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Action on Addiction takes action to disarm addiction to see that people are free from addiction and its effects. Their approach to this mission is multi-dimensional and covers everything from prevention to recovery.

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(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - October 26, 2009 Category: Addiction Tags: Frontmatter Source Type: journals

The torch is passed againEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In June of this year I was honored to become the Editor-in-Chief for the Journal of Substance Abuse Treatment (JSAT). I had worked at the Treatment Research Institute (TRI) with the former editor, Dr. A. Thomas McLellan, and in the spring of this year, my TRI colleagues and I were delighted to learn that Tom was nominated as Deputy Director of the White House Office of National Drug Control Policy, even though we knew we would miss his leadership and personal presence. Taking the position also meant that he had to resign from other positions of leadership, including the editorship of this journal. Knowing that he quickly n...
Source: Journal of Substance Abuse Treatment - October 26, 2009 Category: Addiction Authors: Kimberly Kirby Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - October 26, 2009 Category: Addiction Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - September 4, 2009 Category: Addiction Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - September 4, 2009 Category: Addiction Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - July 28, 2009 Category: Addiction Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - July 28, 2009 Category: Addiction Source Type: journals

Buprenorphine adoption in the National Drug Abuse Treatment Clinical Trials NetworkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The National Drug Abuse Treatment Clinical Trials Network (CTN), a collaborative federal research initiative that brings together universities and community-based treatment programs (CTPs), has conducted multiple clinical trials of buprenorphine for opioid dependence. Part of the CTN's mission is to promote the adoption of evidence-based treatment technologies. Drawing on a data collected during face-to-face interviews with administrators from a panel of 206 CTPs, this research examines the adoption of buprenorphine over a 2-year period. These data indicated that the adoption of buprenorphine doubled between the ...
Source: Journal of Substance Abuse Treatment - July 5, 2009 Category: Addiction Authors: Hannah K. Knudsen, Amanda J. Abraham, J. Aaron Johnson, Paul M. Roman Tags: Brief Articles Source Type: journals

Impact of Access to Recovery services on alcohol/drug treatment outcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The purpose of this study was to assess the impact of providing recovery support services to clients receiving publicly funded chemical dependency (CD) treatment through the Access to Recovery (ATR) Program in Washington State. Services included case management, transportation, housing, and medical. A comparison group composed of clients who received CD treatment only was constructed using a multistep procedure based on propensity scores and exact matching on specific variables. Outcomes were obtained from administrative data sources. Results indicated that ATR services were associated with a number of positive o...
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: Antoinette Krupski, Kevin Campbell, Jutta M. Joesch, Barbara A. Lucenko, Peter Roy-Byrne Tags: Brief Articles Source Type: journals

Buprenorphine maintenance treatment in a primary care setting: Outcomes at 1 yearEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The purposes of this study were to assess outcomes of patients prescribed buprenorphine at a primary care practice and to identify factors associated with favorable outcomes. All 255 patients given at least one prescription for buprenorphine between August 2003 and September 1, 2007, at a primary care practice in Baltimore were included. Data regarding demographics and comorbidities were collected retrospectively. Patients were classified as “opioid-positive” or “opioid-negative” each month based on patient report, urine toxicology, and provider assessment. After 12 months, 145 (56.9%) patients remained i...
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: Janet M. Soeffing, L. David Martin, Michael I. Fingerhood, Donald R. Jasinski, Darius A. Rastegar Tags: Brief Articles Source Type: journals

Interest in marijuana treatment programs among teenage smokers and nonsmokersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Little is known about adolescents' interest in marijuana treatment programs. This question was evaluated by telephone interview in a convenience sample of 575 adolescents responding to advertisements for tobacco research studies. Eighty-one percent of respondents endorsed the need for marijuana treatment programs for adolescents. These adolescents were younger and less likely to smoke tobacco, smoke marijuana, or use alcohol than those not endorsing such a need. Among the 192 marijuana smokers, the 58.8% who endorsed the need for marijuana treatment programs took their first puff of marijuana at a younger age tha...
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: Amy J. Sheer, David A. Gorelick, Charles C. Collins, Jennifer R. Schroeder, Stephen J. Heishman, Michelle K. Leff, Eric T. Moolchan Tags: Brief Articles Source Type: journals

