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Journal of Substance Abuse Treatment

Hillary Samples, Arthur Robin Williams, Mark Olfson, Stephen Crystal
INTRODUCTION: Recent U.S. trends demonstrate sharp rises in adverse opioid-related health outcomes, including opioid use disorder (OUD), overdose, and death. Yet few affected people receive treatment for OUD and a minority of those who receive treatment are effectively retained in care. The purpose of this study was to examine duration of buprenorphine treatment for OUD following treatment initiation to identify risk factors for early discontinuation. METHODS: We analyzed insurance claims from the 2013-2015 MarketScan multi-state Medicaid database...
December 2018: Journal of Substance Abuse Treatment
Adam J Rubenis, Rebecca E Fitzpatrick, Dan I Lubman, Antonio Verdejo-Garcia
BACKGROUND: Early treatment motivation is a meaningful predictor of clinical outcomes in the context of methamphetamine dependence (MD). Cognitive deficits associated with MD can have a significant impact on motivational fluctuations during early treatment. We specifically examined if sustained attention and effort-based decision-making predict early treatment motivation change in individuals with MD. We hypothesised that both variables would be significant predictors of individual differences in treatment motivation change...
December 2018: Journal of Substance Abuse Treatment
Andrea K Finlay, Ingrid A Binswanger, Christine Timko, David Smelson, Matthew A Stimmel, Mengfei Yu, Tom Bowe, Alex H S Harris
BACKGROUND: The U.S. is facing an opioid epidemic, but despite mandates for pharmacotherapy for opioid use disorder to be available at Veterans Health Administration (VHA) facilities, the majority of veterans with opioid use disorder do not receive these medications. In implementation research, facilities are often targeted for qualitative inquiry or quality improvement efforts based on quality measure performance during a one-year period. However, sites that experience quality performance changes from one year to the next may be highly informative because mechanisms that impact facility change may be more discoverable...
December 2018: Journal of Substance Abuse Treatment
Martijn Kikkert, Anneke Goudriaan, Marleen de Waal, Jaap Peen, Jack Dekker
Integrating substance use disorder treatment with psychiatric treatment is considered more favourable then treating these disorders parallel or sequential, but the evidence base is inconclusive. We examined the effectiveness of Integrated Dual Diagnosis Treatment (IDDT) on substance use in severe mental illness outpatients with substance use disorders. IDDT is a collaborative, multidisciplinary team approach in which motivational interviewing is a key element. In addition, we also examined the effects of IDDT implementation on skills and knowledge of mental health care professionals...
December 2018: Journal of Substance Abuse Treatment
Sarah A Helseth, Tim Janssen, Kelli Scott, Daniel D Squires, Sara J Becker
Contingency management (CM) is a well-established treatment for opioid use, yet its adoption remains low in community clinics. This manuscript presents a secondary analysis of a study comparing a comprehensive implementation strategy (Science to Service Laboratory; SSL) to didactic training-as-usual (TAU) as a means of implementing CM across a multi-site opioid use disorder program. Hypotheses predicted that providers who received the SSL implementation strategy would 1) adopt CM faster and 2) deliver CM more frequently than TAU providers...
December 2018: Journal of Substance Abuse Treatment
Rachel L Bachrach, John R Blosnich, Emily C Williams
AIMS: Unhealthy alcohol use is common among adults, and in particular, Veterans. Routine alcohol screening followed by brief intervention is recommended and considered a prevention priority in primary care settings. While previous studies have found that Veterans enrolled in the Veteran's Health Administration (VA) receive high rates of screening and brief intervention, less than 50% of Veterans receive VA health care. No study has evaluated receipt of these services in a general sample of Veterans...
December 2018: Journal of Substance Abuse Treatment
Maureen T Stewart, Sharon Reif, Beth Dana, AnMarie Nguyen, Maria Torres, Margot T Davis, Grant Ritter, Dominic Hodgkin, Constance M Horgan
Program-level financial incentives are used by some payers as a tool to improve quality of substance use treatment. However, evidence of effectiveness is mixed and performance contracts may have unintended consequences such as creating barriers for more challenging clients who are less likely to meet benchmarks. This study investigates the impact of a performance contract on waiting time for substance use treatment and client selection. Admission and discharge data from publicly funded Maine outpatient (OP) and intensive outpatient (IOP) substance use treatment programs (N = 38,932 clients) were used...
