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Journal of Substance Abuse Treatment

Harlan Matusow, Andrew Rosenblum, Mark Parrino
No abstract text is available yet for this article.
January 20, 2018: Journal of Substance Abuse Treatment
Jeanne C Marsh, Keunhye Park, Yu-An Lin, Cliff Bersamira
BACKGROUND: Trends in the current opioid epidemic in the United States show that use of heroin is increasing while nonmedical use of prescription opioids is slowing. Understanding gender differences in these trends is essential to efforts to address the opioid epidemic. This study compared gender difference in trends in heroin and nonmedical prescription opioid use in the U.S. between 2007 and 2014. METHODS: Data from the National Survey on Drug Use and Health (NSDUH) were used to trace prevalence and to estimate risk for heroin and nonmedical prescription opioid use in the last year for women and men...
January 5, 2018: Journal of Substance Abuse Treatment
Thu Vuong, Alison Ritter, Marian Shanahan, Robert Ali, Nhu Nguyen, Khue Pham, Thu T A Vuong, Giang M Le
INTRODUCTION: In Vietnam, like many countries in East and Southeast Asia, the government has invested heavily in center-based compulsory treatment (CCT) as the mainstay demand reduction strategy for illicit drug use. This approach has been criticised on human rights grounds. Meanwhile, community-based voluntary methadone maintenance treatment (MMT) has been implemented for nearly a decade with promising results. To date, there have been no comparative Vietnamese studies of these approaches...
April 2018: Journal of Substance Abuse Treatment
R Thomas Sherba, Kathryn A Coxe, Beth E Gersper, Jessica V Linley
This qualitative study of over 800 participants focused on the employment experiences of consumers of substance abuse treatment programs to provide a better understanding of what employment services are offered and what needs treatment agencies have in the area of employment services, examining barriers and facilitators from both the consumer and provider perspectives. Data were collected via a mixed research methodology of focus groups and surveys from July 2015 through June 2016 in a large Midwestern U.S...
April 2018: Journal of Substance Abuse Treatment
Karen Chan Osilla, Katherine E Watkins, Elizabeth J D'Amico, Colleen M McCullough, Allison J Ober
OBJECTIVE: Primary care (PC) may be an opportune setting to engage patients with opioid and alcohol use disorders (OAUDs) in treatment. We examined whether motivational interviewing (MI) fidelity was associated with engagement in primary care-based OAUD treatment in an integrated behavioral health setting. METHODS: We coded 42 first session therapy recordings and examined whether therapist MI global ratings and behavior counts were associated with patient engagement, defined as the patient receiving one shot of extended-release injectable naltrexone or any combination of at least two additional behavioral therapy, sublingual buprenorphine/naloxone prescriptions, or OAUD-related medical visits within 30days of their initial behavioral therapy visit...
April 2018: Journal of Substance Abuse Treatment
J L Smith, P Bertone, K M Carpenter, R M Wain, M-C Hu, P C Amrhein, E V Nunes
Motivational Interviewing (MI) is an evidence-based practice shown to be effective when working with people in treatment for substance use disorders. However, MI is a complex treatment modality optimized by training with feedback. Feedback, assessment and monitoring of treatment fidelity require measurement, which is typically done using audiotaped sessions. The gold standard for such measurement of MI skill has been an audiotaped interview, scored by a rater with a detailed structured instrument such as the Motivational Interviewing Treatment Integrity 2...
April 2018: Journal of Substance Abuse Treatment
Christina M Andrews, Colleen M Grogan, Melissa A Westlake, Amanda J Abraham, Harold A Pollack, Thomas A D'Aunno, Peter D Friedmann
OBJECTIVE: To assess the relationship of restrictions on Medicaid benefits for addiction treatment to Medicaid acceptance among addiction treatment programs. DATA SOURCES: We collected primary data from the 2013-2014 wave of the National Drug Abuse Treatment System Survey. STUDY DESIGN: We created two measures of benefits restrictiveness. In the first, we calculated the number of addiction treatment services covered by each state Medicaid program...
