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Perinatal Substance Use Screenings In Marin County: A Brief Overview Of Screening Protocols And Identifying Gaps In Care, Breanna Wiliams 2020 University of San Francisco

Perinatal Substance Use Screenings In Marin County: A Brief Overview Of Screening Protocols And Identifying Gaps In Care, Breanna Wiliams

Master's Projects and Capstones

Introduction

Perinatal substance use continues to be a major public health issue in women’s health. The purpose of this study was to determine the frequency of substance use screenings in care and assess how well the existing services in Marin County are serving the needs of pregnant and parenting women and identifying the gaps and/or weaknesses in current practice.

Methods

Data for this study was collected via semi-structured interviews with five professionals that worked at the local community clinic, hospital and a non-profit agency. Some questions were slightly modified to be configured toward the participant’s specific profession ...


Predictors Of Opioid And Alcohol Pharmacotherapy Initiation At Hospital Discharge Among Patients Seen By An Inpatient Addiction Consult Service, Honora Englander, Caroline King, Christina Nicolaidis, Devin Collins, Alisa Patten, Jessica Gregg, P. Todd Korthuis 2020 Oregon Health & Science University

Predictors Of Opioid And Alcohol Pharmacotherapy Initiation At Hospital Discharge Among Patients Seen By An Inpatient Addiction Consult Service, Honora Englander, Caroline King, Christina Nicolaidis, Devin Collins, Alisa Patten, Jessica Gregg, P. Todd Korthuis

Social Work Faculty Publications and Presentations

Background:

Medications for opioid use disorder (MOUD) and alcohol use disorder (MAUD) are effective and under-prescribed. Hospital-based addiction consult services can engage out-of-treatment adults in addictions care. Understanding which patients are most likely to initiate MOUD and MAUD can inform interventions and deepen understanding of hospitals’ role in addressing substance use disorders (SUD).

Objective:

Determine patient- and consult-service level characteristics associated with MOUD/MAUD initiation during hospitalization.

Methods:

We analyzed data from a study of the Improving Addiction Care Team (IMPACT), an interprofessional hospital-based addiction consult service at an academic medical center. Researchers collected patient surveys and clinical data from ...


The Opioid-Related Syndemicin Rural Northern New England:Findings From The Discernne Study, Peter D. Friedmann 2020 University of Massachusetts Medical School-Baystate

The Opioid-Related Syndemicin Rural Northern New England:Findings From The Discernne Study, Peter D. Friedmann

Community Engagement and Research Symposia

This presentation will discuss the risk and resource environment surrounding the syndemic of opioid use disorder, HCV and overdose in rural communities in the northern New England, and opportunities to prevent Scott County-like HIV outbreaks. These findings are from the Drug Injector Surveillance and Care Enhancement in Rural Northern New England (DISCERNNE) study.


E. Behavioral Evaluation And Addiction Management (Beam) Team, Deanne Niedziela 2020 Mission Hospital, Mission Viejo and Laguna Beach

E. Behavioral Evaluation And Addiction Management (Beam) Team, Deanne Niedziela

Year of the Nurse: Clinical Scholarship Presentations

No abstract provided.


Reaching The Hard To Reach: Empowering Community Members To Think Differently And Embrace Teens With Substance Use Disorder And Mental Health Challenges During The Time Of Covid, Stephanie J. Briody Esq, Michelle D. Muffett-Lipinski M.Ed., Susan M. Halpin M.Ed 2020 Behavioral Health Innovators, Inc.

Reaching The Hard To Reach: Empowering Community Members To Think Differently And Embrace Teens With Substance Use Disorder And Mental Health Challenges During The Time Of Covid, Stephanie J. Briody Esq, Michelle D. Muffett-Lipinski M.Ed., Susan M. Halpin M.Ed

Network of the National Library of Medicine New England Region (NNLM NER) Repository

Being a teenager is hard, and COVID-19 has made these difficult years even harder. Over the past decade, U.S. teens report feeling increased pressure and stress and those working with this population see the result -- young people with mental health conditions, lack of resiliency skills and many with substance use disorder. The healthy coping mechanisms that used to contribute to mental wellness, like community connection, physical activity and the pursuit of creative outlets has been declining. These trends were happening even before COVID!

Teens with mental health issues often develop substance use disorder. It has been said that the ...


