A Triple Threat: Parents in Recovery During COVID-19
In this commentary, we describe the triple threat that parents in recovery face during the COVID-19 pandemic due to the loss of social support. We explore how the absence of human connection during the pandemic can be detrimental to parents in recovery as well as the parent-child relationship. We conclude by proposing strategies to offer critical support for families as this period of social isolation extends and the effects become increasingly apparent. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2021 Category: Addiction Tags: Commentaries Source Type: research

It is Not the Patient, It is the System: Commentary on “How Advanced Directives Help When Patients Refuse Life-saving Treatment Because of Their Substance Use”
Serious infections are common in patients with opioid use disorder who use injection drugs. Clinicians are often frustrated by the complexity and uncertainty involved in managing these patients, who also have a high rate of discharges against medical advice. The commentary addresses a proposal for a substance use advance directive that would bind the patient to involuntary future treatment, even over their contemporaneous objections. Although the problem is significant, this commentary challenges the legal and ethical justifications for the substance use advance directive and advances that instead, attention should focus o...
Source: Journal of Addiction Medicine - November 1, 2021 Category: Addiction Tags: Commentaries and Debate Source Type: research

How Advance Directives Help When Patients Refuse Life-saving Treatment Because of Their Substance Use
Patients with substance use disorder have higher rates of discharge against medical advice, despite frequently presenting to emergency departments with significant and life-threatening comorbid conditions. A Ulysses contract, in the form of a substance use advance directive, would allow these patients to maintain their autonomy while providing a means for them to complete treatment for these comorbid conditions. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2021 Category: Addiction Tags: Commentaries and Debate Source Type: research

2021 Poster Abstracts
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Online-Only Abstracts Source Type: research

Barriers and Facilitators to Buprenorphine Prescribing for Opioid Use Disorder in the Veterans Health Administration During COVID-19
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Letter to the Editor Source Type: research

Use of Injectable Opioid Agonist Therapy in a In-Patient Setting for a Pregnant Patient With Opioid Use Disorder: A Case Report
We report a case of a pregnant individual who engaged in daily intravenous fentanyl who was admitted to the hospital at 29 weeks gestation for stabilization with iOAT, methadone, and slow-release oral morphine. Before admission, she endured 6 opioid overdoses in her pregnancy and continued to use illicit intravenous opioids in the community despite high dose methadone combined with slow-release oral morphine. Her withdrawal symptoms and cravings were ameliorated with hydromorphone 90 mg IM/IV BID, methadone 135 mg daily, and morphine sulfate sustained release 600 mg daily. With this regimen, she was able to reduce he...
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Case Report Source Type: research

The Impact of COVID-19 on Service Provision for Emergency Department Patients Post-Opioid Overdose: A Field Report
Conclusions: This study underscores opportunities to improve the delivery of services amid overlapping public health crises for PWUD, including bolstering the use of telemedicine in EDs and across the care continuum. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Brief Reports Source Type: research

Emerging Characteristics of Isotonitazene-Involved Overdose Deaths: A Case-Control Study
Discussion: Isotonitazene was involved in a substantial minority of synthetic opioid overdose deaths in the first 7 months of 2020. Future studies characterizing its prevalence in other markets are warranted. Emergence of highly potent novel synthetic opioids underscore the need for comprehensive health services for people with opioid use disorder. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Brief Reports Source Type: research

Trends in Buprenorphine to Treat Opioid Use Disorder in California, 2012 to 2018: Medicaid Outpaces the Rest of the State
Conclusions: California Medicaid has made considerable gains in buprenorphine access, with access growing steadily even after expansions through the Affordable Care Act plateaued. In contrast, recent gains in buprenorphine access for individuals without Medicaid are uninspiring, indicating that initiatives to improve buprenorphine access to patients without Medicaid are urgently needed. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Brief Reports Source Type: research

The Relationship of E-Cigarette Use to Tobacco Use Outcomes Among Young Adults Who Smoke and Use Alcohol
Conclusions: Nicotine e-cigarettes were significantly associated with improved tobacco use outcomes when used as a cessation strategy, but not when used apart from trying to quit smoking. Dual use may not be an effective path to achieve smoking cessation. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Brief Reports Source Type: research

Community-led Priority Setting for Opioid Use Disorder in Pregnancy and Parenting
Conclusions: Community-engaged priority setting among those with OUD was an effective and meaningful way to guide future research, policy, and care improvement efforts. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Healthcare Patterns of Pregnant Women and Children Affected by OUD in 9 State Medicaid Populations
Conclusions: Medicaid data, which allow for longitudinal surveillance of care across different settings, can be used to monitor OUD and related pregnancy and child health outcomes. Findings highlight the need for public health efforts to improve care for pregnant persons and children affected by OUD. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research

The Cyclical and Evolving Nature of Methamphetamine Use: An Evaluation of Near Real-time Urine Drug Test Results
Conclusions: The probability of being positive for methamphetamine in UDT increased nationwide between 2014 and 2019. Not all census divisions are increasing at the same rate. Copositivity with additional substances is increasing in some census divisions, which further increases the risk of overdose and poor treatment outcomes. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research

Participants’ Treatment Perspectives on a Clinical Trial on the Use of Extended-Release Naltrexone for Substance Use Disorders: Considerations for Future Clinical Research
Conclusions: Participant perceptions of trial interventions may frame their experience and participation in clinical studies. These findings demonstrate the need for researchers and clinicians to consider how apprehension and a lack of medication receptivity may impact enrollment and participant autonomy. They also identify opportunities for greater community engagement in trial design and implementation in order to improve participant education about the nature of interventions and the potential of ongoing consent processes integrated throughout studies to promote participant understandings of study purposes and objec...
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research

The Impacts of COVID-19 on Mental Health, Substance Use, and Overdose Concerns of People Who Use Drugs in Rural Communities
Conclusions: As rural communities respond to the evolving impacts of COVID-19, there is increasing need to identify strategies to address PWUD's mental, physical, and social health needs during COVID-19. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research