Building bridges to outpatient treatment services for post-overdose care via paramedic buprenorphine field initiation
Despite sustained efforts to reduce opioid-related overdose fatalities, rates have continued to rise. In many areas, overdose response involves emergency medical service (EMS) personnel administering naloxone and transporting patients to the emergency department (ED). However, a substantial number of patients decline transport, and many EDs do not provide medication for opioid use disorder (MOUD). One approach to filling this gap involves delivering MOUD to overdose patients in the field with trained post-overdose EMS teams who can initiate buprenorphine. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 14, 2024 Category: Addiction Authors: Charles Beldena, Albert Kopaka, Courtney Coulesa, Tessa Friesena, Justin Hallb, Shuchin Shuklaa Source Type: research

Exploring racial and secondary substance use differences in route of administration of opioid drugs: Analysis of the 2015 –2019 treatment admission data
The opioid crisis continues to evolve with increasing opioid-related overdose deaths among under-represented minorities. A better understanding of substance use differences in the route of administration for people using heroin and other opioids can lead to targeted strategies and interventions. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 14, 2024 Category: Addiction Authors: Lauren R. Gilbert, Nii Tawiah, Omolola E. Adepoju Source Type: research

Psychological factors predicting patients' risk of relapse after enrollment in drug use treatment: A systematic review
Despite high rates of relapse after treatment for drug use, to our knowledge there is no systematic literature identifying psychological factors that predict risk of relapse to drug use (excluding alcohol or tobacco). Our aim was to identify psychological factors that predict risk of relapse to drug use after enrollment in drug use treatment. The identification of such factors can support treatment planning and relapse prevention. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 29, 2024 Category: Addiction Authors: Adriana del Palazio-Gonzalez, Birgitte Thylstrup, Kristine R ømer Thomsen Source Type: research

Substance use disorder treatment carve outs in Medicaid managed care
Medicaid managed care organizations (MCO) play a major role in addressing the nation's epidemic of drug overdose and mortality by administering substance use disorder (SUD) treatment benefits for over 50 million Americans. While it is known that some Medicaid MCO plans delegate responsibility for managing SUD treatment benefits to an outside “carve out” entity, the extent and structure of such carve out arrangements are unknown. This is an important gap in knowledge, given that carve outs have been linked to reductions in rates of SUD treatment receipt in several studies. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 28, 2024 Category: Addiction Authors: Allie F. Silverman, Melissa A. Westlake, Olivia M. Hinds, Samantha J. Harris, Amanda J. Abraham, Colleen M. Grogan, Christina M. Andrews Source Type: research

Drug-related physician continuing medical education requirements, 2010 –2020
The crisis of drug-related harm in the United States continues to worsen. While prescription-related overdoses have fallen dramatically, they are still far above pre-2010 levels. Physicians can reduce the risk of overdose and other drug-related harms by improving opioid prescribing practices and ensuring that patients are able to easily access medications for substance use disorder treatment. Most physicians received little or no training in those subjects in medical school. It is possible that continuing medical education can improve physician knowledge of appropriate prescribing and substance use disorder treatment and p...
Source: Journal of Substance Abuse Treatment - March 26, 2024 Category: Addiction Authors: Corey S. Davis, Derek H. Carr, Bradley D. Stein Source Type: research

Conditions of successful treatment referral practices with justice-involved youth: Qualitative insights from probation and service provider staff involved in JJ-TRIALS
Compared to the general U.S. adolescent population, young people involved in the juvenile justice system are at greater risk of experiencing substance use (SU) issues. There are critical opportunities across the juvenile justice continuum, at points of interface with community-based treatment services, to screen and assess for SU issues, identify unmet treatment needs, and refer those in need to treatment. The treatment referral process is, however, complex, and contingent on a seamless nexus between juvenile justice operations and the wider treatment provider landscape. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 26, 2024 Category: Addiction Authors: Veronica Nelson, Jennifer Wood, Steven Belenko, Jen Pankow, Kaitlin Piper Source Type: research

