Sociodemographic Characteristics, HIV-Related Risk Behaviors and HIV preva-lence of Vulnerable Men in Tehran, Iran
CONCLUSION: Data collected through a sexual health questionnaire indicate that the prevalence of HIV is increased among MSM in Iran. This finding sheds light on the urgent need for the implemenation of social programs providing counseling and healthcare to vulnerable populations in Iran.PMID:33845724 | DOI:10.2174/1570162X19666210412114627 (Source: Current HIV Research)
Source: Current HIV Research - April 13, 2021 Category: Infectious Diseases Authors: Minoo Mohraz SeyedAhmad SeyedAlinaghi Ali Asadollahi-Amin Rahele Golrokhi Effat Merghati Khoei Habib Yousefi Fatemeh Jafari Omid Dadras Source Type: research

Paths Toward Sustainable State and County Systems of Care
AbstractThe Substance Abuse and Mental Health Services Administration ’s Children’s Mental Health Initiative (CMHI) Cooperative Agreements support the development of children’s systems of care (SOCs). The National Evaluation of CMHI interviewed representatives from Mental Health Authorities (MHA) and Medicaid agencies in 25 state, county, and municipal jurisdict ions in the FY13 and FY14 grant cohorts in grant years 2 and 4. This paper analyzes funding for five services (wraparound planning; intensive care coordination; family peer support; youth peer support; and flexible funding) that are a core part of...
Source: The Journal of Behavioral Health Services and Research - April 13, 2021 Category: Psychiatry & Psychology Source Type: research

Cannabis use in patients treated for opioid use disorder pre- and post-recreational cannabis legalization in Canada
As the legalization of recreational cannabis becomes more widespread, its impact on individuals with substance use disorders must be studied. Amidst an ongoing opioid crisis, Canada ’s legalization of recreatio... (Source: Substance Abuse Treatment, Prevention, and Policy)
Source: Substance Abuse Treatment, Prevention, and Policy - April 13, 2021 Category: Addiction Authors: Tea Rosic, Nitika Sanger, Balpreet Panesar, Gary Foster, David C. Marsh, Launette Rieb, Lehana Thabane, Andrew Worster and Zainab Samaan Tags: Research Source Type: research

Facilitators and barriers to post-overdose service delivery in Rhode Island emergency departments: a qualitative evaluation
This study examined ED provider-identified barriers and facilitators to policy-prescribed service provision for patients treated for an opioid overdose in Rhode Island EDs, and opportunities to improve care delivery. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 13, 2021 Category: Addiction Authors: Alexandra B. Collins, Francesca L. Beaudoin, Elizabeth A. Samuels, Rachel Wightman, Janette Baird Source Type: research

Bridge clinic buprenorphine program decreases emergency department visits
Opioid withdrawal due to opioid use disorder (OUD) is an increasing health emergency and complaint in emergency departments (EDs) across the United States. As a response to the increased need for OUD treatment, a low threshold buprenorphine program, or Bridge Clinic, was established within our hospital system. Patients are primarily connected to the Bridge Clinic through the ED, and are able to complete their consultation appointment reliably within 1 –3 days of referral. This program also serves to connect patients to community resources for continued treatment of OUD. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 13, 2021 Category: Addiction Authors: Ross W. Sullivan, Laura M. Szczesniak, Susan M. Wojcik Source Type: research

Variability in outcomes and quality-of-care indicators across clinics participating in a large smoking-cessation program
The effectiveness of care for substance-related problems varies across providers. Best-known treatments are rarely universally applied, and various process differences can affect participant outcomes. Measuring and understanding this variability can suggest changes that will improve system performance. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 13, 2021 Category: Addiction Authors: Scott Veldhuizen, Laurie Zawertailo, Peter Selby Source Type: research

