Residential treatment for smokeless tobacco use: a case series.

Abstract:

:We developed and implemented a novel 8-day residential treatment program for smokeless tobacco (ST) use. A multidisciplinary team delivered behavioral treatment, nicotine patches were adjusted to achieve 100% replacement of baseline peak serum nicotine concentrations, and bupropion sustained-release was prescribed. Mean participant age (+/- SD) was 47.4 +/- 18.2 years. Mean nicotine patch dose at program end was 43.2 mg/day +/- 13.9 (range 14 to 66 mg/d). Median percent replacement by serum nicotine concentrations was 86.6% (IQR: 75-113.8%). At 1 year, the biochemically-confirmed (urine anabasine <2.0 ng/mL) self-reported 7-day point prevalence tobacco abstinence rate was 58% (14/24). A residential treatment program for ST users may be effective. More research is needed to replicate our findings and determine if comparable abstinence rates can be achieved with outpatient ST treatment programs using similar behavioral and pharmacotherapies.

journal_name

J Subst Abuse Treat

authors

Ebbert JO,Dale LC,Vickers KS,Gauvin TR,Bunge NE,Hurt RD

doi

10.1016/j.jsat.2004.01.008

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

261-7

issue

4

eissn

0740-5472

issn

1873-6483

pii

S0740547204000121

journal_volume

26

pub_type

临床试验,杂志文章
  • A pilot study of Counsel to Quit®: Evaluating an Ask Advise Refer (AAR)-based tobacco cessation training for medical and mental healthcare providers.

    abstract:INTRODUCTION:Despite tobacco use as the largest preventable cause of premature death in the US, many healthcare providers continue to lack the knowledge and confidence in employing the Ask, Advise, Refer (AAR) model in tobacco cessation treatment delivery. This pilot study evaluated the feasibility and effectiveness of...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.01.024

    authors: Chavarria J,Liu M,Kast L,Salem E,King AC

    更新日期:2019-04-01 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

  • Lessons learned from measuring fidelity with the Motivational Interviewing Treatment Integrity code (MITI 4).

    abstract:BACKGROUND AND AIMS:The Motivational Interviewing Treatment Integrity code (MITI) measures fidelity to, and the quality of, Motivational Interviewing (MI), and can also be used when MI is combined with other treatment methods. The current study presents a fidelity measurement with the MITI 4.2.1, in both Motivational E...

    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.2018.11.004

    authors: Kramer Schmidt L,Andersen K,Nielsen AS,Moyers TB

    更新日期:2019-02-01 00:00:00

  • Opening the black box. The impact of inpatient treatment services on client outcomes.

    abstract::This study examined the effects of specific services provided in therapeutic communities (TCs) to treatment outcomes. Findings are compared to prior analyses of treatment outcomes from the District of Columbia Treatment Initiative (DCI) that did not utilize the treatment service information. A subsample of DCI clients...

    journal_title:Journal of substance abuse treatment

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0740-5472(00)00170-7

    authors: Messina N,Nemes S,Wish E,Wraight B

    更新日期:2001-03-01 00:00:00

  • Moderators of sudden gains after sessions addressing emotion regulation among women in treatment for alcohol use.

    abstract::Sudden gains (SGs) are defined as abrupt and significant improvements in mental health symptoms that occur between two psychotherapy sessions. Preliminary evidence suggests that SGs may be an important pattern of symptom reduction in the treatment of alcohol use disorder (AUD) (i.e., a steep between-session reduction ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jsat.2017.09.014

    authors: Holzhauer CG,Epstein EE,Hayaki J,Marinchak JS,McCrady BS,Cook SM

    更新日期:2017-12-01 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

  • Client-service matching in substance abuse treatment for women with children.

    abstract::This article addresses the relation between services matched to client-identified needs and substance abuse treatment outcomes for women with children. The study uses data collected for a program evaluation of an enhanced substance abuse services program for mothers involved with the child welfare system. In-person su...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(02)00229-5

    authors: Smith BD,Marsh JC

    更新日期:2002-04-01 00:00:00

  • The relationship of Medicaid expansion to psychiatric comorbidity care within substance use disorder treatment programs.

