Findings suggest efforts to reduce the use of tobacco products among youth experiencing homelessness should focus on the combined use of these products and screen for substance use disorder and housing stability to include those that need help the most.
Urban Native American teens may benefit from culturally centered programs. No differences found between MICUNAY + Community Wellness Gatherings (CWGs) and CWGs only.
This study sheds light on the distribution of buprenorphine-waivered prescribers over the past decade. Growth has been rapid in communities affected by the opioid crisis, but slower in rural communities, and those with lower levels of education.
This study draws from an evaluation of how older adults are served by California's public mental health delivery system, and a review of state planning documents and academic literature, to describe gaps and deficiencies in the workforce that serves older adults.
The objective of this study is to test for differences in the prevalence of a range of substance use behaviors and disorders across LGBT individuals of the same gender using a nationally representative sample of adults.
We study the effects of a cash transfer program in Nigeria in which households were offered a payment of $14 conditioned on uptake of health services.
RAND researchers respond to comments on three earlier reports related to post-operative visits bundled into Medicare payments for procedures. The authors remain confident in their main conclusion that fewer post-operative visits were provided than expected, leading to Medicare overpayment for some procedures and underpayment for other services. They recommend that the Centers for Medicare & Medicaid Services revalue procedures using the new data.
Funds from opioid litigation should be allocated in a way that benefits those most affected and reduces the risk of future harm.
This paper utilizes comparative case methods and qualitative case data from a sample of urban congregations, and examines a range of factors to identify case scenarios associated with congregations involved in different levels of HIV activity.
Clinicians who work in mental health settings are in an optimal position to treat an alcohol use disorder (AUD) that co-occurs with a primary mental health condition. This tool is a guide to identifying and treating clients with a co-occurring alcohol use disorder in mental health settings with pharmacotherapy and includes a prescriber summary that defines a strategy for prescribing AUD medications in mental health settings.
The goal of health care is to ensure that patients receive the right care for the right patient for the right problem at the right time from the right provider. Inappropriate care is costly. The challenge is to define and increase delivery of appropriate care.
Testimony presented before an informational hearing of the California State Assembly Committee on Budget on December 9, 2019.
Lesbian, gay, and bisexual adults report higher rates of smoking and alcohol use than heterosexual peers. Prior studies have not examined whether disparities in early initiation among lesbian, gay, and bisexual youth contribute to adult disparities.
The Training in Psychotherapy (TIP) Tool assesses how well psychotherapy trainings for community-based providers align with the core elements of trainings that were identified as potentially effective in a review of the literature and discussion with experts. This guide provides an update of the TIP Tool — the TIP Tool 2.0 — based on pilot testing with two psychotherapy training organizations.
This article explores variation in pharmacy-dispensed naloxone by prescriber specialty and patient characteristics.
We conducted a scoping study to identify data sources and linking strategies commonly used in opioid studies, describe data source strengths and limitations, and highlight opportunities to use data to address public health research questions.
The use of health information technology (HIT) for such activities as arranging enabling services and engaging patients are underused tools for care coordination. There may be opportunities to improve quality of care for vulnerable patients by promoting health centers' use of HIT capabilities.
This article presents a comprehensive theory describing how integrating structures, processes, and people within and across organizations might lead to integrated patient care and improved outcomes, including technical quality, efficiency, patient health, and both patient and provider experience.
Health centers differ in the use of strategies to integrate care with hospitals. Overall, integration activity is associated with better communication.
In a survey of community health center medical directors in 9 Medicaid expansion states and DC, nearly 60% reported difficulty obtaining new specialist visits and multiple access barriers on behalf of their patients.
