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Journal of Substance Abuse Treatment

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https://www.readbyqxmd.com/read/28733097/injectable-naltrexone-oral-naltrexone-and-buprenorphine-utilization-and-discontinuation-among-individuals-treated-for-opioid-use-disorder-in-a-united-states-commercially-insured-population
#1
Jake R Morgan, Bruce R Schackman, Jared A Leff, Benjamin P Linas, Alexander Y Walley
We investigated prescribing patterns for five opioid use disorder (OUD) medications: 1) injectable naltrexone, 2) oral naltrexone, 3) sublingual or oralmucosal buprenorphine/naloxone, 4) sublingual buprenorphine, and 5) transdermal buprenorphine in a nationally representative claims-based database (Truven Health MarketScan®) of commercially insured individuals in the United States. We calculated the prevalence of OUD in the database for each year from 2010 to 2014 and the proportion of diagnosed patient months on OUD medication...
July 3, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755778/developing-a-fitbit-supported-lifestyle-physical-activity-intervention-for-depressed-alcohol-dependent-women
#2
Ana M Abrantes, Claire E Blevins, Cynthia L Battle, Jennifer P Read, Alan L Gordon, Michael D Stein
PURPOSE: Women in alcohol treatment are more likely to relapse when in unpleasant, negative emotional states. Given the demonstrated benefits of exercise for decreasing depression, negative affect, and urges to drink, helping women engage in a lifestyle physical activity (LPA) intervention in early recovery may provide them a tool they can utilize "in the moment" in order to cope with negative emotional states and alcohol craving when relapse risk is highest. New digital fitness technologies (e...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755777/dispositional-and-situational-coping-among-individuals-with-alcohol-use-disorder
#3
Silvia Cerea, Gioia Bottesi, Jessica R Grisham, Alessio Vieno, Marta Ghisi
Previous research has documented that patients referred for problems related to alcohol use rely primary on maladaptive coping and are deficient in adaptive coping skills. However, the relation between dispositional and situational coping in these patients is not yet fully understood. Therefore, the first aim of the present study was to assess dispositional and situational coping among individuals with alcohol use disorder compared to matched healthy controls. Furthermore, we aimed at assessing gender differences in dispositional and situational coping among individuals with alcohol use disorder...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755776/the-mental-health-parity-and-addiction-equity-act-evaluation-study-impact-on-specialty-behavioral-healthcare-utilization-and-spending-among-enrollees-with-substance-use-disorders
#4
Sarah Friedman, Haiyong Xu, Jessica M Harwood, Francisca Azocar, Brian Hurley, Susan L Ettner
BACKGROUND: The federal Mental Health Parity and Addiction Equity Act (MHPAEA) sought to eliminate historical disparities between behavioral health and medical health insurance benefits among the commercially insured. This study determines whether MHPAEA was associated with increased BH expenditures and utilization among a population with substance use disorder (SUD) diagnoses. METHODS: Claims and eligibility data from 5,987,776 enrollees, 2008-2013, were obtained from a national, commercial, managed behavioral health organization...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755775/a-systematic-review-of-the-relationship-between-staff-perceptions-of-organizational-readiness-to-change-and-the-process-of-innovation-adoption-in-substance-misuse-treatment-programs
#5
Peter Kelly, Josephine Hegarty, Joe Barry, Kyle R Dyer, Aine Horgan
Translating innovation, such as contemporary research evidence, into policy and practice is a challenge, not just in substance misuse treatment programs, but across all spheres of healthcare. Organizational readiness to change (ORC) has been described as a fundamental concept, and an important determinant of the process of innovation adoption. The aim of this review was to describe the relationship between staff perceptions of ORC and the process of innovation adoption: exposure, adoption, implementation and integration into practice, in substance misuse treatment programs...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755774/effectiveness-of-a-computerized-motivational-intervention-on-treatment-initiation-and-substance-use-results-from-a-randomized-trial
#6
Jennifer Lerch, Scott T Walters, Liansheng Tang, Faye S Taxman
As many as 80% of the nearly five million adults under community supervision (i.e., probation, parole) are substance involved; however, treatment utilization is low. Using a multi-site randomized controlled trial, we tested the efficacy of in-person motivational interviewing (MI), a motivational computer intervention (MAPIT), or standard probation intake (SAU) to encourage treatment initiation among 316 substance-involved probationers in Dallas, Texas and Baltimore City, Maryland. Ninety-three percent (n=295) of participants completed the 2-month follow-up and 90% (n=285) completed the 6-month follow-up...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755773/patient-adherence-to-multi-component-continuing-care-discharge-plans
#7
