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The Authors’ Own Words: Underutilization of the current clinical capacity to provide buprenorphine treatment for Opioid Use Disorders within the Veterans Health Administration

Jan 19, 2020 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Underutilization of the current clinical capacity to provide buprenorphine treatment for Opioid Use Disorders within the Veterans Health Administration

Helen Valenstein-Mah, PhD; Hildi Hagedorn, PhD; Chad L. Kay, PharmD; Melissa L. Christopher, PharmD; & Adam J. Gordon, MD, MPH

Substance Abuse Vol. 39, Iss. 3, 2018

“This manuscript highlights a discrepancy between the capacity of Veterans Health Administration (VHA) providers credentialed to prescribe buprenorphine, a first line treatment for Opioid Use Disorder, and the number of buprenorphine prescriptions these providers wrote over a six month period. The study found that VHA providers are prescribing buprenorphine below their capacity. These findings help to focus implementation efforts, and suggest that the VHA needs to not only focus on increasing the number of providers credentialed to prescribe buprenorphine, but also address barriers to prescribing at the patient-, provider-, and system-level to ensure veterans get effective treatment for Opioid Use Disorder.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: BUP, OUD, treatment, VA

The Authors’ Own Words: Past-Year Nonmedical Use of Prescription Drugs among Women on Probation and Parole: A Cross-Sectional Study

Jan 18, 2020 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Past-Year Nonmedical Use of Prescription Drugs among Women on Probation and Parole: A Cross-Sectional Study

Martin T. Hall, PhD, MSSW; Diana Ball, MSW; Jeanelle Sears, MSW, MSc; George E. Higgins, PhD, MPA; T K Logan, PhD; & Seana Golder, PhD, MSW

Substance Abuse Vol. 39, Iss. 3, 2018

“Past 12-month nonmedical use of prescription drugs (NMUPD) was common among this sample of victimized women on probation and parole. Other substance use, pain, and trauma symptoms were strongly associated with past-year NMUPD. Interventions that improve access to physical and behavioral health services are needed, as are trauma-informed treatments and correctional care.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: nonmedical use, prescription, Women

The Authors’ Own Words: Pilot Study of a Videogame Prototype for Cigarette and Marijuana Prevention in Adolescents

Jan 18, 2020 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Pilot Study of a Videogame Prototype for Cigarette and Marijuana Prevention in Adolescents

Lindsay R. Duncan, PhD; Kimberly D. Hieftje, PhD; Tyra M. Pendergrass, MEM; Benjamin G. Sawyer; & Lynn E. Fiellin, MD

Substance Abuse Vol. 39, Iss. 3, 2018

“This study showed improvements in knowledge about the risks of smoking cigarettes and marijuana for adolescents who played the videogame prototype. There was also an encouraging trend in the expected direction for changes in self-efficacy and perceived norms related to smoking cigarettes and marijuana. Feedback from the players about their gameplay experience was very positive. Despite their preliminary nature, our findings suggest that a videogame based on key cognitive and motivational variables may be an effective and engaging means to deliver a cigarette and marijuana prevention intervention. Our data also suggest important ways in which the game could be enhanced for even more meaningful effects.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: adolescents, prevention, videogame

The Authors’ Own Words: Homelessness predicts attrition but not alcohol abstinence in outpatients experiencing co-occurring alcohol dependence and serious mental illness

Jan 17, 2020 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Homelessness predicts attrition but not alcohol abstinence in outpatients experiencing co-occurring alcohol dependence and serious mental illness

Emily Leickly, BA; Jordan Skalisky, BA; Oladunni Oluwoye, PhD; Sterling M. McPherson, PhD; Debra Srebnik, PhD; John M. Roll, PhD; Richard K. Ries, MD; & Michael G. McDonell, PhD

Substance Abuse Vol. 39, Iss. 3, 2018

“Individuals with serious mental illness receiving contingency management (CM) for alcohol dependence who were also experiencing homelessness had higher rates of CM attrition than those who were housed. However, homelessness was not associated with differences in EtG-assessed alcohol abstinence. Thus, CM could be a promising intervention for adults with co-occurring disorders provided homelessness-related participation barriers are addressed.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: AUD, homelessness, outpatient treatment

The Authors’ Own Words: Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis

Jan 17, 2020 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Mortality risk in a sample of emergency department patients who use cocaine with alcohol and/or cannabis

Devin Gilmore, MA; Jennifer Zorland, PhD, CPH; Joanna Akin, MSPH; J. Aaron Johnson, PhD; James G. Emshoff, PhD; & Gabriel P. Kuperminc, PhD

Substance Abuse Vol. 39, Iss. 3, 2018

“Few studies have examined the association between polydrug use and mortality, especially cocaine-related mortality. The present study helps advance understanding of this issue through examination of the mortality risk of substance users presenting to two urban emergency departments. Analysis revealed significantly elevated mortality risk for users of the cocaine-cannabis combination, suggesting this combination may present a greater risk to physical health than use of either drug alone. These results inform practice by helping clinicians more completely understand and explain the risks posed by polydrug cocaine/cannabis use.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: emergency department, mortality risk

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