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Journal of Substance Abuse Treatment

Alexis Kuerbis, Jessica Houser, Paul Amrhein, Hayley Treloar Padovano, Jon Morgenstern
BACKGROUND: Motivational interviewing is hypothesized to operate by enhancing a client's internal motivation to change. Past research operationalizes this process by measuring in-session statements for change (i.e., change talk), yet relationships between change talk and other measures of motivation have yet to be substantiated. This study tested whether in-session change talk predicted subsequent reports of commitment to abstain or moderate drinking assessed via ecological momentary assessment (EMA), and explored each of their contributions to drinking outcomes...
August 2018: Journal of Substance Abuse Treatment
Arthur Robin Williams, Edward V Nunes, Adam Bisaga, Harold A Pincus, Kimberly A Johnson, Aimee N Campbell, Remien H Remien, Stephen Crystal, Peter D Friedmann, Frances R Levin, Mark Olfson
BACKGROUND: Despite increasing opioid overdose mortality, problems persist in the availability and quality of treatment for opioid use disorder (OUD). Three FDA-approved medications (methadone, buprenorphine, and naltrexone) have high quality evidence supporting their use, but most individuals with OUD do not receive them and many experience relapse following care episodes. Developing and organizing quality measures under a unified framework such as a Cascade of Care could improve system level practice and treatment outcomes...
August 2018: Journal of Substance Abuse Treatment
Andrzej Jakubczyk, Elisa M Trucco, Maciej Kopera, Paweł Kobyliński, Hubert Suszek, Sylwia Fudalej, Kirk J Brower, Marcin Wojnar
Emotion dysregulation and impulsivity are important factors influencing the development and course of alcohol dependence. However, few empirical studies investigate the association between different aspects of impulsivity (cognitive, attentional, behavioral), emotion regulation, and alcohol use disorder symptoms in the same model. The goal of this study was to assess the association between emotion regulation and different facets of impulsivity among patients with an alcohol use disorder and healthy controls...
August 2018: Journal of Substance Abuse Treatment
Jordan P Davis, Daniel Berry, Tara M Dumas, Ellen Ritter, Douglas C Smith, Christopher Menard, Brent W Roberts
OBJECTIVE: Mindfulness based relapse prevention (MBRP) has demonstrated efficacy in alleviating substance use, stress, and craving but how MBRP works for marginalized young adults has not been investigated. The current study used a novel rolling group format for MBRP as an additional intervention for young adults in residential treatment. We tested the hypothesis that MBRP (plus Treatment as usual (TAU)) would reduce stress, craving, and substance use among young adults in residential treatment relative to treatment-as-usual plus 12-step/self-help meetings (TAU only)...
August 2018: Journal of Substance Abuse Treatment
Deirdre Richardson, Simon Adamson, Daryle Deering
INTRODUCTION: The pan-theoretical variable of alliance has been consistently reported to have a moderate yet robust effect on psychotherapy treatment outcome. However, the relationship is less clear in the addiction field where there is more limited research. The current study investigated the relationship between alliance and treatment outcome in an alcohol dependent and depressed population. METHOD: The Treatment Evaluation of Alcohol and Mood (TEAM) study was a randomized controlled pharmacotherapy trial with supportive clinical case management...
August 2018: Journal of Substance Abuse Treatment
Jessica L Mellinger, G Scott Winder, Melissa DeJonckheere, Robert J Fontana, Michael L Volk, Anna S F Lok, Frederic C Blow
BACKGROUND: While alcohol cessation improves mortality in alcoholic liver disease (ALD), many patients struggle to achieve abstinence. Our aim was to characterize ALD patients' preferences, misconceptions, and barriers to alcohol use treatment options. METHODS: This mixed-methods study included outpatients with a history of alcohol-related cirrhosis or alcoholic hepatitis recruited from a hepatology clinic for a survey or an in-depth semi-structured interview. We purposefully sampled men and women, compensated and decompensated patients to ensure adequate representation of gender and severity of liver disease for the qualitative interviews...
August 2018: Journal of Substance Abuse Treatment
Lisa D Hawke, Emiko Koyama, Joanna Henderson
Cannabis use among youth is of significant concern given the potential negative health impacts on young people. This study describes the mental health characteristics, cannabis use, and substance use profiles of youth aged 14 to 24 years seen at the Youth Addiction and Concurrent Disorders Service at the Centre for Addiction and Mental Health, through an age and gender lens. Almost all participating youth indicated lifetime cannabis use. Substance use and mental health profiles among those indicating a history of cannabis use differed along sex and age...
