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Full-Text Articles in Mental and Social Health
Rural Health Action Network Enhanced Outreach Initiative. Year One Final Report, Mary Lindsey Smith Phd, Karen Pearson Mlis, Ma, Evelyn Ali Bs
Rural Health Action Network Enhanced Outreach Initiative. Year One Final Report, Mary Lindsey Smith Phd, Karen Pearson Mlis, Ma, Evelyn Ali Bs
Substance Use Research & Evaluation
Healthy Community Coalition (HCC), in coordination with the Rural Health Action Network (RHAN) of greater Franklin County, is implementing a multi-faceted outreach program to improve health outcomes among the rural poor living with chronic conditions in greater Franklin County, Maine.
The goals of the Franklin County Rural Health Action Network Enhanced Outreach Initiative (RHAN-EOI) include:
- Expand access to quality services;
- Expand training for community health extenders;
- Decrease hospital admissions, emergency department use, and costs; and
- Improve communication and care coordination across project partners
This report highlights the implementation and progress of HCC RHAN in Year 1. For more information, please …
House: Homeless Opioid User Service Engagement Program. Year 1 Report, Mary Lindsey Smith Phd, Katharine Knight Mph, Evelyn Ali Bs, Thomas Chalmers Mclaughlin Msw, Phd, Katie Rosingana Ba, Tyler Egeland Ba, Mark Richards Bs, Karen Pearson Mlis, Ma
House: Homeless Opioid User Service Engagement Program. Year 1 Report, Mary Lindsey Smith Phd, Katharine Knight Mph, Evelyn Ali Bs, Thomas Chalmers Mclaughlin Msw, Phd, Katie Rosingana Ba, Tyler Egeland Ba, Mark Richards Bs, Karen Pearson Mlis, Ma
Substance Use Research & Evaluation
Homelessness and lack of stable housing is often a barrier to achieving stability for individuals who are experiencing homelessness (IWAEH) with an OUD. In order to meet the complex needs of IWAEH with OUD, the Department of Health and Human Services funded a pilot program in 2021, the Homeless Opioid Users Service Engagement (HOUSE) Program; clinicians at Greater Portland Health provide clients with low-barrier Medication Assisted Treatment (MAT), while staff at Preble Street provide casework support and rapid housing assistance to individuals who have been identified as being at high risk of overdose, are experiencing homelessness, and are diagnosed with …
R.A.C.E. To Recovery Year 1 Evaluation Summary Report, Katie Rosingana Ba, Evelyn Ali Bs, Tyler Egeland Ba, Mary Lindsey Smith Phd
R.A.C.E. To Recovery Year 1 Evaluation Summary Report, Katie Rosingana Ba, Evelyn Ali Bs, Tyler Egeland Ba, Mary Lindsey Smith Phd
Substance Use Research & Evaluation
Through a collaborative effort led by the Healthy Community Coalition, the multi-sector Rural Addiction Care Expansion (R.A.C.E.) to Recovery initiative consortium is utilizing evidence-based, community-wide response to impact and reduce the effects of the opioid epidemic in the Western Maine Public Health District/ Greater Franklin County. To assess and evaluate the implementation, successes, and challenges of the RACE to Recovery project, the Cutler Institute is collecting and analyzing data for both process and outcomes of the initiative.
