25) who were recent participants in a randomized controlled trial of Peer Network Counseling-txt (PNC- txt), a text message treatment for cannabis use disorder...
October 2018: Journal of Substance Abuse Treatment
Michael Kidorf, Robert K Brooner, Jessica Peirce, Jim Gandotra, Jeannie-Marie Leoutsakos
This descriptive study evaluates a novel group intervention designed to help opioid-dependent patients in medication-assisted treatment identify and recruit drug-free individuals to support recovery efforts. The Social Network Activation Group works with patients who are actively using drugs and resistant to including drug-free family or friends in treatment. The group encourages patients to attend structured recovery, religious, or recreational activities in the community to find recovery support. For those with underutilized support, motivational interviewing and skills training are used to help patients resolve ambivalence and include family or friends in the treatment plan...
October 2018: Journal of Substance Abuse Treatment
Arthur Robin Williams, Edward V Nunes, Adam Bisaga, Harold A Pincus, Kimberly A Johnson, Aimee N Campbell, Robert H Remien, Stephen Crystal, Peter D Friedmann, Frances R Levin, Mark Olfson
No abstract text is available yet for this article.
September 2018: Journal of Substance Abuse Treatment
Philip N Murphy, Faizal Mohammed, Michelle Wareing, Angela Cotton, John McNeill, Paula Irving, Steve Jones, Louisa Sharples, Rebecca Monk, Peter Elton
BACKGROUND AND AIMS: High drug related mortality amongst former prisoners in the 4 weeks following release is an internationally recognised problem. Naltrexone injections at release could diminish this by blockading opioid receptors, but naltrexone is not licensed for injection for treating opiate misuse in the United Kingdom and some other countries. This study examined the likelihood of accepting a naltrexone injection at release, and the relationship of this likelihood to other relevant variables...
September 2018: Journal of Substance Abuse Treatment
Sachini N Bandara, Hillary Samples, Rosa M Crum, Brendan Saloner
BACKGROUND: Most individuals with alcohol use disorder do not receive treatment and little national-level United States (U.S.) data exist on the association between screening and intervention with receipt of treatment. METHODS: The sample includes adults 18 years and older reporting prior year symptoms of alcohol use disorder from 2013 and 2014 National Survey on Drug Use and Health. Survey-weight adjusted prevalence of prior year receipt of ambulatory care, alcohol screening in a medical setting, alcohol intervention in a medical setting and alcohol treatment receipt and setting were calculated...
September 2018: Journal of Substance Abuse Treatment
Charles J Neighbors, Rajeev Yerneni, Megan A O'Grady, Yi Sun, Jonathan Morgenstern
Reducing repeat use of costly inpatient services, such as inpatient withdrawal management, among Medicaid members is a target of healthcare reform. However, characteristics of frequent users of inpatient withdrawal management are understudied. We described the characteristics, service utilization, and costs of New York Medicaid clients who use withdrawal management services by analyzing data from Medicaid records from 2008. We examined follow-up care for individuals with different levels of repeat withdrawal management...
September 2018: Journal of Substance Abuse Treatment
David Eddie, Fiona N Conway, Nour Alayan, Jennifer Buckman, Marsha E Bates
Heart rate variability biofeedback (HRV BFB) shows promise as an adjunct intervention for individuals receiving treatment for substance use disorder (SUD), potentially due to its capacity to reduce craving and negative affect. The present study sought to examine the utility of integrating HRV biofeedback into a college recovery housing program and gauging its ability to reduce craving and negative affect in young adults in remission from SUD. Forty-six residents of an SUD recovery house at a public university in the northeastern United States took part in a non-randomized controlled trial...
September 2018: Journal of Substance Abuse Treatment
Laura C Fanucchi, Michelle R Lofwall, Paul A Nuzzo, Sharon L Walsh
OBJECTIVE: To conduct a pilot needs assessment of underlying substance use disorders (SUD), motivation for SUD treatment, and willingness to enter residential SUD treatment in hospitalized adults who inject drugs with complex infections requiring intravenous (IV) antibiotics, and to assess the presence of in-hospital illicit substance use. PATIENTS AND METHODS: From March 8, 2016 through August 25, 2016 hospitalized, English-speaking, adult patients not currently in SUD treatment with a history of injection drug use and a current infection requiring treatment with IV antibiotics, were prospectively enrolled...
September 2018: Journal of Substance Abuse Treatment
James H Ford, Scott P Stumbo, James M Robinson
BACKGROUND: Sustainability frameworks differentiate between sustainability capacity and sustainment of organizational change. Multiple studies have examined sustainability capacity. Methodological approaches to assess long-term sustainment have not been explored. This study addresses this gap by describing the development of a long-term sustainment methodology and evaluating its application utilizing data from substance abuse clinics participating in a quality improvement collaborative...
September 2018: Journal of Substance Abuse Treatment
Paul Crits-Christoph, Steven Wadden, Averi Gaines, Agnes Rieger, Robert Gallop, James R McKay, Mary Beth Connolly Gibbons
The purpose of this paper is to reanalyze data from two studies to determine if anhedonia specifically, rather than depression overall, predicts treatment outcome for patients with cocaine use disorders. Measures of baseline anhedonia symptoms were created using anhedonia items from the Beck Depression Inventory (BDI) to re-examine National Institute on Drug Abuse Cocaine Collaborative Treatment study data (Crits-Christoph et al., 1999) and the contingency management group from the McKay et al. (2010) trial...
September 2018: Journal of Substance Abuse Treatment
Brandi P Cotton, William C Bryson, Matthew C Lohman, Jessica M Brooks, Martha L Bruce
Methadone Maintenance Treatment (MMT) is utilized by an increasingly broad age-range of individuals with opioid use disorders. The present study aims to (1) describe health, behavioral, and psychosocial characteristics among adults aged 50 years and older compared with younger adults enrolled in MMT, (2) describe socioeconomic and clinical characteristics by age and time in MMT and (3) investigate whether age influences the associations between duration of MMT and health and psychosocial characteristics. Our sample consisted of 1364 recipients from four MMT programs (age ranged from 18 to 77 years; mean: 38 years: standard deviation: 11...
September 2018: Journal of Substance Abuse Treatment
Cora Peterson, Likang Xu, Christina A Mikosz, Curtis Florence, Karin A Mack
BACKGROUND: Understanding more about circumstances in which patients receive an opioid use disorder (OUD) diagnosis might illuminate opportunities for intervention and ultimately prevent opioid overdoses. This study aimed to describe patient and clinical characteristics of hospital discharges documenting OUD among patients not being treated for opioid overdose, detoxification, or rehabilitation. METHODS: We assessed patient, payer, and clinical characteristics of nationally-representative 2011-2015 National Inpatient Sample discharges documenting OUD, excluding opioid overdose, detoxification, and rehabilitation...
September 2018: Journal of Substance Abuse Treatment
M Barton Laws, Molly Magill, Nadine R Mastroleo, Kristi E Gamarel, Chanelle J Howe, Justin Walthers, Peter M Monti, Timothy Souza, Ira B Wilson, Gary S Rose, Christopher W Kahler
BACKGROUND: The technical hypothesis of Motivational Interviewing (MI) proposes that: (a) client talk favoring behavior change, or Change Talk (CT) is associated with better behavior change outcomes, whereas client talk against change, or Sustain Talk (ST) is associated with less favorable outcomes, and (b) specific therapist verbal behaviors influence whether client CT or ST occurs. MI consistent (MICO) therapist behaviors are hypothesized to be positively associated with more client CT and MI inconsistent (MIIN) behaviors with more ST...
September 2018: Journal of Substance Abuse Treatment
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