SMART Family and Friends: Feasibility and outcomes of a video-conference delivered intervention for families impacted by another's methamphetamine use
Families affected by another's substance use, including methamphetamine, experience harms to their mental and physical health. Yet, research has paid little attention to support and service needs of this population. This pilot study examines the feasibility and outcomes of SMART Family and Friends, a video-conference-delivered mutual-support group targeting families affected by another's methamphetamine use. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 26, 2024 Category: Addiction Authors: Clare M. Rushton, Peter J. Kelly, Tamsin Thomas, Alison K. Beck, Camilla Townsend, Amanda L. Baker, Victoria Manning, Angela Argent, Frank P. Deane, Leanne Hides, Brian Hitsman, Richard Velleman, Gill Velleman, Briony Larance Source Type: research

Racial/ethnic representation in opioid use disorder-related clinical trials
Little is known about representation in trials aimed at addressing Opioid Use Disorder. This is a crucial issue given high mortality rates overall and substantial differences in death rates across racial/ethnic groups. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 25, 2024 Category: Addiction Authors: Daniel Sledge, Bai Linh Hoang Source Type: research

Patient and provider medication preferences affect treatment outcomes among adolescents and young adults with opioid use disorder
The opioid epidemic in the United States has not spared youth or young adults, as evidenced by a six-fold increase in opioid use disorder (OUD) diagnoses in the last two decades. Given this dramatic rise, a call for greater uptake and accessibility of medications for opioid use disorder (MOUDs) among youth and young adults has ensued, resulting in an increasing number of MOUD treatment pathways for this vulnerable population. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 24, 2024 Category: Addiction Authors: Laura B. Monico, Jesse B. Fletcher, Tyler Ross, Robert P. Schwartz, Marc J. Fishman, Jan Gryczynski, Shannon Gwin Mitchell Source Type: research

The influence of familial networks and stigma on prison-based medication initiation for individuals with opioid use disorder: Clinicians' perceptions
This study examines prison-based treatment staff perspectives on how familial networks and stigma interact to impact one's decision of whether to initiate MOUD while in prison in Kentucky. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 21, 2024 Category: Addiction Authors: Maria L. Rockett, Hannah K. Knudsen, Carrie B. Oser Source Type: research

Critical incidents in Colorado's opioid treatment programs: A comparison of the COVID-19 pandemic to previous years
This study aims to characterize trends in the rates of critical incident –safety events occurring in OTPs that are reportable to regulatory entities–across all Colorado OTPs during the COVID-19 pandemic. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 19, 2024 Category: Addiction Authors: Cole Bortz, Isaac Armistead, Angela Bonaguidi, Tyler Coyle Source Type: research

Medication-based treatment among rural, primary care patients diagnosed with opioid use disorder and alcohol use disorder
Opioid and alcohol use disorders are increasingly being addressed in primary care, yet how medications to treat these disorders are prescribed in rural regions is unknown. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 18, 2024 Category: Addiction Authors: Emily Kan, Laura-Mae Baldwin, Larissa J. Mooney, Andrew J. Saxon, Yuhui Zhu, Yih-Ing Hser Source Type: research

Barriers and facilitators to use of buprenorphine in state-licensed specialty substance use treatment programs: A survey of program leadership
This study aims to examine program-level attitudinal, financial, and regulatory factors that influence clients' access to buprenorphine in state-licensed non-OTP specialty substance use treatment programs. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 16, 2024 Category: Addiction Authors: Kathryn N. Burke, Noa Krawczyk, Yuzhong Li, Lauren Byrne, Isha K. Desai, Sachini Bandara, Kenneth A. Feder Source Type: research

Examining the association of rurality with opioid-related morbidity and mortality in Georgia: A geospatial analysis
This study aims to provide a geospatial snapshot of the opioid epidemic in Georgia using several metrics of opioid-related morbidity and mortality and explore differences by rurality across counties. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 15, 2024 Category: Addiction Authors: Kimberly B. Roth, Dana K. Goplerud, Jennifer S. Babjak, Jennifer L. Nguyen, Lauren R. Gilbert Source Type: research

Adult use cannabis legalization and cannabis use disorder treatment in California, 2010 –2021
Many nations and jurisdictions have legalized non-medical adult use of cannabis, or are considering doing so. This paper contributes to knowledge of adult use legalization's associations with cannabis use disorder (CUD) treatment utilization. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - March 15, 2024 Category: Addiction Authors: Brittany Bass, Howard Padwa, Dhruv Khurana, Darren Urada, Anne Boustead Source Type: research