August 2018: Journal of Substance Abuse Treatment
Song Guo, Victoria Manning, Yi Yang, Puay Kee Koh, Edwin Chan, Nurun Nisa de Souza, Pryseley Nkouibert Assam, Rehena Sultana, Ruki Wijesinghe, Julius Pangjaya, Gomathinayagam Kandasami, Christopher Cheok, Kae Meng Lee, Kim Eng Wong
BACKGROUND: Many individuals leave costly inpatient detoxification programs prematurely because of the severity of withdrawal symptoms experienced. In the absence of opioid-assisted detoxification in Singapore, diazepam is used to manage withdrawal. However since diazepam is addictive, there is a need to explore the effectiveness of alternative medications. DESIGN AND PROCEDURES: The study aimed to examine the safety and efficacy of lofexidine, a non-opiate, non-addictive, alpha 2-adrenergic agonist in assisting opioid detoxification in Singapore, using a randomized, double-blind, investigator-initiated placebo-controlled trial comparing lofexidine against diazepam...
August 2018: Journal of Substance Abuse Treatment
Lesley A Tarasoff, Karen Milligan, Thao Lan Le, Amelia M Usher, Karen Urbanoski
Integrated treatment programs comprehensively address the unique and varied needs of pregnant and parenting women with problematic substance use. Despite the growth of these programs and evidence supporting their effectiveness, a clear picture of services that comprise integrated treatment is lacking. To address this gap in knowledge, we explored the services provided by 12 integrated treatment programs in one Canadian province. We found that integrated programs routinely provided substance use and mental health services, yet there was marked variability in other supportive services that address other central needs of women, such as prenatal and primary care, therapeutic childcare, housing and transportation support...
July 2018: Journal of Substance Abuse Treatment
Cara M Murphy, Rosemarie A Martin, Jennifer W Tidey, Suzanne M Colby, Damaris J Rohsenow
OBJECTIVE: Strong expectations regarding positive effects of smoking may reduce the likelihood of successfully quitting. The Smoking Effects Questionnaire (SEQ) assesses the importance of seven expected positive and negative effects of smoking. SEQ was used to predict responses to contingent monetary rewards for smoking abstinence among smokers with substance use disorders (SUD). METHODS: Smokers (N = 184) in residential (i.e., 24 h/day) treatment for SUD received 19 consecutive days of either contingent vouchers (CV) for smoking abstinence (twice-daily carbon monoxide [CO] readings) or non-contingent vouchers (NV) plus counseling to motivate smoking cessation...
July 2018: Journal of Substance Abuse Treatment
Allison J Ober, Katherine E Watkins, Colleen M McCullough, Claude M Setodji, Karen Osilla, Sarah B Hunter
INTRODUCTION: Primary care clinics are opportune settings in which to deliver substance use disorder (SUD) treatment, but little is known about which patients initiate treatment in these settings. METHODS: Using secondary data from a RCT that aimed to integrate SUD treatment into a federally qualified health center (FQHC) using an organizational readiness and collaborative care (CC) intervention, we examined patient-level predictors of initiation of evidence-based practices for opioid and/or alcohol use disorders (OAUDs): a brief behavioral treatment (BT) based on motivational interviewing and cognitive behavioral therapy and medication-assisted treatment (MAT) (extended-release injectable naltrexone (XR-NTX) for patients with an alcohol use disorder or opioid use disorder and buprenorphine/naloxone (BUP/NX) for patients with an opioid use disorder)...
July 2018: Journal of Substance Abuse Treatment
Katherine A Hirchak, Emily Leickly, Jalene Herron, Jennifer Shaw, Jordan Skalisky, Lisa G Dirks, Jaedon P Avey, Sterling McPherson, Jenny Nepom, Dennis Donovan, Dedra Buchwald, Michael G McDonell
INTRODUCTION: Many American Indian and Alaska Native (AI/AN) people seek evidence-based, cost-effective, and culturally acceptable solutions for treating alcohol use disorders. Contingency management (CM) is a feasible, low-cost approach to treating alcohol use disorders that uses "reinforcers" to promote and support alcohol abstinence. CM has not been evaluated among AI/AN communities. This study explored the cultural acceptability of CM and adapted it for use in diverse AI/AN communities...