    abstract:BACKGROUND:Co-occurring mental health disorders are common among substance use disorder (SUD) patients. Medicaid expansion aimed to reduce barriers to SUD and mental health care and thereby improve treatment outcomes. METHODS:We estimated change in the proportion of United States SUD treatment sites offering treatment...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.07.012

    authors: Shover CL,Abraham A,D'Aunno T,Friedmann PD,Humphreys K

    更新日期:2019-10-01 00:00:00

  • A review of performance indicators of single-item alcohol screening questions in clinical and population settings.

    abstract::Screening and brief intervention (SBI) for unhealthy alcohol use is recommended as a routine clinical procedure for adults in primary care settings. However, implementation of SBI remains suboptimal, in part reflecting time constraints in clinical settings. Single Item Screening Questions (SISQ) have increasingly been...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.01.006

    authors: Kim J,Hendershot CS

    更新日期:2020-04-01 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

  • Two cases of misdiagnosis: some essentials of intake.

    abstract::This article traces the history of two clinical cases. The first case describes a substance abusing patient who enacted the part of a narcotics addict. This enactment was affirmed by both alcohol and narcotic treatment programs, leading to a misdiagnosis. The second case describes a substance using client misdiagnosed...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(86)90055-3

    authors: Sargent WC,Shaffer HJ,Lawford C

    更新日期:1986-01-01 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

  • Parenting training for women in residential substance abuse treatment. Results of a demonstration project.

    abstract::This paper presents findings on the impact of implementing a parenting component in two urban residential treatment programs in Massachusetts for pregnant and parenting chemically-dependent women. The parenting component consisted of multiple services for both women and their infants while they were in residential tre...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(97)00004-4

    authors: Camp JM,Finkelstein N

    更新日期:1997-09-01 00:00:00

  • Perceived implementation of the Office of Alcoholism and Substance Abuse Services (OASAS) tobacco-free regulation in NY State and clinical practice behaviors to support tobacco cessation: a repeated cross-sectional study.

    abstract::This study measured substance use disorder clinicians' perceptions regarding the implementation extensiveness of the Office of Alcohol and Substance Abuse Services (OASAS) tobacco-free regulation, passed in New York State in July of 2008, at three time-points and across organizations with varying characteristics. Repe...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2013.01.001

    authors: Eby LT,Laschober TC

    更新日期:2013-07-01 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

  • Measures of cognitive functioning as predictors of treatment outcome for cocaine dependence.

    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, memo...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jsat.2009.03.009

    authors: Turner TH,LaRowe S,Horner MD,Herron J,Malcolm R

    更新日期:2009-12-01 00:00:00

  • Two cases of clonidine abuse/dependence in methadone-maintained patients.

    abstract::Clonidine has been used to assist opiate detoxification in the past 10 years. This substance is known to have multiple effects on the central nervous system and to cause withdrawal symptoms when stopped abruptly. The combination of these two effects could result in clonidine having a potential for abuse. Two cases of ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(92)90078-3

    authors: Lauzon P

    更新日期:1992-01-01 00:00:00

  • U.S. alcohol treatment admissions after the Mental Health Parity and Addiction Equity Act: Do state parity laws and race/ethnicity make a difference?

    abstract:BACKGROUND:The U.S. Mental Health Parity and Addiction Equity Act (MHPAEA) was a landmark federal policy aimed at increasing access to substance use treatment, yet studies have found relatively weak impacts on treatment utilization. The present study considers whether there may be moderating effects of pre-existing sta...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.08.008

    authors: Mulia N,Lui CK,Ye Y,Subbaraman MS,Kerr WC,Greenfield TK

    更新日期:2019-11-01 00:00:00

  • Reducing alcohol use among 9th grade students: 6 month outcomes of a brief, Web-based intervention.