Reducing cultural barriers to substance abuse treatment among Asian Americans: A case study in New York CityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study tested strategies to enhance the continuum of care in the Asian community by adapting a well-documented generic early intervention model in a culture-specific setting. The results of this study indicate that these models may be successfully adapted to culturally specific settings such as Asian American communities. When culturally competent services combined with case management and motivational interviewing are provided, there tends to be an increase in Asian clients' chance of accomplishing treatment goals. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: Jiang Yu, Lucia Perfetti Clark, Lalita Chandra, Agnelo Dias, Ting-Fun May Lai Tags: Regular Articles Source Type: journals

Choosing a control group in effectiveness trials of behavioral drug abuse treatmentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Effectiveness trials are an important step in the scientific process of developing and evaluating behavioral treatments. The focus on effectiveness research presents a different set of requirements on the research design when compared with efficacy studies. The choice of a control condition has many implications for a clinical trial's internal and external validity. The purpose of this article was to provide a discussion of the issues involved in choosing a control group for effectiveness trials of behavioral interventions in substance abuse treatment. The authors provide a description of four trial designs and a...
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: Gregory S. Brigham, Daniel J. Feaster, Paul G. Wakim, Catherine L. Dempsey Tags: Regular Articles Source Type: journals

Behavioral couple therapy for gay and lesbian couples with alcohol use disordersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reports two separate trials, one with gay male participants and one with lesbian female participants. For both gay and lesbian patients with AUD, those who received BCT had a significantly lower percentage of days of heavy drinking during the year after treatment than patients who received IBT only. In addition, both gay and lesbian couples who received BCT reported higher levels of relationship adjustment at the end of treatment and in the year after treatment than those who received IBT only. Thus, the response of gay and lesbian couples with an alcoholic member to BCT was consistent with what has been observe...
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: William Fals-Stewart, Timothy J. O'Farrell, Wendy K.K. Lam Tags: Regular Articles Source Type: journals

College students rarely seek help despite serious substance use problemsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The prevalence of substance use disorders (SUD) and aspects of the help-seeking process among a high-risk sample of 946 students at one large public university were assessed in personal interviews during the first 3 years of college. After statistically adjusting for purposive sampling, an estimated 46.8%wt of all third-year students met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for SUD involving alcohol and/or marijuana at least once. Of 548 SUD cases, 3.6% perceived a need for help with substance use problems; 16.4% were encouraged by someone else to seek help. Help-seeking ...
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: Kimberly M. Caldeira, Sarah J. Kasperski, Eva Sharma, Kathryn B. Vincent, Kevin E. O'Grady, Eric D. Wish, Amelia M. Arria Tags: Regular Articles Source Type: journals

Health-related quality of life trajectories of methamphetamine-dependent individuals as a function of treatment completion and continued care over a 1-year periodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study applies a chronic illness framework to evaluate treatment outcomes among individuals dependent on methamphetamine (MA). Using growth curve modeling, health-related quality of life (HRQOL) trajectories of MA-dependent individuals (N = 723) were examined over a 1-year period. Results show greater improvements in mental HRQOL trajectories as a function of treatment completion and continued care, although fairly static trajectories in physical health status. Other factors affecting HRQOL trajectories included gender, psychosocial functioning, drug use severity, and health impairment. Results extend research on treat...
Source: Journal of Substance Abuse Treatment - June 25, 2009 Category: Addiction Authors: Rachel Gonzales, Alfonso Ang, Patricia Marinelli-Casey, Deborah C. Glik, Martin Y. Iguchi, Richard A. Rawson, Methamphetamine Treatment Project Corporate Authors Tags: Regular Articles Source Type: journals

Effects of research setting on observed depressive symptoms in marijuana usersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A post hoc analysis examined depressive symptoms in regular marijuana smokers interested in nontreatment, laboratory studies, and marijuana-dependent treatment-seekers considering clinical trial participation. Among marijuana-dependent treatment-seeking patients screened for a clinical trial, the mean Beck Depression Inventory Score (BDI) was significantly higher than for marijuana-using volunteers screened for nontreatment laboratory studies. Mean self-reported baseline marijuana use was not significantly different between groups, and BDI score was not correlated with use. Although the methods by which the two g...
Source: Journal of Substance Abuse Treatment - June 22, 2009 Category: Addiction Authors: John J. Mariani, Margaret Haney, Carl L. Hart, Suzanne K. Vosburg, Frances R. Levin Tags: Brief Articles Source Type: journals

