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Addiction Science & Clinical Practice

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https://www.readbyqxmd.com/read/28086944/prenatal-treatment-for-opioid-dependency-observations-from-a-large-inner-city-clinic
#1
Kelley Saia, Sarah M Bagley, Elisha M Wachman, Payal P Patel, Marisa D Nadas, Susan B Brogly
BACKGROUND: The objective of this study was to review changes in the prevalence of opioid use disorder in pregnancy, and to describe the prenatal care and neonatal outcomes following the implementation of buprenorphine treatment at a large US obstetrical clinic during the on-going opioid epidemic. METHODS: We conducted a retrospective cohort study of 310 women (332 pregnancies) with opioid use disorders and their neonates delivered between June 2006 and December 2010 at an obstetrical clinic in the US...
January 13, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28061909/opioid-overdose-prevention-and-naloxone-rescue-kits-what-we-know-and-what-we-don-t-know
#2
REVIEW
Todd Kerensky, Alexander Y Walley
The opioid use and overdose crisis is persistent and dynamic. Opioid overdoses were initially driven in the 1990s and 2000s by the increasing availability and misuse of prescription opioids. More recently, opioid overdoses are increasing at alarming rates due to wider use of heroin, which in some places is mixed with fentanyl or fentanyl derivatives. Naloxone access for opioid overdose rescue is one of the US Department of Health and Human Services' three priority areas for responding to the opioid crisis. This article summarizes the known benefits of naloxone access and details unanswered questions about overdose education and naloxone rescue kits...
January 7, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28057079/prevalence-and-factors-associated-with-use-of-khat-a-survey-of-patients-entering-hiv-treatment-programs-in-ethiopia
#3
Alan R Lifson, Sale Workneh, Tibebe Shenie, Desalegn Admassu Ayana, Zenebe Melaku, Lemlem Bezabih, Hiwot Tekle Waktola, Behailu Dagne, Rose Hilk, Ken C Winters, Lucy Slater
BACKGROUND: Khat, a plant native to East Africa, has psychoactive constituents similar to amphetamine. Chronic khat use can lead to psychological dependence with multiple physical and mental health harms, complicating clinical management of people living with HIV. In two Ethiopian cities where khat is common, we evaluated prevalence and correlates of khat use among patients new to HIV care. METHODS: During 2013-2014, we surveyed 322 patients recently enrolled in HIV clinics in Dire Dawa and Harar about khat use, demographics, smoking and alcohol use, clinical illness, food insecurity, and social support...
January 6, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28049515/validation-of-the-audit-c-in-adults-seeking-help-with-their-drinking-online
#4
Zarnie Khadjesari, Ian R White, Jim McCambridge, Louise Marston, Paul Wallace, Christine Godfrey, Elizabeth Murray
BACKGROUND: The abbreviated Alcohol Use Disorder Identification Test for Consumption (AUDIT-C) is rapidly becoming the alcohol screening tool of choice for busy practitioners in clinical settings and by researchers keen to limit assessment burden and reactivity. Cut-off scores for detecting drinking above recommended limits vary by population, setting, country and potentially format. This validation study aimed to determine AUDIT-C thresholds that indicated risky drinking among a population of people seeking help over the Internet...
January 4, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28049542/technology-assisted-intervention-for-parents-of-adolescents-in-residential-substance-use-treatment-protocol-of-an-open-trial-and-pilot-randomized-trial
#5
Sara J Becker, Lynn Hernandez, Anthony Spirito, Selby Conrad
BACKGROUND: Adolescents in residential substance use disorder (SUD) treatment have poor outcomes post-discharge, with follow-up studies suggesting that most adolescents relapse within 90 days. Parenting practices directly influence adolescent SUD outcomes, but parents of adolescents with SUDs are difficult to engage in traditional behavioral treatments. The current study adapts and evaluates a technology-assisted intervention for parents of adolescents in residential SUD treatment. Based on pilot qualitative data with parents, adolescents, and residential staff, we augment an existing computerized intervention (Parenting Wisely; PW) with four in-person coaching sessions, personalized text messages, and an expert-moderated online parent message board...
January 3, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27931253/alcohol-use-in-opioid-agonist-treatment
#6
REVIEW
Seonaid Nolan, Jan Klimas, Evan Wood
Alcohol misuse among individuals receiving agonist treatment for an opioid use disorder is common and is associated with significant morbidity and mortality. At present, though substantial research highlights effective strategies for the screening, diagnosis and management of an alcohol or opioid use disorder individually, less is known about how best to care for those with a dual diagnosis especially since common treatments for opioid addiction may be contraindicated in a setting of alcohol use. This review summarizes existing research and characterizes the prevalence, clinical implications and management of alcohol misuse among individuals with opioid addiction...
