During the COVID-19 pandemic, visit volume at a sample of FQHCs declined modestly for primary care visits and remained stable for behavioral health visits because telehealth visits replaced in-person visits.
Feb 4, 2021
RAND researchers provide a toolkit to support the delivery of effective, evidence-based pharmacotherapy for clients with co-occurring alcohol use disorder and simplify care implementation in mental health clinics.
Dec 4, 2020
Study Design to Evaluate a Group-based Therapy for Support Persons of Adults on Buprenorphine/Naloxone
This study will evaluate whether the adapted intervention, also known as integrating support persons into recovery, is effective in increasing patient retention on buprenorphine when compared to usual care.
Sep 18, 2020
The Case for a Telemedicine Coordinator: Lessons Learned from the Sustainable Models of Telemedicine in the Safety Net Initiative
This brief report offers lessons learned about telemedicine staffing and the coordinator role from the experience of nine community health centers in California that participated in the Sustainable Models of Telehealth in the Safety Net initiative.
Jul 29, 2020
RAND researchers describe telemedicine-related costs incurred by health centers participating in the Sustainable Models of Telehealth in the Safety Net initiative.
Jul 29, 2020
Researchers evaluated the experiences of health centers that participated in the Sustainable Models of Telehealth in the Safety Net initiative, which aimed to support the growth of telemedicine.
Jul 29, 2020
RAND researchers describe practices identified by health centers participating in the Sustainable Models of Telehealth in the Safety Net initiative that could support the growth and sustainability of telemedicine programs in safety-net settings.
Jul 29, 2020
This tool reviews how clinicians who work in mental health settings can provide pharmacotherapy treatment for an alcohol use disorder that co-occurs with a primary mental health condition.
Dec 13, 2019
Initiation and Engagement as Mechanisms for Change Caused by Collaborative Care in Opioid and Alcohol Use Disorders
This research sheds light on how collaborative care (CC) may work to increase abstinence in a sample of primary care patients with opioid and alcohol use disorders (OAUD).
In this mixed-methods report, the authors assess evidence on and arguments made about heroin-assisted treatment and supervised consumption sites and examine some of the issues associated with implementing them in the United States.
Dec 6, 2018
Acceptability of Heroin-Assisted Treatment and Supervised Drug Consumption Sites to Address the Opioid Crisis in the United States: Key Informant Perspectives
This working paper is part of a series of reports assessing the evidence on and arguments made about heroin-assisted treatment and supervised consumption sites and examining some of the issues associated with implementing them in the United States.
Dec 6, 2018
Access to external funding and staff support are two important factors for the sustainability of substance use disorder treatment provision within primary care clinics.
Aug 24, 2018
Primary care clinics are opportune settings for the delivery of substance use disorder treatment, but little is known about which patients initiate treatment in these settings.
Jun 28, 2018
Exploring and Adapting a Conceptual Model of Sexual Positioning Practices and Sexual Risk Among HIV-Negative Black Men Who Have Sex With Men
Among HIV-negative black men who have sex with men, personal preference, partner attraction, HIV avoidance, and feeling obligated to practice partner preferences influenced sexual positioning. Drug use also affected decision making and was sometimes preferred in order to practice receptive anal intercourse.
Apr 26, 2018
Motivational interviewing is used extensively to improve health and substance use-related outcomes, but therapists may need more training in strategic use of the approach.
Apr 3, 2018
This paper describes the process of planning and developing an intervention for delivering treatment for opioid and alcohol use disorders in primary care.
Assessing and Improving Organizational Readiness to Implement Substance Use Disorder Treatment in Primary Care: Findings from the SUMMIT Study
An organizational readiness intervention improved some implementation outcomes related to integrating treatment for opioid and alcohol use disorders in primary care, but not all.
Demographic and Mental Health Characteristics of Individuals Who Present to Community Health Clinics With Substance Misuse
Patients of community health clinics who screen positive for alcohol or opioid misuse have a high probability of an alcohol- or substance-use disorder and a slightly higher prevalence of mental illness than the overall clinic population.
Nov 22, 2017
This report describes the costs of implementing the substance use motivation and medication integrated treatment (SUMMIT) program, separating the resources spent by a multi-site large health center in Los Angeles County and the external facilitators.
Oct 30, 2017
Barriers to Integrating the Continuum of Care for Opioid and Alcohol Use Disorders in Primary Care: A Qualitative Longitudinal Study
Some perceived barriers to implementing the continuum of care for opioid and alcohol use disorders in primary care clinics persist over time, but most barriers decreased.
Oct 13, 2017
Internalized Stigma as an Independent Risk Factor for Substance Use Problems Among Primary Care Patients: Rationale and Preliminary Support
High rates of internalized stigma - self-applied negative stereotypes - among primary care patients with opioid or alcohol use disorders were significantly related to greater substance use problems.
Sep 19, 2017
Collaborative Care for Opioid and Alcohol Use Disorders in Primary Care: The SUMMIT Randomized Clinical Trial
Among adults with opioid and alcohol use disorders, a collaborative care intervention—which integrates behavioral health care into primary care—increased both access to treatment and abstinence.
