Can syringe exchange serve as a conduit to substance abuse treatment?

Abstract:

:To determine how the city-run New Haven syringe exchange program (SEP) expedited requests, for entry into treatment, records of the SEP's drug treatment coordinator were analyzed. During the study period, a majority of those requesting treatment did not use the SEP to obtain sterile syringes. Comparisons between the people requesting treatment and those exchanging syringes revealed that those requesting treatment were more likely female and less like White. Factors associated with failure to enter treatment included long lag times, worse insurance, cocaine use, and requesting primary detoxification only. Majorities of the requests, appointments, and entries came from individuals whose treatment was to be paid through city welfare. A managed care initiative from the city welfare department, which excluded the SEP, halved requests or entries. Subsequent addition of the SEP to the initiative did not significantly increase requests or entries. Although the SEP initially acted as a conduit to treatment its effectiveness was curtailed by the imposition of bureaucratic restrictions.

journal_name

J Subst Abuse Treat

authors

Heimer R

doi

10.1016/s0740-5472(97)00220-1

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

183-91

issue

3

eissn

0740-5472

issn

1873-6483

pii

S0740547297002201

journal_volume

15

pub_type

杂志文章
  • The relevance to clinical care of recent research in neurobiology.

    abstract::Progress continues to be made in clarifying neurobiological factors in alcoholism and other chemical dependencies. Research in animal behavioral genetics and human genetics has revealed substantial genetic predispositions for some cases of alcoholism. Studies of neurotransmitters suggest that some alcoholics may have ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/0740-5472(88)90043-8

    authors: Wallace J

    更新日期:1988-01-01 00:00:00

  • A community-based support group for HIV positive i.v. drug abusers: the HERO program.

    abstract::The I.V. drug abuser who has a history of non-compliance is perhaps the most difficult to reach among those at risk for contracting AIDS. This article details one approach being attempted at HERO, that of a community-based support group run by an indeginous worker where the emphasis is on support, education, and outre...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(88)90049-9

    authors: Greif GL,Price C

    更新日期:1988-01-01 00:00:00

  • Use of 'very low-dose phenobarbital' to investigate compliance in patients on reducing doses of methadone (detoxification).

    abstract::Incorporation of very low doses of phenobarbital into a methadone linctus has enabled us to monitor the compliance of 7 patients receiving a reducing dose of methadone (detoxification) for treatment for opioid addiction. By measuring both plasma phenobarbital and methadone we detected 4 patients who consumed extra ill...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(93)90006-n

    authors: Wolff K,Hay AA,Raistrick D,Feely M

    更新日期:1993-09-01 00:00:00

  • Computer simulation games as an adjunct for treatment in male veterans with alcohol use disorder.

    abstract::This study examined the impact of a computer simulation designed to provide the opportunity for individuals with alcohol use disorders (AUDs) to practice relapse prevention skills. Participants were 41 male veterans enrolled in an intensive outpatient substance abuse treatment program. Participants were randomly assig...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jsat.2012.08.006

    authors: Verduin ML,LaRowe SD,Myrick H,Cannon-Bowers J,Bowers C

    更新日期:2013-03-01 00:00:00

  • Drug abuse staff and clients smoking together: A shared addiction.

    abstract::Smoking is endemic in drug abuse treatment populations, and smoking prevalence in this population appears unresponsive to existing tobacco control strategies. Clinical and policy guidelines encourage programs to address smoking among clients, and research has identified key barriers to doing so. This report explores t...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2017.01.014

    authors: Guydish J,Le T,Campbell B,Yip D,Ji S,Delucchi K

    更新日期:2017-05-01 00:00:00

  • Treatment of substance-abusing jail inmates. Examination of gender differences.

    abstract::Females incarcerated for drug-related offenses represent one of the fastest growing populations within jails and prisons. The few studies of female offenders with substance abuse disorders depict a population with multiple psychosocial problems and treatment needs, and one that is characterized by frequent exposure to...

