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Substance Abuse and Rehabilitation

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https://www.readbyqxmd.com/read/29066940/intranasal-naloxone-and-related-strategies-for-opioid-overdose-intervention-by-nonmedical-personnel-a-review
#1
REVIEW
Christa R Lewis, Hoa T Vo, Marc Fishman
Deaths due to prescription and illicit opioid overdose have been rising at an alarming rate, particularly in the USA. Although naloxone injection is a safe and effective treatment for opioid overdose, it is frequently unavailable in a timely manner due to legal and practical restrictions on its use by laypeople. As a result, an effort spanning decades has resulted in the development of strategies to make naloxone available for layperson or "take-home" use. This has included the development of naloxone formulations that are easier to administer for nonmedical users, such as intranasal and autoinjector intramuscular delivery systems, efforts to distribute naloxone to potentially high-impact categories of nonmedical users, as well as efforts to reduce regulatory barriers to more widespread distribution and use...
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/28919834/substance-use-disorders-in-military-veterans-prevalence-and-treatment-challenges
#2
REVIEW
Jenni B Teeters, Cynthia L Lancaster, Delisa G Brown, Sudie E Back
Substance use disorders (SUDs) are a significant problem among our nation's military veterans. In the following overview, we provide information on the prevalence of SUDs among military veterans, clinical characteristics of SUDs, options for screening and evidence-based treatment, as well as relevant treatment challenges. Among psychotherapeutic approaches, behavioral interventions for the management of SUDs typically involve short-term, cognitive-behavioral therapy interventions. These interventions focus on the identification and modification of maladaptive thoughts and behaviors associated with increased craving, use, or relapse to substances...
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/28860892/patterns-of-health-care-utilization-and-cost-before-and-after-opioid-overdose-findings-from-10-year-longitudinal-health-plan-claims-data
#3
Daniel D Maeng, John J Han, Michael H Fitzpatrick, Joseph A Boscarino
OBJECTIVE: To describe the longitudinal pattern of health care utilization and cost of care before and after opioid overdose (OD) over a 10-year period using health plan claims data. METHODS: Patients who had experienced opioid ODs between April 2005 and March 2015 were identified from Geisinger Health System's electronic health records. Among these patients, a subgroup of patients who were Geisinger Health Plan (GHP) members at any point between January 2006 and December 2015 were also identified...
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/28814912/the-opioid-overdose-epidemic-opportunities-for-pharmacists
#4
EDITORIAL
Li-Tzy Wu, Udi E Ghitza, Anne L Burns, Paolo Mannelli
No abstract text is available yet for this article.
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/28794670/acceptance-and-commitment-therapy-for-clients-institutionalized-for-severe-substance-use-disorder-a-pilot-study
#5
Gabriella Svanberg, Ingrid Munck, Maria Levander
BACKGROUND: Individuals with substance-use disorder (SUD) often have co-occurring mental health disorders and decreased executive function, both of which are barriers to sustained rehabilitation. Clients with severe SUD can be institutionalized in The Swedish National Board of Institutional Care but are difficult to engage and dropout rates remain high. Recent studies suggest that acceptance and commitment therapy (ACT) is an effective treatment for mental health and SUD. OBJECTIVES: The overall aims of the present pilot study were to explore a manual-based ACT intervention for clients institutionalized for severe SUD and to describe the effects on mental health, psychological flexibility, and executive function...
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/28790877/does-the-assessment-of-recovery-capital-scale-reflect-a-single-or-multiple-domains
#6
Stephan Arndt, Ethan Sahker, Suzy Hedden
OBJECTIVE: The goal of this study was to determine whether the 50-item Assessment of Recovery Capital scale represents a single general measure or whether multiple domains might be psychometrically useful for research or clinical applications. METHODS: Data are from a cross-sectional de-identified existing program evaluation information data set with 1,138 clients entering substance use disorder treatment. Principal components and iterated factor analysis were used on the domain scores...
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/28490916/the-cannabis-withdrawal-syndrome-current-insights
#7
REVIEW
Udo Bonnet, Ulrich W Preuss
The cannabis withdrawal syndrome (CWS) is a criterion of cannabis use disorders (CUDs) (Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition) and cannabis dependence (International Classification of Diseases [ICD]-10). Several lines of evidence from animal and human studies indicate that cessation from long-term and regular cannabis use precipitates a specific withdrawal syndrome with mainly mood and behavioral symptoms of light to moderate intensity, which can usually be treated in an outpatient setting...