December 8, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27829442/emerging-adults-in-substance-misuse-intervention-preintervention-characteristics-and-responses-to-a-motivation-enhancing-program
#7
Blair Beadnell, Michele A Crisafulli, Pamela A Stafford, Erin A Casey
BACKGROUND: Emerging adulthood is an age of particularly risky behavior. Substance misuse during this phase of life can be the beginning of longer-term problems, making intervention programs particularly important. This study's purposes were to identify alcohol use profile subgroups, describe the preintervention characteristics of each, and assess how many participants transitioned to lower-risk profiles during the course of the intervention. METHODS: We used latent transition analyses to categorize 1183 people court ordered to attend Prime For Life(®) (PFL), a motivation-enhancing program, into preintervention and postintervention profiles...
November 9, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27654147/proceedings-of-the-13th-annual-conference-of-inebria
#8
(no author information available yet)
No abstract text is available yet for this article.
September 19, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27633982/multifaceted-academic-detailing-program-to-increase-pharmacotherapy-for-alcohol-use-disorder-interrupted-time-series-evaluation-of-effectiveness
#9
Alex H S Harris, Thomas Bowe, Hildi Hagedorn, Andrea Nevedal, Andrea K Finlay, Risha Gidwani, Craig Rosen, Chad Kay, Melissa Christopher
BACKGROUND: Active consideration of effective medications to treat alcohol use disorder (AUD) is a consensus standard of care, yet knowledge and use of these medications are very low across diverse settings. This study evaluated the overall effectiveness a multifaceted academic detailing program to address this persistent quality problem in the US Veterans Health Administration (VHA), as well as the context and process factors that explained variation in effectiveness across sites. METHODS: An interrupted time series design, analyzed with mixed-effects segmented logistic regression, was used to evaluate changes in level and rate of change in the monthly percent of patients with a clinically documented AUD who received naltrexone, acamprosate, disulfiram, or topiramate...
September 15, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27604543/feasibility-of-a-computer-assisted-social-network-motivational-interviewing-intervention-for-substance-use-and-hiv-risk-behaviors-for-housing-first-residents
#10
Karen Chan Osilla, David P Kennedy, Sarah B Hunter, Ervant Maksabedian
BACKGROUND: Social networks play positive and negative roles in the lives of homeless people influencing their alcohol and/or other drug (AOD) and HIV risk behaviors. METHODS: We developed a four-session computer-assisted social network motivational interviewing intervention for homeless adults transitioning into housing. We examined the acceptability of the intervention among staff and residents at an organization that provides permanent supportive housing through iterative rounds of beta testing...
September 7, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27506832/hazardous-drinking-among-young-adults-seeking-outpatient-mental-health-services
#11
Anna E Ordóñez, Rachel Ranney, Maxine Schwartz, Carol A Mathews, Derek D Satre
BACKGROUND: Alcohol use can have a significant negative impact on young adults in mental health treatment. This cross-sectional study examined prevalence and factors associated with hazardous drinking among young adults seeking outpatient mental health services, rate of alcohol use disorders (AUDs), and the relationship between hazardous drinking and other types of substance use. METHODS: Participants were 487 young adults ages 18-25 who completed self-administered computerized screening questions for alcohol and drug use...
August 9, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27277284/drinking-to-toxicity-college-students-referred-for-emergency-medical-evaluation
#12
Sigmund J Kharasch, David R McBride, Richard Saitz, Ward P Myers
BACKGROUND: In 2009, a university adopted a policy of emergency department transport of students appearing intoxicated on campus. The objective was to describe the change in ED referrals after policy initiation and describe a group of students at risk for acute alcohol-related morbidity. METHODS: A retrospective cohort of university students during academic years 2007-2011 (September-June) transported to local ED's was evaluated. Data were compared 2 years prior to initiation of the policy and 3 years after and included total number of ED transports and blood or breath alcohol level...
June 8, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27141834/linking-infectious-and-narcology-care-linc-in-russia-design-intervention-and-implementation-protocol
#13
RANDOMIZED CONTROLLED TRIAL
Natalia Gnatienko, Steve C Han, Evgeny Krupitsky, Elena Blokhina, Carly Bridden, Christine E Chaisson, Debbie M Cheng, Alexander Y Walley, Anita Raj, Jeffrey H Samet
BACKGROUND: Russia and Eastern Europe have one of the fastest growing HIV epidemics in the world. While countries in this region have implemented HIV testing within addiction treatment systems, linkage to HIV care from these settings is not yet standard practice. The Linking Infectious and Narcology Care (LINC) intervention utilized peer-led strengths-based case management to motivate HIV-infected patients in addiction treatment to obtain HIV care. This paper describes the protocol of a randomized controlled trial evaluating the effectiveness of the LINC intervention in St...