In the first year of the initiative, the Cutler evaluation team utilized both primary and secondary data to assess RACE to Recovery program …
Support For Me Needs Assessment Summary., Mary Lindsey Smith Phd, Katie Rosingana Ba, Evelyn Ali Bs, Karen Pearson Mlis, Ma, Mark Richards Bs, Katharine Knight Mph, Tyler Egeland Ba, Olivia Dooley Mpa
Support For Me Needs Assessment Summary., Mary Lindsey Smith Phd, Katie Rosingana Ba, Evelyn Ali Bs, Karen Pearson Mlis, Ma, Mark Richards Bs, Katharine Knight Mph, Tyler Egeland Ba, Olivia Dooley Mpa
Substance Use Research & Evaluation
Maine Department of Health and Human Services contracted with the Catherine Cutler Institute at the University of Southern Maine to conduct a baseline needs assessment. The overall goal was to better understand the current capacity to address substance use in Maine; find barriers to receiving and utilizing SUD treatment and recovery services; and identify any gaps in SUD-related services in the state. The Cutler team conducted interviews, surveys, community listening sessions and focus groups with healthcare key informants (leadership from health systems, residential care, recovery housing, behavioral health agencies), providers (medical, behavioral health, first responders, residential treatment, law enforcement, opioid …
Improving Access To Medication Assisted Treatment For Opioid Use Disorder In A Rural Emergency Department, Warren Grunvald
Improving Access To Medication Assisted Treatment For Opioid Use Disorder In A Rural Emergency Department, Warren Grunvald
Family Medicine Clerkship Student Projects
Opioid Use Disorder (OUD) is a growing epidemic throughout the United States and Maine has not been sparred by this. As the Emergency Department is a frequent location for people with OUD to interact with physicians it has been targeted as an opportunity to initiate Medication-Assisted Treatment (MAT) with Suboxone. This project details an effort to streamline this process and improve outcomes for patients interested in MAT.
Improving access to medication assisted treatment for opioid use disorder in a rural Emergency Department
Improving Access To Medication Assisted Treatment For Opioid Use Disorder In A Rural Emergency Department, Warren Grunvald
Improving Access To Medication Assisted Treatment For Opioid Use Disorder In A Rural Emergency Department, Warren Grunvald
Family Medicine Clerkship Student Projects
Opioid Use Disorder (OUD) is a growing epidemic throughout the United States and Maine has not been sparred by this. As the Emergency Department is a frequent location for people with OUD to interact with physicians it has been targeted as an opportunity to initiate Medication-Assisted Treatment (MAT) with Suboxone. This project details an effort to streamline this process and improve outcomes for patients interested in MAT.
Support For Me: Substance Use Disorder Prevalence And Treatment Capacity Assessment, Rachel T. Gallo Mph, Katharine Knight Mph, Mary Lindsey Smith Phd
Support For Me: Substance Use Disorder Prevalence And Treatment Capacity Assessment, Rachel T. Gallo Mph, Katharine Knight Mph, Mary Lindsey Smith Phd
Substance Use Research & Evaluation
The aim of this report was to understand the sociodemographic and geographic distribution of substance use disorder (SUD) prevalence in Maine, through a claims-based analysis which assessed current statewide capacity to address SUD by examining current SUD treatment and recovery infrastructure, service utilization patterns, and geographic distribution of services and usage throughout the state to identify any gaps in treatment and recovery capacity.
The authors would like to note that this report was completed during the planning phase of the SUPPORT for ME project, which was funded by the Centers for Medicare & Medicaid Services (CMS) via the SUPPORT Act …
County And Demographic Differences In Drug Arrests And Controlled Substance Use In Maine, Trajan F. Hyde, Amadea D. Bekoe-Tabiri, Amalie K. Kropp Lopez, Luis G. Devia, Belsy D. Gutierrez, Matthew C. Lara, Anthony R. Soto, Daniel E. Kaufman, Matthew T. Moran, Kevin J. Simpson, Dipam T. Shah, Michelle Foster, Clare E. Desrosiers, John Hebert, Stephanie D. Nichols, Kenneth Lee Mccall, Brian J. Piper
County And Demographic Differences In Drug Arrests And Controlled Substance Use In Maine, Trajan F. Hyde, Amadea D. Bekoe-Tabiri, Amalie K. Kropp Lopez, Luis G. Devia, Belsy D. Gutierrez, Matthew C. Lara, Anthony R. Soto, Daniel E. Kaufman, Matthew T. Moran, Kevin J. Simpson, Dipam T. Shah, Michelle Foster, Clare E. Desrosiers, John Hebert, Stephanie D. Nichols, Kenneth Lee Mccall, Brian J. Piper
Journal of Maine Medical Center
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Introduction: The Diversion Alert Program (DAP) was established to curb misuse of drugs and help identify people who may need treatment for substance use disorder (SUD). Law enforcement compiled arrest data into a database accessible by health care providers. Our objectives were to identify regional and demographic differences in drug use and misuse in Maine.