Developing an integrated treatment for substance use and depression using cognitive–behavioral therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Providing a unified treatment approach to meet the substance abuse and mental health needs of clients is the preferred model for addressing co-occurring disorders. We developed a group-based cognitive-behavioral (CBT) integrated treatment for depression and substance use disorders (SUD) that could be delivered by counselors in SUD treatment settings and evaluated its feasibility and acceptability. We conducted an in-depth case study examining one implementation of the treatment using 15 focus groups with clients (n = 7) and semistructured interviews with counselors (n = 2) and administrators (n = 3). Using CBT as...
Source: Journal of Substance Abuse Treatment - June 22, 2009 Category: Addiction Authors: Karen Chan Osilla, Kimberly A. Hepner, Ricardo F. Muñoz, Stephanie Woo, Katherine Watkins Tags: Brief Articles Source Type: journals

Scaling-up interim methadone maintenance: Treatment for 1,000 heroin-addicted individualsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives of this study were to determine the following: (a) the feasibility of expanding interim methadone treatment (IM), (b) the impact of IM on heroin and cocaine use, and (c) the effect of charging a modest fee for IM. Six clinics provided daily methadone plus emergency counseling only (IM) to heroin-addicted individuals on a waiting list for treatment. IM was provided for up to 120 days before transfer to regular methadone treatment. Drug testing was conducted at admission to IM and at transfer to methadone treatment program (MTP). Half the patients were charged $10/week for IM. Logistic regression analysis was ...
Source: Journal of Substance Abuse Treatment - June 22, 2009 Category: Addiction Authors: Robert P. Schwartz, Jerome H. Jaffe, Kevin E. O'Grady, Babita Das, David A. Highfield, Monique E. Wilson Tags: Regular Articles Source Type: journals

Dually diagnosed patients' responses to substance use disorder treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Few studies have investigated whether dually diagnosed patients with co-occurring substance use and psychiatric disorders (DD) respond as well to substance use disorder (SUD) treatments as patients with SUD do. Here we assessed whether male veteran DD and SUD patients with alcohol dependence diagnoses differed in the process and outcomes of residential SUD treatment. The main findings showed that (a) DD patients did not perceive SUD programs as positively as patients with SUD did and had worse proximal outcomes at discharge from treatment; (b) DD patients did as well as SUD patients on 1- and 5-year substance use...
Source: Journal of Substance Abuse Treatment - June 22, 2009 Category: Addiction Authors: M. Tyler Boden, Rudolf Moos Tags: Regular Articles Source Type: journals

How are addicted physicians treated? A national survey of physician health programsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Addicted physicians receive an intensity, duration, and quality of care that is rarely available in most standard addiction treatments: (a) intensive and prolonged residential and outpatient treatment, (b) 5 years of extended support and monitoring with significant consequences, and (c) involvement of family, colleagues, and employers in support and monitoring. Although not available to the general public now, several aspects of this continuing care model could be adapted and used for the general population. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - June 6, 2009 Category: Addiction Authors: Robert L. DuPont, A. Thomas McLellan, Gary Carr, Michael Gendel, Gregory E. Skipper Tags: Regular Articles Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - June 6, 2009 Category: Addiction Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - June 6, 2009 Category: Addiction Source Type: journals

Adherence to methadone treatment: Not just a patient problemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
reported recently on “adherence to oral methadone.” Perhaps the most surprising finding is that almost 60% of the patients “were fully compliant” with a regimen that was demanding, to say the least, with 82% being required to attend a pharmacy 5 or more days per week. Of those who failed to adhere strictly to the criteria assessed, “remarkably few patients (5%) admitted to selling their dose in the past month,” and none injected the medication. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Robert G. Newman Tags: Letter to the Editor Source Type: journals

Outcomes from primary care management of alcohol dependence in FranceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A prospective study assessed the outcome in a sample of 122 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition alcohol-dependent patients in primary care. Standardized questionnaires collected clinical, social, and management data during 875 visits over an 18-month follow-up. A time–event analysis identified outcome predictors. Forty-three percent of patients attempted at least one detoxification during follow-up, one out of three in a hospital. Despite a very high relapse rate (83%), only 14% of the patients attempted a repeated abstinence. Longest and cumulative durations of abstinence appe...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Laurent Malet, Michel Reynaud, Pierre-Michel Llorca, Nadia Chakroun, Olivier Blanc, Bruno Falissard Tags: Brief Article Source Type: journals