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/28392719/stability-of-the-alcohol-use-disorders-identification-test-in-practical-service-settings
#8
Ethan Sahker, Donna A Lancianese, Stephan Arndt
OBJECTIVE: The purpose of the present study is to explore the stability of the Alcohol Use Disorders Identification Test (AUDIT) in a clinical setting by comparing prescreening heavy drinking questions and AUDIT scores over time. Because instrument stability is equal to test-retest reliability at worst, investigating the stability of the AUDIT would help better understand patient behavior change in context and the appropriateness of the AUDIT in a clinical setting. METHODS: This was a retrospective exploratory analysis of Visit 1 to Visit 2 AUDIT stability (n=1,099; male [75...
2017: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27994492/the-national-acupuncture-detoxification-association-protocol-auricular-acupuncture-to-support-patients-with-substance-abuse-and-behavioral-health-disorders-current-perspectives
#9
Elizabeth B Stuyt, Claudia A Voyles
The National Acupuncture Detoxification Association (NADA)-standardized 3- to 5-point ear acupuncture protocol, born of a community-minded response to turbulent times not unlike today, has evolved into the most widely implemented acupuncture-assisted protocol, not only for substance abuse, but also for broad behavioral health applications. This evolution happened despite inconsistent research support. This review highlights the history of the protocol and the research that followed its development. Promising, early randomized-controlled trials were followed by a mixed field of positive and negative studies that may serve as a whole to prove that NADA, despite its apparent simplicity, is neither a reductive nor an independent treatment, and the need to refine the research approaches...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27895524/characteristics-of-social-drinkers-with-and-without-a-hangover-after-heavy-alcohol-consumption
#10
A Hogewoning, Ajae Van de Loo, M Mackus, S J Raasveld, R De Zeeuw, E R Bosma, N H Bouwmeester, K A Brookhuis, J Garssen, J C Verster
BACKGROUND: A number of social drinkers claim that they do not experience next-day hangovers despite consuming large quantities of alcohol. The aim of this study was to investigate the characteristics of drinkers who claim to be hangover immune and compare them with drinkers who do report having hangovers. METHODS: A total of 36 social drinkers participated in a naturalistic study consisting of a hangover day (alcohol consumed) and a control day (no alcohol consumed)...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27729826/psychiatric-comorbidities-in-a-young-man-with-subacute-myelopathy-induced-by-abusive-nitrous-oxide-consumption-a-case-report
#11
Falk Mancke, Gintarė Kaklauskaitė, Jennifer Kollmer, Markus Weiler
Nitrous oxide (N2O), a long-standing anesthetic, is known for its recreational use, and its consumption is on the rise. Several case studies have reported neurological and psychiatric complications of N2O use. To date, however, there has not been a study using standardized diagnostic procedures to assess psychiatric comorbidities in a patient consuming N2O. Here, we report about a 35-year-old male with magnetic resonance imaging confirmed subacute myelopathy induced by N2O consumption, who suffered from comorbid cannabinoid and nicotine dependence as well as abuse of amphetamines, cocaine, lysergic acid diethylamide, and ketamine...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27729825/benefits-of-peer-support-groups-in-the-treatment-of-addiction
#12
REVIEW
Kathlene Tracy, Samantha P Wallace
OBJECTIVE: Peer support can be defined as the process of giving and receiving nonprofessional, nonclinical assistance from individuals with similar conditions or circumstances to achieve long-term recovery from psychiatric, alcohol, and/or other drug-related problems. Recently, there has been a dramatic rise in the adoption of alternative forms of peer support services to assist recovery from substance use disorders; however, often peer support has not been separated out as a formalized intervention component and rigorously empirically tested, making it difficult to determine its effects...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27695382/factors-associated-with-opioid-overdose-a-10-year-retrospective-study-of-patients-in-a-large-integrated-health-care-system
#13
Joseph A Boscarino, H Lester Kirchner, James M Pitcavage, Vijay R Nadipelli, Naoko A Ronquest, Michael H Fitzpatrick, John J Han
OBJECTIVE: Opioid overdoses (ODs) have been increasing, and harm reduction efforts are a priority. The success of these efforts will be dependent on the identification of at-risk patients and improved access to the antidote naloxone. Therefore, to identify access to naloxone and factors associated with negative health outcomes, we conducted a retrospective study of patients with OD to identify those at highest risk of adverse outcomes and to assess the use of naloxone. METHODS: We conducted a study of electronic health records for patients admitted to the largest multihospital system in the region - the Geisinger Health System (GHS) for ODs - from April 2005 through March 2015...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27574480/e-cigarettes-for-the-management-of-nicotine-addiction
#14
REVIEW
Oliver Knight-West, Christopher Bullen
In this review, we discuss current evidence on electronic cigarettes (ECs), a rapidly evolving class of nicotine delivery system, and their role in managing nicotine addiction, specifically in helping smokers to quit smoking and/or reduce the amount of tobacco they smoke. The current evidence base is limited to three randomized trials (only one compares ECs with nicotine replacement therapy) and a growing number of EC user surveys (n=6), case reports (n=4), and cohort studies (n=8). Collectively, these studies suggest modest cessation efficacy and a few adverse effects, at least with the short-term use...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27574479/primary-care-for-opioid-use-disorder
#15
Paolo Mannelli, Li-Tzy Wu
No abstract text is available yet for this article.
