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Substance Use Harm Reduction

Tool

How to Integrate Pharmacotherapy for Substance Use Disorders at Your Mental Health Clinic: A Step-By-Step Guide for Screening and Treating Adults with Co-Occurring Mental Illness and Alcohol and/or Opioid Use Disorders with Pharmacotherapy in Mental Health Clinics

RAND researchers provide a toolkit to support the delivery of effective, evidence-based pharmacotherapy for clients with co-occurring substance use and mental health disorders and simplify care implementation in mental health clinics.

Jul 8, 2021
Tool

Medication Management of Co-Occurring Opioid Use Disorder in Mental Health Settings: A Guide for Practitioners

Researchers and clinicians provide a guide for identifying clients with co-occurring opioid use and mental health disorders in mental health settings and treating these clients with an appropriate opioid use disorder medication.

Jul 8, 2021
News Release

Most Prescriptions for Opioid Addiction Medication Buprenorphine Are Written by a Small Number of Providers

Half of all patient-months of buprenorphine treatment during 2016 and 2017 were prescribed by just 4.9% of the physicians and other providers who prescribed the drug during the period.

Jun 1, 2021
Research Brief

Use of Tobacco Products Among Unaccompanied Youth Experiencing Homelessness

To understand patterns of use and interest in quitting different types of tobacco products among youth experiencing homelessness, a RAND team surveyed these youth in Los Angeles County to inform efforts to reduce their use of tobacco products.

May 5, 2021
Commentary

Australia Contained COVID-19 Early On. Can It Do the Same with Synthetic Opioids?

Australia is at risk of a fentanyl problem, but it is better prepared than North America. If the country can make the same kind of concerted effort it did to keep COVID-19 at bay, that could save thousands of lives.

Apr 30, 2021
Journal Article

Knowledge of Alternative Tobacco Products in Unaccompanied Homeless Youth

This study examined perceptions of factors that influence use and non-use of Alternative Tobacco Products (ATPs) among unaccompanied youth experiencing homelessness.

Apr 30, 2021
Journal Article

Pilot Randomized Clinical Trial of a Text Messaging-Based Intervention for Smoking Cessation Among Young People Experiencing Homelessness

This is the first study to evaluate the feasibility of using a text messaging-based intervention (TMI) for behavior change with 18–25 year olds experiencing homelessness, and the first to test a TMI to provide ongoing support for smoking cessation.

Apr 28, 2021
Multimedia

RAND Remote: High Stakes, Fostering Innovation to Stem the Tide of America's Drug Problems

In this RAND Remote presentation, Beau Kilmer discusses how RAND is identifying and evaluating innovative approaches to tackle some of America's most pressing drug problems and help strengthen and safeguard communities.

Jan 28, 2021
Journal Article

Illicit Synthetic Opioid Consumption in Asia and the Pacific: Assessing the Risks of a Potential Outbreak

While many illegally manufactured potent synthetic opioids (IMPSO) are produced in Asia, there is little evidence they have entered markets there. We consider the susceptibility to IMPSO's encroachment in markets in the Asia-Pacific region.

Jan 26, 2021
Tool

Reducing Tobacco Use Among Young People Experiencing Homelessness: Recommendations for Service Providers

This manual contains an easy-to-use guide for service providers to deliver brief and inexpensive assistance to youth experiencing homelessness who want to stop using tobacco products.

Jan 25, 2021
Journal Article

The Dawn of a New Synthetic Opioid Era: The Need for Innovative Interventions

This paper stems from recent research into understanding the past, present and possible futures of synthetic opioids in North America and beyond.

Sep 17, 2020
Commentary

Revoking the 'License to Drink': Emerging Evidence on Mandatory Sobriety

After counties in South Dakota implemented a 24/7 sobriety program, repeat arrests for impaired driving decreased in the counties by an average of 12%. North Dakota implemented a similar program and also saw decreases in impaired driving. Can the same results be achieved outside of the Dakotas?

Jun 29, 2020
Commentary

Do We Know How to Treat Alcohol Misuse in Women?

Despite the many clinical trials that have demonstrated the effectiveness and safety of treatments for alcohol use disorder, we still know little about whether men and women respond differently to treatment. Without knowing whether recommended treatments are effective for women, women are vulnerable to the consequences of alcohol misuse.

Apr 29, 2020
Commentary

Beyond Bans: How Cannabis Policy Reform Can Reduce Vaping-Related Illnesses

Policymakers can wield a multitude of tools to address vaping-related illness. Cannabis policy reform is one option. But policymakers may face challenges in balancing comprehensive regulatory design that promotes product safety with its potential to bolster the illegal and unregulated market.

Mar 27, 2020
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

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

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

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