Targeting women Veteran's stress-induced drinking with cognitive reappraisal: Mechanisms and moderators of change
Emotion dysregulation mediates the effects of stress on drinking among individuals with co-occurring emotional and alcohol use disorders (AUD). The current study examined the effects of cognitive reappraisal (CR), an adaptive emotion regulation strategy, on mechanisms that contribute to drinking (alcohol craving, inhibitory control) among 50 women veterans. In session one, participants were randomized to one of two 50-min “microinterventions”, either to learn a CR coping strategy or receive non-therapeutic psychoeducation control. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 13, 2021 Category: Addiction Authors: Cathryn Glanton Holzhauer, Elizabeth E. Epstein, David A. Smelson, Kristin Mattocks Source Type: research

Using daily diary methods to understand how college students in recovery use social support
Collegiate Recovery Communities (CRCs) are important sources of support for college students building and maintaining recovery from substance use disorders. The current study used daily diary data from members of a CRC to examine with which sources of social support students engaged daily, and whether students connected with these sources more on days when they indicated higher-than-usual recovery difficulty, negative affect, and/or school stress. Results indicate that on days when students reported having greater difficulty with recovery maintenance than usual, they had higher odds of being in contact with family members ...
Source: Journal of Substance Abuse Treatment - April 13, 2021 Category: Addiction Authors: Kyler S. Knapp, H. Harrington Cleveland, Hannah B. Apsley, Kitty S. Harris Source Type: research

Family involvement in treatment and recovery for substance use disorders among transition-age youth: Research bedrocks and opportunities
This article presents a narrative review and conceptual framework for research on family involvement across the continuum of substance use disorder (SUD) services for transition-age youth (ages 15 –26). Though families are powerful resources for enhancing treatment and recovery success among youth with SUDs, they are not routinely included in clinical practice. This article summarizes youth SUD prevalence and service utilization rates and presents developmental and empirical rationale for i ncreasing family involvement in services. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 13, 2021 Category: Addiction Authors: Aaron Hogue, Sara J. Becker, Kevin Wenzel, Craig E. Henderson, Molly Bobek, Sharon Levy, Marc Fishman Source Type: research

Community perspectives on supervised consumption sites: Insights from four U.S. counties deeply affected by opioids
To address the overdose crisis in the United States, expert groups have been nearly unanimous in calls for increasing access to evidence-based treatment and overdose reversal drugs. In some places there have also been calls for implementing supervised consumption sites (SCSs). Some cities —primarily in coastal urban areas—have explored the feasibility and acceptability of introducing them. However, the perspectives of community stakeholders from more inland and rural areas that have also been hard hit by opioids are largely missing from the literature. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 13, 2021 Category: Addiction Authors: Jirka Taylor, Allison J. Ober, Beau Kilmer, Jonathan P. Caulkins, Martin Y. Iguchi Source Type: research

Gabapentin attenuates somatic signs of precipitated THC withdrawal in mice
Neuropharmacology. 2021 Apr 9:108554. doi: 10.1016/j.neuropharm.2021.108554. Online ahead of print.ABSTRACTCannabis is the most frequently used federally illicit substance in the United States. However, there are currently no FDA-approved pharmacotherapies to mitigate the withdrawal symptoms associated with cessation in heavy users. A promising, readily available non-cannabinoid therapy are the gabapentinoids. Although currently approved for epilepsy and neuropathic pain, gabapentinoids are increasingly used for their "off-label" efficacy in treating various psychiatric conditions and substance abuse. Gabapentin ...
Source: Neuropharmacology - April 12, 2021 Category: Drugs & Pharmacology Authors: M L Eckard S G Kinsey Source Type: research

Buprenorphine use and disparities in access among emergency department patients with opioid use disorder: A cross-sectional study
Buprenorphine, a partial mu-opioid agonist and kappa-opioid antagonist, is an approved treatment for opioid use disorder (OUD). Studies demonstrate that buprenorphine decreases cravings for other opioids, effectively ameliorates withdrawal symptoms, and decreases opioid overdose and mortality. However, buprenorphine remains under-utilized. Despite its low potential for misuse, research has reported wide use of non –prescribed buprenorphine, seemingly for its effectiveness in treating withdrawal and helping to maintain sobriety. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 11, 2021 Category: Addiction Authors: Matthew Robbins, Rachel Haroz, Anthony Mazzarelli, I.V. David Clements, Christopher W. Jones, Matthew Salzman Source Type: research

