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Preventive Health Care

Journal Article
Monthly Patient Volumes of Buprenorphine-Waivered Clinicians in the US
This cross-sectional study examines the number of patients prescribed buprenorphine by waivered-clinicians. Evidence shows waivered-clinicians who are able to prescribe buprenorphine treat fewer patients than their limit allows. With so much unmet demand for OUD treatment, this suggests the need for ongoing efforts to address treatment barriers.
Aug 27, 2020
Report
The Law Enforcement Response to Homelessness
Despite lacking the tools and resources to address the underlying causes of homelessness, police are constantly under pressure from business leaders and communities to “fix” it. Some law enforcement agencies are trying new approaches, but they need support to improve these efforts.
Aug 25, 2020
Commentary
It's Going to Be the Vaccination, Stupid!
The increasingly positive news on COVID-19 vaccine development is also bringing growing alarm over whether Americans will trust these vaccines when they become available. While we were clearly not prepared for this virus, we now need to understand how we are going to roll out any proven vaccine.
Aug 21, 2020
Commentary
Would Law Enforcement Leaders Support Defunding the Police?
Police have expressed frustration with being expected to handle complex social problems such as homelessness and substance use. Budgeting less money for police and more for other public safety strategies might appeal to law enforcement if these efforts relieve some of the unrealistic expectations on them.
Aug 20, 2020
Blog
L.A.'s High Unemployment, RAND's New Research Center, Twitter: RAND Weekly Recap
This weekly recap focuses on unemployment in the Los Angeles area, the new RAND Center to Advance Racial Equity Policy, food consumption in the UK, and more.
Aug 14, 2020
Commentary
Who Would Benefit from a Successful Chinese COVID-19 Vaccine?
China, one of the world's largest producers of vaccines, could be among the first to produce one for COVID-19. If that happens, then would China be able to produce sufficient doses for domestic use? And which other countries would likely benefit?
Aug 12, 2020
Multimedia
How Can We Achieve Herd Immunity?
RAND senior economist Krishna Kumar describes several factors that could affect the likelihood of achieving herd immunity against COVID-19.
Aug 5, 2020
Journal Article
Opioid Prescribing History Prior to Heroin Overdose Among Commercially Insured Adults
We used insurance claims to examine the prevalence and prescribing patterns of prescription opioids in a national cohort of individuals experiencing a treated heroin-related overdose between 2010 and 2017.
Jul 31, 2020
Journal Article
Systematic Review of the Emerging Literature on the Effectiveness of Naloxone Access Laws in the United States
The existing literature on naloxone access laws in the United States supports beneficial effects for increased naloxone distribution, but provides inconclusive evidence for reduced fatal opioid overdose.
Jul 28, 2020
Journal Article
Adoption of Telemedicine Services by Substance Abuse Treatment Facilities in the U.S.
Telemedicine for treating Substance use disorder (SUD) use is growing steadily among treatment facilities; however, uptake is uneven and relatively low. As such, telemedicine may be an under-utilized tool to expand access to care for patients with SUD.
Jul 28, 2020
News Release
Care for Veterans with Substance Use and Mental Health Disorders Requires Improvement
Veterans who have served in the U.S. military since the 9/11 attacks have a high level of need for both substance use treatment and mental health care, yet many do not receive appropriate help for their co-occurring disorders.
Jul 22, 2020
Research Brief
Guidance for Organizations That Support the Behavioral Health of Post-9/11 Veterans
This brief highlights important treatment, provider, and system factors that organizations that support the behavioral health needs of veterans with co-occurring substance use disorders and mental health disorders should consider.
Jul 22, 2020
Report
Improving Substance Use Care: Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans
This report provides guidance and recommendations to support the delivery of quality care for veterans with co-occurring substance use disorders and mental health disorders.
Jul 22, 2020
Research Brief
Veterans with Both Substance Use and Mental Health Disorders Need Integrated Treatment
Co-occurring substance use and mental health disorders are common among post-9/11 veterans. But treatment programs typically specialize in one issue or the other. Integrated treatments are more effective and have become more available, but it's critical that veterans have access to facilities that are equipped to treat them.
Jul 22, 2020
Journal Article
Medications for Opioid Use Disorder Among Pregnant Women Referred by Criminal Justice Agencies Before and After Medicaid Expansion: A Retrospective Study of Admissions to Treatment Centers in the United States
Pregnant women with OUD referred by criminal justice agencies between 1992 and 2017 were consistently less likely to receive evidence-based treatment than women referred through other sources.
Jun 30, 2020
Blog
Air Travel Data to Predict COVID Risk, Heatwave Planning, Caregiver Time Off: RAND Weekly Recap
This weekly recap focuses on using air travel data to predict COVID risk, planning for a heat wave during the pandemic, why caregivers need time off, and more.
Jun 12, 2020
Commentary
Once a Vaccine Is Ready, Getting People to Take It May Be a Challenge
With COVID-19 vaccine development well underway, implementation of a vaccination program warrants attention. Vaccine effectiveness demands a certain percentage uptake. But since health care delivery in the United States is fragmented, a coherent federal intervention may be necessary.
Jun 9, 2020
Journal Article
From COVID-19 Research to Vaccine Application: Why Might It Take 17 Months Not 17 Years and What Are the Wider Lessons?
Experts consider how monitoring the development of a COVID-19 vaccine could help to identify which of the approaches speeding development and deployment could be usefully applied more widely in the future.
Jun 9, 2020
Multimedia
Benefits of Mental Health Task Sharing
Lynsay Ayer, senior behavioral scientist with the RAND Corporation, describes how task sharing helps fill the need for more mental health care providers.
Jun 8, 2020
Journal Article
Consensus Guidelines and State Policies: The Gap Between Principle and Practice at the Intersection of Substance Use and Pregnancy
We review the change over time in state-level policy environments around substance use in pregnancy and contrast the policy response with the principles and guidance from professional societies and federal agencies.
Jun 3, 2020

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RAND Health Care

Researcher Spotlight

Mary Avriette

Assistant Policy Researcher and Ph.D. Candidate, Pardee RAND Graduate School

M. Avriette is a Ph.D. student in the Research, Analysis, and Design stream at the Pardee RAND Graduate School and an assistant policy researcher at RAND. She is an active-duty veterinarian in the U.S. Army. Her research interests include national security, developing-nation economics, zoonoses…
Kandice A. Kapinos

Senior Economist

Kandice A. Kapinos (she/her) is a senior economist at the RAND Corporation specializing in access to health care and disparities in the United States. She combines applied microeconomics and epidemiologic models with advanced econometrics and causal inference tools to understand how social,…

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