April 2018: Journal of Substance Abuse Treatment
Alexander J Cowell, Gary A Zarkin, Brendan J Wedehase, Jennifer Lerch, Scott T Walters, Faye S Taxman
INTRODUCTION: Although substance use is common among probationers in the United States, treatment initiation remains an ongoing problem. Among the explanations for low treatment initiation are that probationers are insufficiently motivated to seek treatment, and that probation staff have insufficient training and resources to use evidence-based strategies such as motivational interviewing. A web-based intervention based on motivational enhancement principles may address some of the challenges of initiating treatment but has not been tested to date in probation settings...
April 2018: Journal of Substance Abuse Treatment
Andrea Acevedo, Jennifer Miles, Deborah W Garnick, Lee Panas, Grant Ritter, Kevin Campbell, Dolores Acevedo-Garcia
Employment is an important substance use treatment outcome, frequently used to assess individual progress during and after treatment. This study examined whether racial/ethnic disparities exist in employment after beginning treatment. It also examined the extent to which characteristics of clients' communities account for such disparities. Analyses are based on data that linked individual treatment information from Washington State's Behavioral Health Administration with employment data from the state's Employment Security Department...
April 2018: Journal of Substance Abuse Treatment
Jan Gryczynski, Robert P Schwartz, Marc J Fishman, Courtney D Nordeck, James Grant, Sanford Nidich, Stuart Rothenberg, Kevin E O'Grady
AIMS: Maladaptive responses to stress are thought to play a role in addiction and relapse. Transcendental Meditation (TM) is a popular meditation technique with promising clinical applications. This study sought to: (a) examine the feasibility of providing TM during AUD treatment; (b) compare outcomes for TM vs. treatment as usual (TAU); and (c) investigate the relationship between TM practice and outcomes. METHODS: Meditation-naïve adults with primary AUD (N = 60; 35% female, 60% white) newly admitted to inpatient treatment were recruited in sequential cohorts (30 receiving TAU and 30 receiving TM training)...
April 2018: Journal of Substance Abuse Treatment
Brian J Sherman, Nathaniel L Baker, Lindsay M Squeglia, Aimee L McRae-Clark
BACKGROUND: More effective treatments for cannabis use disorder (CUD) are needed. Evidence suggests that biases in cognitive processing of drug-related stimuli are central to the development and maintenance of addiction. The current study examined the feasibility and effect of a novel intervention - approach bias modification (ApBM) - on cannabis approach bias and cue-reactivity. METHODS: A randomized, double-blind, sham-controlled proof-of-principle laboratory experiment investigated the effect of a four-session computerized ApBM training protocol on cannabis approach bias and cue-reactivity in non-treatment seeking adults age 18-65 with CUD (N = 33)...
April 2018: Journal of Substance Abuse Treatment
Iuliia Makarenko, Alyona Mazhnaya, Ruthanne Marcus, Iryna Pykalo, Lynn Madden, Sergii Filippovich, Sergii Dvoriak, Frederick L Altice
Ongoing drug use during opioid agonist treatment (OAT) negatively affects treatment and health outcomes, and increases treatment dropout. This study aimed to examine correlates of concurrent illicit drug use among OAT patients in Ukraine. A random sample of 434 patients currently on OAT receiving buprenorphine (BMT) or methadone maintenance treatment (MMT) from five cities in Ukraine were assessed for factors associated with self-reported concurrent illicit drug use during OAT using a multivariable logistic regression...
April 2018: Journal of Substance Abuse Treatment
Sören Kuitunen-Paul, Sioned Pfab, Maria Garbusow, Andreas Heinz, Paula T Kuitunen, Jakob Manthey, Stephan Nebe, Michael N Smolka, Hans-Ulrich Wittchen
BACKGROUND: Alcohol consumption is pivotal for the subsequent development of alcohol use disorders (AUD). The Alcohol Use Disorders Identification Test (AUDIT) is a recommended AUD screening tool for prevention and primary care settings. The objectives of this study were to test how many participants with heavy drinking are unidentified by the AUDIT, if proportions of unidentified participants vary over time, and whether this unidentified risk group (URG) was clinically relevant in terms of drinking behavior reports and AUD risk factors, as well as future adverse outcomes, such as craving, dependence symptoms, or depression...
