AUD Archives - Page 2 of 2

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.”

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.”

The Authors’ Own Words: Psychiatric comorbidity and HEDIS measures of alcohol and other drug treatment initiation and engagement across seven health systems

Nov 27, 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.

Psychiatric comorbidity and HEDIS measures of alcohol and other drug treatment initiation and engagement across seven health systems

Amy M. Loree, PhD; Hsueh-Han Yeh, PhD; Derek D. Satre, PhD; Andrea H. Kline-Simon, MS; Bobbi Jo H. Yarborough, PsyD; Irina V. Haller, PhD, MS; Cynthia I. Campbell, PhD, MPH; Gwen T. Lapham, PhD, MPH, MSW; Rulin C. Hechter, MD, PhD; Ingrid A. Binswanger, MD, MPH, MS; Constance Weisner, DrPH, MSW; & Brian K. Ahmedani, PhD, LMSW

Substance Abuse Vol. 40, Iss. 3, 2019

“This paper examines the influence of psychiatric comorbidity on alcohol and other drug (AOD) treatment initiation and engagement among a large, diverse sample of health system patients with newly diagnosed AOD use disorders. Nearly two-thirds of patients with newly identified AOD use disorders also had a comorbid psychiatric disorder. Our findings indicated that identification of comorbid psychiatric disorders may increase initiation of AOD treatment but not engagement. We also found that the setting in which AOD use disorders are first identified among patients with comorbid psychiatric disorders may play a role in treatment initiation and engagement. Overall, these findings suggest that health care systems may need to consider adopting alternative approaches to improve identification and support of patients in need of treatment for both psychiatric and AOD use disorders.”

The Authors’ Own Words: Healthcare Effectiveness Data and Information Set (HEDIS) Measures of Alcohol and Drug Treatment Initiation and Engagement among People living with HIV and HIV-uninfected Patient

Nov 26, 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.

Healthcare Effectiveness Data and Information Set (HEDIS) Measures of Alcohol and Drug Treatment Initiation and Engagement among People living with HIV and HIV-uninfected Patient

Rulin C. Hechter, MD, PhD; Michael A. Horberg, MD, MAS; Constance Weisner, DrPH, MSW; Cynthia I. Campbell, PhD, MPH; Richard Contreras, MS; Lie-Hong Chen, DrPH; Bobbi Jo H. Yarborough, PsyD; Gwen T. Lapham, PhD, MPH, MSW; Irina V. Haller, PhD, MS; Brian K. Ahmedani, PhD, LMSW; Ingrid A. Binswanger, MD, MPH, MS; Andrea H. Kline-Simon, MS; & Derek D. Satre, PhD

Substance Abuse Vol. 40, Iss. 3, 2019

“The findings of this study suggest people living with HIV and substance use disorders generally have greater number of comorbidities, including hepatitis C. Yet utilization of behavioral health services is low in this population. This is a clinically concerning pattern and requires more intensive support from the health systems and HIV specialists.“

The Authors’ Own Words: Patient Characteristics Associated with Treatment Initiation and Engagement Among Individuals Diagnosed with Alcohol and Other Drug Use Disorders in the Emergency Department and Primary Care Settings

Nov 25, 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.

Patient Characteristics Associated with Treatment Initiation and Engagement Among Individuals Diagnosed with Alcohol and Other Drug Use Disorders in the Emergency Department and Primary Care Settings

Andrea H. Kline-Simon, MS; Scott P. Stumbo, MA; Cynthia I. Campbell, PhD, MPH; Ingrid A. Binswanger, MD, MPH, MS; Constance Weisner, DrPH, MSW; Irina V. Haller, PhD, MS; Rulin C. Hechter, MD, PhD; Brian K. Ahmedani, PhD, LMSW; Gwen T. Lapham, PhD, MPH, MSW; Amy M. Loree, PhD, Stacy A. Sterling, DrPH, MSW; & Bobbi Jo H. Yarborough, PsyD

Substance Abuse Vol. 40, Iss. 3, 2019

“Based on these study findings, it may be beneficial for clinicians in the ED setting to focus extra attention on younger patients and non-White race/ethnicities; while clinicians in primary care settings may need to spend extra time with older patients and those with a medical comorbidity, to encourage treatment initiation among these groups, though there is also still a need for broad screening in both settings. As the ED and primary care settings are often the first line of care for patients struggling with an AOD use disorder, addressing patients’ needs in these settings as they are identified may help them access and engage in treatment.“