    journal_title:Journal of substance abuse treatment

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0740-5472(97)00003-2

    authors: Peters RH,Strozier AL,Murrin MR,Kearns WD

    更新日期:1997-07-01 00:00:00

  • Feasibility, acceptability, and preliminary effects of a brief alcohol intervention for suicidal adolescents in inpatient psychiatric treatment.

    abstract::Alcohol use, both short-term intoxication and longer-term use, is a notable risk factor for suicide. Despite the strong relationship between alcohol use and suicidal thoughts and behaviors, providers typically treat these two problems independently. In particular, acute psychiatric care hospitalizations for adolescent...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jsat.2018.08.013

    authors: McManama O'Brien KH,Sellers CM,Battalen AW,Ryan CA,Maneta EK,Aguinaldo LD,White E,Spirito A

    更新日期:2018-11-01 00:00:00

  • Impact of symptoms experienced by varenicline users on tobacco treatment in a real world setting.

    abstract::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 medicati...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jsat.2008.09.001

    authors: Halperin AC,McAfee TA,Jack LM,Catz SL,McClure JB,Deprey TM,Richards J,Zbikowski SM,Swan GE

    更新日期:2009-06-01 00:00:00

  • A comparison study of treated and untreated pregnant and postpartum cocaine-abusing women.

    abstract::The purpose of this study was to determine whether untreated pregnant and recently post-partum cocaine-abusing women could be differentiated from women who enrolled in drug treatment programs. The experimental sample was selected from women referred to the Georgia Addiction, Pregnancy, and Parenting Project, an interv...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(92)90029-n

    authors: Smith IE,Dent DZ,Coles CD,Falek A

    更新日期:1992-10-01 00:00:00

  • The role of perceived treatment need in explaining racial/ethnic disparities in the use of substance abuse treatment services.

    abstract:OBJECTIVE:The current study examined the role of perceived treatment need in explaining racial/ethnic disparities in treatment utilization for a substance use disorder (SUD). METHODS:We pooled data from the National Survey on Drug Use and Health survey for years 2014-2017. The analytic sample included adult white, Bla...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.108105

    authors: Pinedo M,Villatoro AP

    更新日期:2020-11-01 00:00:00

  • "Painting a picture of the client": implementing the Addiction Severity Index in community treatment programs.

    abstract::This article discusses the implementation of the Drug Evaluation Network System (DENS) version of the Addiction Severity Index (ASI) among substance abuse treatment providers in Los Angeles County. Thirty-two trained and certified treatment professionals from 14 programs participated in focus group interviews about th...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2005.08.005

    authors: Spear SE,Brown AH,Rawson RA

    更新日期:2005-12-01 00:00:00

  • If substance use disorder treatment more than offsets its costs, why don't more medical centers want to provide it? A budget impact analysis in the Veterans Health Administration.

    abstract::Given that many studies have reported that the costs of substance use disorder (SUD) treatment are more than offset by other savings (e.g., in health care, in criminal justice, in foster care), why haven't health care system managers rushed to expand treatment? This article attempts to explain this puzzling discrepanc...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2011.04.006

    authors: Humphreys K,Wagner TH,Gage M

    更新日期:2011-10-01 00:00:00

  • The RoadMAP Relapse Prevention Group Counseling Toolkit™: counselor adherence and competence outcomes.

    abstract::Training counselors in empirically supported treatments (ESTs) far exceeds the ever decreasing resources of community-based treatment agencies. The purpose of this study was to examine outpatient substance abuse group counselors' (n=19) adherence and competence in communicating and utilizing concepts associated with e...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2013.05.005

    authors: Brooks AC,Carpenedo CM,Fairfax-Columbo J,Clements NT,Benishek LA,Knoblach D,Carise D,Kirby KC

    更新日期:2013-10-01 00:00:00

  • Longitudinal migration patterns from an open illicit drug scene among people who use illicit drugs in Vancouver, Canada.

    abstract::The objective of this study was to identify migration patterns from an open illicit drug scene (the Downtown Eastside [DTES] neighborhood) and describe factors associated with these migration patterns. Data were derived from three cohorts of people who use illicit drugs in Vancouver, Canada. Defined using latent class...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.09.006

    authors: Ti L,Dong H,Day A,McKendry R,DeBeck K,Bingham B,Milloy MJ,Barrios R,Hayashi K

