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Journal of Substance Abuse Treatment

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https://www.readbyqxmd.com/read/28576389/healthcare-utilization-in-adults-with-opioid-dependence-receiving-extended-release-naltrexone-compared-to-treatment-as-usual
#1
William E Soares, Donna Wilson, Niels Rathlev, Joshua D Lee, Michael Gordon, Edward V Nunes, Charles P O'Brien, Peter D Friedmann
BACKGROUND: Opioid use disorders have reached epidemic proportions, with overdose now the leading cause of accidental death in the United States. Extended release naltrexone (XR-NTX) has emerged as a medication treatment that reduces opioid use and craving. However, the effect of XR-NTX therapy on acute healthcare utilization, including emergency department visits and inpatient hospitalizations, remains uncertain. The objective of the current study is to evaluate hospital-based healthcare resource utilization in adults involved in the criminal justice system with a history of opioid use disorder randomized to XR-NTX therapy compared with treatment as usual (TAU) during a 6-month treatment phase and 12months post-treatment follow up...
May 12, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28527854/barriers-to-initiation-of-extended-release-naltrexone-among-hiv-infected-adults-with-alcohol-use-disorders
#2
Hélène Chokron Garneau, Alexandra Venegas, Richard Rawson, Lara A Ray, Suzette Glasner
Alcohol consumption is a major risk factor for the acquisition of HIV/AIDS and is associated with greater disease burden and mortality among those who become HIV-infected. Of the extant pharmacological treatments for alcohol use disorders, naltrexone is recognized as one of the most efficacious, producing robust reductions in alcohol craving and use. Given that treatment with oral naltrexone has been limited by problems with adherence, which are particularly prevalent among individuals with multiple chronic, co-occurring conditions, long-acting formulations may be a promising approach for HIV-infected substance users...
May 11, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673532/drug-use-among-asian-americans-differentiating-use-by-acculturation-status-and-gender
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/28673524/examining-the-reach-of-a-brief-alcohol-intervention-service-in-routine-practice-at-a-level-1-trauma-center
#11
Brianna J Turner, Barbara S McCann, Christopher W Dunn, Doyanne A Darnell, Christopher R Beam, Blair Kleiber, Kimberly M Nelson, Rena Fukunaga
The American College of Surgeons requires Level I and II trauma centers to provide brief intervention services to traumatically injured patients who screen positive for alcohol. Despite evidence supporting substantial cost savings and reduced re-injury associated with these services, brief interventions may not be uniformly delivered owing to a variety of demographic, clinical and operational characteristics. To inform service adjustments that may improve the reach of such services, we compared trauma patients who did and did not receive brief alcohol intervention services during their hospitalizations...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673523/interagency-collaboration-and-receipt-of-substance-abuse-treatment-services-for-child-welfare-involved-caregivers
#12
Amy S He
Caregivers dealing with problematic substance use pose persistent challenges for families involved with the child welfare (CW) system. Research has indicated that receipt of substance use disorder (SUD) services help improve family outcomes. However, there are many challenging stages of intervention in the SUD treatment process, including detection, assessment, referral, entry, and completion. Considerable work is needed to illuminate factors that strengthen the delivery of SUD-related services at various points in the treatment services continuum...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673522/very-early-disengagement-and-subsequent-re-engagement-in-primary-care-office-based-opioid-treatment-obot-with-buprenorphine
#13
David Hui, Zoe M Weinstein, Debbie M Cheng, Emily Quinn, Hyunjoong Kim, Colleen Labelle, Jeffrey H Samet
INTRODUCTION: Patients with opioid use disorder often require multiple treatment attempts before achieving stable recovery. Rates of disengagement from buprenorphine are highest in the first month of treatment and termination of buprenorphine therapy results in return to use rates as high as 90%. To better characterize these at-risk patients, this study aims to describe: 1) the frequency and characteristics of patients with very early disengagement (≤1month) from Office Based Opioid Treatment (OBOT) with buprenorphine and 2) the frequency and characteristics of patients who re-engage in care at this same OBOT clinic within 2years, among the subset of very early disengagers...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28673521/addiction-consultation-services-linking-hospitalized-patients-to-outpatient-addiction-treatment
#14
Paul Trowbridge, Zoe M Weinstein, Todd Kerensky, Payel Roy, Danny Regan, Jeffrey H Samet, Alexander Y Walley
BACKGROUND: Approximately 15% of hospitalized patients have an active substance use disorder (SUD). Starting treatment for SUD, including medications, during acute hospitalizations can engage patients in addiction care. In July 2015, the Boston Medical Center Addiction Consult Service (ACS), began providing inpatient diagnostic, management, and discharge linkage consultations. We describe this implementation. METHODS: The ACS staff recorded SUDs diagnoses and medication recommendations and tracked follow-up data for affiliated outpatient office-based addiction clinics and methadone maintenance programs...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28554608/documented-brief-intervention-not-associated-with-resolution-of-unhealthy-alcohol-use-one-year-later-among-va-patients-living-with-hiv
#15
Emily C Williams, Gwen T Lapham, Jennifer F Bobb, Anna D Rubinsky, Sheryl L Catz, Susan M Shortreed, Kara M Bensley, Katharine A Bradley
OBJECTIVE: Unhealthy alcohol use is particularly risky for patients living with HIV (PLWH). Brief interventions reduce drinking among patients with unhealthy alcohol use, but whether its receipt in routine outpatient settings is associated with reduced drinking among PLWH with unhealthy alcohol use is unknown. We assessed whether PLWH who screened positive for unhealthy alcohol use were more likely to resolve unhealthy drinking one year later if they had brief alcohol intervention (BI) documented in their electronic health record in a national sample of PLWH from the Veterans Health Administration...
