Articles

Rural access to MAT in Pennsylvania (RAMP): a hybrid implementation study protocol for medication assisted treatment adoption among rural primary care providers

The continued escalation of opioid use disorder (OUD) calls for heightened vigilance to implement evidence-based care across the US. Rural care providers and patients have limited resources, and a number of ba...

Authors: Gerald Cochran, Evan S. Cole, Jack Warwick, Julie M. Donohue, Adam J. Gordon, Walid F. Gellad, Todd Bear, David Kelley, Ellen DiDomenico and Jan Pringle

Correction to: Emergency department screening and interventions for substance use disorders

In the version of this article that was originally published [1], some information in the “Background” section was erroneously omitted.

Authors: Kathryn Hawk and Gail D’Onofrio

Implementing alcohol use disorder pharmacotherapy in primary care settings: a qualitative analysis of provider-identified barriers and impact on implementation outcomes

Despite the high prevalence of alcohol use disorders (AUDs), in 2016, only 7.8% of individuals meeting diagnostic criteria received any type of AUD treatment. Developing options for treatment within primary ca...

Authors: Hildi J. Hagedorn, Jennifer P. Wisdom, Heather Gerould, Erika Pinsker, Randall Brown, Michael Dawes, Eric Dieperink, Donald Hugh Myrick, Elizabeth M. Oliva, Todd H. Wagner and Alex H. S. Harris

Factors associated with willingness to wear an electronic overdose detection device

North America is in the midst of an opioid overdose epidemic. Although take-home naloxone and other measures have been an effective strategy to reduce overdoses, many events are unwitnessed and mortality remai...

Authors: Keith Ahamad, Huiru Dong, Cheyenne Johnson, Kanna Hyashi, Kora DeBeck, M. J. Milloy and Evan Wood

Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach

Alcohol consumption among Indigenous Australians can involve a stop-start pattern of drinking, with consumption well above recommended guidelines on each occasion. Such intermittent drinking patterns can make ...

Authors: K. S. Kylie Lee, James H. Conigrave, Scott Wilson, Jimmy Perry, Sarah Callinan, Robin Room, Tanya N. Chikritzhs, Tim Slade, Noel Hayman, Geoffrey Leggat and Katherine M. Conigrave

HIV care provider perceptions and approaches to managing unhealthy alcohol use in primary HIV care settings: a qualitative study

HIV care providers often serve as the specialist and the primary care point-of-contact for persons living with HIV (PLWH) and unhealthy alcohol use. The purpose of the present qualitative study was to understa...

Authors: Natalie E. Chichetto, Zachary L. Mannes, Megan K. Allen, Robert L. Cook and Nicole Ennis

Low barrier buprenorphine treatment for persons experiencing homelessness and injecting heroin in San Francisco

Opioid overdose is a leading cause of death in persons experiencing homelessness (PEH), despite effective medications for opioid use disorder (OUD). In 2016, the San Francisco Street Medicine Team piloted a lo...

Authors: Jamie Carter, Barry Zevin and Paula J. Lum

Primary care engagement is associated with increased pharmacotherapy prescribing for alcohol use disorder (AUD)

Primary care provider skills such as screening, longitudinal monitoring, and medication management are generalizable to prescribing alcohol use disorder (AUD) pharmacotherapy. The association between primary c...

Authors: Paul J. Joudrey, Mat Kladney, Chinazo O. Cunningham and Marcus A. Bachhuber

Buprenorphine unobserved “home” induction: a survey of Ontario’s addiction physicians

Ontario patients on opioid agonist treatment (OAT) are often prescribed methadone instead of buprenorphine, despite the latter’s superior safety profile. Ontario OAT providers were surveyed to better understan...

Authors: Anita Srivastava, Meldon Kahan, Pamela Leece and Alison McAndrew

Asking about the last four drinking occasions on a tablet computer as a way to record alcohol consumption in Aboriginal and Torres Strait Islander Australians: a validation

Alcohol consumption among Indigenous Australians can be irregular, depending on social and geographic context. The Finnish method uses the last four drinking occasions to estimate drinking quantity and pattern...