Sep 15, 2017
Moving from Efficacy to Effectiveness: Implementing the Drug Market Intervention Across Multiple Sites
In this study, we examine the Drug Market Intervention (DMI) program, which was replicated dozens of times based on early successes. This study represents the first effectiveness trial of DMI by following a cohort of sites attempting to implement it.
Sep 15, 2017
We designed and tested the feasibility, effectiveness, and sustainability of CQI approaches in substance use disorder treatment settings
Aug 24, 2017
The study investigates mechanisms thought to support immediate and sustained change after a DMI by analyzing qualitative data collected in community focus groups conducted at three-, six-, and 15-months following a DMI across three different sites.
Using a "Positive Deviance" Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men
Some young black men who have sex with men, otherwise at high risk for HIV infection due to drug use and other behaviors, make strategic decisions that help keep them HIV negative.
Jun 6, 2017
SUMMIT Study Protocol: Step-by-Step Procedures for Providing Screening, Brief Intervention, and Treatment Services to Primary Care Patients with Opioid or Alcohol Use Disorders
This integrated collaborative care protocol was created for a research study that looked at ways to implement medication-assisted and behavioral treatment for patients with opioid and alcohol use disorders in a community health clinic.
May 11, 2017
Home Sweet Home: Parent and Home Environmental Factors in Adolescent Consumption of Sugar-Sweetened Beverages
Targeting parents' consumption of soda—and the availability of soda at home—may be an important step in reducing youth consumption of soda.
Mar 14, 2017
This report presents the framework of an analytic tool that can help the military predict future trends in PDM based on current demographics of active-duty service members and rates of injury and prescribing of prescription drugs.
Jan 4, 2017
SUMMIT: Procedures for Medication-Assisted Treatment of Alcohol or Opioid Dependence in Primary Care
This tool reviews how primary care providers should discuss and treat alcohol or opioid dependence with their patients, including using extended-release, injectable naltrexone and administering buprenorphine/naloxone.
Nov 22, 2016
Using Respondent-Driven Sampling to Recruit Illegal Drug Purchasers to Evaluate a Drug Market Intervention
Respondent-driven sampling -- a peer-driven method of recruiting hidden populations -- can be used to create a representative sample of a drug market's users; the sample can then be surveyed to discern the effects of a Drug Market Intervention.
Sep 8, 2016
A Community-Based, Focused-Deterrence Approach to Closing Overt Drug Markets: A Process and Fidelity Evaluation of Seven Sites
This process evaluation describes how well seven jurisdictions adhered to a Bureau of Justice Assistance strategy to reduce overt drug markets, along with the barriers they encountered and lessons learned from their experiences.
Feb 2, 2016
Brief Treatment for Substance Use Disorders: A Guide for Behavioral Health Providers is a clinician guidebook that describes a six-session brief treatment for patients with alcohol and opiate use disorders.
Jan 25, 2016
Promoting Success: A Getting To Outcomes® Guide to Implementing Continuous Quality Improvement for Community Service Organizations
Describes practical steps for conducting continuous quality improvement in community service organizations.
Dec 17, 2015
An Organizational Readiness Intervention and Randomized Controlled Trial to Test Strategies for Implementing Substance Use Disorder Treatment Into Primary Care: SUMMIT Study Protocol
Millions of people who need treatment for substance use disorders (SUD) do not receive it.
May 21, 2015
HIV Prevalence and Demographic Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon
The limited epidemiological data in Lebanon suggest that HIV incident cases are predominantly among men who have sex with men (MSM).
May 1, 2014
Continuous Quality Improvement (CQI) in Addiction Treatment Settings: Design and Intervention Protocol of a Group Randomized Pilot Study
Few studies have designed and tested the use of continuous quality improvement approaches in community based substance use treatment settings. Little is known about the feasibility, costs, efficacy, and sustainment of such approaches in these settings.
Risk for Inhalant Initiation Among Middle School Students: Understanding Individual, Family, and Peer Risk and Protective Factors
Interventions to prevent inhalant initiation should target sixth and seventh graders, address influence by family and peers, and provide skills training to improve drug refusal self-efficacy.
Nov 1, 2013
This study used a stage-based approach to understand condom use behavior in a representative sample of 309 sexually active homeless youth recruited from shelters, drop-in centers, and street sites in Los Angeles County.
If You Provide the Test, They Will Take It: Factors Associated with HIV/STI Testing in a Representative Sample of Homeless Youth in Los Angeles
Drop-in centers can play an important role in facilitating testing among homeless youth, including among injection drug users, but more outreach is needed to encourage testing in other at-risk subgroups.
Aug 1, 2012
Factors Associated with Event-Level Stimulant Use During Sex in a Sample of Older, Low-Income Men Who Have Sex with Men in Los Angeles
This study examined stimulant use during the most recent sexual episodes in a sample of primarily older, very low-income MSM (n=779).
Simultaneous Recruitment of Drug Users and Men Who Have Sex with Men in the United States and Russia Using Respondent-Driven Sampling: Sampling Methods and Implications
The Sexual Acquisition and Transmission of HIV Cooperative Agreement Program (SATHCAP) examined the role of drug use in the sexual transmission of the human immunodeficiency virus (HIV) from traditional high-risk groups.
Researchers should direct respondents to recall sexual behavior in small, manageable chunks through the use of interviewer prompts.