Methods: All arrests (N = 11 234) reported to the DAP from 2013 to 2018 were examined by county and arrestee demographics, and classified into families (opioids, stimulants, sedatives). The Drug Enforcement Administration’s Automation of Reports and Consolidated Orders System (ARCOS) tracks the distribution …
Downeast Maine Mat Expansion Project: Year 3 Final Data Summary, Mary Lindsey Smith Phd, Evelyn Ali Bs, Katharine Knight Mph, Tyler Egeland Ba
Downeast Maine Mat Expansion Project: Year 3 Final Data Summary, Mary Lindsey Smith Phd, Evelyn Ali Bs, Katharine Knight Mph, Tyler Egeland Ba
Substance Use Research & Evaluation
This report summarizes the collaborative effort of Healthy Acadia, its providers, the Downeast Substance Treatment Network, and Downeast Substance Use Response Coalition, to combat opioid use disorder (OUD) in Downeast Maine through multiple evidence-based strategies.
Project goals included the reduction of barriers to accessing medication-assisted treatment (MAT) and the enhancement of MAT services by improving provider capacity through training and implementation of best practice treatment.
For more information, please contact M. Lindsey Smith, PhD, m.lindsey.smith@maine.edu
Downeast Maine Mat Expansion Project: Year 2 Data Summary, Mary Lindsey Smith Phd, Evelyn Ali Bs, Tyler Egeland Ba
Downeast Maine Mat Expansion Project: Year 2 Data Summary, Mary Lindsey Smith Phd, Evelyn Ali Bs, Tyler Egeland Ba
Substance Use Research & Evaluation
This report summarizes the Year 2 activities of the Healthy Acadia Downeast Maine MAT Expansion Project. Through a collaborative effort of Healthy Acadia, its providers, the Downeast Substance Treatment Network and Downeast Substance Use Response Coalition, the project utilized multiple evidence-based strategies to combat opioid use disorder (OUD) in Downeast Maine.
FMI: M. Lindsey Smith, PhD, m.lindsey.smith@maine.edu
Recovery And Opioid Addiction Resources (Roar): Summary Of Kennebec Behavioral Health Focus Group, Mary Lindsey Smith Phd, Evelyn Ali Bs, Katie Rosingana Ba, Mark Richards Bs, Rachel M. Gallo Mph, Tyler Egeland Ba
Recovery And Opioid Addiction Resources (Roar): Summary Of Kennebec Behavioral Health Focus Group, Mary Lindsey Smith Phd, Evelyn Ali Bs, Katie Rosingana Ba, Mark Richards Bs, Rachel M. Gallo Mph, Tyler Egeland Ba
Substance Use Research & Evaluation
No abstract provided.
Lincoln County Community Paramedicine Data Collection Initiative [Infographic], Evelyn Ali Bs, Katie Rosingana Ba, Karen Pearson Mlis, Ma
Lincoln County Community Paramedicine Data Collection Initiative [Infographic], Evelyn Ali Bs, Katie Rosingana Ba, Karen Pearson Mlis, Ma
Substance Use Research & Evaluation
No abstract provided.
Lincoln County Community Paramedicine Data Collection Initiative, Katie Rosingana Ba, Evelyn Ali Bs, Karen Pearson Mlis, Ma
Lincoln County Community Paramedicine Data Collection Initiative, Katie Rosingana Ba, Evelyn Ali Bs, Karen Pearson Mlis, Ma
Substance Use Research & Evaluation
No abstract provided.