Gender, acculturation, and other barriers to alcohol treatment utilization among Latinos in three National Alcohol SurveysEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study, using three waves of U.S. National Alcohol Surveys (1995–2005), examines lifetime alcohol treatment utilization and perceived treatment barriers among Latinos. The sample included 4,204 Latinos (2,178 women and 2,024 men); data were weighted. Analyses were linear and logistic regressions. Controlling for survey year, severity, and other covariates, male gender and English language interview predicted higher utilization generally and Alcoholics Anonymous use specifically; English interview was also associated with institutional treatment. (Effects for gender on general utilization were marginal.) Other predict...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Sarah E. Zemore, Nina Mulia, Yu Ye, Guilherme Borges, Thomas K. Greenfield Tags: Regular articles Source Type: journals

Organizational contexts of primary care approaches for managing problem drinkingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Little is known about the organizational contexts associated with different primary care (PC) approaches to managing PC patients with drinking problems. Relying upon the Chronic Care Model and a theoretically based taxonomy of health care systems, we identified organizational factors distinguishing PC practices using PC-based approaches (managed by PC providers, mental health specialists, or jointly with specialty services) versus referral-based management in the Veterans Affairs health care system. Data were obtained from a national survey of 218 PC practices characterizing usual management approaches as well as...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Kathleen Schutte, Elizabeth M. Yano, Amy M. Kilbourne, Bhagya Wickrama, JoAnn E. Kirchner, Keith Humphreys Tags: Regular articles Source Type: journals

Impact of symptoms experienced by varenicline users on tobacco treatment in a real world settingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines reported symptoms, nonsmoking rates, and medication use among 1,018 smokers using varenicline in a randomized trial comparing three forms of behavioral support for smoking cessation (phone, Web, or phone + Web). One month after beginning varenicline, 168 people (17%) had discontinued the medication. Most (53%) quit due to side effects and other symptoms. The most common side effect among all users was nausea (reported by 57% of users). At 1 month post medication initiation, those not taking varenicline were more likely to report smoking than those who continued the medication (57% vs. 16%, p < .001). ...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Abigail C. Halperin, Timothy A. McAfee, Lisa M. Jack, Sheryl L. Catz, Jennifer B. McClure, T. Mona Deprey, Julie Richards, Susan M. Zbikowski, Gary E. Swan Tags: Regular articles Source Type: journals

Departments of corrections as purchasers of community-based treatment: A national studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report represents the first step in describing the availability, mechanisms, and regulations of these two publicly funded community-based treatment systems. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Sheryl Pimlott Kubiak, Cynthia L. Arfken, Erica Shifflet Gibson Tags: Regular articles Source Type: journals

Utilization of substance abuse treatment services under Medicare, 2001–2002Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: In 2006, the Medicare program covered 37 million elderly persons and 7 million persons younger than 65 years, but little is known about substance abuse (SA) service utilization. Using the 5% Sample of Medicare claims data, the study examines individuals who used SA detoxification (“detox”) and/or rehabilitation (“rehab”) services under Medicare in 2001 and 2002. SA claimants less than 65 years of age (disabled) were compared to claimants more than 65 years of age (elderly). The disabled were more likely to have a co-occurring mental disorder than elderly claimants (50% vs. 14%) and more likely to have ser...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Rita Vandivort, Judith L. Teich, Alexander J. Cowell, Hong Chen Tags: Regular articles Source Type: journals

Stress-related factors in cannabis use and misuse: Implications for prevention and treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the role of stress as a risk factor and motivation for cannabis use/misuse. A systematic review of studies gathered from PsychINFO and MEDLINE databases was conducted. Findings suggest that cannabis is commonly used as a stress-coping strategy. Negative life events, trauma, and maladaptive coping were all related to consumption. Cannabis use for stress-coping purposes was most evident when examining chronic as compared with experimental use. Although many individuals may be able to use cannabis without consequences, there appears to be a subset of individuals who experience greater life stress and who may be mo...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Scott M. Hyman, Rajita Sinha Tags: Regular articles Source Type: journals