Steven L Proctor, Jaclyn L Wainwright, Philip L Herschman
Intuitively, it is assumed that greater patient adherence to treatment recommendations in substance use disorder (SUD) treatment is associated with favorable outcomes, but surprisingly, there is limited research systematically examining the adherence-outcome relationship in the context of the continuing care phase post-discharge from residential treatment. This study sought to determine the effect of adherence to multi-component continuing care plans on long-term outcomes among patients following the primary treatment episode...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755772/demographic-and-clinical-characteristics-of-treatment-seeking-women-with-full-and-subthreshold-ptsd-and-concurrent-cannabis-and-cocaine-use-disorders
#8
Lesia M Ruglass, Alina Shevorykin, Christina Brezing, Mei-Chen Hu, Denise A Hien
While the detrimental effects of concurrent substance use disorders (SUDs) are now being well documented, very few studies have examined this comorbidity among women with posttraumatic stress disorder (PTSD). Data for these analyses were derived from the "Women and Trauma" study conducted within the National Drug Abuse Treatment Clinical Trials Network. Women with full or subthreshold PTSD and co-occurring cannabis use disorder (CUD) and cocaine use disorder (COD; N=99) were compared to their counterparts with co-occurring CUD only (N=26) and co-occurring COD only (N=161) on rates of trauma exposure, psychiatric disorders, psychosocial problems, and other substance use utilizing a set of multivariate logistic regressions...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755771/cessation-support-for-smokers-with-mental-health-problems-a-survey-of-resources-and-training-needs
#9
Erikas Simonavicius, Debbie Robson, Andy McEwen, Leonie S Brose
AIMS: Around thirty percent of smokers have a mental health problem. Smoking cessation has been associated with mental health benefits, but smoking prevalence remains high in populations with mental health problems. This study aimed to assess mental health related knowledge, practice, and training needs of practitioners supporting smoking cessation. METHODS: UK stop smoking practitioners (n=717) recruited via a database of a national provider of smoking cessation training in June 2016 sufficiently completed an online survey about available resources, knowledge, confidence, and training needs related to smoking cessation and mental health...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755770/association-of-methadone-dose-with-substance-use-and-treatment-retention-in-pregnant-and-postpartum-women-with-opioid-use-disorder
#10
Christine M Wilder, Daniel Hosta, Theresa Winhusen
BACKGROUND: In non-pregnant individuals being treated for opioid use disorder (OUD) with methadone, doses ≥60mg per day are associated with improved treatment retention and decreased illicit opioid use. Although methadone remains the first line treatment for OUD in pregnant women, there are no studies replicating this finding in pregnancy. METHODS: We conducted a retrospective cohort study of 189 pregnant women treated with methadone for OUD from 2006 to 2013...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755769/alcohol-and-cocaine-use-among-latino-and-african-american-msm-in-6-us-cities
#11
Nick Zaller, Cui Yang, Don Operario, Carl Latkin, David McKirnan, Lydia O'Donnell, Maria Fernandez, David Seal, Beryl Koblin, Stephen Flores, Pilgrim Spikes
No abstract text is available yet for this article.
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28755768/a-naturalistic-study-of-predictors-of-retention-in-treatment-among-emerging-adults-entering-first-buprenorphine-maintenance-treatment-for-opioid-use-disorders
#12
Prabhoo Dayal, Yatan Pal Singh Balhara
INTRODUCTION: Emerging adulthood (between the ages 18-25years) has been conceptualized as a specific developmental stage based on unique psychosocial characteristics. Opioids are commonly used drugs in this population. Few studies have reported predictors of retention in buprenorphine maintenance treatment among opioid-dependent emerging adults, particularly from India. Moreover, no study has examined outcomes with opioid maintenance treatment among emerging adults in non-clinical trial, naturalistic settings...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673532/drug-use-among-asian-americans-differentiating-use-by-acculturation-status-and-gender
#13
Clifford S Bersamira, Yu-An Lin, Keunhye Park, Jeanne C Marsh
This study examined past-year drug use among Asian Americans with respect to ethnic subgroup, acculturation, and gender differences. Survey data were collected during the National Latino and Asian American Survey, a national epidemiological household survey of behavioral health prevalence and service utilization rates. The analytical sample consisted of 505 Filipino, 598 Chinese, 518 Vietnamese, and 466 other Asian respondents. Results indicated that among ethnic subgroups, Filipinos had the highest rates of drug use...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673531/corrigendum-to-evidence-based-treatment-for-opioid-disorders-a-23-year-national-study-of-methadone-dose-levels-journal-of-substance-abuse-treatment-47-2014-245-250
#14
Thomas D'Aunno, Harold A Pollack, Jemima A Frimpong, David Wutchiett
No abstract text is available yet for this article.
