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

Injury Patterns of Electric-Scooter Related Trauma: A Systematic Review With Proportion Meta-Analysis
This study aims to understand the frequency of ES-related injuries and patients' characteristics despite the heterogeneity of data currently available. A systematic review with a proportion meta-analysis was conducted on studies with a multidisciplinary description of ES-related injuries in adult patients (PROSPERO-ID: CRD42022341241). Articles from inception to April 2023 were identified in MEDLINE, Embase, and Cochrane's databases. The risk of bias was evaluated using ROBINS-I. Twenty-five observational studies with 5387 patients were included in the meta-analysis, depending on reported data. Upper-limb (31.8%) and head ...
Source: The American Surgeon - March 27, 2024 Category: Surgery Authors: Andrea Spota Stefano Granieri Luca Ferrario Beatrice Zamburlini Simone Frassini Elisa Reitano Stefano Pb Cioffi Michele Altomare Roberto Bini Francesco Virdis Osvaldo Chiara Stefania Cimbanassi Source Type: research

Injury Patterns of Electric-Scooter Related Trauma: A Systematic Review With Proportion Meta-Analysis
This study aims to understand the frequency of ES-related injuries and patients' characteristics despite the heterogeneity of data currently available. A systematic review with a proportion meta-analysis was conducted on studies with a multidisciplinary description of ES-related injuries in adult patients (PROSPERO-ID: CRD42022341241). Articles from inception to April 2023 were identified in MEDLINE, Embase, and Cochrane's databases. The risk of bias was evaluated using ROBINS-I. Twenty-five observational studies with 5387 patients were included in the meta-analysis, depending on reported data. Upper-limb (31.8%) and head ...
Source: The American Surgeon - March 27, 2024 Category: Surgery Authors: Andrea Spota Stefano Granieri Luca Ferrario Beatrice Zamburlini Simone Frassini Elisa Reitano Stefano Pb Cioffi Michele Altomare Roberto Bini Francesco Virdis Osvaldo Chiara Stefania Cimbanassi Source Type: research

Childhood abuse and craving in methamphetamine-dependent individuals: the mediating role of alexithymia
Eur Arch Psychiatry Clin Neurosci. 2024 Mar 26. doi: 10.1007/s00406-024-01775-2. Online ahead of print.ABSTRACTIndividuals with a history of childhood abuse (CA, including neglect and abuse by caregivers before the age of 18 years) have more severe substance dependence problems than those without a history of childhood abuse. However, whether a history of CA exacerbates craving and the mechanism of this effect remain largely unknown. The aim of this study was to explore the role of alexithymia in the effects of CA on craving in a large sample of methamphetamine-dependent individuals based on latent vulnerability theory. A ...
Source: European Archives of Psychiatry and Clinical Neuroscience - March 26, 2024 Category: Psychiatry Authors: Jiajing Chen Dong Mei Wang Yang Tian Rongrong Zhu Yuqing Li Lianglun Jia Fabing Fu Shanshan Tang Xiaotao Wang Li Wang Xiang Yang Zhang Source Type: research

The Americans with Disabilities Act, addiction, and recovery
CONCLUSION: The COVID-19 pandemic has resulted in an increase in increased rates of alcoholism and substance abuse. Individuals living with addiction are unaware of the employment protections they may have under the ADA. Title I of the ADA guarantees employment protections to ensure equality in the workplace for people with disabilities. A clearer understanding of the law will ensure that job seekers and employees are treated in an ethical, valued, and courteous way when disclosing disability and the need for accommodation.PMID:38529518 | PMC:PMC10961953 | DOI:10.3233/jvr-230018 (Source: Journal of Vocational Rehabilitation)
Source: Journal of Vocational Rehabilitation - March 26, 2024 Category: Rehabilitation Authors: Barry A Whaley Pamela Williamson Source Type: research

Childhood abuse and craving in methamphetamine-dependent individuals: the mediating role of alexithymia
Eur Arch Psychiatry Clin Neurosci. 2024 Mar 26. doi: 10.1007/s00406-024-01775-2. Online ahead of print.ABSTRACTIndividuals with a history of childhood abuse (CA, including neglect and abuse by caregivers before the age of 18 years) have more severe substance dependence problems than those without a history of childhood abuse. However, whether a history of CA exacerbates craving and the mechanism of this effect remain largely unknown. The aim of this study was to explore the role of alexithymia in the effects of CA on craving in a large sample of methamphetamine-dependent individuals based on latent vulnerability theory. A ...
Source: European Archives of Psychiatry and Clinical Neuroscience - March 26, 2024 Category: Psychiatry Authors: Jiajing Chen Dong Mei Wang Yang Tian Rongrong Zhu Yuqing Li Lianglun Jia Fabing Fu Shanshan Tang Xiaotao Wang Li Wang Xiang Yang Zhang Source Type: research