Mechanisms Study: Using Game Theory To Assess The Effects Of Social Norms And Social Networks On Adolescent Smoking In Schools—Study Protocol, Ruth F. Hunter, Felipe Montes, Jennifer M. Murray, Sharon C. Sanchez-Franco, Shannon C. Montgomery, Joaquín Jaramillo, Christopher Tate, Rajnish Kumar, Laura Dunne, Abhijit Ramalingam, Erik O. Kimbrough, Erin Krupka, Huiyu Zhou, Laurence Moore, Linda Bauld, Blanca Llorente, Olga L. Sarmiento, Frank Kee 2020 Queen’s University Belfast

Mechanisms Study: Using Game Theory To Assess The Effects Of Social Norms And Social Networks On Adolescent Smoking In Schools—Study Protocol, Ruth F. Hunter, Felipe Montes, Jennifer M. Murray, Sharon C. Sanchez-Franco, Shannon C. Montgomery, Joaquín Jaramillo, Christopher Tate, Rajnish Kumar, Laura Dunne, Abhijit Ramalingam, Erik O. Kimbrough, Erin Krupka, Huiyu Zhou, Laurence Moore, Linda Bauld, Blanca Llorente, Olga L. Sarmiento, Frank Kee

Economics Faculty Articles and Research

This proof of concept study harnesses novel transdisciplinary insights to contrast two school-based smoking prevention interventions among adolescents in the UK and Colombia. We compare schools in these locations because smoking rates and norms are different, in order to better understand social norms based mechanisms of action related to smoking. We aim to: (1) improve the measurement of social norms for smoking behaviors in adolescents and reveal how they spread in schools; (2) to better characterize the mechanisms of action of smoking prevention interventions in schools, learning lessons for future intervention research. The A Stop Smoking in Schools Trial (ASSIST ...


A Mathematical Model Of The Opioid Epidemic In The State Of Maine, Cole Butler 2020 University of Maine

A Mathematical Model Of The Opioid Epidemic In The State Of Maine, Cole Butler

Honors College

For the past two decades the United States has been embroiled in a prescription drug epidemic that has since grown in magnitude and complexity. The ripples of this epidemic have been especially apparent in the state of Maine, which has fought hard to mitigate the damage caused by addiction to pharmaceutical and illicit opioids. Us- ing data from state and federal sources, we construct a mathematical model capturing the dynamics of the opioid epidemic in the state of Maine, specifically as it pertains to pharmaceutical opioids and heroin. Parameter fitting is performed followed by an uncertainty analysis to quantify potential ...


Group Treatment Effectiveness For Substance Use Disorders: Abstinence Vs. Harm Reduction, Jill D. Parramore 2020 Old Dominion University

Group Treatment Effectiveness For Substance Use Disorders: Abstinence Vs. Harm Reduction, Jill D. Parramore

Counseling & Human Services Theses & Dissertations

The purpose of this systematic review and meta-analysis was to compare group treatment effectiveness for substance use disorders within the U.S. across treatment philosophies as it relates to the primary research question, Is there a significant difference of group treatment effectiveness between Abstinence and Harm Reduction treatment philosophies? It was hypothesized that group treatment will remain an effective intervention to treat substance use disorders between treatment philosophies and that no significant differences exist between-group comparisons. The aim of this study is to provide evidence of treatment effectiveness that will ultimately improve treatment outcomes for substance use disorders, provide guidance ...


Life Experiences Associated With Change In Perpetration Of Domestic Violence., Avanti Adhia, Vivian H Lyons, Hannah Cohen-Cline, Ali Rowhani-Rahbar 2020 Center for Outcomes Research and Education, Providence Health and Services, United States

Life Experiences Associated With Change In Perpetration Of Domestic Violence., Avanti Adhia, Vivian H Lyons, Hannah Cohen-Cline, Ali Rowhani-Rahbar

Articles, Abstracts, and Reports

BACKGROUND: This study assessed whether several adult life experiences, including loss of support, loss of food security, loss of housing, and substance use cessation, are associated with change in domestic violence (DV) perpetration from early to later adulthood. Using 2015 to 2016 cross-sectional, self-report survey data from Medicaid enrollees in Oregon (N = 1620), we assessed change in DV perpetration from early adulthood (19-30 years) to later adulthood (≥ 31 years of age), cut points determined by existing survey questions. Multinomial logistic regression models were constructed to estimate the association between life experiences and physical DV perpetration using odds ratios (OR), adjusting ...


