Summary

Substance use risks are significantly higher for people who obtain drugs on the unregulated market as there is no quality control and drug contents are unpredictable. This lack of predictability has increased during the COVID-19 pandemic as supply chains have been disrupted by border closures and safety measures. This leaves people who use drugs (PWUD) increasingly susceptible to consuming adulterated or unfamiliar substances. In some regions, COVID safety measures have also reduced capacity and access to services for PWUD, making it more difficult to prevent and address the health...

Il Canadian Centre for Substance Use and Addiction (CCSA) in collaborazione con il Royal Ottawa Mental Health Centre, la Canadian Psychological Association e Canada Health Infoway, ha raccolto dati nazionali sull'esperienza e la percezione dei servizi e dei supporti virtuali, compresa l'istruzione e l'accesso all'assistenza sanitaria o al trattamento.

Le restrizioni di sicurezza COVID-19 hanno portato alla necessità di servizi online e telefonici per sostituire la consulenza e i supporti faccia a faccia. Le persone che usano sostanze stanno vivendo i servizi virtuali in modo diverso a seconda...

The high dropout rate (75%) in opioid use disorder (OUD) treatment among women and racial/ethnic minorities in the United States necessitates a better knowledge of the factors that contribute to treatment success. While therapy and medication for OUD are considered the top standard of care in substance use disorder (SUD) treatment, many people with OUD receive just counseling or methadone-only therapies. This study compares gender inequalities in methadone-based treatment plan progress to counseling-based programs in one of the biggest SUD treatment systems in the United States.

The...

In response to the rising efficacy of the illicit opioid drug supply and often observed delays in access to follow-up therapy, emergency departments (EDs) occasionally utilize a high-dose buprenorphine induction method for the treatment of opioid use disorder (OUD). The objective of this study is to investigate the safety and tolerability of high-dose (>12 mg) buprenorphine induction for patients with OUD presenting to an ED.

Data were manually extracted from electronic health records for all ED patients with OUD treated with buprenorphine at a single, urban, safety-net hospital in Oakland...

Abstract

Introduction:

Adoption of rigorous standards for reporting treatment fidelity is essential for advancing discovery, validation, and implementation of behavioral treatments. Whereas the NIH Behavior Change Consortium (BCC) developed an assessment tool to assess quality of reporting and monitoring of treatment fidelity across health behavior change interventions, it has not yet been applied specifically to treatment fidelity in behavioral tobacco treatment trials.

Methods:

We conducted a scoping review of peer-reviewed, clinical trials of behavioral adult tobacco treatment...