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Demographic differences in services utilization across in-person (2019), telehealth (2020), and hybrid (2021) outpatient substance use services in New York
Many outpatient substance use programs have experienced in-person, remote/telehealth, and hybrid models of care since the 2020 Covid-19 Pandemic. Changes in treatment models naturally affect service utilization and may affect treatment trajectories. Currently, limited research examines the implications of different health care models on service utilization and patient outcomes in substance use treatment. Here, we reflect on the implications of each model from a patient-centered care approach and review the implications on service utilization and outcomes. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 27, 2023 Category: Addiction Authors: Monica F. Tomlinson, Molly McCann-Pineo, Monica P. Thomas, Soteri Polydorou Source Type: research

Buprenorphine and opioid analgesics: Dispensation and discontinuity among accidental overdose fatalities in the Indianapolis metropolitan area, 2016 –2021
This study describes overall trends and sociodemographic disparities in buprenorphine and opioid analgesic uptake and prescribing patterns prior to fatal overdose events. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 25, 2023 Category: Addiction Authors: Grant Victor, Bradley Ray, Brandon del Pozo, Kaitlyn Jaffe, Andy King, Philip Huynh Source Type: research

Women with substance use disorders are highly impacted by the overturning of Roe v. Wade: Advocacy steps are urgently needed
The Supreme Court's ruling to overturn the 1973 Roe v. Wade verdict represents a major setback for women's reproductive freedoms in the United States. This ruling revokes constitutional protection for abortion rights and returns the decision to the states. Since this ruling in June 2022, numerous states have adopted total or near total abortion bans, with many of these bans offering no exception for rape, incest, or nonfatal maternal health risks. Legal experts also warn that this ruling can open the door to restrict contraceptive rights previously protected under the same implied constitutional right to privacy as abortio...
Source: Journal of Substance Abuse Treatment - April 24, 2023 Category: Addiction Authors: Melissa N. Slavin, Brooke S. West, Frances R. Levin, Nabila El-Bassel Tags: Commentary Source Type: research

Outcomes of a mobile medical unit for low-threshold buprenorphine access targeting opioid overdose hot spots in Chicago
This study characterizes the pilot year of a mobile medical unit partnership between a large urban academic center and a community-based harm reduction organization in Chicago. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 20, 2023 Category: Addiction Authors: Sarah E. Messmer, Abigail T. Elmes, Antonio D. Jimenez, Albert Leon Murphy, Miriam Guzman, Dennis P. Watson, Elisabeth Poorman, Stockton Mayer, Alexander F. Infante, Eden G. Keller, Kevin Whitfield, Jennie B. Jarrett Source Type: research

Transitioning off methadone: A qualitative study exploring why patients discontinue methadone treatment for opioid use disorder
This study explored reasons why patients discontinue methadone treatment. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 20, 2023 Category: Addiction Authors: Ashish P. Thakrar, Jarratt D. Pytell, Kenneth B. Stoller, Vickie Walters, Roger D. Weiss, Geetanjali Chander Source Type: research

Alcohol and other drug use: A qualitative exploration of staff and patient's experiences of language use as a means of stigma communication in hospital and primary care settings
The hospital and primary care settings present opportunities to interact, initiate conversations, and instigate referrals for patients experiencing harm from their alcohol and other drug use. Using a stigma communication model, our qualitative study explored whether stigma communication materialized in staff's language in the hospital and primary care settings, and if so, whether this had any impact on staff's and patients' experiences. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 20, 2023 Category: Addiction Authors: Leanne Francia, Tina Lam, Amelia Berg, Kirsty Morgan, Michael Savic, Dan I. Lubman AM, Suzanne Nielsen Source Type: research

Barriers and facilitators to the use of medication for opioid use disorder within the criminal justice system: Perspectives from clinicians
This study is innovative, as it specifically focuses on criminal justice contexts that influence the MOUD continuum of care from the perspective of clinicians working within the criminal justice system. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 18, 2023 Category: Addiction Authors: Marisa Booty, Kathi Harp, Evan Batty, Hannah K. Knudsen, Michele Staton, Carrie B. Oser Source Type: research

Delay discounting and substance use treatment outcomes: A systematic review focused on treatment outcomes and discounting methodology
Delay discounting —the tendency to choose small, immediate rewards over larger, delayed rewards—is robustly associated with substance use. Delay discounting may present challenges in treatment for substance use disorders, as individuals with elevated discounting may struggle to wait for the long-term rewards that come from abstinence, which may yield poorer treatment outcomes. However, evidence on the role of discounting in treatment outcomes has been inconsistent. The study conducted a systematic review of the literature to characterize the prospective effects of delay discounting measured pre-treatment on substance u...
Source: Journal of Substance Abuse Treatment - April 16, 2023 Category: Addiction Authors: Alexis C. Exum, Cassandra A. Sutton, Joseph S. Bellitti, Richard Yi, Tera L. Fazzino Source Type: research

