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Journal of Substance Abuse Treatment

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https://www.readbyqxmd.com/read/28216197/older-adults-who-use-or-have-used-marijuana-help-seeking-for-marijuana-and-other-substance-use-problems
#1
Namkee G Choi, Diana M DiNitto, C Nathan Marti
OBJECTIVE: Increasing numbers of older adults are using marijuana and may experience problems related to marijuana use. This study examined relationships (1) between help-seeking for marijuana use and the presence of other substance use and/or mental disorders and (2) between help-seeking for other substance use disorders and marijuana use among adults aged 50+. METHODS: The 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions provided data (N=14...
February 16, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28190543/quality-of-life-as-an-outcome-of-opioid-use-disorder-treatment-a-systematic-review
#2
Jeremy W Bray, Brandon Aden, Ashley A Eggman, Leah Hellerstein, Eve Wittenberg, Bohdan Nosyk, Judy C Stribling, Bruce R Schackman
BACKGROUND AND AIMS: The recent opioid epidemic has prompted renewed interest in opioid use disorder treatment, but there is little evidence regarding health-related quality-of-life (HRQoL) outcomes in treatment programs. Measuring HRQoL represents an opportunity to consider outcomes of opioid use disorder treatment that are more patient-centered and more relevant to overall health than abstinence alone. We conducted a systematic literature review to explore the extent to which the collection of HRQoL by opioid treatment programs is documented in the treatment program literature...
February 10, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28189290/corrigendum-to-an-initial-evaluation-of-a-comprehensive-continuing-care-intervention-for-clients-with-substance-use-disorders-my-first-year-of-recovery-myfyr-journal-of-substance-abuse-treatment-67-2016-50-54
#3
James R McKay, Cheryl Knepper, Erin Deneke, Christopher O'Reilly, Robert L DuPont
No abstract text is available yet for this article.
February 8, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28189289/continuous-quality-improvement-in-substance-abuse-treatment-facilities-how-much-does-it-cost
#4
Priscillia Hunt, Sarah Hunter, Deborah Levan
Continuous quality improvement (CQI) has grown in the U.S. since the 1970s, yet little is known about the costs to implement CQI in substance abuse treatment facilities. This paper is part of a larger group randomized control trial in a large urban county evaluating the impact of Plan-Study-Do-Act (PDSA)-CQI designed for community service organizations (Hunter, Ober, Paddock, Hunt, & Levan, 2014). Operated by one umbrella organization, each of the eight facilities of the study, four residential and four outpatient substance abuse treatment facilities, selected their own CQI Actions, including administrative- and clinical care-related Actions...
February 8, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28162850/examination-of-the-hepatitis-c-virus-care-continuum-among-individuals-with-an-opioid-use-disorder-in-substance-use-treatment
#5
Jennifer L Brown, Nicole K Gause, Daniel Lewis, Theresa Winhusen
BACKGROUND: Hepatitis C Virus (HCV) risk is elevated for individuals with an opioid use disorder (OUD). Routine HCV testing is recommended for high-risk individuals, including those with an injection drug use history. HCV antibody testing addresses the first step in the HCV treatment care cascade, with uptake and completion of HCV treatment among individuals with chronic HCV as the optimal care cascade endpoint. The aim of this study was to characterize self-reported HCV treatment cascade outcomes among individuals with an OUD in outpatient medication assisted treatment (MAT)...
February 2, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28162849/comparison-of-brief-versus-extended-personalised-feedback-in-an-online-intervention-for-cannabis-users-short-term-findings-of-a-randomised-trial
#6
Jan Copeland, Sally Rooke, Dan Rodriquez, Melissa M Norberg, Lisa Gibson
: Previous studies have shown brief online self-help interventions to be a useful method of treating cannabis use and related problems; however, no studies have compared the effects of brief versus extended feedback for online brief intervention programs. OBJECTIVES: The current study was a two arm randomised trial aimed at testing the short term effectiveness of a brief and extended feedback version of Grassessment, a brief online intervention for cannabis users that provides individualised feedback regarding use, motives, and harms...
February 2, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28161143/substance-use-treatment-and-demographic-characteristics-of-pregnant-women-entering-treatment-for-opioid-use-disorder-differ-by-united-states-census-region
#7
Dennis J Hand, Vanessa L Short, Diane J Abatemarco
Opioid use disorder (OUD) among pregnant women increased substantially between 1992 and 2012 across the United States, with the greatest increases occurring in the southern states. We analyzed the 2013 Treatment Episodes Database-Admissions to determine how substances used, characteristics of treatment, and demographics of pregnant women entering treatment for opioid use disorder vary between geographical regions. Analyses were restricted to cases where women reported being pregnant at the time of admission and reported opioids as the primary substance problem leading to the treatment admission...