    更新日期:2019-12-01 00:00:00

  • Dual diagnosis and successful participation of adolescents in substance abuse treatment.

    abstract::A retrospective record review of one year of admissions to a residential adolescent substance abuse treatment program (N = 91) examined the prevalence of comorbid psychiatric disorders and factors associated with successful treatment participation. Psychiatric and substance use disorders (SUD) were diagnosed by DSM-IV...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(01)00193-3

    authors: Wise BK,Cuffe SP,Fischer T

    更新日期:2001-10-01 00:00:00

  • Patterns of co-occurring addictions, posttraumatic stress disorder, and major depressive disorder in detoxification treatment seekers: Implications for improving detoxification treatment outcomes.

    abstract:BACKGROUND AND OBJECTIVES:Poly-substance use and psychiatric comorbidity are common among individuals receiving substance detoxification services. Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are the most common co-occurring psychiatric disorders with substance use disorder (SUD). Current tr...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2017.12.009

    authors: Anderson RE,Hruska B,Boros AP,Richardson CJ,Delahanty DL

    更新日期:2018-03-01 00:00:00

  • Alcohol and masculinity.

    abstract::Alcohol use--and abuse--has always been more prevalent among males than among females. The sex role prescription for men to affirm their masculinity by drinking is a major determinant of this sex difference. This paper reviews the intricate interrelationship between masculinity and both social and alcoholic drinking. ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/0740-5472(89)90045-7

    authors: Lemle R,Mishkind ME

    更新日期:1989-01-01 00:00:00

  • Examining the temporal relationship between psychological climate, work attitude, and staff turnover.

    abstract::Relative to the broader industrial-organizational (I-O) psychology field, research on the turnover of substance use disorder (SUD) treatment staff is in its infancy. Despite its long and rich history, recent reviews of the turnover literature within I-O psychology have noted that there remains considerable room for im...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2012.05.002

    authors: Garner BR,Hunter BD

    更新日期:2013-02-01 00:00:00

  • Concurrent group treatment for hepatitis C: implementation and outcomes in a methadone maintenance treatment program.

    abstract::Chronic hepatitis C virus (HCV) infection is highly prevalent among current and former drug users. However, the minority of patients enrolled in drug treatment programs have initiated HCV treatment. New models are needed to overcome barriers to care. In this retrospective study, we describe the implementation and outc...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2012.08.007

    authors: Stein MR,Soloway IJ,Jefferson KS,Roose RJ,Arnsten JH,Litwin AH

    更新日期:2012-12-01 00:00:00

  • Predictors of drug treatment re-entry following relapse to cocaine use in DATOS.

    abstract::Many drug abusers have repeated exposure to treatment, yet little is known about the reasons some individuals re-enter treatment following relapse to drug use. This paper examines the predictors of treatment re-entry among cocaine abusers who relapsed to cocaine use (N = 347) within 5 years following their index treat...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0740-5472(03)00128-4

    authors: Grella CE,Hser YI,Hsieh SC

    更新日期:2003-10-01 00:00:00

  • Increased flexibility in methadone take-home scheduling during the COVID-19 pandemic: Should this practice be incorporated into routine clinical care?

    abstract::In the context of the COVID-19 pandemic and the state of emergency that the government of Spain declared, the rapid adaptation of health services is of paramount importance to preserve access to and continuity of service delivery. This research note underscores the importance of ensuring a sufficient quantity of metha...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.108154

    authors: Trujols J,Larrabeiti A,Sànchez O,Madrid M,De Andrés S,Duran-Sindreu S

    更新日期:2020-12-01 00:00:00

  • Gender differences in income after substance abuse treatment.

    abstract::This study asked whether men and women who enrolled in substance use treatment reported similar changes in income from work, public assistance, and crime over time. Income data were analyzed for 261 substance users (77 women, 184 men) who entered day or residential treatment, and completed Addiction Severity Index mea...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(01)00163-5

    authors: Oggins J,Guydish J,Delucchi K

    更新日期:2001-04-01 00:00:00

  • The cost of concordance with opiate substitution treatment guidelines.