December 2018: Journal of Substance Abuse Treatment
Alexandra S Wimberly, Malitta Engstrom, Molly Layde, James R McKay
BACKGROUND: People in reentry from prison or jail (returning citizens) living with HIV and substance use problems often experience numerous stressors and are at high risk for resumed substance use. Interventions are needed to manage stress as a pathway to reduced substance use. OBJECTIVE: This study explored the effect of a hatha yoga intervention as compared to treatment as usual on stress and substance use among returning citizens living with HIV and substance use problems...
November 2018: Journal of Substance Abuse Treatment
Walter Roberts, Elizabeth Ralevski, Terril L Verplaetse, Sherry A McKee, Ismene L Petrakis
Mecamylamine is a nicotinic acetylcholine receptor (nAChR) antagonist that was recently used in a clinical trial to treat alcohol use disorder (AUD) in both smokers and non-smokers. The current manuscript reports a reanalysis of data from this clinical trial in which we examine changes in smoking that occurred over the course of the trial. We focused on examining the effects of mecamylamine on smoking and the association between reductions in alcohol use and smoking. Participants were the subgroup of smokers who participated in the clinical trial of mecamylamine (10 mg/day) to treat their AUD (n = 76)...
November 2018: Journal of Substance Abuse Treatment
Anna Pagano, Noah R Gubner, Thao Le, Deborah Yip, Denise Williams, Kevin Delucchi, Joseph Guydish
BACKGROUND: Disparities in tobacco use prevalence, behaviors, and services have been identified among people of different racial and ethnic groups in the United States general population. Persons in addiction treatment have among the highest smoking prevalence of any population. However, little is known about racial and ethnic disparities in tobacco use prevalence, behaviors, and services among persons in addiction treatment. METHODS: Survey data were used from 1840 clients from 24 addiction treatment programs from the NIDA Clinical Trials Network...
November 2018: Journal of Substance Abuse Treatment
Laura J Dunlap, Gary A Zarkin, Stephen Orme, Angelica Meinhofer, Sharon M Kelly, Kevin E O'Grady, Jan Gryczynski, Shannon G Mitchell, Robert P Schwartz
Methadone maintenance treatment has proven effectiveness in the treatment of opioid use disorder, but significant barriers remain to treatment retention. In a randomized clinical trial, 300 newly-admitted methadone patients were randomly assigned to patient-centered methadone (PCM) v. treatment-as-usual (TAU). In PCM, participants were treated under revised program rules which permitted voluntary attendance at counseling and other changes focused on reducing involuntary discharge, and different staff roles which shifted disciplinary responsibility from the participant's counselor to the supervisor...
November 2018: Journal of Substance Abuse Treatment
Vincent I O Agyapong, Michal Juhás, Kelly Mrklas, Marianne Hrabok, Joy Omeje, Irene Gladue, Jody Kozak, Maureen Leslie, Pierre Chue, Andrew J Greenshaw
AIMS: To evaluate the effectiveness of an addiction-related supportive text messaging mobile intervention to improve treatment outcomes for patients with alcohol use disorder (AUD). METHODS: A single-rater-blinded randomized trial was conducted involving 59 AUD patients who completed a residential addiction treatment program. Patients in the intervention group (n = 29) received supportive text messages for three months following discharge. Patients in the control group (n = 30) received a text message thanking them for participating in the study...
November 2018: Journal of Substance Abuse Treatment
Erin A Vogel, Mark L Rubinstein, Judith J Prochaska, Danielle E Ramo
Marijuana and tobacco co-use is common among young adults, and findings are mixed regarding the association between marijuana use and smoking cessation outcomes. This study examined the longitudinal relationships between marijuana use and smoking cessation outcomes among young adults (aged 18-25 years; N = 500) enrolled in a 3-month smoking cessation intervention on Facebook. At baseline and 3, 6, and 12 months, participants reported their marijuana use and their smoking behaviors (seven-day point prevalence abstinence from smoking, cigarettes per day, quit attempts) and readiness to quit...