Authors: K. S. Kylie Lee, James H. Conigrave, Sarah Callinan, Scott Wilson, Robin Room, Jimmy Perry, Tim Slade, Tanya N. Chikritzhs, Noel Hayman, Teagan Weatherall, Geoffrey Leggat, Dennis Gray and Katherine M. Conigrave

A conceptual model for understanding post-release opioid-related overdose risk

Post-release opioid-related overdose mortality is the leading cause of death among people released from jails or prisons (PRJP). Informed by the proximate determinants framework, this paper presents the Post-R...

Authors: Paul J. Joudrey, Maria R. Khan, Emily A. Wang, Joy D. Scheidell, E. Jennifer Edelman, D. Keith McInnes and Aaron D. Fox

Intervention for alcohol use disorders at an HIV care clinic in Harare: a pilot and feasibility study

Alcohol use in HIV infected patients is associated with risky sexual behaviour, poor adherence to Highly Active Antiretroviral Therapy, treatment failure and increased physiologic harm. The objectives of the s...

Authors: Munyaradzi Madhombiro, Bazondlile Dube, Michelle Dube, Moleen Zunza, Dixon Chibanda, Simbarashe Rusakaniko and Soraya Seedat

“They didn’t give up on me”: a women’s transitions clinic from the perspective of re-entering women

Women recently released from incarceration have increased rates of co-occurring substance use, physical health, and mental health disorders. During re-entry, they face challenges navigating needed health servi...

Authors: Katherine Thomas, John L. Wilson, Precious Bedell and Diane S. Morse

Development of a social media-based intervention targeting tobacco use and heavy episodic drinking in young adults

Tobacco use and heavy episodic drinking (HED) commonly co-occur in young adults. We developed and tested usability of the Smoking Tobacco and Drinking (STAND) intervention for young adults delivered on Facebook.

Authors: Danielle E. Ramo, Meredith C. Meacham, Manpreet Kaur, Ella S. Corpuz, Judith J. Prochaska and Derek D. Satre

Increased demand for amphetamine treatment in rural Australia

A substantial increase in substance treatment episodes for methamphetamine problems suggests characteristics of the treatment population could have changed and that targeted treatment programs are required. To...

Authors: Julaine Allan, Ryan H. L. Ip, Michael Kemp and Nicole Snowdon

Provider and patient perspectives on barriers to buprenorphine adherence and the acceptability of video directly observed therapy to enhance adherence

Buprenorphine effectively reduces opioid craving and illicit opioid use. However, some patients may not take their medication as prescribed and thus experience suboptimal outcomes. The study aim was to qualita...

Authors: Margo E. Godersky, Andrew J. Saxon, Joseph O. Merrill, Jeffrey H. Samet, Jane M. Simoni and Judith I. Tsui

Identification and management of alcohol use and illicit substance use in outpatient psychiatric clinics in Sweden: a national survey of clinic directors and staff

Swedish national guidelines recommend that all health care settings systematically screen patients for alcohol use and illicit substance use. When hazardous use is identified, it should immediately be addresse...

Authors: Christopher Sundström, Elisabeth Petersén, Kristina Sinadinovic, Peter Gustafsson and Anne H. Berman

Utilization of addiction treatment among U.S. adults with history of incarceration and substance use disorders

The high prevalence of substance use disorders (SUDs) among incarcerated adults in the U.S. is well-known, but there has been less examination of SUD treatment and rates of incarceration among the population o...

Authors: Jack Tsai and Xian Gu

Linking women experiencing incarceration to community-based HIV pre-exposure prophylaxis care: protocol of a pilot trial

Women experiencing incarceration (WEI) engage in high rates of sex- and drug-related behavior that places them at risk for HIV. Pre-exposure prophylaxis (PrEP) is an efficacious means of reducing HIV acquisiti...

Authors: Susan E. Ramsey, Evan G. Ames, Lauren Brinkley-Rubinstein, Anne M. Teitelman, Jennifer Clarke and Clair Kaplan

Illicit substance use after release from prison among formerly incarcerated primary care patients: a cross-sectional study

More than 80% of people in jail or prison report having used illicit substances in their lifetimes. After release from incarceration, resumption of substance use carries risks, including parole revocation, exa...