    abstract::The Multisite Opiate Substitution Treatment study compared four opioid substitution programs that were highly concordant with clinical practice guidelines to four programs that were less concordant. Program staff were surveyed, and consenting new patients from highly concordant (n = 164) and less-concordant programs (...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2010.05.012

    authors: Barnett PG,Trafton JA,Humphreys K

    更新日期:2010-09-01 00:00:00

  • Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance.

    abstract::This is the first known study to examine geographic discordance (traveling from one's home residence to a county with a different socio-cultural context to receive substance abuse treatment) as a predictor of clinical and social functioning treatment outcomes (i.e., relapse, self-help attendance, anxiety, and incarcer...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2014.08.002

    authors: Oser CB,Harp KL

    更新日期:2015-01-01 00:00:00

  • Raja yoga meditation and medication-assisted treatment for relapse prevention: A pilot study.

    abstract::The continued need for advancement in evidence-based SUD treatment, as well as increases in treatment expense and decline in support from insurance providers, suggest that brief, innovative, and affordable treatments are needed. Meditation, spirituality, and adherence to medication-assisted treatments have all been sh...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2018.10.012

    authors: Mallik D,Bowen S,Yang Y,Perkins R,Sandoz EK

    更新日期:2019-01-01 00:00:00

  • Higher maternal doses of methadone does not increase neonatal abstinence syndrome.

    abstract:OBJECTIVE:The purpose of this study is to assess the incidence of clinically significant neonatal abstinence syndrome (NAS) based on maternal antenatal methadone dosing in women with a history of narcotic dependence. STUDY DESIGN:A retrospective review of 174 pregnant women on methadone maintenance was performed. Data...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2010.11.007

    authors: Pizarro D,Habli M,Grier M,Bombrys A,Sibai B,Livingston J

    更新日期:2011-04-01 00:00:00

  • Bleak and hopeless no more. Engagement Of reluctant substance-abusing runaway youth and their families.

    abstract::Runaway/homeless shelters document high levels of substance abuse among runaway youth, at least double that of school youth. These youth present a constellation of problems and research suggests that this population may be unique in the range and intensity of associated problems. Most studies to date have collected se...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(00)00100-8

    authors: Slesnick N,Meyers RJ,Meade M,Segelken DH

    更新日期:2000-10-01 00:00:00

  • Screening services for alcohol misuse and abuse at four-year colleges in the U.S.

    abstract::We examine the prevalence of screening for student alcohol misuse/abuse among 333 U.S. colleges via a survey of campus leaders. We also use latent class modeling to identify classes of colleges based on screening practices. We found that most colleges conduct screening after a student is involved in an alcohol-related...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2012.01.001

    authors: Lenk KM,Erickson DJ,Winters KC,Nelson TF,Toomey TL

    更新日期:2012-10-01 00:00:00

  • Impulsivity is associated with treatment non-completion in cocaine- and methamphetamine-dependent patients but differs in nature as a function of stimulant-dependence diagnosis.

    abstract::Greater impulsivity, assessed by the Barratt Impulsiveness Scale-11 (BIS-11) and Stroop interference scores, has been associated with treatment completion in cocaine-dependent patients. This study evaluated the relationships among impulsivity, stimulant-dependence diagnosis, and treatment completion. Six sites evaluat...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jsat.2012.12.005

    authors: Winhusen T,Lewis D,Adinoff B,Brigham G,Kropp F,Donovan DM,Seamans CL,Hodgkins CC,Dicenzo JC,Botero CL,Jones DR,Somoza E

    更新日期:2013-05-01 00:00:00

  • Narcotics Anonymous participation and changes in substance use and social support.

    abstract::In Victoria (a southern Australian state) in 1995, Narcotics Anonymous had a small but growing membership providing an opportunity to study the early experience of new self-help members. Ninety-one new members were interviewed and 62 (68%) were reinterviewed after 12 months. Three measures of self-help participation w...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(02)00243-x

    authors: Toumbourou JW,Hamilton M,U'Ren A,Stevens-Jones P,Storey G

    更新日期:2002-07-01 00:00:00