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Substance Use Harm Reduction

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

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
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
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
Commentary

Synthetic Opioid Crisis Still Growing, Often Among Unwitting Users

Although opioid prescriptions in the U.S. have fallen, opioid overdose deaths remain at historic levels. The continued spread of fentanyl and other illicitly manufactured synthetic opioids suggests the problem could still get worse.

Oct 14, 2019
Research Brief

Understanding America's Surge in Fentanyl and Other Synthetic Opioids

Although overdose deaths from heroin and prescription opioids have declined, deaths involving synthetic opioids are on the rise. Much of the current wave of overdoses is linked to one synthetic opioid: fentanyl.

Oct 7, 2019
Journal Article

Journal Article

Supervised Consumption Sites: A Nuanced Assessment of the Causal Evidence

Supervised consumption sites (SCS) operate in more than 10 countries. We review the higher-quality SCS literature and discuss the evidence through the lens of three types of decision makers and from three intellectual perspectives.

Aug 6, 2019
Journal Article

Improving the Child Welfare System to Respond to the Needs of Substance-Exposed Infants

To realize the gains envisioned by recent legislation, the Administration and Congress should prioritize additional funding to modernize our child welfare system to meet the unique needs of families affected by substance misuse.

Jul 17, 2019
News Release

News Release

Viewing Tobacco 'Power Wall' Linked to Adolescents' Willingness to Try Vaping Products

Adolescents who view advertising for tobacco products on the tobacco “power wall” in convenience stores report being more willing to try vaping products in the future compared to peers who visited a store where the tobacco power wall was hidden.

Aug 6, 2018
Journal Article

Journal Article

Healthcare Provider Counseling to Quit Smoking and Patient Desire to Quit: The Role of Negative Smoking Outcome Expectancies

The time devoted to counseling patients about smoking should include assistance to quit, such as recommending a product, prescription or program, and incorporate techniques to elicit patients' expectations of smoking.

Jul 3, 2018
Journal Article

Tobacco Power Wall Exposure Increases Adolescents' Willingness to Try E-Cigarettes

Exposure to the tobacco “power wall” in convenience stores and other retail settings may increase adolescents' willingness to try e-cigarettes, much like other tobacco products.

Jun 28, 2018
Dissertation

Dissertation

Three Essays on Value in Health Care: Workplace Wellness Program Return on Investment, Effectiveness of Monetary Penalties for Tobacco Cessation Non-Participation, and Physician Perceptions of Their Use of Time and Appropriateness of Care Provided

This dissertation, in a three paper format, examines three policy levers for improving health care value.

Jun 12, 2018
Journal Article

Journal Article

Addressing the Opioid Epidemic in the United States: Lessons from the Department of Veterans Affairs

Reflecting a comprehensive VA effort to improve pain management, in 2007 fewer veterans received high doses of opioids and more veterans received non-opioid pain therapies, naloxone, and treatment for substance use disorders.

Apr 26, 2018
Journal Article

Effects of Motivational Interviewing Fidelity on Substance Use Treatment Engagement in Primary Care

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
Journal Article

Use of Protective Behavioral Strategies Among Young Adult Veteran Marijuana Users

Taking periodic breaks from marijuana use or avoiding using marijuana before work or school may be important protective strategies for young veterans who choose to use marijuana to cope with symptoms of PTSD.

Mar 20, 2018
Journal Article

Link Between Medical Marijuana and Fewer Opioid Deaths Is More Complex Than Previously Reported

The association between medical marijuana and lower levels of opioid overdose deaths—identified previously in several studies—is more complex than previously described. It appears to be changing as both medical marijuana laws and the opioid crisis evolve.

Feb 8, 2018
Commentary

Can Vaping Help Smokers Quit? The Real Story from a Real Story

Evidence doesn't support using electronic cigarettes to quit smoking. In fact, doing so could even lead to reduced chances of quitting. Evidence does show that other options work, such as nicotine replacement patches or gum combined with counseling strategies.

Nov 16, 2017
Journal Article

Journal Article

A Qualitative Study of Smoking Cessation Experiences and Perceptions Among Homeless Young Adult

Up to 70% of homeless youth smoke, but there is little information available on their smoking cessation experiences and perceptions to guide cessation intervention efforts.

Oct 10, 2017

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