Authors: Adam Chamberlain, Sylviah Nyamu, Jenerius Aminawung, Emily A. Wang, Shira Shavit and Aaron D. Fox

Study protocol for a pragmatic trial of the Consult for Addiction Treatment and Care in Hospitals (CATCH) model for engaging patients in opioid use disorder treatment

Treatment for opioid use disorder (OUD) is highly effective, yet it remains dramatically underutilized. Individuals with OUD have disproportionately high rates of hospitalization and low rates of addiction tre...

Authors: Jennifer McNeely, Andrea B. Troxel, Hillary V. Kunins, Donna Shelley, Joshua D. Lee, Alexander Walley, Zoe M. Weinstein, John Billings, Nichola J. Davis, Roopa Kalyanaraman Marcello, Bruce R. Schackman, Charles Barron and Luke Bergmann

Strategies to increase implementation of pharmacotherapy for alcohol use disorders: a structured review of care delivery and implementation interventions

Effective medications for treating alcohol use disorders (AUD) are available but underutilized. Multiple barriers to their provision have been identified, and optimal strategies for addressing and overcoming b...

Authors: Emily C. Williams, Theresa E. Matson and Alex H. S. Harris

An evaluation of the maintenance to abstinence (MTA) program in achieving abstinence in opioid users and improving mental health and quality of life

Residential opioid rehabilitation aims to improve the mental health and quality of life of opioid users through abstinence and residential program participation. This study aimed to determine the depression, a...

Authors: Madeleine M. Southey, Trent Rees, Margaret Rolfe and Sabrina Pit

Patient and provider perspectives on implementation barriers and facilitators of an integrated opioid treatment and HIV care intervention

In Dar es Salaam Tanzania, the first opioid treatment program (OTP) in Sub-Saharan Africa, had very high rates of enrollment of people who use drugs (PWUD) but low rates of antiretroviral therapy (ART) initiat...

Authors: Alexis Cooke, Haneefa Saleem, Saria Hassan, Dorothy Mushi, Jessie Mbwambo and Barrot Lambdin

Tobacco use among non-elderly adults with and without criminal justice involvement in the past year: United States, 2008–2016

Tobacco use remains the leading cause of preventable disease and death in the United States and is concentrated among disadvantaged populations, including individuals with a history of criminal justice involve...

Authors: Tyler N. A. Winkelman, Katherine Diaz Vickery and Andrew M. Busch

Receipt of pharmacotherapy for alcohol use disorder by justice-involved women in the Veterans Health Administration

Alcohol use disorder (AUD) and unhealthy drinking are prevalent among women involved in the criminal justice system and women military veterans. Pharmacotherapy—including naltrexone, topiramate, acamprosate, a...

Authors: Emmeline Taylor, Christine Timko, Alex H. S. Harris, Mengfei Yu and Andrea K. Finlay

Study protocol testing toolkit versus usual care for implementation of screening, brief intervention, referral to treatment in hospitals: a phased cluster randomized approach

Alarming rates of unhealthy alcohol, non-prescription drug, and tobacco use highlight the preventable health risks of substance abuse and the urgent need to activate clinicians to recognize and treat risky use...

Authors: Robin Newhouse, Michelle Janney, Anne Gilbert, Jon Agley, Giorgos Bakoyannis, Melora Ferren, C. Daniel Mullins, Meg Johantgen, Rhonda Schwindt and Kelli Thoele

The SUMMIT ambulatory-ICU primary care model for medically and socially complex patients in an urban federally qualified health center: study design and rationale

Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; the...

Authors: Brian Chan, Samuel T. Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, Devan Kansagara, Somnath Saha and P. Todd Korthuis

Frequency and associated risk factors of non-fatal overdose reported by pregnant women with opioid use disorder

Little is known about opioid overdose or naloxone access among pregnant women.