July 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28554607/cardiorespiratory-fitness-and-body-composition-of-stimulant-users-a-baseline-analysis-of-the-stride-cohort
#16
Mark Stoutenberg, Chad D Rethorst, Denise C Vidot, Tracy L Greer, Madhukar H Trivedi
INTRODUCTION: Relatively little has been reported about the physical characteristics, such as cardiorespiratory fitness (CRF) and body composition, of stimulant users. Identifying risk factors associated with the physical health of stimulant users is an important public health issue as new treatments should better address the entire range of health concerns experienced by this population. METHODS: We examined cross-sectional data gathered at baseline from the STimulant Reduction Intervention using Dosed Exercise (STRIDE) study, a multisite randomized clinical trial that examined exercise as an adjunct to treatment as usual for individuals in residential treatment programs (RTPs)...
July 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28554606/a-randomized-trial-of-brief-assessment-interventions-for-young-adults-who-use-drugs-in-the-club-scene
#17
Steven P Kurtz, Mance E Buttram, Maria E Pagano, Hilary L Surratt
BACKGROUND: Efficacious interventions to reduce drug use and its consequences for club drug using populations are not apparent in the literature. We tested interviewer- (CAPI) and self-administered (ACASI) comprehensive health and social risk assessments as distinct interventions compared to waitlist control. METHODS: 750 men and women ages 18-39 with multidrug use and heterosexual behavior were randomized in equal proportions to the three conditions. Instrumentation included well-tested measures of drug use, risky sex, mental distress and substance dependence...
July 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28554605/corrigendum-to-timing-matters-a-randomized-control-trial-of-recovery-coaches-in-foster-care-journal-of-substance-abuse-treatment-77-2017-178-184
#18
Joseph P Ryan, Brian E Perron, Andrew Moore, Bryan G Victor, Keunhye Park
No abstract text is available yet for this article.
July 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28554604/how-online-counselling-can-support-partners-of-individuals-with-problem-alcohol-or-other-drug-use
#19
Samara R Wilson, Simone Rodda, Dan I Lubman, Victoria Manning, Marie B H Yap
BACKGROUND: Problematic alcohol and other drug (AOD) use impacts partners heavily, with an increased risk of experiencing domestic violence, financial stressors, health problems and relationship challenges. However, partners often do not seek help or support due to a range of barriers (e.g., shame, stigma, practical constraints). Online counselling may facilitate help-seeking by overcoming many of these barriers, however research is needed to explore what motivates partners to contact online counselling services, their experiences and needs, and how partners can be best supported online...
July 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28554603/association-between-executive-function-and-outcome-measure-of-treatment-in-therapeutic-community-among-cocaine-dependent-individuals
#20
Esperanza Vergara-Moragues, Antonio Verdejo-García, Oscar M Lozano, Sandra Santiago-Ramajo, Francisco González-Saiz, Patricia Betanzos Espinosa, Miguel Pérez García
The aim of this study was to examine the association between baseline executive functioning and outcome measure of treatment in 226 cocaine dependent individuals who initiated treatment in therapeutic communities TCs. The study was conducted across six TCs located in the region of Andalusia (southern Spain). Neuropsychological testing included tests of working memory, reasoning, inhibition, switching, attention interference and decision making. The outcome measures were type of discharge (treatment dropout vs...
July 2017: Journal of Substance Abuse Treatment
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