Addressing the SUD training gap: Two pilot feasibility studies in the Department of Veteran's Affairs Health Care System
Substance use disorders (SUDs) are an ongoing public health crisis in the United States. A large body of research indicates an urgent need for increased training in SUD research and treatment for trainees in mental health service disciplines. The VA Health Care System is well positioned, as the largest trainer and employer of health service psychologists and other mental health professionals, to address the SUD training gap and serve as a leader in training the upcoming health care workforce. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 19, 2023 Category: Addiction Authors: Emily A. Atkinson, Alexandra R. Hershberger Source Type: research

Mobile treatment for opioid use disorder: Implementation of community-based, same-day medication access interventions
Medications for Opioid Use Disorder (MOUD) are lifesaving, but (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 18, 2023 Category: Addiction Authors: Avik Chatterjee, Trevor Baker, Maria Rudorf, Galya Walt, Caroline Stotz, Anna Martin, Elizabeth N. Kinnard, Ann Scheck McAlearney, Julie Bosak, Bethany Medley, Allyson Pinkhover, Jessica L. Taylor, Jeffrey H. Samet, Karsten Lunze Source Type: research

Out-of-pocket spending and health care utilization associated with initiation of different medications for opioid use disorder: Findings from a national commercially insured cohort
Buprenorphine and naltrexone are effective medications for opioid use disorder (MOUD). Naltrexone requires complete detoxification from opioids before initiation while buprenorphine does not, which leads to a differential clinical induction challenge. Few studies have evaluated economic costs associated with MOUD initiation. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 18, 2023 Category: Addiction Authors: Nicole C. McCann, Marc R. LaRochelle, Jake R. Morgan Source Type: research

Association between comorbid chronic pain or prior hospitalization for mental illness and substance use treatment among a cohort at high risk of opioid overdose
Chronic pain and serious mental illness increase risk of opioid use, and opioid use can exacerbate both conditions. Substance use disorder (SUD) treatment can be lifesaving, but chronic pain and serious mental illness may make recovery challenging. We evaluated the association between current chronic pain and prior hospitalization for mental illness and 90-day SUD treatment engagement, among emergency department (ED) patients at high risk of opioid overdose. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 17, 2023 Category: Addiction Authors: Maayan N. Rosenfield, Francesca L. Beaudoin, Rachel Gaither, Benjamin D. Hallowell, Mackenzie M. Daly, Brandon D.L. Marshall, Laura C. Chambers Source Type: research

Offering recovery rather than punishment: Implementation of a law enforcement –led pre-arrest diversion-to-treatment program for adults with substance use disorders
The opioid epidemic has strained the US criminal justice system. Law enforcement frequently encounters persons with substance use disorder (SUD). Law enforcement –led, pre-arrest diversion programs linking individuals with SUD to addiction treatment instead of arrest and prosecution has the potential to reduce crime, overdoses, and other community harms. We implemented a pre-arrest diversion-to-treatment program—the Madison Addiction Recovery Initiative (MARI)—from September 2017 to August 2020, and describe the key components of MARI's effective implementation. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 17, 2023 Category: Addiction Authors: Alice Zhang, Joseph A. Balles, Mary F. Henningfield, Jennifer E. Nyland, Thao H. Nguyen, Aleksandra E. Zgierska Source Type: research

Feasibility, usability, and acceptability of MobileCoach-Teen: A smartphone app-based preventative intervention for risky adolescent drinking behavior
Background: Older adolescence (ages 15 –18) is a critical period for experimentation with substance use, especially alcohol. Adolescent drinking poses hazards to physical and mental health, amplifies risk associated with other activities typically initiated during this life stage (e.g., driving, sexual activity), and is associated with adverse outcomes in adolescence and adulthood. Existing preventative interventions are expensive and have questionable long-term efficacy. Digital interventions may represent an accessible and personalized approach to providing preventative intervention content to youth. (Source: Journal o...
Source: Journal of Substance Abuse Treatment - December 16, 2023 Category: Addiction Authors: Alex Clement, Mariah Ravet, Catherine Stanger, Joy Gabrielli Source Type: research

Working with the police service and homeless services in North West England to reduce alcohol harms: A feasibility study of a tailored Blue Light approach
This study aimed to tailor the Blue Light approach (combined with alcohol identification and alcohol brief interve ntions [ABI] training) for police officers and homeless service staff in North West England, and to qualitatively evaluate the feasibility and acceptability of the training. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 14, 2023 Category: Addiction Authors: Patricia Irizar, Emily Vicary, Zoe Glossop, Gillian Waller, Carly Lightowlers, Zara Quigg, Louise Roper, Ian Gilmore, Simon Coulton, Dorothy Newbury-Birch, Laura Goodwin Source Type: research