February 1, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28159441/identifying-substance-misuse-in-primary-care-taps-tool-compared-to-the-who-assist
#8
R P Schwartz, J McNeely, L T Wu, G Sharma, A Wahle, C Cushing, C D Nordeck, A Sharma, K E O'Grady, J Gryczynski, S G Mitchell, R L Ali, J Marsden, G A Subramaniam
BACKGROUND: There is a need for screening and brief assessment instruments to identify primary care patients with substance use problems. This study's aim was to examine the performance of a two-step screening and brief assessment instrument, the TAPS Tool, compared to the WHO ASSIST. METHODS: Two thousand adult primary care patients recruited from five primary care clinics in four Eastern US states completed the TAPS Tool followed by the ASSIST. The ability of the TAPS Tool to identify moderate- and high-risk use scores on the ASSIST was examined using sensitivity and specificity analyses...
January 31, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28159440/one-year-sobriety-improves-satisfaction-with-life-executive-functions-and-psychological-distress-among-patients-with-polysubstance-use-disorder
#9
Egon Hagen, Aleksander H Erga, Katrin P Hagen, Sverre M Nesvåg, James R McKay, Astri J Lundervold, Espen Walderhaug
INTRODUCTION: Polysubstance use disorder is prevalent in treatment-seeking patients with substance use disorder (SUD), with a higher risk of developing comorbid psychiatric symptoms, more pervasive deficits in cognitive functions, and inferior treatment results. The present study investigates if individuals with polysubstance use disorder who achieve at least one year of abstinence show greater improvements in satisfaction with life, executive functions, and psychological distress, compared to relapsers and controls...
January 31, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28153483/mindfulness-treatment-for-substance-misuse-a-systematic-review-and-meta-analysis
#10
Wen Li, Matthew O Howard, Eric L Garland, Patricia McGovern, Michael Lazar
High rates of relapse following substance misuse treatment highlight an urgent need for effective therapies. Although the number of empirical studies investigating effects of mindfulness treatment for substance misuse has increased dramatically in recent years, few reviews have examined findings of mindfulness studies. Thus, this systematic review examined methodological characteristics and substantive findings of studies evaluating mindfulness treatments for substance misuse published by 2015. The review also includes the first meta-analysis of randomized controlled trials of mindfulness treatments for substance misuse...
January 30, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28143680/drug-abuse-staff-and-clients-smoking-together-a-shared-addiction
#11
Joseph Guydish, Thao Le, Barbara Campbell, Deborah Yip, Suzhe Ji, Kevin Delucchi
Smoking is endemic in drug abuse treatment populations, and smoking prevalence in this population appears unresponsive to existing tobacco control strategies. Clinical and policy guidelines encourage programs to address smoking among clients, and research has identified key barriers to doing so. This report explores the practice of staff and clients smoking together in drug treatment programs, and how this practice is associated with other tobacco-related measures. Clients (N=1113) were surveyed and program directors were interviewed in a national sample of 24 drug abuse treatment programs affiliated with the NIDA Clinical Trials Network...
January 28, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28143679/a-pilot-randomized-trial-of-exercise-as-adjunct-therapy-in-a-heroin-assisted-treatment-setting
#12
Flora Colledge, Marc Vogel, Kenneth Dürsteler-Macfarland, Jonas Strom, Susanne Schoen, Uwe Pühse, Markus Gerber
BACKGROUND: Although the potential of exercise as an adjunct treatment for substance dependence is persuasive in theory, few controlled trials have assessed its effectiveness. Existing research has also largely focused on individuals aiming towards, or having already achieved, abstinence. This study employed a randomized design in a pilot trial to assess the feasibility, acceptance, and effects of an exercise intervention for individuals receiving outpatient heroin-assisted treatment...
January 28, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28131519/urine-drug-testing-results-and-paired-oral-fluid-comparison-from-patients-enrolled-in-long-term-medication-assisted-treatment-in-tennessee
#13
Katie L Miller, Brandi L Puet, Ali Roberts, Cheryl Hild, Jason Carter, David L Black
Urine drug testing is recommended for individuals receiving medication-assisted treatment. It provides objective information for practitioners to consider and may serve as a protective factor against drug-related mortality. The primary objective of our study was to describe urine drug testing results for patients undergoing long-term medication-assisted treatment (≥6months). The secondary objective was to provide further evidence to establish oral fluid as a reliable alternative to urine. All subjects (n=639) included in the study were enrolled in one of five treatment centers in the state of Tennessee, and all urine specimens were positive for either methadone or buprenorphine...
January 25, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28161142/factors-associated-with-using-opiates-while-under-extended-release-naltrexone-blockade-a-descriptive-pilot-study
#14
Brantley P Jarvis, Anthony DeFulio, Lauren Long, August F Holtyn, Annie Umbricht, Michael Fingerhood, George E Bigelow, Kenneth Silverman
BACKGROUND AND AIM: Extended-release naltrexone (XR-NTX) blocks the effects of opioids for 4weeks, yet many patients continue to use them. To learn more about why this occurs, we collected self-reports on subjective effects and drug use factors from participants' most recent heroin/opiate use while under XR-NTX blockade. METHODS: Participants (n=38) were unemployed, heroin-dependent adults enrolled in a randomized controlled trial evaluating employment-based incentives to promote adherence to XR-NTX...