Mat Program Patient Satisfaction Survey: Mehaf Addiction Care Grant Year 3, Mary Lindsey Smith Phd, Rachel M. Gallo Mph, Evelyn Ali Bs
Mat Program Patient Satisfaction Survey: Mehaf Addiction Care Grant Year 3, Mary Lindsey Smith Phd, Rachel M. Gallo Mph, Evelyn Ali Bs
Substance Use Research & Evaluation
No abstract provided.
York Hospital Recovery Center's Medication-Assisted Treatment Program. Mehaf Addiction Care Grant Year 3, Mary Lindsey Smith Phd, Rachel M. Gallo Mph, Olivia Dooley Mpa
York Hospital Recovery Center's Medication-Assisted Treatment Program. Mehaf Addiction Care Grant Year 3, Mary Lindsey Smith Phd, Rachel M. Gallo Mph, Olivia Dooley Mpa
Substance Use Research & Evaluation
No abstract provided.
Downeast Maine Mat Expansion Project: Year 1 Data Summary, Mary Lindsey Smith Phd, Olivia Dooley Mpa, Evelyn Ali Bs
Downeast Maine Mat Expansion Project: Year 1 Data Summary, Mary Lindsey Smith Phd, Olivia Dooley Mpa, Evelyn Ali Bs
Substance Use Research & Evaluation
This report summarizes the Year 1 activities of the Healthy Acadia Downeast Maine MAT Expansion Project. Through a collaborative effort of Healthy Acadia, its providers, the Downeast Substance Treatment Network and Downeast Substance Use Response Coalition, the project utilized multiple evidence-based strategies to combat opioid use disorder (OUD) in Downeast Maine.
Key findings focused on:
- capacity building,
- stakeholder engagement,
- organizational and peer support,
- payment and reimbursement issues,
- the creation of low-barrier access to MAT,
- barriers, including stigma, to MAT
- patient-centered approaches
- auxiliary recovery supports
For more information, please contact M. LIndsey Smith, PhD at m.lindsey.smith@maine.edu
Understanding Substance Use And Recovery In Maine: A Culture-Centered Approach, Carter Hathaway
Understanding Substance Use And Recovery In Maine: A Culture-Centered Approach, Carter Hathaway
Electronic Theses and Dissertations
There is ever-increasing attention to Maine’s substance use problem, particularly in the case of opioid-related deaths. With yearly death tolls increasing, citizens of Maine wonder what the best methods are in approaching the issue and preventing further harm. While statistics about the issue are repeated in news coverage and by political figures, there is a need to understand what substance use and recovery actually mean to individuals who experience them on a daily basis. The following thesis uses Mohan J. Dutta’s (2008) culture-centered approach to health communication to explore the meanings of substance use and recovery as well as the …
Challenges And Strategies To Expanding Mat Within Primary Care: Provider Perspectives. Issue Brief, Rachel M. Gallo Mph, Mary Lindsey Smith Phd, Katie Rosingana Ba
Challenges And Strategies To Expanding Mat Within Primary Care: Provider Perspectives. Issue Brief, Rachel M. Gallo Mph, Mary Lindsey Smith Phd, Katie Rosingana Ba
Substance Use Research & Evaluation
No abstract provided.
Building Capacity For Medication-Assisted Treatment (Mat) Through Mehaf's Addiction Care Program. [Infographic], Rachel M. Gallo Mph
Building Capacity For Medication-Assisted Treatment (Mat) Through Mehaf's Addiction Care Program. [Infographic], Rachel M. Gallo Mph
Substance Use Research & Evaluation
No abstract provided.
