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The Authors’ Own Words: Alcohol, Marijuana, and Opioid Use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

Dec 8, 2019 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. 

Alcohol, Marijuana, and Opioid Use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

Amber L. Bahorik, PhD; Derek D. Satre, PhD; Andrea H. Kline-Simon, MS; Constance M. Weisner, DrPH, MSW; Kelly C. Young-Wolff, PhD, MPH; & Cynthia I. Campbell, PhD

Substance Abuse Vol. 39, Iss. 1, 2018

“Our study highlights that emergency department (ED) settings offer critical opportunities for clinicians to identify and intervene on patients with alcohol, marijuana, and opioid use disorders to initiate treatment, with those who have opioid use disorders having the highest ED use and potentially the greatest treatment needs. Devoting more health resources to providing training for initiating ED-based treatments for patients who have opioid use disorders in heath-systems, such as ED-initiated buprenorphine and referral to substance use disorder treatment, may be a step toward improving health outcomes and reducing ED visits in this population.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: AUD, ED, marijuana, OUD

The Authors’ Own Words: Why Use Group Visits for Opioid Use Disorder Treatment in Primary Care? A Patient-Centered Qualitative Study

Dec 8, 2019 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. 

Why Use Group Visits for Opioid Use Disorder Treatment in Primary Care? A Patient-Centered Qualitative Study

Randi Sokol, MD, MPH, MMedEd; Chiara Albanese; Deviney Chaponis, MD; Jessica Early, MD; George Maxted, MD; Diana Morrill; Grace Poirier, LPN; Fran Puopolo, RN; & Zev Schuman-Olivier, MD

Substance Abuse Vol. 39, Iss. 1, 2018

“For providers aspiring to treat OUD in a way that minimizes stigma and increases access to care, this study illustrates the qualitative value of providing B/N in primary care setting through a patient-centered, team-based, group visit approach. Without physically attending a group visit recovery program and experiencing the group dynamic over time, it might be difficult for providers to appreciate the unique richness of this environment and recognize the value that this approach provides in comparison to the standard one-on-one visit approach. This study allows providers to gain a more palpable understanding of how group-based treatment can support recovery as told through the lenses of patients’ voices, illustrating how patients in a group setting communicate and relate to one another in a positive, therapeutic manner that cultivates a sense of accountability to themselves and the group, a shared identity, and a supportive community.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: group visits, OUD, patient centered, primary care, treatment

The Authors’ Own Words: Metabolic syndrome among patients with heroin use disorders on methadone therapy: prevalence, characteristics, and related factors

Dec 7, 2019 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. 

Metabolic syndrome among patients with heroin use disorders on methadone therapy: prevalence, characteristics, and related factors

Gabriel Vallecillo, MD; María José Robles, MD; Marta Torrens, MD; Pilar Samos, RN; Albert Roquer, RN; Paula K. Martires, RN; Arantza Sanvisens, MPH; Roberto Muga, MD; & Juan Pedro-Botet, MD

Substance Abuse Vol. 39, Iss. 1, 2018

“The results of this observational study show an elevated prevalence of overweight and metabolic syndrome in individuals with heroin use disorder on methadone therapy. These findings have significant implications for clinicians due to the increasing number of individuals on long-term methadone therapy and the progressive aging of this population. Therefore, the prevention of obesity and the diagnosis of the metabolic syndrome should be included in the clinical routine of this population with the aim of reducing the risk of developing diabetes and cardiovascular diseases in the future.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: heroin use, metabolic syndrome, methadone

The Authors’ Own Words: Trajectories of cannabis use beginning in adolescence associated with symptoms of posttraumatic stress disorder in the midthirties

Dec 7, 2019 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. 

Trajectories of cannabis use beginning in adolescence associated with symptoms of posttraumatic stress disorder in the midthirties

Jung Yeon Lee, PhD; Judith S. Brook, EdD; Stephen J. Finch, PhD; & David W. Brook, MD

Substance Abuse Vol. 39, Iss. 1, 2018

“The findings provide information that PTSD symptoms in the mid 30s can possibly be reduced by decreasing the chronic cannabis use trajectory group, the late quitting trajectory group, and the moderate cannabis use trajectory group. The participants in the early quitting trajectory group who quit using cannabis by age 29 did not statistically differ from the participants who were in the no cannabis use trajectory group in terms of having PTSD symptoms at age 36. This study shows the important role that early quitting plays in reducing the probability of PTSD symptoms. Such information will serve as a guide to intervention programs for PTSD.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: adolescents, cannabis, PTSD

The Authors’ Own Words: Effects of Drinker Self-Schema on Drinking- and Smoking-Related Information Processing and Behaviors

Dec 6, 2019 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. 

Effects of Drinker Self-Schema on Drinking- and Smoking-Related Information Processing and Behaviors

Chia-Kuie Lee, PhD; Karen F. Stein, PhD; & Colleen Corte, PhD

Substance Abuse Vol. 39, Iss. 1, 2018

“Given that many college students smoke when they drink alcohol, the authors tested the hypothesis that a stable belief about oneself as a drinker, called a drinker self-schema, may be a vulnerability for tobacco use in addition to being a known vulnerability for alcohol use. In college students who were “phantom smokers” ― individuals who smoke only when they drink and do not identify as smokers ― they found that strong identification as a drinker was associated not only with high levels of drinking as expected, but also, favorable ratings of the known characteristics of smokers and high-levels of co-occurring alcohol and tobacco use. Though further research is needed to replicate these findings, alcohol-use prevention and interventions that also address non-conscious associations with smoking and include strategies for resisting experimentation with smoking may be effective to prevent an enduring pattern of alcohol and tobacco use. The findings also suggest that clinicians should conduct behavioral assessments of tobacco use regardless of whether college students identify as smokers.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: AUD, Drinking, Smoking

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