Does alcohol consumption elevate smoking relapse risk of people who used to smoke? Differences by duration of smoking abstinence
This study investigated whether post-quit alcohol use predicted smoking relapse among ex-smokers, and whether this relationship varied by length of smoking abstinence. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 14, 2023 Category: Addiction Authors: Stephanie Snelling, Hua-Hie Yong, Karin Kasza, Ron Borland Source Type: research

Opioid treatment program culture and philosophy: Views of OTP staff and state officials on implementing interim methadone treatment
People seeking treatment at opioid treatment programs (OTPs) can face admission delays. Interim methadone (IM) treatment, an effective approach to expedite admissions when programs lack sufficient counseling staff, has been seldom implemented. A study of implementation facilitation to spur the use of IM was conducted among six OTPs and their state opioid treatment authorities (SOTAs) in four US states. Between study recruitment and launch, organizational changes at three OTPs eliminated their need for IM. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 14, 2023 Category: Addiction Authors: Karen Burruss-Cousins, Shannon Gwin Mitchell, Jan Gryczynski, Melanie Whitter, Douglas Fuller, Adila Ibrahim, Robert P. Schwartz Source Type: research

Results of a randomized controlled trial of the cannabis eCHECKUP TO GO personalized normative feedback intervention on reducing cannabis use, cannabis consequences, and descriptive norms
This study aims to evaluate the cross-site efficacy of the Cannabis eCHECKUP TO GO program, a web-based Personalized Normative Feedback and Protective Behavioral Strategies intervention for reducing cannabis use frequency and consequences in college students with willingness to change. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 14, 2023 Category: Addiction Authors: Bradley T. Conner, Kara Thompson, Mark A. Prince, Olivia L. Bolts, Alejandra Contreras, Nathaniel R. Riggs, Bonnie J. Leadbeater Source Type: research

Low-dose buprenorphine initiation and treatment continuation among hospitalized patients with opioid dependence: A retrospective cohort study
This study aimed to 1) describe experiences with low-dose buprenorphine initiation, including both successes and failures among hospitalized patients in an urban underserved community; 2) identify patient- and treatment-related characteristics associated with unsuccessful initiation and treatment discontinuation; and 3) assess buprenorphine treatment continuation after discharge. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 13, 2023 Category: Addiction Authors: Benjamin T. Hayes, Phoebe Li, Tess Nienaltow, Kristine Torres-Lockhart, Laila Khalid, Aaron D. Fox Source Type: research

Willingness to utilize a mobile treatment unit in five counties at the epicenter of the US rural opioid epidemic
This study explored willingness to utilize an MTU among a sample of people who use opioids in rural Eastern Kentucky counties at the epicenter of the US opioid epidemic. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 13, 2023 Category: Addiction Authors: Snigdha R. Peddireddy, Melvin D. Livingston, April M. Young, Patricia R. Freeman, Umedjon Ibragimov, Kelli A. Komro, Michelle R. Lofwall, Carrie B. Oser, Michele Staton, Hannah L.F. Cooper Source Type: research

The relationship between discrimination, alcohol use severity, and PTSD symptoms among Latinx heavy drinkers
Discrimination is linked to alcohol use severity among Latinx adults, who also show high prevalence rates of PTSD compared to non-Latinx adults. We know little about whether PTSD symptoms affects the relationship between discrimination and alcohol use severity. We hypothesized that the association between discrimination and alcohol use severity might differ by level of PTSD symptom severity. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 13, 2023 Category: Addiction Authors: Christina S. Lee, Tessa Nalven, Audrey Hai, Miguel Pinedo, Victoria Lopez, Melanie Morris, Jorge Delva, Miguel Cano Source Type: research

Met and unmet prison-based treatment needs for people who are incarcerated with a history of substance use disorder: A nationwide cohort study
Substance use disorders (SUD) are highly prevalent among incarcerated people. However, in some prisons, only a small percentage of those who need treatment receive it. The aims of this study were to examine coverage of treatment for SUD in Danish prisons and assess whether treatment differed by substance class. Further, we examined factors associated with receiving treatment for SUD, and types of services received. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - December 13, 2023 Category: Addiction Authors: Abdu K. Seid, Birgitte Thylstrup, Susan Helbert Henriksen, Morten Hesse Source Type: research

“I think we're getting better but we're still not there”: Provider-based stigma and perceived barriers to care for people who use opioids (PWUO)
Despite significant efforts to improve access to medications for opioid use disorder (MOUD), uptake remains low relative to the scope of the problem in the United States. A growing body of quantitative and qualitative research has documented consistent barriers to MOUD treatment access and retention, at the level of individuals, institutions, and society at large. Stigma - surrounding both people who use opioids (PWUO) and treatment using MOUD – is among the most-cited barriers by patients and providers alike, yet few studies have examined provider-based stigma specifically, or considered its interaction with other imped...
Source: Journal of Substance Abuse Treatment - December 13, 2023 Category: Addiction Authors: Katherine McLean, Jennifer Murphy, Nathan Kruis Source Type: research