Substance Use Disorder Treatment

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A Promising New Program Treats Co-Occurring Mental Health and Opioid Use Disorders

People who have an opioid use disorder and either clinical depression or PTSD are hard to reach, hard to treat, and hard to hold onto. A new collaborative care model called CLARO aims to help patients who otherwise might disappear into the cracks of the U.S. health care system.

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America's Opioid Crisis: Adopting an Ecosystem Approach

The opioid crisis is metastasizing throughout society, reaching across public health and public safety, but also education, employment, and the child welfare system. Without profound change and new approaches to the crisis, hundreds of thousands of people could die in the coming years.

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Immigration Policy, the Black-White Wealth Gap, ChatGPT: RAND Weekly Recap

This weekly recap focuses on the challenges facing U.S. immigration policy, what it would take to close America's Black-white wealth gap, risks and opportunities associated with artificial intelligence, more.

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Illegal Opioids Are Hurting Too Many of Us. We Need a New Approach

To save and improve lives, policymakers will need to take a holistic approach to the opioid crisis. People who use opioids and their families should be at the heart of this new response.

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RAND Experts on Veteran Mental Health Respond to the White House Mental Health Research Priorities

The White House identified eight research priorities to better manage America's current mental health crisis. RAND researchers highlight why each area is critical for veteran mental health and how RAND is contributing to address them.

Rajeev Ramchand @RRamchand, Carrie M. Farmer @carriefarmer, et al.

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The Racial Wealth Gap, the Effects of Long COVID, Teacher Diversity: RAND Weekly Recap

This weekly recap focuses on understanding the racial wealth gap, why long COVID may threaten the U.S. economy, what prevents people of color from becoming and staying teachers, and more.

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Putin's Latest Threats, U.S. Policy in the Middle East, Disaster Recovery: RAND Weekly Recap

This weekly recap focuses on Russia's troop mobilization and the ongoing war in Ukraine, U.S. policy in the Middle East, building a more diverse teacher workforce, and more.

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Sexual Assault in the Military, School Security, Mental Health Care: RAND Weekly Recap

This weekly recap focuses on the risk of sexual assault to sexual minorities in the U.S. military, making medication treatment more accessible to people struggling with opioid addiction, countering Russian propaganda, and more.

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There's Help for Veterans with Mental Health and Substance Use Disorders

Many post-9/11 veterans who have PTSD or depression also struggle with substance use. There are clinically proven treatments to help break the cycle of the co-occurring disorders, but the VA and other facilities need guidance on how to expand and enhance treatment opportunities for these veterans.

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PTSD and Substance Use Disorders Are a Vicious Cycle for Veterans

It is not uncommon to see a co-occurrence of PTSD and heavy use of substances, which can rise to the level of a substance use disorder. It may be necessary to challenge how the needs of veterans are addressed to remove barriers to care that make treating these co-occurring disorders simultaneously so difficult.

Michael Richardson, Roger Brooks, et al.

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Fentanyl: The Most Dangerous Illegal Drug in America

America's fentanyl crisis is unlike previous drug epidemics and is likely to get worse. Deaths involving fentanyl and other synthetic opioids have surged from around 3,000 in 2013 to more than 30,000 in 2018. Solving the problem requires innovative approaches and unprecedented resources.

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Where Science Says to Spend Any U.S. Opioid Settlement Money

A global settlement with pharmaceutical companies has started to appear more and more likely. Even with billions of dollars, the settlement resources won't be unlimited. To avoid mistakes made in the tobacco master settlement agreement, any opioid funds must be carefully allocated.

Rebecca Lee Haffajee, Bradley D. Stein @BradleyDStein

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Disinformation, Drug Policy, Artificial Intelligence: RAND Weekly Recap

This weekly recap focuses on tools to fight disinformation online, the negative consequences of punishing pregnant women for drug use, how to ensure public trust in artificial intelligence, and more

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Opioids, Summer Learning, Immigration: RAND Weekly Recap

This weekly recap focuses on heroin-assisted treatment and supervised consumption sites, helping schools build better summer learning programs, America's overwhelmed immigration system, and more.

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In Opioid Policy, One Size Does Not Fit All

To solve America's opioid crisis, policymakers will need to view the epidemic as an "ecosystem," where policies that target only one part of the problem can have unintended consequences.

Bradley D. Stein @BradleyDStein

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Evidence-Based Treatments May Be Casualties of War on Drugs

U.S. schools and community organizations face a difficult battle to keep kids safe and drug-free. They need tools to help them choose programs that will work best for youth. The National Registry of Evidence-based Programs and Practices is such a tool, but its future is uncertain.

Matthew Chinman, Joie D. Acosta

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Conversations at RAND: A Sobering Look at the Opioid Epidemic

Opioid overdoses were the greatest cause of accidental death in America in 2014. A panel discussion at RAND addressed the epidemic, including societal attitudes toward pain and addiction, poor understanding of the mechanics of addiction itself, economic drivers, legal responses, and treatment approaches.

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Graphic Warning Labels on Cigarettes Are Scary, but Do They Work?

'Graphic warning labels' pair gruesome images with warnings about the dangers of smoking, covering anywhere from 30 to 80 percent of cigarette pack 'faces' (the front and back). Do they prevent people from starting to smoke or cause current smokers to quit?

Deborah M. Scharf, William G. Shadel

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Improving the Experience of Veterans Seeking Mental Health and Substance Use Care

Last week, President Obama signed a bill to overhaul care provided by the Veterans Health Administration. This is an important step, but attention to veterans' experiences receiving care, particularly veterans in need of mental health and substance use care, should be an essential component to ongoing efforts to improve quality.

Kimberly A. Hepner @KimberlyHepner

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The ACA's Opportunity to Improve Care for Substance Use Disorders

The Affordable Care Act (ACA) will significantly increase coverage for the publicly funded treatment of substance use disorders. But in order to maximize the benefit to patients, families, and society, it's critical to invest in the development, validation, and use of performance measures.

Katherine E. Watkins

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CVS and the Effect of In-Store Tobacco Displays on Smokers

CVS Caremark will stop selling cigarettes and other tobacco products at its CVS/pharmacy stores beginning Oct. 1. Though it stands to lose $2 billion dollars in annual revenue, CVS CEO Larry J. Merlo said that selling tobacco products is at odds with the company's mission of improving health outcomes.

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Big Tobacco vs. Tobacco Regulation and Control: An Even Match?

Anti-tobacco policies that have clear scientific support will strengthen the FDA's regulatory position. While the evidence base is solid in this area, it needs to be much stronger and broader if the TCA is going to have any lasting success against the industry.

William G. Shadel

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Promoting Success: Using Data to Inform Decision Making

Many organizations that we have worked with indicate that this approach has helped improve reporting and communication both within and external to their organization, writes Sarah Hunter.

Sarah B. Hunter