Diet, Nutrition, And Substance Use Disorder, Mateja R. Savoie-Roskos, Ashley Yaugher, Alise Williams Condie, Gabriela Murza, Maren Wright Voss, Kandice Atisme 2020 Utah State University

Diet, Nutrition, And Substance Use Disorder, Mateja R. Savoie-Roskos, Ashley Yaugher, Alise Williams Condie, Gabriela Murza, Maren Wright Voss, Kandice Atisme

All Current Publications

Consuming a healthy diet can benefit everyone—especially individuals with substance use disorder (SUD), a disorder that occurs when frequent use of drugs or alcohol causes impairment, health issues, and difficulties with managing daily responsibilities (Substance Abuse and Mental Health Services Administration [SAMHSA], 2020). Although often overlooked, nutrition can play a key role in the treatment and recovery process for individuals with SUD, and should be included as part of a holistic approach toward recovery. In this fact sheet we will review how diet and nutrition are impacted during an active addiction, and the influence nutrition can have on treatment ...


Opioid Overdoses Among High-Risk Medicaid Members: Healthcare Cost, Service Utilization, And Risk Factor Analysis, Judith A. Savageau, Melissa Brindisi, Faye Miller, Laura A. Sefton, Adam Stoler, Margaret Harvey, Dana Bernson 2020 University of Massachusetts Medical School

Opioid Overdoses Among High-Risk Medicaid Members: Healthcare Cost, Service Utilization, And Risk Factor Analysis, Judith A. Savageau, Melissa Brindisi, Faye Miller, Laura A. Sefton, Adam Stoler, Margaret Harvey, Dana Bernson

Commonwealth Medicine Publications

Research Objective: Identify risk factors associated with opioid overdoses among three high-risk populations of Medicaid members related to cost and service utilization.

Study Design: Repeated cross-sectional study using five years of Massachusetts Medicaid (MassHealth) claims and state agency data.

Population Studied: MassHealth members aged 11-64 years considered to be high-risk (homeless, unstably housed, and/or criminal justice-involved) and in need of support services, especially those with extensive behavioral health (BH) needs. These three populations were identified as being particularly vulnerable to non-fatal and/or fatal opioid overdoses.

Principal Findings: MassHealth members who were both justice-involved and unstably housed were at ...


Teamwork For Smoking Cessation: Which Smoker Was Willing To Engage Their Partner? Results From A Cross-Sectional Study, Catherine S. Nagawa, Oluwabunmi M. Emidio, Kate L. Lapane, Thomas K. Houston, Bruce A. Barton, Jamie Faro, Amanda C. Blok, Elizabeth Aaker Orvek, Sarah L. Cutrona, Bridget M. Smith, Jeroan J. Allison, Rajani S. Sadasivam 2020 University of Massachusetts Medical School

Teamwork For Smoking Cessation: Which Smoker Was Willing To Engage Their Partner? Results From A Cross-Sectional Study, Catherine S. Nagawa, Oluwabunmi M. Emidio, Kate L. Lapane, Thomas K. Houston, Bruce A. Barton, Jamie Faro, Amanda C. Blok, Elizabeth Aaker Orvek, Sarah L. Cutrona, Bridget M. Smith, Jeroan J. Allison, Rajani S. Sadasivam

Open Access Articles

OBJECTIVE: Smokers are greatly influenced by those living with them, but strategies that increase partner support for smoking cessation are lacking. Using a cross-sectional study design, we explored factors associated with willingness to engage a partner in smoking cessation in smokers registered on a web-assisted tobacco intervention trial.

RESULTS: Study participants (n = 983) were recruited between July 2018 and March 2019. About 28% of smokers were willing to engage their partner in cessation efforts. The odds of willingness to engage a partner were more than two-fold for smokers reporting presence of other smokers in the immediate family (adjusted odds ratio ...