Facing the future of substance use disorders treatment in Vietnam – A case study for international development and cooperation
Vietnam made progress transitioning from a criminal justice to a health treatment response for substance use disorders (SUD) in recent years. This case study describes the evolution of Vietnam's SUD treatment system from 2005 to 2020 to understand and learn from the phases of its development. The case study is based on data from a predesigned interview guide for 47 respondents, literature and policy desk review and direct experience of the authors. Vietnam saw remarkable growth of opioid use disorder (OUD) treatment from 2005 when methadone was unavailable, to 2020 with 335 methadone clinics in all 63 provinces serving mor...
Source: Journal of Substance Abuse Treatment - April 11, 2021 Category: Addiction Authors: Thuong Nong, Victor Capoccia, Kevin P. Mulvey Source Type: research

Rates and predictors of alcoholics anonymous attendance across sexual orientations
Sexual minority (e.g., gay, lesbian, bisexual) individuals experience alcohol dependence at 2 –6 times the rates of heterosexual individuals. Among the general population, Alcoholics Anonymous (AA) serves as the most common source of support for alcohol-related problems in the United States. Yet, relatively little is known about sexual minority involvement in AA, including rates and predic tors of AA attendance among sexual minorities. This paper aims to: 1) Compare rates of AA attendance across sexual orientations; 2) Compare relationships between AA attendance and common predictors of AA attendance across sexual or...
Source: Journal of Substance Abuse Treatment - April 11, 2021 Category: Addiction Authors: Briana L. McGeough, Katherine J. Karriker-Jaffe, Sarah E. Zemore Source Type: research

Gender disparities in access and retention in outpatient methadone treatment for opioid use disorder in low-income urban communities
The purpose of this study was to detect and understand gender disparities in access and retention among outpatient methadone treatment programs located in low-income urban communities in Los Angeles, California. The study collected client- and program-level data in 4 waves in 2011, 2013, 2015, and 2017 from 34 publicly funded methadone treatment programs serving 11,169 clients with opioid use disorder (OUD). The sample included 29.8% female and 70.2% male clients, where 10.6% identified as Black or African American, 41.5% as Latino, 44.2% as non-Latino white, and 3.8% as Other. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 11, 2021 Category: Addiction Authors: Jeanne C. Marsh, Hortensia Amaro, Yinfei Kong, Tenie Khachikian, Erick Guerrero Source Type: research

A brief negotiation interview adherence scale for smoking cessation: A psychometric evaluation
Practitioner adherence to the Brief Negotiation Interview (BNI) for high-risk alcohol consumption and opioid use disorder can be measured using the BNI Adherence Scale, for alcohol (BAS-A) and opioids (BASO), respectively. However, no psychometrically validated brief intervention adherence scale for smoking cessation has been reported in the literature. Our objective was to develop and examine the psychometric properties of a BAS for smoking cessation (BASS). In the context of a clinical trial of the BNI in an emergency department (ED) —which incorporates motivational interviewing (MI), feedback, and behavioral contr...
Source: Journal of Substance Abuse Treatment - April 11, 2021 Category: Addiction Authors: Michael V. Pantalon, James Dziura, Fang-Yong Li, Gail D'Onofrio, June Weiss, Steven L. Bernstein Source Type: research

In Response to "Substance Abuse and Misuse Identification and Prevention (SAMIP): An Evidence-based Protocol for CRNAs in the Workplace"
AANA J. 2021 Apr;89(2):101.NO ABSTRACTPMID:33832567 (Source: AANA Journal)
Source: AANA Journal - April 9, 2021 Category: Anesthesiology Authors: Bridget Petrillo Leigh Taylor Source Type: research

Systematic Literature Review of Psychiatric Comorbidities in Adults with Epilepsy
CONCLUSIONS: This systematic literature review of recent original research found a relatively high prevalence of mental health comorbidities in PWE. Mood and anxiety disorders are the most common comorbidities, while psychotic spectrum conditions such as schizophrenia and bipolar disorder are much rarer. The prevalence of comorbidity may vary with the epilepsy type and treatment responsiveness. These findings suggest that screening tools for depression and anxiety should be included as part of the training for epilepsy care, while resources for other relatively common conditions such as PTSD and substance abuse disorders s...
Source: Journal of Clinical Neurology - April 9, 2021 Category: Neurology Authors: Elaine Lu Nataliya Pyatka Christopher J Burant Martha Sajatovic Source Type: research