Research on the diffusion of evidence-based treatments within substance abuse treatment: A systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides a comprehensive review of research studies that have examined the diffusion of evidence-based treatments (EBTs) within the field of substance abuse treatment. Sixty-five research studies were identified and were grouped into one of three major classifications: attitudes toward EBTs, adoption of EBTs, and implementation of EBTs. This review suggests significant progress has been made with regard to the advancement of the fields' knowledge about attitudes toward and the extent to which specific EBTs have been adopted in practice, as well as with regard to the identification of organizational factors rel...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Bryan R. Garner Tags: Regular articles Source Type: journals

Informal discussions in substance abuse treatment sessionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study evaluated the extent to which counselors initiated informal discussions (i.e., general discussions and self-disclosures about matters unrelated to treatment) with their clients during treatment sessions within two National Institute on Drug Abuse Clinical Trial Network protocols involving adaptations of motivational interviewing (MI). Sixty counselors across the two protocols had 736 sessions independently rated for counselor treatment fidelity and the occurrence of informal discussions. The results showed that 88% of the counselors initiated informal discussions in their sessions and that most of these discussi...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Steve Martino, Samuel A. Ball, Charla Nich, Tami L. Frankforter, Kathleen M. Carroll Tags: Regular articles Source Type: journals

Influence of ownership on access in outpatient substance abuse treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Marked changes in ownership and control in substance abuse treatment delivery have garnered the attention of providers and policymakers alike. The proliferation of private for-profit providers and the shift to a delivery system that may be more explicitly influenced by financial incentives are of particular concern for this vulnerable population. This work empirically addresses how treatment unit ownership affected access and retention between 1995 and 2005 in the United States. Regressions show statistically significant associations between unit ownership and both restricted treatment access and shortening of tr...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Tammie A. Nahra, Jeffrey Alexander, Harold Pollack Tags: Regular articles Source Type: journals

Revisiting the past for a look toward future research: A final editorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Effective June 1, 2009 I will no longer be Editor in Chief of the Journal of Substance Abuse Treatment (JSAT). After 9 years as Editor, 18 years at the Treatment Research Institute (TRI), and 30 years at the University of Pennsylvania, I have accepted a position in Washington that requires me to resign from all other activities. (Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: Thomas McLellan Tags: Editorial Source Type: journals

Robert Hirsch, MD: 1926–2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The field of addiction and behavioral health services has lost one of its most ardent supporters and practitioners with the passing of Dr. Robert Hirsch. Co-founder and Editor in Chief (1984–2000) of the Journal of Substance Abuse Treatment, Bob served for more than 30 years as Director of Treatment Services for North Shore University Hospital's Drug Treatment and Education Center. He was Clinical Assistant Professor of Psychiatry at New York University School of Medicine, a pioneer in the application of family therapy to addictive disorders, and, in conjunction with NYU School of Medicine, developed one of the first PGY...
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Authors: John E. Imhof Tags: In Memoriam Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Substance Abuse Treatment)
Source: Journal of Substance Abuse Treatment - May 5, 2009 Category: Addiction Source Type: journals

Outcomes of mandated treatment for women with histories of abuse and co-occurring disordersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Although there is much momentum for behavioral health policies supporting mandated treatment, there is little evidence supporting its safety and effectiveness for individuals with complex issues. The authors used a national study of women with co-occurring psychiatric, substance use disorders and histories of trauma to compare mandated and voluntary treatment by examining psychiatric, substance use, and trauma-related outcomes following treatment. This quasi-experimental study included 2,726 women, with measures completed at baseline, 6-month, and 12-month follow-up. Two-way analyses of covariance examined the ma...
Source: Journal of Substance Abuse Treatment - April 27, 2009 Category: Addiction Authors: Colleen Clark, M. Scott Young Tags: Regular Articles Source Type: journals

Measures of cognitive functioning as predictors of treatment outcome for cocaine dependenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Amlodipine is a calcium-channel antagonist with neuropharmacological properties believed to be protective against cerebral hypoperfusion, microinfarcts, and excitoxic cell death. Based on its pharmacological properties, we hypothesized that amlodipine would be associated with improved attention, processing speed, memory, and executive functioning at treatment follow-up in 84 cocaine-dependent individuals enrolled in a 12-week, placebo-controlled, double-blind clinical trial of amlodipine. We also hypothesized that better cognitive functioning at baseline would be associated with reduced cocaine use (negative urin...
Source: Journal of Substance Abuse Treatment - April 27, 2009 Category: Addiction Authors: Travis H. Turner, Steven LaRowe, Michael David Horner, Janice Herron, Robert Malcolm Source Type: journals