Psychosocial challenges affecting patient-defined medication for opioid use disorder treatment outcomes in a low-income, underserved population: Application of the social-ecological framework
This study aims to understand how barriers co-occur and interact to interfere with outcomes in methadone treatment for a low-income, underserved patient population with opioid use disorder. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 13, 2023 Category: Addiction Authors: Mary B. Kleinman, Morgan S. Anvari, C.J. Seitz-Brown, Valerie D. Bradley, Hannah Tralka, Julia W. Felton, Annabelle M. Belcher, Aaron D. Greenblatt, Jessica F. Magidson Source Type: research

Expanding access to treatment for stimulant use disorder in a frontier state: A qualitative study of contingency management and TRUST program implementation in Montana
The client population eligible for treatment services supported by State Opioid Response (SOR) grant funding, administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), was expanded to include individuals with a stimulant use disorder (stimUD) in 2020. Due to a significant need to improve services for individuals with stimUD in Montana, the Behavioral Health and Developmental Disabilities Division (BHDD) of the Montana Department of Public Health and Human Services used the grant opportunity to work with experts in the field of stimUD to pilot contingency management (CM) and the Treatment for I...
Source: Journal of Substance Abuse Treatment - April 12, 2023 Category: Addiction Authors: Brandn Green, Sara Parent, Joclynn Ware, Albert L. Hasson, Michael McDonell, Tammera Nauts, Mary Collins, Frances Kim, Richard Rawson Source Type: research

Learning from their experiences: Strategies used by youth and young adult ex-vapers
This study noted cessation strategies, relapse triggers, and recommendations for quitting identified by ex-vapers and assessed differences in outcomes across age and gender groups. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 12, 2023 Category: Addiction Authors: Mohammed Al-Hamdani, Myles Davidson, Danielle Bird, D. Brett Hopkins, Steven Smith Source Type: research

Use of residential opioid use disorder treatment among Medicaid enrollees in nine states
Residential treatment is a key component of the opioid use disorder care continuum, but research has not measured well the differences in its use across states at the enrollee level. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 12, 2023 Category: Addiction Authors: Lindsay Allen, Medicaid Outcomes Distributed Research Network (MODRN), Michael Sharbaugh, Anna Austin, Evan S. Cole, Andrew Barnes, Sarah Clark, Dushka Crane, Peter Cunningham, Carrie Fry, Adam Gordon, Lindsey Hammerslag, David Idala, Susan Kennedy, Sunit Source Type: research

Malm ö Treatment Referral and Intervention Study (MATRIS)—36-month follow-up on retention and substance use among patients referred from needle exchange to opioid agonist treatment—The role of stimulant use at baseline
Opioid use disorder (OUD) is the leading cause of overdose morbidity and mortality globally. Retention in opioid agonist treatment (OAT) is crucial as it effectively reduces overdose mortality among individuals suffering from OUD. Previous research on treatment retention among heroin-dependent individuals referred from needle exchange programs (NEP) to OAT is scarce, and with predictors for retention in OAT being somewhat inconclusive, further investigations into this subject is of great interest. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 11, 2023 Category: Addiction Authors: Katja Troberg, Martin Br åbäck, Pernilla Isendahl, Suzan Nilsson, Disa Dahlman, Anders Håkansson Source Type: research

Collaborative care programs for pregnant and postpartum individuals with opioid use disorder: Organizational characteristics of sites participating in the NIDA CTN0080 MOMs study
Pregnant individuals with substance use disorders face complex issues that may serve as barriers to treatment entry and retention. Several professional organizations have established recommendations on comprehensive, collaborative approaches to treatment to meet the needs of this population, but information on real-world application is lacking. Sites participating in the NIDA CTN0080 “Medication treatment for Opioid use disorder in expectant Mothers (MOMs)”—a randomized clinical trial of extended release compared to sublingual buprenorphine among pregnant and postpartum individuals (PPI)—were selected, in part, bec...
Source: Journal of Substance Abuse Treatment - April 4, 2023 Category: Addiction Authors: Frankie B. Kropp, Marcela C. Smid, Michelle R. Lofwall, Elisha M. Wachman, Peter R. Martin, Sean M. Murphy, Christine M. Wilder, T. John Winhusen Source Type: research