May 4, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27117064/sleep-abnormalities-associated-with-alcohol-cannabis-cocaine-and-opiate-use-a-comprehensive-review
#14
REVIEW
Gustavo A Angarita, Nazli Emadi, Sarah Hodges, Peter T Morgan
Sleep abnormalities are associated with acute and chronic use of addictive substances. Although sleep complaints associated with use and abstinence from addictive substances are widely recognized, familiarity with the underlying sleep abnormalities is often lacking, despite evidence that these sleep abnormalities may be recalcitrant and impede good outcomes. Substantial research has now characterized the abnormalities associated with acute and chronic use of alcohol, cannabis, cocaine, and opiates. This review summarizes this research and discusses the clinical implications of sleep abnormalities in the treatment of substance use disorders...
April 26, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27090097/examining-multi-session-brief-intervention-for-substance-use-in-primary-care-research-methods-of-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Jaclyn E Chambers, Adam C Brooks, Rachel Medvin, David S Metzger, Jennifer Lauby, Carolyn M Carpenedo, Kevin E Favor, Kimberly C Kirby
BACKGROUND: Brief interventions such as Screening, a single session of Brief Intervention, and Referral to Treatment (SBIRT) have shown mixed effectiveness in primary care. However, there are indications that multi-session brief interventions may demonstrate more consistently positive outcomes, and perhaps a more intensive approach would be of benefit in addressing substance use in primary care. This study compared the effectiveness of SBIRT with a single BI session (BI/RT) to a multi-session brief-treatment intervention (BI/RT+) in primary care...
April 18, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27036408/study-protocol-for-a-web-based-personalized-normative-feedback-alcohol-intervention-for-young-adult-veterans
#16
RANDOMIZED CONTROLLED TRIAL
Eric R Pedersen, Grant N Marshall, Terry L Schell
BACKGROUND: Young adult veterans from the wars in Iraq and Afghanistan represent a population at-risk for heavy and problematic alcohol use. Unfortunately, few seek treatment for alcohol concerns and those that do seek care may drop out from lengthy multicomponent treatments. Additionally, veterans who live in rural areas and those who are not engaged in the Veterans Affairs Healthcare System are often overlooked, difficult to engage in treatment, and may not be actively seeking treatment for heavy patterns of use that may develop into an alcohol use disorder...
March 31, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27036221/study-design-to-evaluate-cognitive-behavioral-therapy-among-a-diverse-sample-of-adults-with-a-first-time-dui-offense
#17
RANDOMIZED CONTROLLED TRIAL
Karen Chan Osilla, Katherine E Watkins, Magdalena Kulesza, Karen Flórez, Marielena Lara-Greenberg, Jeremy N V Miles
BACKGROUND: Driving under the influence (DUI) of alcohol is a major public health concern, and many individuals continue to drink and drive even after being convicted of a DUI offense. Latinos, in particular, are disproportionately likely to be arrested for a DUI, have higher rates of recidivism, and are more likely to die in alcohol-related accidents than non-Latino Whites. Latinos also experience significant disparities in accessing alcohol-related treatment. METHODS/DESIGN: This study protocol paper describes a randomized trial of cognitive behavioral therapy (CBT) compared to usual care in DUI programs for individuals with a first-time offense and at-risk drinking...
March 31, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27000090/acknowledgement-of-manuscript-reviewers-2015
#18
Jeffrey H Samet
No abstract text is available yet for this article.
March 21, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/26979982/a-computer-assisted-motivational-social-network-intervention-to-reduce-alcohol-drug-and-hiv-risk-behaviors-among-housing-first-residents
#19
RANDOMIZED CONTROLLED TRIAL
David P Kennedy, Sarah B Hunter, Karen Chan Osilla, Ervant Maksabedian, Daniela Golinelli, Joan S Tucker
BACKGROUND: Individuals transitioning from homelessness to housing face challenges to reducing alcohol, drug and HIV risk behaviors. To aid in this transition, this study developed and will test a computer-assisted intervention that delivers personalized social network feedback by an intervention facilitator trained in motivational interviewing (MI). The intervention goal is to enhance motivation to reduce high risk alcohol and other drug (AOD) use and reduce HIV risk behaviors. METHODS/DESIGN: In this Stage 1b pilot trial, 60 individuals that are transitioning from homelessness to housing will be randomly assigned to the intervention or control condition...
March 15, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/26818474/management-of-patients-with-issues-related-to-opioid-safety-efficacy-and-or-misuse-a-case-series-from-an-integrated-interdisciplinary-clinic
#20
William C Becker, Jessica S Merlin, Ajay Manhapra, Ellen L Edens
BACKGROUND: Patients, providers, communities and health systems have struggled to achieve balance between access to opioid treatment for chronic pain and its potential harmful consequences: especially misuse, addiction and overdose. We developed an interdisciplinary clinic embedded within primary care (the Opioid Reassessment Clinic-ORC) with the goal of improving the quality of care of patients with co-occurring chronic pain and issues related to opioid safety, efficacy and/or misuse...
January 28, 2016: Addiction Science & Clinical Practice
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