Short-Term E-Cigarette Vapour Exposure Causes Vascular Oxidative Stress And Dysfunction: Evidence For A Close Connection To Brain Damage And A Key Role Of The Phagocytic Nadph Oxidase (Nox-2), Marin Kuntic, John F. Keaney Jr., Thomas Munzel 2020 University Medical Center, Mainz, Germany

Short-Term E-Cigarette Vapour Exposure Causes Vascular Oxidative Stress And Dysfunction: Evidence For A Close Connection To Brain Damage And A Key Role Of The Phagocytic Nadph Oxidase (Nox-2), Marin Kuntic, John F. Keaney Jr., Thomas Munzel

Open Access Articles

AIMS: Electronic (e)-cigarettes have been marketed as a 'healthy' alternative to traditional combustible cigarettes and as an effective method of smoking cessation. There are, however, a paucity of data to support these claims. In fact, e-cigarettes are implicated in endothelial dysfunction and oxidative stress in the vasculature and the lungs. The mechanisms underlying these side effects remain unclear. Here, we investigated the effects of e-cigarette vapour on vascular function in smokers and experimental animals to determine the underlying mechanisms.

METHODS AND RESULTS: Acute e-cigarette smoking produced a marked impairment of endothelial function in chronic smokers determined by flow-mediated dilation ...


Managing Substance Use Disorder Through A Walking/Running Training Program, Chia-Liang Dai, Ching-Chen Chen, George B. Richardson, Howard R. D. Gordon 2020 University of Nevada, Las Vegas

Managing Substance Use Disorder Through A Walking/Running Training Program, Chia-Liang Dai, Ching-Chen Chen, George B. Richardson, Howard R. D. Gordon

College of Education Faculty Publications

While emerging studies have demonstrated the benefit of exercise in Substance Use Disorder (SUD) recovery outcomes, lack of motivation to engage in exercise has been indicated as one of many perceived barriers that contribute to low recruitment and adherence rates in SUD treatment. The current study aimed to explore participants’ perceptions of attending a supervised exercise program (boot camp workouts, walking/running practice, and a race event) while in treatment for SUD. A total of 109 participants were recruited to a 14-week exercise training program and 61 chose to participate in, and completed, a race at the close of the ...


The Other Epidemic, Bruce Deighton 2020 HCA Healthcare

The Other Epidemic, Bruce Deighton

HCA Healthcare Journal of Medicine

The epidemic level of opioid abuse in the U.S. population continues to present a major challenge to our society and to the medical profession. Medical education has a significant role in improving screening, diagnosis, appropriate treatment and management of opioid use disorder. Addressing the problem of overprescribing opioids through physician education, surveillance and opioid management has resulted in significant improvement, translating to fewer overdose deaths from prescription opioids. Graduate medical education can increase access to care by training more addiction medicine specialists, and training other physicians to prescribe buprenorphine and provide access to medically assisted care.


Does Early Physical Therapy Intervention Reduce Opioid Burden And Improve Functionality In The Management Of Chronic Lower Back Pain?, Shedrick Martin, Kimberly Tallian, Victoria T Nguyen, Jason van Dyke, Harminder Sikand 2020 Clinical Pharmacist, Providence Little Company of Mary Medical Center, San Pedro, California.

Does Early Physical Therapy Intervention Reduce Opioid Burden And Improve Functionality In The Management Of Chronic Lower Back Pain?, Shedrick Martin, Kimberly Tallian, Victoria T Nguyen, Jason Van Dyke, Harminder Sikand

Articles, Abstracts, and Reports

Introduction: Chronic lower back pain is a leading cause of disability in US adults. Opioid use continues to be controversial despite the Centers for Disease Control and Prevention guidance on chronic pain management to use nonpharmacologic and nonopioid pharmacologic interventions. The objectives of the study were to assess the impact of early physical therapy (PT) intervention on improving functionality and reducing opioid burden in patients with chronic lower back pain.

Methods: A single-center, retrospective chart review of patients receiving ≥6 PT visits and treated with either opioids first (OF) or PT first (PTF) therapy for chronic lower back pain were ...