In Response to "Substance Abuse and Misuse Identification and Prevention (SAMIP): An Evidence-based Protocol for CRNAs in the Workplace"
AANA J. 2021 Apr;89(2):101.NO ABSTRACTPMID:33832567 (Source: AANA Journal)
Source: AANA Journal - April 9, 2021 Category: Anesthesiology Authors: Bridget Petrillo Leigh Taylor Source Type: research

Systematic Literature Review of Psychiatric Comorbidities in Adults with Epilepsy
CONCLUSIONS: This systematic literature review of recent original research found a relatively high prevalence of mental health comorbidities in PWE. Mood and anxiety disorders are the most common comorbidities, while psychotic spectrum conditions such as schizophrenia and bipolar disorder are much rarer. The prevalence of comorbidity may vary with the epilepsy type and treatment responsiveness. These findings suggest that screening tools for depression and anxiety should be included as part of the training for epilepsy care, while resources for other relatively common conditions such as PTSD and substance abuse disorders s...
Source: Journal of Clinical Neurology - April 9, 2021 Category: Neurology Authors: Elaine Lu Nataliya Pyatka Christopher J Burant Martha Sajatovic Source Type: research

In Response to "Substance Abuse and Misuse Identification and Prevention (SAMIP): An Evidence-based Protocol for CRNAs in the Workplace"
AANA J. 2021 Apr;89(2):101.NO ABSTRACTPMID:33832567 (Source: AANA Journal)
Source: AANA Journal - April 9, 2021 Category: Anesthesiology Authors: Bridget Petrillo Leigh Taylor Source Type: research

Systematic Literature Review of Psychiatric Comorbidities in Adults with Epilepsy
CONCLUSIONS: This systematic literature review of recent original research found a relatively high prevalence of mental health comorbidities in PWE. Mood and anxiety disorders are the most common comorbidities, while psychotic spectrum conditions such as schizophrenia and bipolar disorder are much rarer. The prevalence of comorbidity may vary with the epilepsy type and treatment responsiveness. These findings suggest that screening tools for depression and anxiety should be included as part of the training for epilepsy care, while resources for other relatively common conditions such as PTSD and substance abuse disorders s...
Source: Journal of Clinical Neurology - April 9, 2021 Category: Neurology Authors: Elaine Lu Nataliya Pyatka Christopher J Burant Martha Sajatovic Source Type: research

Mandatory treatment for methamphetamine use in Australia
In 2016, following a flurry of government inquiries and taskforces including calls for mandatory treatment regimes, the Australian community nominated methamphetamine as the drug most likely to be associated a... (Source: Substance Abuse Treatment, Prevention, and Policy)
Source: Substance Abuse Treatment, Prevention, and Policy - April 9, 2021 Category: Addiction Authors: Mathew Coleman, Kelly Ridley and Michael Christmass Tags: Review Source Type: research

Mini review: Promotion of substance abuse in HIV patients: Biological mediation by HIV-1 Tat protein
Publication date: Available online 7 April 2021Source: Neuroscience LettersAuthor(s): Thomas J. Cirino, Jay P. McLaughlin (Source: Neuroscience Letters)
Source: Neuroscience Letters - April 8, 2021 Category: Neuroscience Source Type: research

The integrating medications for addiction treatment (IMAT) index: A measure of capability at the organizational level
Primary care provides a treatment opportunity for many persons with opioid use disorder (OUD). The push to integrate and expand reach and adoption of medications for opioid use disorder (MOUD) within primary care has been a major focus of national, state and health systems endeavors. To guide high capability MOUD practice, we introduce the Integrating Medications for Addiction Treatment (IMAT) Index. The research team has developed IMAT along similar lines to other organizational measures of integrated services capability. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Helene Chokron Garneau, Brian Hurley, Tammy Fisher, Sandra Newman, Meaghan Copeland, Lauren Caton, Hannah Cheng, Mark P. McGovern Source Type: research