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27499655/use-of-microdoses-for-induction-of-buprenorphine-treatment-with-overlapping-full-opioid-agonist-use-the-bernese-method
#16
Robert Hämmig, Antje Kemter, Johannes Strasser, Ulrich von Bardeleben, Barbara Gugger, Marc Walter, Kenneth M Dürsteler, Marc Vogel
BACKGROUND: Buprenorphine is a partial µ-opioid receptor agonist used for maintenance treatment of opioid dependence. Because of the partial agonism and high receptor affinity, it may precipitate withdrawal symptoms during induction in persons on full µ-opioid receptor agonists. Therefore, current guidelines and drug labels recommend leaving a sufficient time period since the last full agonist use, waiting for clear and objective withdrawal symptoms, and reducing pre-existing full agonist therapies before administering buprenorphine...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27418863/prescription-pain-reliever-misuse-and-levels-of-pain-impairment-3-year-course-in-a-nationally-representative-outpatient-sample-of-us-adults
#17
Scott P Novak, Cristie Glasheen, Carl L Roland
BACKGROUND: The primary aim of this work was to present the prevalence data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a representative 3-year longitudinal survey (ages 18+ years) that captured information on patterns of self-reported pain interference and prescription pain reliever misuse. A second aim was to assess the degree to which the risk of various types of opioid misuse (onset, desistance, and incidence of dependence) was related to the longitudinal course of self-reported pain interference over the 3-year period...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27366109/opioid-induced-constipation-rationale-for-the-role-of-norbuprenorphine-in-buprenorphine-treated-individuals
#18
REVIEW
Lynn R Webster, Michael Camilleri, Andrew Finn
Buprenorphine and buprenorphine-naloxone fixed combinations are effective for managing patients with opioid dependence, but constipation is one of the most common side effects. Evidence indicates that the rate of constipation is lower when patients are switched from sublingual buprenorphine-naloxone tablets or films to a bilayered bioerodible mucoadhesive buccal film formulation, and while the bilayered buccal film promotes unidirectional drug flow across the buccal mucosa, the mechanism for the reduced constipation is unclear...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27330340/identifying-and-assessing-the-risk-of-opioid-abuse-in-patients-with-cancer-an-integrative-review
#19
REVIEW
Ashley-Nicole Carmichael, Laura Morgan, Egidio Del Fabbro
BACKGROUND: The misuse and abuse of opioid medications in many developed nations is a health crisis, leading to increased health-system utilization, emergency department visits, and overdose deaths. There are also increasing concerns about opioid abuse and diversion in patients with cancer, even at the end of life. AIMS: To evaluate the current literature on opioid misuse and abuse, and more specifically the identification and assessment of opioid-abuse risk in patients with cancer...
2016: Substance Abuse and Rehabilitation
https://www.readbyqxmd.com/read/27274333/systematic-review-and-meta-analysis-of-internet-interventions-for-smoking-cessation-among-adults
#20
REVIEW
Amanda L Graham, Kelly M Carpenter, Sarah Cha, Sam Cole, Megan A Jacobs, Margaret Raskob, Heather Cole-Lewis
BACKGROUND: The aim of this systematic review was to determine the effectiveness of Internet interventions in promoting smoking cessation among adult tobacco users relative to other forms of intervention recommended in treatment guidelines. METHODS: This review followed Cochrane Collaboration guidelines for systematic reviews. Combinations of "Internet," "web-based," and "smoking cessation intervention" and related keywords were used in both automated and manual searches...
2016: Substance Abuse and Rehabilitation
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