Impact Of Social Networks, Mental Health, And Sobriety On Exercise Within A Collegiate Recovery Community, Megan S. Patterson, Alex Russell, Mandy Nicole Spadine, Tyler Prochnow, Katie M. Heinrich 2020 Texas A&M University

Impact Of Social Networks, Mental Health, And Sobriety On Exercise Within A Collegiate Recovery Community, Megan S. Patterson, Alex Russell, Mandy Nicole Spadine, Tyler Prochnow, Katie M. Heinrich

Health Behavior Research

Exercise is especially beneficial for individuals recovering from addiction. In addition to improved physical, emotional, and mental health, exercise is linked to long-term recovery for those overcoming addiction. With nearly 10% of college students in recovery, and many utilizing campus resources such as collegiate recovery communities (CRCs) to support their recovery, it is important to understand the relationship between exercise and the recovery process among college students. The purpose of this study was to use social network analysis and theory to understand exercise behaviors among a group of college students in recovery. The relationship between exercise and sobriety, mental health ...


Feasibility And Acceptability Of A Culturally- And Linguistically-Adapted Smoking Cessation Text Messaging Intervention For Latino Smokers., Francisco Cartujano-Barrera, Lisa Sanderson Cox, Evelyn Arana-Chicas, Mariana Ramírez, Jaime Perales-Puchalt, Pamela Valera, Francisco J. Díaz, Delwyn Catley, Edward F. Ellerbeck, Ana Paula Cupertino 2020 Children's Mercy Hospital

Feasibility And Acceptability Of A Culturally- And Linguistically-Adapted Smoking Cessation Text Messaging Intervention For Latino Smokers., Francisco Cartujano-Barrera, Lisa Sanderson Cox, Evelyn Arana-Chicas, Mariana Ramírez, Jaime Perales-Puchalt, Pamela Valera, Francisco J. Díaz, Delwyn Catley, Edward F. Ellerbeck, Ana Paula Cupertino

Manuscripts, Articles, Book Chapters and Other Papers

Objective: Assess the feasibility and acceptability of a culturally- and linguistically-adapted smoking cessation text messaging intervention for Latino smokers. Methods: Using a community-based strategy, 50 Latino smokers were recruited to participate in a smoking cessation pilot study. Participants received a 12-week text messaging intervention and were offered Nicotine Replacement Therapy (NRT) at no cost. We assessed biochemically verified abstinence at 12 weeks, text messaging interactivity with the program, NRT utilization, self-efficacy, therapeutic alliance, and satisfaction. Results: Participants were 44.8 years old on average (SD 9.80), and they were primarily male (66%) and had no health insurance (78%). Most ...


Genetic Risks, Adolescent Health And Schooling Attainment, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler 2020 Central Michigan University

Genetic Risks, Adolescent Health And Schooling Attainment, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler

Population Center Working Papers (PSC/PARC)

We provide new evidence on the effect of adolescent health behaviors/outcomes (obesity, depression, smoking, and attention deficit hyperactivity disorder (ADHD)) on schooling attainment using the National Longitudinal Study of Adolescent to Adult Health. We take two different approaches to deal with omitted variable bias and reverse causality. Our first approach attends to the issue of reverse causality by using health polygenic scores (PGSs) as proxies for actual adolescent health. Second, we estimate the effect of adolescent health using sibling fixed-effects models that control for unmeasured genetic and family factors shared by siblings. We use the PGSs as additional controls ...


Effects Of Tobacco Cigarettes, E-Cigarettes, And Waterpipe Smoking On Endothelial Function And Clinical Outcomes, Thomas Munzel, Omar Hahad, Marin Kuntic, John F. Keaney Jr., John E. Deanfield, Andreas Daiber 2020 University Medical Center of the Johannes Gutenberg-University Mainz

Effects Of Tobacco Cigarettes, E-Cigarettes, And Waterpipe Smoking On Endothelial Function And Clinical Outcomes, Thomas Munzel, Omar Hahad, Marin Kuntic, John F. Keaney Jr., John E. Deanfield, Andreas Daiber

COVID-19 Publications by UMMS Authors

Tobacco smoking is a leading cause of non-communicable disease globally and is a major risk factor for cardiovascular disease (CVD) and lung disease. Importantly, recent data by the World Health Organizations (WHO) indicate that in the last two decades global tobacco use has significantly dropped, which was largely driven by decreased numbers of female smokers. Despite such advances, the use of e-cigarettes and waterpipes (shisha, hookah, narghile) is an emerging trend, especially among younger generations. There is growing body of evidence that e-cigarettes are not a harm-free alternative to tobacco cigarettes and there is considerable debate as to whether e-cigarettes ...


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