November 2018: Journal of Substance Abuse Treatment
Linda Valeri, Dawn E Sugarman, Meghan E Reilly, R Kathryn McHugh, Garrett M Fitzmaurice, Shelly F Greenfield
In-session affiliation among members is a hypothesized mechanism of action of group therapy for women with substance use disorders (SUDs). We evaluated group affiliation as an independent predictor of SUD treatment outcome in women (n = 100), 18 years or older diagnosed with substance dependence, who were randomized to the single-gender Women's Recovery Group (WRG) or mixed-gender group therapy (Group Drug Counseling; GDC). Affiliative statements made by members in both groups were measured for 39 women in each treatment arm...
November 2018: Journal of Substance Abuse Treatment
Shannon R Kenney, Bradley J Anderson, Genie L Bailey, Michael D Stein
BACKGROUND: In the current study, we examined factors predicting willingness to receive buprenorphine treatment and preferences for various buprenorphine formulations (oral, injection, implant) among persons in opioid withdrawal management. METHODS: Participants were three hundred thirty-eight persons entering brief inpatient opioid withdrawal management programs at two sites. We used t-tests and Pearson χ2 - tests of independence to compare participants willing and unwilling to be prescribed buprenorphine in the future...
November 2018: Journal of Substance Abuse Treatment
Peter J Kelly, Laura D Robinson, Amanda L Baker, Frank P Deane, Briony Osborne, Suzi Hudson, Leanne Hides
Quality of Life (QOL) is increasingly being recognised as an important indicator of recovery from substance use treatment. The current study aimed to determine if there are distinct subclasses of QOL among a broad range of people attending specialist non-government alcohol and other drug treatment services, and how QOL might be associated with substance use, mental health, treatment and demographic characteristics of these individuals. The sample included 9958 individuals attending specialist non-government treatment for alcohol or other substance use in New South Wales, Australia...
November 2018: Journal of Substance Abuse Treatment
Ada Lo, Thomas Kerr, Kanna Hayashi, M-J Milloy, Ekaterina Nosova, Yang Liu, Nadia Fairbairn
BACKGROUND: Methadone maintenance therapy (MMT) continues to be a key treatment for opioid use disorder, although premature discontinuation of MMT can increase risk for overdose and other severe harms. We examined sociodemographic characteristics, substance use patterns and social-structural exposures associated with MMT discontinuation among a cohort of people who use drugs (PWUD) in Vancouver, Canada. METHODS: Data were derived from VIDUS and ACCESS, prospective cohorts of PWUD in Vancouver, Canada...
November 2018: Journal of Substance Abuse Treatment
Benjamin C Sun, Nicoleta Lupulescu-Mann, Christina J Charlesworth, Hyunjee Kim, Daniel M Hartung, Richard A Deyo, K John McConnell
BACKGROUND: Although prescription drug monitoring programs (PDMPs) have been widely implemented to potentially reduce abuse of prescription opioids, there is limited data on variations in PDMP use by prescriber specialty. Such knowledge may guide targeted interventions to improve PDMP use. METHODS: Using data from Washington state Medicaid program, we performed a retrospective cohort study of opioid prescribers and their PDMP queries between Nov 1, 2013 and Oct 31, 2014...
November 2018: Journal of Substance Abuse Treatment
Elizabeth A Samuels, Steven L Bernstein, Brandon D L Marshall, Maxwell Krieger, Janette Baird, Michael J Mello
No abstract text is available yet for this article.
November 2018: Journal of Substance Abuse Treatment
Dennis McCarty, Yifan Gu, Stephanie Renfro, Robin Baker, Bonnie K Lind, K John McConnell
The study examines impacts of delivery system reforms and Medicaid expansion on treatment for alcohol use disorders within the Oregon Health Plan (Medicaid). Diagnoses, services and pharmacy claims related to alcohol use disorders were extracted from Medicaid encounter data. Logistic regression and interrupted time series analyses assessed the percent with alcohol use disorder entering care and the percent receiving pharmacotherapy before (January 2010-June 2012) and after (January 2013-June 2015) the initiation of Oregon's Coordinated Care Organization (CCO) model (July 2012-December 2012)...
November 2018: Journal of Substance Abuse Treatment
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