Showing papers in "Journal of Substance Abuse Treatment in 2017"

TL;DR: Meta-analytic results revealed significant small-to-large effects of mindfulness treatments in reducing the frequency and severity of substance misuse, intensity of craving for psychoactive substances, and severityof stress.

TL;DR: Differences between non-waivered and waivered physicians concerning attitudes toward buprenorphine treatment as well as resources that would increase willingness to prescribe are discussed.

TL;DR: A new inpatient addiction consultation service diagnosed and treated hospitalized patients with substance use disorders and linked them to outpatient addiction treatment care.

TL;DR: The alarming high rates of chronic pain conditions occurring before OUD and the associated severe mental health and physical health conditions require better models of assessment and coordinated care plans to address these complex medical conditions.

TL;DR: In this paper, the authors examined the prevalence and patient characteristics of long-term treatment retention in an Office Based Opioid Treatment (OBOT) program with buprenorphine.

TL;DR: A new framework, the Juvenile Justice Behavioral Health Services Cascade, is presented for measuring unmet substance use treatment needs to illustrate how the cascade approach can be useful in understanding service delivery issues and identifying strategies to improve treatment engagement and outcomes for youth under community JJ supervision.

TL;DR: Patients' perceptions of inadequately controlled pain, patients' previous substance use disorders, and the relief from emotional distress that some patients feel while using opioids are relevant when making clinical decisions about whether to initiate or sustain opioid therapy, and for how to monitor certain individuals.

TL;DR: Clinicians treating patients with co-occurring cannabis use and problems with anxiety, depression, or sleep quality should attend to cannabis use reduction as a component of treatment.

TL;DR: The need to tailor interventions to increase access to help for alcohol and drug problems that take into consideration both attitudinal and structural barriers and how these vary across groups is suggested.

TL;DR: This special issue of the Journal of Substance Abuse Treatment presents 16 articles representing the latest research in efficacy, implementation, and technological advances related to contingency management, and highlights the diverse populations, settings, and applications of CM in the treatment of substance use disorders.

TL;DR: Self-determination theory was used to examine intersecting motivational narratives among caregivers and adolescents in SUD treatment, and highlight autonomy support and relatedness as mechanisms that might facilitate treatment engagement.

TL;DR: It is suggested that culturally sensitive treatments offer promise as an effective way to address substance use among racial/ethnic minority youth.

TL;DR: A targeted survey of buprenorphine prescribers in NYC treating primarily underserved populations showed a consistent pattern of part-time prescribing to modest volumes of patients, routine use of unobserved bupenorphine induction, and primarily elective referrals to psychosocial counseling.

TL;DR: Preliminary evidence is provided that anhedonia may be a modifiable individual difference associated with poorer CM outcomes, as well as the hypothesis that a dopaminergic drug, levodopa (L-DOPA), would improve the effectiveness of CM, particularly in individuals high inAnhedonia.

TL;DR: Results from this pilot evaluation are promising, suggesting that a brief group-MI risk reduction intervention can be effective in helping homeless young adults make positive changes in their alcohol and condom use.

TL;DR: Treatment outcomes among the first 75 patients treated with DAAs were nearly equivalent to patients in the general population, suggesting treating HCV infection in PWID onsite in an OTP is feasible.

TL;DR: If the LPA+Fitbit intervention proves to be helpful during early recovery, this simple, low-cost and easily transported intervention can provide a much-needed alternate coping strategy to help reduce relapse risk among women in alcohol treatment.

TL;DR: There is a need in the southern U.S. for policies and treatment programs to target reducing concomitant opioid and benzodiazepine use, increasing access to, and utilization of, MAT, and increasingAccess to medical insurance.

TL;DR: Motivation for change was high in programs where staff identified more program deficits and these staff could also identify more specific needs, but were less likely to have exposure to new innovations, and more evidence is required on how to address ORC deficits once they are identified in practice.

TL;DR: Key results indicate that primary areas of intervention needed to improve outcomes for high-risk individuals include access to stable housing and employment, aftercare services and positive support networks; expanded discharge planning services and transitional assistance; and funding to address gaps in service delivery and to meet individuals' basic needs.

TL;DR: The protocol for a novel, integrated exercise intervention that combines motivational interviewing (MI), a client-centered approach designed to enhance intrinsic motivation and resolve ambivalence toward change, and contingency management (CM), a behavioral treatment that provides monetary incentives for the completion of target behaviors is described.

TL;DR: This proof-of-concept randomized trial indicates that HealthCall on the smartphone is a highly feasible intervention in urban, minority individuals with HIV, and suggests efficacy in reducing co-occurring drug and alcohol use.

TL;DR: This study provides support for the view that there is a clinically and statistically significant recovery of satisfaction with life, executive functions, and psychological distress for SUD patients following one-year of abstinence, and suggests that a gradual and careful step-up of learning requirement should be adopted.

TL;DR: A systematic literature review explored the extent to which the collection of HRQoL by opioid treatment programs is documented in the treatment program literature to provide policy makers with evidence on the impact of programs on patients' lives and with data to quantify the value of investing in opioid use disorder treatments.

TL;DR: A systematic review and meta-analysis found a high prevalence of past-year prescription opioid misuse among individuals 11-30years of age and identified an increase in past- year prevalence 1990-2014.

TL;DR: A police-led referral program was effective in finding initial access to treatment, primarily through short-term detoxification services, however, the program was not able to overcome a fragmented treatment system focused on acute episodic care which remains a barrier to long-term recovery.

TL;DR: The growing availability of LTC may provide a needed source of support and information for family members of opioid-addicted loved-ones and may help reduce overdose deaths through Narcan training and distribution.

TL;DR: Differences across 12-step groups and their alternatives that may be relevant when advising clients on a choice of mutual help group are suggested and suggest promise for these groups in addressing addiction problems.

TL;DR: The mobile health (mHealth) intervention promoted the use of outpatient addiction treatment, which appeared to contribute to its efficacy in reducing risky drinking.

TL;DR: Fentanyl was commonly detected during this period with some clients having multiple fentanyl-positive UDS, but most clients did not know anyone seeking to obtain fentanyl, which underscores that naloxone training and distribution is needed.