Authors: Sarah M. Bagley, Howard Cabral, Kelley Saia, Alyssa Brown, Christine Lloyd-Travaglini, Alexander Y. Walley and Ruth Rose-Jacobs

Advancing pharmacological treatments for opioid use disorder (ADaPT-OUD): protocol for testing a novel strategy to improve implementation of medication-assisted treatment for veterans with opioid use disorders in low-performing facilities

In the US, emergency room visits and overdoses related to prescription opioids have soared and the rates of illicit opioid use, including heroin and fentanyl, are increasing. Opioid use disorder (OUD) is assoc...

Authors: Hildi Hagedorn, Marie Kenny, Adam J. Gordon, Princess E. Ackland, Siamak Noorbaloochi, Wei Yu and Alex H. S. Harris

Alcohol misuse and outpatient follow-up after hospital discharge: a retrospective cohort study

Patients with alcohol misuse are less likely to receive preventive health services but more likely to utilize emergency health services. However, the association between alcohol misuse and outpatient follow-up...

Authors: Bryan Borg, Ivor S. Douglas, Madelyne Hull, Angela Keniston, Marc Moss and Brendan J. Clark

Clinician identified barriers to treatment for individuals in Appalachia with opioid use disorder following release from prison: a social ecological approach

The non-medical use of opioids has reached epidemic levels nationwide, and rural areas have been particularly affected by increasing rates of overdose mortality as well as increases in the prison population. I...

Authors: Amanda M. Bunting, Carrie B. Oser, Michele Staton, Katherine S. Eddens and Hannah Knudsen

Closing the gaps in opioid use disorder research, policy and practice: conference proceedings

Drug overdose deaths involving opioids have surged in recent years and the economic cost of the opioid epidemic is estimated to be over $500 billion annually. In the midst of calls for declaring a national eme...

Authors: Matthew A. Miclette, Jared A. Leff, Isabella Cuan, Jeffrey H. Samet, Brendan Saloner, Gary Mendell, Yuhua Bao, Michael A. Ashburn, Marcus A. Bachhuber, Bruce R. Schackman, Daniel E. Polsky and Zachary F. Meisel

Proceedings of the 15th annual conference of INEBRIA

Authors:

MySafeRx: a mobile technology platform integrating motivational coaching, adherence monitoring, and electronic pill dispensing for enhancing buprenorphine/naloxone adherence during opioid use disorder treatment: a pilot study

While buprenorphine/naloxone (B/N) is approved for opioid use disorder treatment, effective delivery of B/N comes with significant challenges. Most notably, many patients do not take medication daily as prescr...

Authors: Zev Schuman-Olivier, Jacob T. Borodovsky, Jackson Steinkamp, Qays Munir, Kyle Butler, Mary Ann Greene, Jonah Goldblatt, Hai Yi Xie and Lisa A. Marsch

Barriers to addiction treatment among formerly incarcerated adults with substance use disorders

Addiction treatment improves substance use and criminal recidivism outcomes among justice-involved individuals with substance use disorders, but is underutilized. Although information exists regarding barriers...

Authors: Mandy D. Owens, Jessica A. Chen, Tracy L. Simpson, Christine Timko and Emily C. Williams

Emergency department screening and interventions for substance use disorders

The emergency department (ED) has long been recognized as providing critical access to the health care system for many, yet only in the past few decades has the ED visit been recognized as an opportunity to id...

Authors: Kathryn Hawk and Gail D’Onofrio

Insights from individuals successfully recovered from cannabis use disorder: natural versus treatment-assisted recoveries and abstinent versus moderation outcomes

Increasing understanding of the pathways and processes of recovery from cannabis use disorder may help in designing effective and attractive interventions to promote recovery. We report insights from individua...

Authors: David C. Hodgins and Jonathan N. Stea

Prevalence and personal attitudes towards tobacco smoking among Palestinian healthcare professionals: a cross-sectional study

Little is known about tobacco smoking behaviors of healthcare professionals in the Middle East where stress conditions are high and tobacco smoking regulations are either absent or loose. The objective of this...

Authors: Isra Y. Mizher, Shahd I. Fawaqa and Waleed M. Sweileh

Stigma associated with medication treatment for young adults with opioid use disorder: a case series

Opioid-related overdose deaths have risen sharply among young adults. Despite this increase, access to evidence-based medication for opioid agonist treatment (OAT) for youth remains low. Among older adults, ba...

