SUD Archives - Page 4 of 5

The Authors’ Own Words: A Clinical Instrument to Guide Brief Interventions for Adolescents with Substance Use Concerns

Dec 11, 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.

A Clinical Instrument to Guide Brief Interventions for Adolescents with Substance Use Concerns

Mary M. Ramos, MD, MPH; Teddy Warner, PhD; Daisy V. Rosero; & Timothy P. Condon, PhD

Substance Abuse Vol. 39, Iss. 1, 2018

“The paper by Ramos, et al, introduces the CHISPA, a brief clinical guidance tool for adolescent substance use that was designed in conjunction with AAP guidelines for Adolescent SBIRT. To our knowledge, the CHISPA is the first tool that was specifically designed to assist clinicians in gathering information and identifying problems to aid in brief intervention. This appears to be an important innovation in screening and brief intervention tools. Although originally developed to be used in conjunction with positive CRAFFT screens, using the CHISPA in combination with one of the newer and more efficient screens, the S2BI or BSTAD, may be another potential approach. As well, the CHISPA may prove useful in supporting brief interventions as youth are followed over time.”

The Authors’ Own Words: Country-wide distance training for delivery of screening and brief intervention for problematic substance use: A pilot evaluation of participant experiences and patient outcomes

Dec 11, 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.

Country-wide distance training for delivery of screening and brief intervention for problematic substance use: A pilot evaluation of participant experiences and patient outcomes

Ana Paula Leal Carneiro, PhD & Maria Lucia Oliveira Souza-Formigoni, PhD

Substance Abuse Vol. 39, Iss. 1, 2018

“Although Screening and Brief Interventions directed to substance users (SBI) have shown satisfactory results when applied by health professionals trained face-to-face, there are few data on its effectiveness when applied by professionals trained through Distance Learning (DL) courses. In this manuscript we showed that health professionals or social workers evaluated some years after having completed the Distance Learning (DL) course SUPERA had incorporated SBI in their work setting and were feeling very motivated to do it. Patients who had received SBI applied by those professionals showed a significant reduction in alcohol, tobacco and cocaine/crack related problems (reduction in WHO-ASSIST scores) three months after the intervention, indicating the effectiveness of the SBI applied. Providing an effective DL training on SBI techniques can have a significant impact on reducing substance use related problems, mainly in continental countries where the cost of massive face-to-face training is very high.”

The Authors’ Own Words: Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients

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.

Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients

Bonnie K. Lind, PhD; Dennis McCarty, PhD; Yifan Gu, MS; Robin Baker, PhD; & K. John McConnell, PhD

Substance Abuse Vol. 40, Iss. 3, 2019

“This is the first analysis that looks at predictors of SUD treatment in both adolescents and adults in a Medicaid population. We found substantive differences in predictors of treatment initiation and engagement between adults and adolescents, including in gender and race groups, urban vs. rural residence, and presence of a psychiatric diagnosis. These findings suggest that efforts to improve treatment and engagement generally may need to differentiate strategies for adult and adolescent populations. In particular, efforts that may be successful for improving these measures for adult populations may be ineffective for adolescent populations, and, depending on the strategies, could exacerbate existing racial and gender disparities.“

The Authors’ Own Words: Substance use is independently associated with pneumonia severity in persons living with HIV

Nov 22, 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.

Substance use is independently associated with pneumonia severity in persons living with HIV

Sarah E. Jolley, MD, MSc & David A. Welsh, MD

Substance Abuse Vol. 40, Iss. 2, 2019

“Our manuscript highlights the impact of illicit drug use on pneumonia severity in people living with HIV/AIDS. It shows that illicit drug use is common and that use of intravenous drugs or inhalational crack/cocaine is associated with increased pneumonia severity. Interestingly, use of marijuana is associated with less severe pneumonia and marijuana use mitigates the negative effect of alcohol on pneumonia risk. Finally, our manuscript describes a significant interaction between patient sex and alcohol use on pneumonia severity with women with an alcohol use disorder experiencing more severe pneumonia. We feel our results will aid in risk stratification of pneumonia patients and highlight a high risk group for targeted hospital-based interventions aimed at addressing addiction.“

The Authors’ Own Words: Counselor turnover in substance use disorder treatment research: Observations from one multi-site trial

Nov 20, 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.

Counselor turnover in substance use disorder treatment research: Observations from one multi-site trial

Mary A. Hatch-Maillette, PhD; Robin Harwick, PhD; John S. Baer, PhD; Tatiana Masters, PhD; Kasie Cloud, MSW; Michelle Peavy, PhD; Katharina Wiest, PhD; Lynette Wright, MSW; Blair Beadnell, MSW; & Elizabeth A. Wells, PhD

Substance Abuse Vol. 40, Iss. 2, 2019

“In this paper, we report on counselor workforce-related implementation challenges in substance use disorder clinical trials, and make observations that could inform researchers seeking to implement effectiveness research in SUD treatment settings. This is relevant because researchers, insurers and public agencies are increasingly asking counselors and treatment organizations to mount complicated evidence-based practices, resulting in multiple sources of performance pressure and competing priorities. Effectiveness research is an indispensable step in moving an innovation into practice, yet counselor attrition is a significant factor in intervention delivery that must be recognized. It is incumbent upon researchers to understand and articulate the challenges in integrating behavioral research into daily provision of care and apply those lessons productively going forward. We believe that this manuscript is relevant to the audience of addiction service delivery and research, and to the journal’s focus on implementation science and clinical research in the addiction treatment context.“