July 2018: Journal of Substance Abuse Treatment
Howard A Liddle, Gayle A Dakof, Cynthia L Rowe, Craig Henderson, Paul Greenbaum, Wei Wang, Linda Alberga
This randomized clinical trial (RCT) compared Multidimensional Family Therapy (MDFT) with residential treatment (RT) for adolescents with co-occurring substance use and mental health disorders on substance use, delinquency, and mental health symptoms. Using an intent-to-treat design, 113 adolescents who had been referred for residential treatment were randomly assigned to either RT or MDFT in the home/community. The sample was primarily male (75%) and Hispanic (68%) with an average age of 15.4 years. Seventy-one percent of youth had at least one previous residential treatment placement...
July 2018: Journal of Substance Abuse Treatment
Victoria Stanhope, Jennifer I Manuel, Lauren Jessell, Teresa M Halliday
OBJECTIVE: Many adolescents with substance use problems remain untreated, leading to increased risk for the development of substance use disorders. One response is Screening, Brief Intervention, and Referral to Treatment (SBIRT)-an evidence-based, early intervention that can be tailored for adolescents. This mixed methods study examined the implementation of SBIRT across 27 community mental health organizations (CMHOs) serving adolescents. METHODS: Organizations completed surveys on the adoption of SBIRT and implementation barriers during the study period...
July 2018: Journal of Substance Abuse Treatment
Melinda A Gaddy, Hilary G Casner, Jenny Rosinski
Substance use disorders (SUDs) are of great concern for health care providers working with military veteran populations. Systematic evaluation of progress and outcomes within the Veterans Affairs (VA) is a critical component of care provided for the veteran population. The Brief Addiction Monitor (BAM) is a 17-item instrument used within VA to assess substance use and related constructs among veterans participating in SUD care. Initial evaluations, using a version containing continuous items, suggested that the items form three factors reflecting substance use, risk factors, and protective factors...
July 2018: Journal of Substance Abuse Treatment
Karen Urbanoski, Chris Kenaszchuk, Dakota Inglis, Nooshin Khobzi Rotondi, Brian Rush
Understanding the nature of variations in the quality of substance use treatment is critical to ensuring equity in service delivery and maximizing treatment effectiveness. We used adapted versions of the US Healthcare Effectiveness Data and Information Set (HEDIS) treatment initiation and engagement measures to assess care quality in specialized outpatient services for substance use in Ontario, Canada. Using administrative data, we calculated rates of outpatient treatment initiation and engagement (N = 120,394 episodes) and investigated variation by client characteristics and treatment mandates...
July 2018: Journal of Substance Abuse Treatment
Viviana Ximena Lucabeche, Jolynn L Haney
No abstract text is available yet for this article.
July 2018: Journal of Substance Abuse Treatment
Ramin Mojtabai, Kenneth A Feder, Marc Kealhofer, Noa Krawczyk, Carla Storr, Kayla N Tormohlen, Andrea S Young, Mark Olfson, Rosa M Crum
Medicaid enrollment varies considerably among states. This study examined the association of Medicaid enrollment with the use of substance health services in the longitudinal National Epidemiologic Survey on Alcohol and Related Conditions of 2001-2005. Instrumental variable methods were used to assess endogeneity of individual-level Medicaid enrollment using state-level data as instruments. Compared to the uninsured, Medicaid covered adults were more likely to use substance use disorder treatment services over the next three years...
June 2018: Journal of Substance Abuse Treatment
Vanessa L Short, Dennis J Hand, Lauren MacAfee, Diane J Abatemarco, Mishka Terplan
OBJECTIVE: To describe differences in geographic, demographic, treatment, and substance use characteristics by pharmacotherapy receipt among pregnant women entering publically funded treatment for opioid use disorder (OUD) in the United States. METHODS: 1996 to 2014 Treatment Episode Data Set-Admissions data from pregnant admissions with OUD, defined as reporting opioids as the primary substance of use leading to the treatment episode, were analyzed for this cross-sectional study...
June 2018: Journal of Substance Abuse Treatment
Katherine L Mills, Christina Marel, Shane Darke, Joanne Ross, Tim Slade, Maree Teesson
The high prevalence of post traumatic stress disorder (PTSD) among people with heroin dependence and its impact on short term outcomes has been well established. The impact of PTSD on long-term recovery is, however, unknown. This paper examines the impact of current and lifetime PTSD on long-term recovery from heroin dependence among participants who took part in the 11-year follow-up of the Australian Treatment Outcome Study (ATOS), a prospective naturalistic longitudinal study of 615 people with heroin dependence recruited from Sydney, Australia, in 2001-2002...
June 2018: Journal of Substance Abuse Treatment
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