Comparative treatment and mortality correlates and adverse event profile of implant naltrexone and sublingual buprenorphineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: There is increasing interest in the use of implantable naltrexone as a new treatment for opiate dependence. This center has been one of the leaders in this form of treatment in Australia and has recently completed a registry-controlled review of our mortality data. As part of the study of the safety profile of this therapy, we were interested to review both the treatment correlates of previously presented mortality data and of adverse events. A total of 255 naltrexone implant therapy (NIT) and 2,518 buprenorphine (BUP) patients were followed for 1,322.22 and 8,030.02 patient-years, respectively. NIT patients had ...
Source: Journal of Substance Abuse Treatment - April 26, 2009 Category: Addiction Authors: Albert Stuart Reece Tags: Regular Articles Source Type: journals

A comparison of two depressive symptomatology measures in residential substance abuse treatment clientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Comorbid depression is common among substance abusers, making routine assessment of depression critical for high-quality care. We evaluated two of the most commonly used depressive symptomatology measures in a sample of clients (N = 240) in residential substance abuse treatment settings. The Beck Depression Inventory (BDI-II) has previously been used in clients receiving substance abuse treatment. The Patient Health Questionnaire (PHQ-9), originally developed for primary care settings, has not been used as frequently in substance abuse treatment settings, and it is unknown how it performs in this population. The ...
Source: Journal of Substance Abuse Treatment - April 8, 2009 Category: Addiction Authors: Kimberly A. Hepner, Sarah B. Hunter, Maria O. Edelen, Annie J. Zhou, Katherine Watkins Tags: Brief Articles Source Type: journals

HIV screening among substance-abusing veterans in careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Calls for screening for HIV infection among individuals with substance use disorders, including alcohol use, are increasing. We investigated HIV screening and its predictors in the Veterans Health Administration (VA) system among such individuals in care. Our primary outcome was retrospective evidence of screening for HIV infection, adjusting for patient demographics and important comorbid disease. Of the 371,749 sample patients with histories of substance use disorders using VA services, 20% had evidence of HIV screening. Screening was lowest among those with alcohol use disorders alone (11%) and highest among t...
Source: Journal of Substance Abuse Treatment - April 5, 2009 Category: Addiction Authors: Nameeta M. Dookeran, James F. Burgess, Candice C. Bowman, Matthew Bidwell Goetz, Steven M. Asch, Allen L. Gifford Tags: Regular Articles Source Type: journals

Parental consent in adolescent substance abuse treatment outcome studiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: No systematic review has focused on parental consenting procedures used in adolescent substance abuse treatment outcomes research. To address this gap, we examined parental consenting procedures in adolescent outcome studies (n = 34) published between 1980 and 2007. Although parental consent was required in 89% of adolescent treatment outcome studies we reviewed, consenting procedures were not routinely reported. We argue that parental consenting procedures should be routinely reported as a methodological feature of adolescent treatment outcome studies and, given concerns about sample bias in adolescent risk beha...
Source: Journal of Substance Abuse Treatment - April 2, 2009 Category: Addiction Authors: Douglas C. Smith, Shamra Boel-Studt, Leah Cleeland Tags: Regular Articles Source Type: journals

Effectiveness of Making Alcoholics Anonymous Easier: A group format 12-step facilitation approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Most treatment programs recommend clients attend 12-step groups, but many drop out posttreatment. The effectiveness of Making Alcoholics Anonymous [AA] Easier (MAAEZ ), a manual-guided intervention designed to help clients connect with individuals encountered in AA, was tested using an “OFF/ON” design (n = 508). MAAEZ effectiveness was determined by comparing abstinence rates of participants recruited during ON and OFF conditions and by studying the effect of the number of MAAEZ sessions attended. At 12 months, more clients in the ON condition (vs. OFF) reported past 30-day abstinence from alcohol (p = .012),...
Source: Journal of Substance Abuse Treatment - April 1, 2009 Category: Addiction Authors: Lee Ann Kaskutas, Meenakshi S. Subbaraman, Jane Witbrodt, Sarah E. Zemore Tags: Regular Articles Source Type: journals