March 2018: Journal of Substance Abuse Treatment
Alexis Kuerbis, Jessica Houser, Svetlana Levak, Sijing Shao, Jon Morgenstern
Motivational Interviewing (MI) is a known effective intervention for alcohol use disorder (AUD). MI's mechanisms of action remain inconsistently substantiated, and research in this area has been reliant on identifying relationships through strength of association rather than experimental manipulation of active ingredients. In two previous studies, a pilot and a larger replication study, we disaggregated MI into its hypothesized active ingredients by creating three conditions: MI, Spirit Only MI (SOMI, in which evocation of change talk was proscribed), and a non-therapy condition (NTC)...
March 2018: Journal of Substance Abuse Treatment
Ruthanne Marcus, Martha J Bojko, Alyona Mazhnaya, Iuliia Makarenko, Sergii Filippovych, Sergii Dvoriak, Frederick L Altice, Sandra A Springer
Numerous individual barriers, including negative attitudes toward opioid agonist therapies (OAT), have undermined HIV prevention efforts in Ukraine where the epidemic is concentrated in people who inject drugs (PWID). The recent availability of extended-release naltrexone (XR-NTX), an opioid antagonist, provides new opportunities for treatment and prevention, but little is known about patient preferences. We conducted qualitative analysis using focus groups (FG) of PWID recruited based on OAT experience: currently, previously, and never on OAT in five Ukrainian cities...
March 2018: Journal of Substance Abuse Treatment
Michael A Cucciare, Kristina M Kennedy, Xiaotong Han, Christine Timko, Nickolas Zaller, Brenda M Booth
Rural substance users are less likely than their urban peers to use formal substance use treatment. It is therefore important to understand how the utilization of potentially more appealing care options, such as outpatient medical care (OMC), may affect substance use over time. This study sought to examine whether the number of OMC visits, after controlling for important covariates, was associated with days of alcohol, crack and powder cocaine, and methamphetamine use among a sample of rural stimulant users over a three year period...
March 2018: Journal of Substance Abuse Treatment
Benjamin H Han, Kristin Masukawa, David Rosenbloom, Alexis Kuerbis, Eric Helmuth, Diana H Liao, Alison A Moore
BACKGROUND: While the number of older adults who engage in unhealthy drinking is increasing, few studies have examined the role of online alcohol screening and intervention tools for this population. The objective of this study was to describe characteristics of drinking behaviors among older adults who visited an alcohol screening and intervention website, and compare them to younger adults. METHODS: We analyzed the responses of visitors to in 2013 (n=94,221)...
March 2018: Journal of Substance Abuse Treatment
Shannon R Kenney, Bradley J Anderson, Micah T Conti, Genie L Bailey, Michael D Stein
OBJECTIVE: Fentanyl-contaminated opioid supplies have led to rising overdose fatalities in recent years. We compared beliefs, behaviors, and risk perceptions related to fentanyl with actual toxicology reports among people who used opioids. METHOD: Participants (n=231) were patients undergoing short-term inpatient opioid withdrawal management in Fall River, Massachusetts. We compared persons testing positive and negative for fentanyl on urine toxicological testing at program entry...
March 2018: Journal of Substance Abuse Treatment
Craig Warlick, Kimber P Richter, Delwyn Catley, Byron J Gajewski, Laura E Martin, Laura M Mussulman
Behavioral counseling is effective for smoking cessation and the psychotherapy literature indicates therapeutic alliance is key to counseling effectiveness. However, no tobacco-counseling specific measures of alliance exist that are suitable in most tobacco counseling contexts. This hinders assessment of counseling components in research and clinical practice. Based on the Working Alliance Inventory, and external expert review, we developed two alliance instruments: the 12-item and 3-item Working Alliance Inventory for Tobacco (WAIT-12 and WAIT-3)...
March 2018: Journal of Substance Abuse Treatment
Anat Sason, Miriam Adelson, Sarit Herzman-Harari, Einat Peles
Methadone maintenance treatment (MMT) patients are often under-nourished and overweight. The impact of a nutrition intervention program to improve knowledge about healthy food habits and losing weight was studied. Patients were screened for knowledge about nutrition and body mass index (BMI). Those with a low knowledge score or a BMI ≥26 (n=89) were randomly divided into either intervention (two lectures on healthy nutrition followed by weight monitoring over 6weeks), or controls (weighed at baseline, post-lectures and at study closure)...
March 2018: Journal of Substance Abuse Treatment
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