The impact of COVID-19 on opioid treatment program (OTP) services: Where do we go from here?
Medication for opioid use disorder (MOUD) services are key to addressing the opioid crisis and COVID-19 has significantly impacted them. The need for social distancing and self-quarantining requires individuals to maintain personal physical space and limits face-to-face interactions, which are required for methadone dispensing and other regulated treatment activities. Mount Sinai Beth Israel, which has one of the largest opioid treatment service (OTP) delivery systems within the United States and includes 10 OTP methadone clinics, responded rapidly, implementing procedures to address the additional challenges during the CO...
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Kathlene Tracy, Leah Wachtel, Teri Friedman Source Type: research

The new services that opioid treatment programs have adopted in response to COVID-19
COVID-19 has exacerbated the opioid epidemic and transformed how programs treat opioid use disorder. In response to the pandemic, the federal government modified guidelines to allow opioid treatment programs (OTPs) greater flexibility in the provision of medication for opioid use disorder. We conducted a telephone survey of 31.10% of OTPs in the contiguous United States between June and July 2020. We contacted a random sample of 477 facilities and obtained responses from 373. The survey asked questions about new patient intake, screening for COVID-19, social distancing measures, as well as new treatments offered due to cha...
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Jonathan Cantor, Agustina Laurito Source Type: research

How emergency department visits for substance use disorders have evolved during the early COVID-19 pandemic
Higher opioid overdoses and drug use have reportedly occurred during the COVID-19 pandemic. We provide evidence on how emergency department (ED) visits for substance use disorders (SUD) changed in the early pandemic period. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, Jestin N. Carlson, Pablo Celedon, Ali Moghtaderi, Arvind Venkat Source Type: research

Adaptations to Indiana's 21st Century Cures –funded recovery coaching initiative in the wake of COVID-19
This brief commentary discusses how provider organizations from Indiana's Recovery Coach and Peer Support Initiative (RCPSI) adapted their practices in response to the COVID-19 pandemic and associated restrictions. The RCPSI, which is funded through the 21st Century Cures Act, placed peer recovery coaches (PRCs) in emergency departments (EDs) to link opioid overdose patients to medication for opioid use disorder. This commentary discusses how COVID-19 restrictions increased use of telehealth to replace in-person PRC contacts with patients, affected the timing of initial PRC contacts with patients, and led to allowances for...
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Monte D. Staton, Dennis P. Watson, Lisa Robison Taylor, Noah Tye Source Type: research

Long-acting buprenorphine vs. naltrexone opioid treatments in CJS-involved adults (EXIT-CJS)
The EXIT-CJS (N  = 1005) multisite open-label randomized controlled trial will compare retention and effectiveness of extended-release buprenorphine (XR-B) vs. extended-release naltrexone (XR-NTX) to treat opioid use disorder (OUD) among criminal justice system (CJS)-involved adults in six U.S. locales (New Jer sey, New York City, Delaware, Oregon, Connecticut, and New Hampshire). With a pragmatic, noninferiority design, this study hypothesizes that XR-B (n = 335) will be noninferior to XR-NTX (n = 335) in retention-in-study-medication treatment (the primary outcome), self-reported opioid use, opio id-positive ...
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Elizabeth Needham Waddell, Sandra A. Springer, Lisa A. Marsch, David Farabee, Robert P. Schwartz, Amesika Nyaku, Rusty Reeves, Keith Goldfeld, Ryan D. McDonald, Mia Malone, Anna Cheng, Elizabeth C. Saunders, Laura Monica, Jan Gryczynski, Kathleen Bell, Ka Source Type: research

