Introducción y objetivos

Existe un creciente interés y evidencia para el uso de medicamentos cannabinoides en el tratamiento del trastorno por consumo de cannabis, pero poco examen de los correlatos del tratamiento exitoso. Este artículo es un análisis secundario de un ensayo aleatorizado controlado con placebo de nabiximoles para el tratamiento del trastorno por consumo de cannabis (CUD), con el objetivo de identificar qué características del cliente y del tratamiento afectan a la participación y los resultados del tratamiento.

Método

Se utilizaron modelos bayesianos de regresión múltiple...

Background

The COVID-19 emergency has tested the public health, medical, and public safety infrastructure of the United States (U.S.) in unprecedented ways. As the focal point for public health in their communities, local health departments (LHDs) were particularly impacted by the pandemic’s onset. The pandemic limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between...

Contingency management (CM) is a psychological treatment based on operant conditioning. It consists of providing incentives in exchange for achieving a target behaviour such as abstinence or other treatmentrelated variables (e.g. session attendance, adherence to medication). The objective of this article was to introduce the rationale of CM for substance use and, more specifically, for smoking cessation. A growing body of empirical literature supports CM as an effective treatment for quitting smoking both in the general population and among other hard-to-treat smokers (e.g. pregnant women or...

For behavioral health providers, the effectiveness of clinical work is dependent upon the clinician/client relationship. When appropriate boundaries are not maintained, it is these same relationships that can be at the root of serious professional misconduct. In this one hour workshop, participants will be provided with a summary overview of the legal ethical standards regarding non-clinical relationships with behavioral health clients. We will then apply these standards to discussion of scenarios and real-world examples. The focus will be dedicated to applying legal and standards from...

Background

Appointment no-show and early dropout from treatment represent major challenges in outpatient substance use disorder treatment, adversely affecting clinical outcomes and health care productivity. In this quasi-experimental study, we examined how a brief reminder intervention for new patients before their first appointment affected treatment participation and retention. No-shows (not attending any sessions) and dropouts (discontinuation of initiated treatment because of three consecutively missed appointments) were compared between a period with pre-admission telephone calls...

Fondo

En los entornos de atención médica somática, se considera que las colaboraciones interdisciplinarias (donde varias disciplinas trabajan de manera coordinada e interdependiente hacia objetivos compartidos) producen una mayor efectividad del equipo que los enfoques multidisciplinarios (donde varias disciplinas trabajan en paralelo dentro de sus límites profesionales). Sin embargo, la investigación sobre técnicas multidisciplinares para el tratamiento del trastorno por consumo de alcohol (TCA) en pacientes hospitalizados es limitada, ya que estos enfoques son relativamente poco comunes. El...

Background

Aftercare programs for people with substance use disorders (PWSUD) are frequently challenged with a number of overlapping obstacles, including uncertain policy consequences and a lack of resources. Despite demographic variety, service providers in South Africa are obligated to offer aftercare programs that effectively reintegrate people with PWSUD into society, the workforce, family, and community life, as specified by Act No. 70 of 2008. Little is known about the availability of aftercare services in South Africa, particularly in rural areas. This paper investigates service...