This study will evaluate whether the adapted intervention, also known as integrating support persons into recovery, is effective in increasing patient retention on buprenorphine when compared to usual care.
This paper stems from recent research into understanding the past, present and possible futures of synthetic opioids in North America and beyond.
This study employs multilevel analysis to examine the impact of religious context on alcohol misuse among individuals impacted by the Deepwater Horizon Oil Spill.
Police often are the first (and sometimes the only) point of government contact for persons experiencing homelessness (PEH). Police responses have shifted to approaches designed to foster positive relationships with PEH, help assess the individual needs of each person or area, and guide homeless or unsheltered individuals to the services they require. A panel of experts identified ways to address related challenges.
Police have expressed frustration with being expected to handle complex social problems, such as homelessness and substance use, that could be solved using nonenforcement strategies. In this Perspective, the authors describe police perspectives on defunding the police — i.e., budgeting less money for police and more for other public safety strategies — and explain why revisiting law enforcement's role in society could have broad appeal.
This article proceeds in three parts: discussions of the general goals and role of public health tort litigation, the demonstrated and potential value of opioid litigation to achieve public health goals, and a conclusion.
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.
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.
Disparities were most pronounced among racial/ethnic minority LGB women, which may reflect their unique experiences of discrimination at the intersection of multiple minority identities. However, racial/ethnic minority gay and bisexual men were not at elevated risk relative to their White counterparts.
A small share of prescription opioid users account for a large percent of total prescription opioid use.
The national growth in opioid supply explains 75% of the national rise in opioid treatment admissions and the diversion component is a critical driver of the opioid epidemic.
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.
Treating OUD in the home via telehealth is expanding under COVID, but it is not clear what will happen post pandemic.
A study examined the rates of hospitalisation or death related to severe bacteria infections among people who inject heroin in South London, England. The report compared these rates to the general population and calculated the cost of admissions.
This study aimed to identify practical factors that stakeholders find most critical to consider when planning adolescent substance use treatment.
This paper provides policymakers with evidence for a new approach to reduce criminal activity among those whose alcohol use leads them to repeatedly threaten public health and safety.
Over half of participants ordered to abstain from substance use complete 24/7 Sobriety without a detected substance use event. At the county level, the program is associated with a 9% reduction in substance-impaired driving arrests.
Combined with other studies of “swift-certain-fair”-style interventions, the HOPE replication further strengthens the conclusion that these methods reduce substance use among people under criminal justice supervision.
Driving under the influence of drugs (DUID) is a serious and growing threat to public safety. Addressing DUID cases involves various challenges, including identifying and characterizing impairment and presenting complex evidence in court. A panel of experts from law enforcement, forensic toxicology, the research community, and government agencies discussed the challenges related to DUID cases and identified ways to overcome these obstacles.
This study found an increase in the rate of overdose after Medicare Part D coverage began to include benzodiazepines among adults aged 65 to 69 years and 80 years or older and an increase in the rate of fall-related injury in adults 80 years or older.
The COVID-19 pandemic strikes at a moment when our national response to the opioid crisis was beginning to coalesce. COVID-19 threatens to dramatically overshadow and reverse this progress.
Explores drug supply-oriented policies and interventions, the future challenges of drug policy, and how to improve indicators such that they appropriately incorporate harms.
This study examined different types of co-use as a first step in understanding more detailed patterns of cannabis and tobacco/nicotine use among young adults, an age group that has the highest rates of both cannabis and tobacco/nicotine use, as well as co-use of these products.
Children with in utero opioid exposure had a predicted probability of being diagnosed with a pediatric complex chronic condition similar to that among children with tobacco exposure and those with neither exposure (20.4%,18.7%, and 20.2%, respectively). Our findings were consistent when we examined a subgroup of opioid-exposed children identified as having neonatal opioid withdrawal symptoms.
Document submitted January 21, 2020, as an addendum to testimony before the Senate Judiciary Committee Hearing on Opioids on December 17, 2019.