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673530/comparison-of-the-substance-use-brief-screen-subs-to-the-audit-c-and-assist-for-detecting-unhealthy-alcohol-and-drug-use-in-a-population-of-hospitalized-smokers
#15
Benjamin H Han, Scott E Sherman, Alissa R Link, Binhuan Wang, Jennifer McNeely
Hospitalized patients have high rates of unhealthy substance use, which has important impacts on health both during and after hospitalization, but is infrequently identified in the absence of screening. The Substance Use Brief Screen (SUBS) was developed as a brief, self-administered instrument to identify use of tobacco, alcohol, illicit drugs, and non-medical use of prescription drugs, and was previously validated in primary care patients. This study assessed the diagnostic accuracy of the SUBS in comparison to longer screening instruments to identify unhealthy and high-risk alcohol and drug use in hospitalized current smokers...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673529/psychometric-evaluation-of-a-swedish-version-of-the-shortened-desires-for-alcohol-questionnaire-shortened-daq
#16
Lotfi Khemiri, Nitya Jayaram-Lindström, Anders Hammarberg
INTRODUCTION: Craving is a clinically important feature of alcohol use disorders (AUD), representing a diagnostic criterion as well as a target for treatment. The Desire for Alcohol Questionnaire (DAQ) is a widely used scale to measure craving. The aim of the current study was to evaluate the psychometric properties of a Swedish version of the Shortened-DAQ. METHOD: The English DAQ was translated into Swedish and back translated to English. Individuals with a diagnosis of AUD (n=118) participated in a laboratory experiment comprising presentation of alcohol and non-alcohol cues, as well as consumption of an alcoholic drink, with the aim of exploring changes in the craving responses following pharmacological treatment for AUD...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673528/benefit-cost-analysis-of-sbirt-interventions-for-substance-using-patients-in-emergency-departments
#17
Brady P Horn, Cameron Crandall, Alyssa Forcehimes, Michael T French, Michael Bogenschutz
Screening, brief intervention, and referral to treatment (SBIRT) has been widely implemented as a method to address substance use disorders in general medical settings, and some evidence suggests that its use is associated with decreased societal costs. In this paper, we investigated the economic impact of SBIRT using data from Screening, Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED), a multisite, randomized controlled trial. Utilizing self-reported information on medical status, health services utilization, employment, and crime, we conduct a benefit-cost analysis...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673527/marijuana-use-in-the-context-of-alcohol-interventions-for-mandated-college-students
#18
Ali M Yurasek, Jennifer E Merrill, Jane Metrik, Mary Beth Miller, Anne C Fernandez, Brian Borsari
OBJECTIVE: Concurrent use of marijuana and alcohol among college students is highly prevalent and associated with negative consequences. It remains unclear whether marijuana use is influenced by or lessens the efficacy of alcohol interventions delivered within a stepped-care approach. METHOD: Participants were 530 college students who violated campus alcohol policy and were mandated to an alcohol-focused brief advice (BA) session. Participants who reported continued risky alcohol use (4+ heavy drinking episodes and/or 5+ alcohol-related consequences in the past month) six weeks following the BA session were randomized to a brief motivational intervention (BMI; n=211) or assessment only (AO; n=194) condition...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673526/health-care-cost-trajectories-in-the-year-prior-to-and-following-intake-into-veterans-health-administration-outpatient-substance-use-disorders-treatment
#19
Hildi J Hagedorn, Siamak Noorbaloochi, Ann Bangerter, Maxine L Stitzer, Daniel Kivlahan
Veterans Health Administration (VHA) patients with substance use disorder (SUD) diagnoses incur significantly higher overall health care costs compared to the average annual costs of VHA patients. Because SUDs are relapsing/remitting chronic illnesses, it is important to understand how service costs shift over time in relation to active SUD treatment episodes in order to identify strategies which may enhance treatment outcomes and thereby reduce costs. The primary aim of the current study was to examine VHA health care costs derived from VHA administrative data for 330 Veterans during the years prior to and following patient entry into outpatient SUD treatment in two VHA facilities...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673525/helping-concerned-family-members-of-individuals-with-substance-use-and-concurrent-disorders-an-evaluation-of-a-family-member-oriented-treatment-program
#20
William James Denomme, Orry Benhanoh
There is a growing body of research demonstrating that families of individuals with substance use and concurrent disorders (SUCD) experience a wide range of biopsychosocial problems that significantly impedes their quality of life and health. However, there has been a relative lack of treatment programs primarily focused on improving the well-being and quality of life of these family members. The current study assessed the efficacy of such a program at reducing stress, increasing perceived social support from family and friends, and increasing general, dyadic, and self-rated family functioning within these concerned family members...
August 2017: Journal of Substance Abuse Treatment
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