Assessment Of The Use Of Overdose Education And Naloxone Distribution By Maine Buprenorphine/Naloxone Prescribers, Stephen Kirsch
Assessment Of The Use Of Overdose Education And Naloxone Distribution By Maine Buprenorphine/Naloxone Prescribers, Stephen Kirsch
Muskie School Capstones and Dissertations
Background: Overdose deaths, specifically related to opioids, have been identified as a public health problem both nationally and in the state of Maine. Overdose Education and Naloxone Distribution (OEND) is an innovative model of patient education that has been shown to be effective in increasing knowledge of overdose risk and has the potential to help reduce opiate related overdose deaths.
Methods: A 28-item web-based survey examining clinician attitudes, OEND practices and characteristics was distributed to 196 Maine based physicians with a Drug Enforcement Agency waiver to prescribe burprenorphine/naloxone. Facilitators and barriers to the provision of OEND were also assessed. Surveys …
The Cost Of Alcohol And Drug Abuse In Maine, 2015, Marcella H. Sorg, Jamie A. Wren
The Cost Of Alcohol And Drug Abuse In Maine, 2015, Marcella H. Sorg, Jamie A. Wren
Health & Public Safety
No abstract provided.
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Family Medicine Clerkship Student Projects
Mindfulness has been shown to aid in addiction recovery and can help prevent relapse. The Family Medicine Center & Residency Program at Eastern Maine Medical Center (EMMC) in Bangor, Maine has provided mindfulness resources to their opioid-dependent patients; however, the center has no quantitative data on the current understanding and utilization of mindfulness techniques among this patient population. A survey tool was created and distributed to opioid-dependent patients in the clinic to identify barriers to practicing mindfulness. The collected data was submitted by one of the clinic providers in a grant proposal. Grant funding could go toward addressing these barriers.
The Cost Of Alcohol And Drug Abuse In Maine, 2010, Anne L. Rogers, Marcella H. Sorg, Jamie A. Wren
The Cost Of Alcohol And Drug Abuse In Maine, 2010, Anne L. Rogers, Marcella H. Sorg, Jamie A. Wren
Anthropology Faculty Scholarship
Summary findings
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In 2010, the total estimated cost of substance abuse in Maine was $1.403 billion.
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This $1.403 billion translates into a cost equaling $1,057 for every resident of Maine.
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This was a 56.2% increase from 2005.
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Substance abuse treatment ($47.0 million) comprised the smallest proportion of total cost (3.4%), while mortality, $409.6 million, comprised the largest proportion of costs (24.8%).
Mental Health And Substance Abuse In Maine: Building A Community-Based System, David Lambert Phd, John A. Gale Ms
Mental Health And Substance Abuse In Maine: Building A Community-Based System, David Lambert Phd, John A. Gale Ms
Mental Health / Substance Use Disorders
No abstract provided.
The Community Caring Collaborative: Case Study Of A Grassroots Collaboration To Create A System Of Care For At-Risk Infants, Young Children, And Their Families In Washington County, Maine, Marjorie Withers
Maine Policy Review
Marjorie Withers presents a case study of rural Washington County, Maine, where community-agency partnerships are increasing services for community members and their children affected by exposure to drugs, alcohol, and other risk factors. The Community Caring Collaborative (CCC) is an effective model in part because of its structure. But most important, according to Withers, is the creation of hope and new energy in an area of the state characterized by longstanding feelings of hopelessness and powerlessness.
Patterns Of Drug-Related Mortality In Maine, 1997-2002, Marcella H. Sorg, Margaret Greenwald
Patterns Of Drug-Related Mortality In Maine, 1997-2002, Marcella H. Sorg, Margaret Greenwald
Maine Policy Review
Since 1997, the number and rate of drug-related deaths in Maine have risen dramatically. Contrary to what much of recent popular media coverage suggests, prescription medications and not illicit drugs are involved in the majority of these deaths, and many of these prescription medications are used by people from all walks of life. In this article, Sorg and Greenwald summarize the results of a recent statewide study to determine the characteristics of those in Maine who have died from drug-related causes over the past five years. They find that Maine’s substance abuse problem continues to be largely one of alcohol …