Impact of COVID-19 on service delivery for an evidence-based behavioral treatment for families involved in the child welfare system
The novel coronavirus, COVID-19, has dramatically impacted clinical service delivery, particularly substance use treatment. The Families Actively Improving Relationships (FAIR) program is an action-oriented, evidence-based behavioral treatment for opioid and methamphetamine disorders in parents involved in the child welfare (CW) system. A seven-clinician team operates out of a Medicaid-funded clinic, primarily delivering services in the community. Attending to underlying mechanisms of FAIR's intervention strategies that promote client engagement and clinical outcomes, FAIR rapidly adapted it procedures in response to COVID...
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Gracelyn Cruden, Mark Campbell, Lisa Saldana Source Type: research

Sex and Mental Health Disorder Differences Among Military Service Members With Patellofemoral Syndrome
Background: Mental health disorders are associated with persistent knee pain, but the association between these conditions has had little investigation in the military. The purpose of this study was to identify rates of mental health disorders in patients with patellofemoral pain (PFP) and determine differences by sex and whether mental health copresence influences outcomes. Methods: Eligible patients with a new PFP diagnosis were categorized according to sex and presence of mental health disorders. Outcomes included odds of mental health disorder before/after initial PFP diagnosis based on sex, and knee-related health ca...
Source: Journal of the American Board of Family Medicine - April 8, 2021 Category: Primary Care Authors: Rhon, D. I., Roy, T. C., Oh, R. C., Young, J. L. Tags: Original Research Source Type: research

Feasibility and Early Experience of a Novel Multidisciplinary Alcohol-associated Liver Disease Clinic
Alcohol cessation improves mortality in alcohol-associated liver disease (ALD), but access to treatment is limited. To address this gap, implementation and early feasibility and outcomes of a multidisciplinary ALD clinic are described. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Jessica L. Mellinger, Gerald Scott Winder, Anne C. Fernandez, Kristin Klevering, Amanda Johnson, Haila Asefah, Mary Figuroa, Jack Buchanan, Fred Blow, Anna S.F. Lok Source Type: research

Longitudinal Effects of Social Network Changes on Drinking Outcomes for Individuals with a First-Time DUI
Social networks are important predictors of alcohol-related outcomes, especially among those with a DUI where riskier social networks are associated with increased risk of drinking and driving. Social networks are increasingly a target for intervention; however, no studies have examined and measured whether longitudinal changes in social networks are associated with reductions in impaired driving. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 8, 2021 Category: Addiction Authors: Mauri Matsuda, Karen Chan Osilla, David P. Kennedy, Susan M. Paddock Source Type: research

Photovoice as a tool for exploring perceptions of marijuana use among Appalachian adolescents
. (Source: Journal of Ethnicity in Substance Abuse)
Source: Journal of Ethnicity in Substance Abuse - April 8, 2021 Category: Addiction Authors: Dana Harley Theda Rose Trenette Clark Goings James Canfield Source Type: research

Treating trauma and aggression with narrative exposure therapy in former child and adult soldiers: A randomized controlled trial in Eastern DR Congo.
Conclusion: FORNET is a compact and scalable psychotherapeutic intervention that effectively reduces current aggressive behavior including physical abuse against children, intimate partner violence (IPV), and community violence. FORNET further decreases appetitive aggression, posttraumatic stress symptoms, and other clinical and social problems that commonly hinder demobilization, reintegration, and post-conflict peacebuilding. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - April 8, 2021 Category: Psychiatry & Psychology Source Type: research

Harmonizing healthcare and other resource measures for evaluating economic costs in substance use disorder research
Standardization and harmonization of healthcare resource utilization data can improve evaluations of the economic impact of treating people with substance use disorder (SUD), including reductions in use of exp... (Source: Substance Abuse Treatment, Prevention, and Policy)
Source: Substance Abuse Treatment, Prevention, and Policy - April 8, 2021 Category: Addiction Authors: Michelle A. Papp, Jared A. Leff, Sean M. Murphy, April Yang, Heidi M. Crane, Lisa R. Metsch, Carlos Del Rio, Daniel J. Feaster, Josiah D. Rich, Bruce R. Schackman and Kathryn E. McCollister Tags: Research Source Type: research