Auricular acupuncture as an adjunct to opiate detoxification treatment: Effects on withdrawal symptomsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: It was hypothesized that auricular acupuncture would lead to reduced severity of opiate withdrawal symptoms and craving when provided as an adjunct to methadone detoxification. The study used a randomized, placebo-controlled study design. The sample consisted of 83 drug misusers who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for opiate dependence. Daily measures of withdrawal severity and craving were taken using the Short Opiate Withdrawal Scale and an eight-item craving questionnaire. Urine screening was used as an objective assessment of treatment adherence. The study hy...
Source: Journal of Substance Abuse Treatment - April 1, 2009 Category: Addiction Authors: Jennifer Bearn, Anshul Swami, Duncan Stewart, Catherine Atnas, Lisa Giotto, Michael Gossop Tags: Brief Articles Source Type: journals

Are cannabis users who participate in a randomized clinical trial different from other treatment seekers?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study compares profiles taken from a centralized intake process for those presenting with cannabis as their main drug, which were then separated into three categories, (a) those who were offered a specialist assessment for cannabis dependence over the phone but did not attend their appointment, (b) those who presented for their initial appointment, and c) those attending and subsequently recruited into an RCT. To explore whether issues such as severity of cannabis use and co-occurring disorders acted as a barrier to attending treatment or to inclusion in an RCT, we examined basic triage information. Results indicated ...
Source: Journal of Substance Abuse Treatment - April 1, 2009 Category: Addiction Authors: Amie R. Frewen, Andrew J. Baillie, Mark E. Montebello Tags: Brief Articles Source Type: journals

Assessing the effectiveness of an Internet-based videoconferencing platform for delivering intensified substance abuse counselingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study assesses treatment satisfaction and response to Internet-based (CRC Health Group's e-Getgoing) group counseling for partial responders to methadone maintenance treatment. Patients testing positive for an illicit substance (n = 37) were randomly assigned to e-Getgoing or onsite group counseling and followed for 6 weeks. Patients in both conditions responded favorably to intensified treatment by achieving at least 2 consecutive weeks of abstinence and 100% attendance to return to less-intensive care (e-Getgoing: 70% vs. routine: 71%, ns). Treatment satisfaction was good and comparable across conditions. E-Getgoin...
Source: Journal of Substance Abuse Treatment - April 1, 2009 Category: Addiction Authors: Van L. King, Kenneth B. Stoller, Michael Kidorf, Kori Kindbom, Steven Hursh, Thomas Brady, Robert K. Brooner Tags: Brief Articles Source Type: journals

The Important People Drug and Alcohol interview: Psychometric properties, predictive validity, and implications for treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Research with the Important People instrument has shown that social support for abstinence is related to alcohol treatment outcomes, but less work has been done on the role of network support in drug treatment outcomes. A drug and alcohol version of the Important People instrument (IPDA) was developed and administered to 141 patients in residential treatment for cocaine dependence. Three components were found, all with acceptable internal consistency: (a) substance involvement of the network, (b) general/treatment support, and (c) support for abstinence. These components and three fundamental network characterist...
Source: Journal of Substance Abuse Treatment - April 1, 2009 Category: Addiction Authors: William H. Zywiak, Charles J. Neighbors, Rosemarie A. Martin, Jennifer E. Johnson, Cheryl A. Eaton, Damaris J. Rohsenow Tags: Regular Articles Source Type: journals

Relating counselor attributes to client engagement in EnglandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Client functioning and treatment engagement were examined in relation to staff attributes and organizational climate across a diverse sample of drug treatment and outreach programs in England. Self-rating assessments were obtained from 1,539 clients and 439 counselors representing 44 programs, and results were interpreted using comparable data from studies of treatment programs in the United States. Client scores on treatment participation and counseling rapport in England were directly related to their higher levels of motivation and psychosocial functioning, as well as to staff ratings of professional attribute...
Source: Journal of Substance Abuse Treatment - April 1, 2009 Category: Addiction Authors: Dwayne Simpson, Grace A. Rowan-Szal, George W. Joe, David Best, Ed Day, Angela Campbell Tags: Regular Articles Source Type: journals