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Preventive Health Care

Journal Article

Journal Article

Legal Requirements and Recommendations to Prescribe Naloxone

We conducted a systematic legal review of state laws that mandate or recommend that healthcare providers prescribe naloxone to patients with indicators for opioid overdose risk.

Feb 21, 2020
Testimony

Testimony

Addressing the U.S. Opioid Crisis: Using an Integrated Systems-Based Approach: Addendum

Document submitted January 21, 2020, as an addendum to testimony before the Senate Judiciary Committee Hearing on Opioids on December 17, 2019.

Jan 20, 2020
Journal Article

Journal Article

Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY): A Randomized Controlled Trial

Urban Native American teens may benefit from culturally centered programs. No differences found between MICUNAY + Community Wellness Gatherings (CWGs) and CWGs only.

Jan 14, 2020
Journal Article

Journal Article

Patterns of Alternative Tobacco Product Use Among Youth Experiencing Homelessness

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.

Jan 14, 2020
Essay

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.

Jan 13, 2020
Journal Article

Journal Article

Exploring the Use of a General Equilibrium Method to Assess the Value of a Malaria Vaccine: An Application to Ghana

A general equilibrium method was used to quantify the potential impact of a malaria vaccination on the wider economy, using Ghana as an example. Results suggest investing in improving childhood health by vaccinating could have macroeconomic benefits.

Jan 9, 2020
Commentary

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.

Dec 19, 2019
Multimedia

Addressing the U.S. Opioid Crisis: Using an Integrated Systems-Based Approach

An overview of testimony by Bradley D. Stein presented before the Senate Judiciary Committee on December 17, 2019.

Dec 17, 2019
Testimony

Approaching the U.S. Opioid Crisis as an Ecosystem

Policymakers should think of the opioid crisis as an ecosystem and consider how its many parts interact—especially in unexpected ways. A broader view of the crisis will help those confronting it better prepare for the challenges ahead.

Dec 17, 2019
Tool

Medications for Alcohol Use Disorder in Mental Health Settings

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
Tool

Tool

User Guide for the Training in Psychotherapy (TIP) Tool 2.0

The Training in Psychotherapy (TIP) Tool assesses how well psychotherapy trainings for community-based providers include elements of trainings identified as potentially effective. This guide provides an update of the TIP Tool based on pilot testing.

Dec 11, 2019
Tool

Teaching Skills to Reduce DUI Recidivism

The RE-thinking Avenues for Change (REACH) program is a cognitive behavioral therapy protocol developed to prevent drinking and driving after a first-time driving under the influence (DUI) offense.

Nov 19, 2019
Blog

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.

Nov 15, 2019
Report

Report

Gender Differences in Response to Alcohol Use Disorder Treatment: A Systematic Review

If men and women respond differently to treatments for alcohol use disorder, this would be important to consider in treatment selection. The authors of this systematic review sought to synthesize evidence for gender differences in treatment effects.

Nov 6, 2019
Report

Report

Improving U.S. Military Accession Medical Screening Systems

The project team outlined advantages and disadvantages of the two main systems for medically screening applicants to the U.S. armed forces and recommended a hybrid model as potentially more effective and efficient.

Oct 24, 2019
Journal Article

Journal Article

Urban Religious Congregations' Responses to Community Substance Use: An Exploratory Study of Four Cases

This paper explores the characteristics of congregation-based substance abuse disorder treatment programs in a diverse sample of urban religious congregations.

Oct 22, 2019
Journal Article

Randomized Clinical Trial Examining Cognitive Behavioral Therapy for Individuals With a First-Time DUI Offense

The current study aims to elucidate the effectiveness of the services DUI programs provide compared to cognitive behavioral therapy (CBT) to prevent impaired driving.

Sep 24, 2019
Journal Article

Access to Office-Based Buprenorphine Treatment in Areas With High Rates of Opioid-Related Mortality: An Audit Study

In the six jurisdictions with the highest rate of opioid-related mortality in 2016, the most prominent barrier to accessing buprenorphine treatment was the difficulty of finding clinicians.

Sep 23, 2019
Report

How Law Enforcement Can Fight the Opioid Crisis

Law enforcement has a unique role in addressing the opioid crisis because it interacts with those affected by it on a day-to-day basis. Promising efforts include connecting people with opioid use disorder to treatment, collaborating to achieve community buy-in, and protecting officers on the front lines.

Sep 6, 2019
Journal Article

Journal Article

Business Cycles and Admissions to Substance Abuse Treatment

The relationship between business cycles and health is theoretically complex. In a seminal paper, Ruhm (2000) outlined a series of economic mechanisms through which business cycles may influence health.

Aug 6, 2019

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