Postoperative Opioid Pain Medication Usage Following Adult Tonsillectomy
CONCLUSION: Short-term, high-quantity opioid treatment of post-tonsillectomy pain in active duty adults does not result in long-term opioid misuse, as measured by substance abuse treatment program referrals within a year after surgery. This finding supports the appropriateness of adequate short-term narcotic medication treatment. The long-term readiness of these patients appears unaffected by long-term opioid misuse or abuse. Even with this finding, there is an institutional shift to multi-modality pain management and appropriate opioid reduction to further mitigate the risk of opioid misuse. Extrapolation of these finding...
Source: Military Medicine - April 7, 2021 Category: International Medicine & Public Health Authors: Jessica R Winters Christopher J Hill Samuel D Frasier Jeanelle D Riddick Caroline M Schlocker Source Type: research

Differential impacts of COVID-19 across racial-ethnic identities in persons with opioid use disorder
The COVID-19 pandemic has exacerbated health disparities, particularly among at-risk people with opioid use disorder (OUD). We sought to characterize the direct and indirect impacts of COVID-19 on this group to understand how the pandemic has affected this group, this group's public health response to COVID-19, and whether there were differences by race/ethnicity. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 7, 2021 Category: Addiction Authors: Colleen B. Mistler, Matthew C. Sullivan, Michael M. Copenhaver, Jaimie P. Meyer, Alexis M. Roth, Sheela V. Shenoi, E. Jennifer Edelman, Jeffrey A. Wickersham, Roman Shrestha Source Type: research

Clinical and psychological factors associated with interdose opioid withdrawal in chronic pain population
The DSM-5 diagnostic criteria for Prescription Opioid Use Disorder (POUD) have undergone some significant changes. One of the most controversial changes has been the elimination of the withdrawal symptoms criterion when opioid use is under appropriate medical supervision. For this reason, the goal of this study was to analyze factors associated with opioid withdrawal in patients with chronic non-cancer pain (CNCP). (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 7, 2021 Category: Addiction Authors: Sara Rodr íguez-Espinosa, Ainhoa Coloma-Carmona, Ana Pérez-Carbonell, José F. Román-Quiles, José L. Carballo Source Type: research

Research on substance use disorders during the COVID-19 pandemic
The COVID-19 pandemic has triggered changes in the substance use disorder (SUD) treatment delivery system, in the availability of legal and illicit drugs, and in other social and economic factors. As such, these changes necessitate that the field re-evaluate research approaches to SUDs, including in epidemiology, clinical trials, health services, implementation and policy research, as well as basic and translational neuroscience.COVID-19 has reduced researchers' access to target populations and made it difficult for them to obtain timely data to monitor changes in patterns of drug use and overdoses. (Source: Journal of Sub...
Source: Journal of Substance Abuse Treatment - April 7, 2021 Category: Addiction Authors: Nora D. Volkow, Carlos Blanco Source Type: research

Use of buprenorphine for those with employer-sponsored insurance during the initial phase of the COVID-19 pandemic
To quantify weekly rates of use of buprenorphine for those with employer-based insurance and whether the rate differs based on county-level measures of race, historical fatal drug overdose rate, and COVID-19 case rate. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - April 7, 2021 Category: Addiction Authors: Jonathan Cantor, Andrew W. Dick, Rebecca Haffajee, Megan F. Pera, Dena M. Bravata, Bradley D. Stein, Christopher Whaley Source Type: research

Beliefs related to health care incentives: Comparison of substance use disorder treatment providers, medical treatment providers, and a public sample
This study surveyed substance use disorder (SUD) treatment providers, medical treatment providers, and a public sample about beliefs regarding health care incentives to explore differences among the groups and across health disorders for which research has demonstrated incentives improve outcomes. Six hundred participants (n  = 200/group) completed the Provider Survey of Incentives. The study found between group differences for positive and negative beliefs. The public sample was highest on the positive beliefs subscale (M = 3.81), followed by SUD (M = 3.63) and medical treatment providers (M = 3.48; F(2 , ...
Source: Journal of Substance Abuse Treatment - April 7, 2021 Category: Addiction Authors: Kimberly C. Kirby, Matthew J. Dwyer, Connor Burrows, Dustin A. Fife, Elena Bresani, Mary Tabit, Bethany R. Raiff Source Type: research