December 24, 2016: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28132705/the-juvenile-justice-behavioral-health-services-cascade-a-new-framework-for-measuring-unmet-substance-use-treatment-services-needs-among-adolescent-offenders
#15
Steven Belenko, Danica Knight, Gail A Wasserman, Michael L Dennis, Tisha Wiley, Faye S Taxman, Carrie Oser, Richard Dembo, Angela A Robertson, Jessica Sales
OVERVIEW: Substance use and substance use disorders are highly prevalent among youth under juvenile justice (JJ) supervision, and related to delinquency, psychopathology, social problems, risky sex and sexually transmitted infections, and health problems. However, numerous gaps exist in the identification of behavioral health (BH) problems and in the subsequent referral, initiation and retention in treatment for youth in community justice settings. This reflects both organizational and systems factors, including coordination between justice and BH agencies...
March 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28132704/reducing-non-injection-drug-use-in-hiv-primary-care-a-randomized-trial-of-brief-motivational-interviewing-with-and-without-healthcall-a-technology-based-enhancement
#16
Efrat Aharonovich, Aaron Sarvet, Malki Stohl, Don DesJarlais, Susan Tross, Teresa Hurst, Antonio Urbina, Deborah Hasin
AIMS: In HIV-infected individuals, non-injection drug use (NIDU) compromises many health outcomes. In HIV primary care, the efficacy of brief motivational interviewing (MI) to reduce NIDU is unknown, and drug users may need greater intervention. We designed an enhancement to MI, HealthCall (HC), for daily patient self-monitoring calls to an interactive voice response (IVR) phone system, and provided participants with periodic personalized feedback. To reduce NIDU among HIV primary care patients, we compared the efficacy of MI+HealthCall to MI-only and an educational control condition...
March 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28132703/drug-safety-and-adverse-drug-reaction-reporting-behavior-related-to-outpatient-opioid-replacement-therapy-results-from-a-survey-among-physicians
#17
Maximilian Gahr, Jonas Eller, Maurice Cabanis, Christoph Hiemke, Roland W Freudenmann, Bernhard J Connemann, Dirk Lang, Carlos Schönfeldt-Lecuona
To study drug safety and the reporting behavior of adverse drug reactions (ADR) related to agents used for opioid replacement therapy (ORT) we conducted a cross-sectional questionnaire-based telephone survey among physicians who provide outpatient ORT in Germany (n=176; response rate=55.7%). Most respondents (n=97/55.1%) reported that they observe ADR related to buprenorphine, (dihydro)codeine, and (levo)methdone rarely (n=38/21.6%), very rarely (n=39/22.2%) or never (n=20/11.4%). Methadone was reported to be most frequently associated with the occurrence of ADR (n=82/46...
March 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28132702/long-term-retention-in-office-based-opioid-treatment-with-buprenorphine
#18
Zoe M Weinstein, Hyunjoong W Kim, Debbie M Cheng, Emily Quinn, David Hui, Colleen T Labelle, Mari-Lynn Drainoni, Sara S Bachman, Jeffrey H Samet
BACKGROUND: Guidelines recommend long-term treatment for opioid use disorder with buprenorphine; however, little is known about patients in long-term treatment. The aim of this study is to examine the prevalence and patient characteristics of long-term treatment retention (≥1year) in an Office Based Opioid Treatment (OBOT) program with buprenorphine. METHODS: This is a retrospective cohort study of adults on buprenorphine from January 2002 to February 2014 in a large urban safety-net primary care OBOT program...
March 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28132701/a-randomized-study-of-the-use-of-screening-brief-intervention-and-referral-to-treatment-sbirt-for-drug-and-alcohol-use-with-jail-inmates
#19
Michael L Prendergast, Kathryn McCollister, Umme Warda
BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based practice that has been shown to reduce alcohol and drug use in healthcare, educational, and other settings, but research on the effectiveness of SBIRT with populations involved in the criminal justice system is limited. These populations have high rates of substance use but have limited access to interventions. METHODS: The study randomized 732 jail inmates from a large urban jail to the SBIRT intervention or to the control group...
March 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28132700/perceived-barriers-to-smoking-cessation-among-adults-with-substance-use-disorders
#20
R Kathryn McHugh, Victoria R Votaw, Francesca Fulciniti, Hilary S Connery, Margaret L Griffin, Peter M Monti, Roger D Weiss
The majority of adults seeking substance use disorder treatment also smoke. Smoking is associated with greater substance use disorder severity, poorer treatment outcome, and increased mortality among those with substance use disorders. Yet, engaging this population in smoking cessation treatment is a significant challenge. The aim of this study was to examine perceived barriers to smoking cessation among treatment-seeking adults with alcohol or opioid use disorder. Additionally, we examined whether anxiety sensitivity - a known risk factor for barriers to smoking cessation in the general population - was associated with more barriers to smoking cessation in this sample...
March 2017: Journal of Substance Abuse Treatment
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