Authors: Scott E. Hadland, Tae Woo Park and Sarah M. Bagley

Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care

For over a decade, the vast majority of new hepatitis C virus (HCV) infections have been among young people who inject drugs (PWID). Well-characterized gaps in chronic HCV diagnosis, evaluation, and treatment ...

Authors: Stephen A. Martin, Jordon Bosse, Amanda Wilson, Phyllis Losikoff and Lisa Chiodo

Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research

Contemporary advances in addiction neuroscience have paralleled increasing interest in the ancient mental training practice of mindfulness meditation as a potential therapy for addiction. In the past decade, ...

Authors: Eric L. Garland and Matthew O. Howard

Barriers and facilitators affecting the implementation of substance use screening in primary care clinics: a qualitative study of patients, providers, and staff

Alcohol and drug use are leading causes of morbidity and mortality that frequently go unidentified in medical settings. As part of a multi-phase study to implement electronic health record-integrated substanc...

Authors: Jennifer McNeely, Pritika C. Kumar, Traci Rieckmann, Erica Sedlander, Sarah Farkas, Christine Chollak, Joseph L. Kannry, Aida Vega, Eva A. Waite, Lauren A. Peccoralo, Richard N. Rosenthal, Dennis McCarty and John Rotrosen

Adherence intervention for HIV-infected persons who use drugs: adaptation, open trial, and pilot randomized hybrid type 1 trial protocol

HIV-infected people who use drugs (PWUD) exhibit the highest rates of non-adherence to antiretroviral therapy (ART) among people living with HIV. This contributes to poor treatment outcomes, increased morbidit...

Authors: Kasey Claborn, Sara Becker, Don Operario, Steve Safren, Josiah D. Rich and Susan Ramsey

Evaluation of the effect of methamphetamine on traumatic injury complications and outcomes

This study investigates the impact of methamphetamine use on trauma patient outcomes.

Authors: Michael M. Neeki, Fanglong Dong, Lidia Liang, Jake Toy, Braeden Carrico, Nina Jabourian, Arnold Sin, Farabi Hussain, Sharon Brown, Keyvan Safdari, Rodney Borger and David Wong

Standardised alcohol screening in primary health care services targeting Aboriginal and Torres Strait Islander peoples in Australia

Aboriginal and Torres Strait Islander Community Controlled Health Services (ACCHSs) around Australia have been asked to standardise screening for unhealthy drinking. Accordingly, screening with the 3-item AUD...

Authors: M. Mofizul Islam, Helen T. Oni, K. S. Kylie Lee, Noel Hayman, Scott Wilson, Kristie Harrison, Beth Hummerston, Rowena Ivers and Katherine M. Conigrave

How do people with mood and anxiety disorders perceive and interpret the Drinking Motives Questionnaire? A think-aloud study in a clinical setting

Research has identified drinking motives as the final common pathway to alcohol use, and associations between specific drinking motives and drinking patterns have consistently been demonstrated. Data on drinki...

Authors: Christina Nehlin, Margareta Wennberg and Caisa Öster

Substance use and the HIV care continuum: important advances

Authors: P. Todd Korthuis and E. Jennifer Edelman

Development and differentiability of three brief interventions for risky alcohol use that include varying doses of motivational interviewing

While brief intervention (BI) for risky alcohol use generally yields positive effects among those identified by screening, effect sizes are small and there is unexplained heterogeneity in outcome. The heterog...

Authors: Jennifer E. Hettema, Stephanie A. Cockrell, Abigail Reeves, Karen S. Ingersoll, Paula J. Lum, Richard Saitz, Cristina M. Murray-Krezan and Valerie A. Carrejo

Correction to: Testing the effectiveness of a motivational interviewing-based brief intervention for substance use as an adjunct to usual care in community-based AIDS service organizations: study protocol for a multisite randomized controlled trial

Upon publication of the original article

Authors: Bryan R. Garner, Heather J. Gotham, Stephen J. Tueller, Elizabeth L. Ball, David Kaiser, Patricia Stilen, Kathryn Speck, Denna Vandersloot, Traci R. Rieckmann, Michael Chaple, Erika G. Martin and Steve Martino