Relationships between consumption patterns, health beliefs, and subjective wellbeing in Chinese Baijiu consumers
Alcohol consumption in China has increased rapidly, and there have been calls for policies and programs to address the issue. Alcohol plays a complex and important role in Chinese culture, where it is consider... (Source: Substance Abuse Treatment, Prevention, and Policy)
Source: Substance Abuse Treatment, Prevention, and Policy - April 7, 2021 Category: Addiction Authors: Debra Ann Metcalf, Anthony Saliba, Kirsty McKenzie and Appy Gao Tags: Research Source Type: research

Integrating DATA 2000 waiver training into undergraduate medical education: The time is now
. (Source: Substance Abuse)
Source: Substance Abuse - April 6, 2021 Category: Addiction Authors: Elly Riser Leigh Ann Holterman Sanchit Maruti John R. Brooklyn Stephen G. DeVoe Bradley J. Tompkins Jacqueline Drouin Halle G. Sobel Source Type: research

Assessing the impact of Indiana legislation on opioid-based doctor shopping among Medicaid-enrolled pregnant women: a regression analysis
This study seeks to determine the asso... (Source: Substance Abuse Treatment, Prevention, and Policy)
Source: Substance Abuse Treatment, Prevention, and Policy - April 6, 2021 Category: Addiction Authors: Sukhada S. Joshi, Nicole Adams, Yuehwern Yih and Paul M. Griffin Tags: Research Source Type: research

The frontal pole as a target for transcranial magnetic stimulation: a retrospective analysis of feasibility and tolerability
From a functional perspective, the frontal pole (FP) of the medial prefrontal cortex (Brodmann Area 10) appears to have a specialized role in information integration and inhibition of extraneous information – a process which is compromised in many psychiatric disease states. The medial aspect of the FP is part of the default mode network [3] and appears to facilitate shifts between the default mode, executive control, and salience networks [4]. This shifting is disrupted in substance abuse [5] and ob sessive-compulsive disorders [6]. (Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation)
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - April 4, 2021 Category: Neurology Authors: Hilary R. Smith, Julia P. Imperatore, Colleen A. Hanlon Source Type: research

Prevalence and characteristics of starvation-related malnutrition in a mid-atlantic healthcare system: a cohort study
JPEN J Parenter Enteral Nutr. 2021 Apr 2. doi: 10.1002/jpen.2114. Online ahead of print.ABSTRACTBACKGROUND: Malnutrition in the hospital negatively impacts outcomes including readmissions, mortality, and cost. Starvation-related malnutrition (SRM) is a state of chronic undernutrition with little to no inflammation. Research on SRM within the hospital setting is lacking. Our objective was to determine the prevalence and characteristics of malnutrition within the hospital, focusing on characteristics associated with readmissions in those with SRM.METHODS: We conducted a retrospective cohort study analyzing characteristics of...
Source: JPEN Journal Of Parenteral And Enteral Nutrition - April 3, 2021 Category: Nutrition Authors: Luke O Smith Michael T Vest Alisha J Rovner Mary Shapero Richard R Suminski Jillian C Trabulsi Carrie P Earthman Source Type: research

Prevalence and characteristics of starvation-related malnutrition in a mid-atlantic healthcare system: a cohort study
JPEN J Parenter Enteral Nutr. 2021 Apr 2. doi: 10.1002/jpen.2114. Online ahead of print.ABSTRACTBACKGROUND: Malnutrition in the hospital negatively impacts outcomes including readmissions, mortality, and cost. Starvation-related malnutrition (SRM) is a state of chronic undernutrition with little to no inflammation. Research on SRM within the hospital setting is lacking. Our objective was to determine the prevalence and characteristics of malnutrition within the hospital, focusing on characteristics associated with readmissions in those with SRM.METHODS: We conducted a retrospective cohort study analyzing characteristics of...
Source: JPEN Journal Of Parenteral And Enteral Nutrition - April 3, 2021 Category: Nutrition Authors: Luke O Smith Michael T Vest Alisha J Rovner Mary Shapero Richard R Suminski Jillian C Trabulsi Carrie P Earthman Source Type: research