    abstract::This study tested a brief, Web-based personalized feedback program aimed at reducing alcohol use and alcohol-related consequences among 9th grade students (N=513). Results indicated no differences between the control group and intervention group on either frequency of drinking or alcohol-related consequences at the 6-...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2014.02.006

    authors: Doumas DM,Hausheer R,Esp S,Cuffee C

    更新日期:2014-07-01 00:00:00

  • Participation in community residential treatment and substance abuse patients' outcomes at discharge.

    abstract:OBJECTIVE:The study sought to identify patient characteristics that predict participation in substance abuse treatment in community residential facilities (CRFs) and to examine the association between patient characteristics, participation in treatment, and outcomes at discharge from CRFs. METHODS:A sample of 2,794 pa...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(96)00189-4

    authors: Moos RH,King MJ

    更新日期:1997-01-01 00:00:00

  • Cocaine psychosis and AIDS: a contemporary diagnostic dilemma.

    abstract::This article examines some of the differential diagnostic considerations associated with the interaction between advanced cocaine psychosis and the neuropsychiatric manifestations of AIDS-Spectrum Disorders. A clinical case is presented to illustrate the potential for institutional countertransference in the treatment...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/0740-5472(88)90031-1

    authors: Shaffer HJ,Costikyan NS

    更新日期:1988-01-01 00:00:00

  • Temporal relationship between substance use and delinquent behavior among young psychiatrically hospitalized adolescents.

    abstract::There is considerable evidence linking substance use and delinquent behavior among adolescents. However, the nature and temporal ordering of this relationship remain uncertain, particularly among early adolescents and those with significant psychopathology. This study examined the temporal ordering of substance use an...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2011.11.005

    authors: Becker SJ,Nargiso JE,Wolff JC,Uhl KM,Simon VA,Spirito A,Prinstein MJ

    更新日期:2012-09-01 00:00:00

  • Conditioned responses in a methadone population. A comparison of laboratory, clinic, and natural settings.

    abstract::The incidence of conditioned high, craving, and withdrawal in methadone-maintained patients was compared across three settings: an artificial laboratory setting, clinic extinction sessions, and in self-reports from the natural home environment. A significant proportion of methadone patients showed increased craving an...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(86)90018-8

    authors: Childress AR,McLellan AT,O'Brien CP

    更新日期:1986-01-01 00:00:00

  • Naltrexone treatment--the problem of patient acceptance.

    abstract::Since the release of naltrexone for general use, we have offered it to approximately 300 narcotics-addicted patients admitted to our 4-week intensive treatment program at the Psychiatric Institute of Washington. Despite active persuasion, only 15 patients agreed to take the drug, and 11 started the outpatient phase of...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(89)90039-1

    authors: Fram DH,Marmo J,Holden R

    更新日期:1989-01-01 00:00:00

  • Price elasticity of demand for buprenorphine/naloxone prescriptions.

    abstract::Although there have been supply-side efforts in response to the opioid crisis (e.g., prescription drug monitoring programs), little information exists on demand-side approaches related to patient cost sharing that may affect utilization of and adherence to pharmacotherapy by individuals with opioid use disorder. Among...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.08.001

    authors: McClellan C,Fingar KR,Ali MM,Olesiuk WJ,Mutter R,Gibson TB

    更新日期:2019-11-01 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

  • Decision tree for the management of substance-abusing psychiatric patients.

    abstract::This paper describes a short-term approach developed at a time of numerous drug-related incidents occurring at a large VA Hospital to help staff manage psychiatric patients abusing alcohol or drugs during hospitalization. This was accomplished through the development of a decision tree designed to improve the clinical...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(92)90063-t

    authors: Intrator J,Allan E,Palmer M

    更新日期:1992-01-01 00:00:00

  • A model for the treatment of trauma-related syndromes among chemically dependent inpatient women.

    abstract::The association of physical and sexual abuse with substance abuse has frequently been noted among chemically dependent women. Without diagnosis and treatment of the trauma, female substance abusers are vulnerable to relapse and/or revictimization. This paper describes a model for education and preliminary treatment of...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(90)90003-9

    authors: Bollerud K

    更新日期:1990-01-01 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

  • Support for the psychosocial, disease and brain disease models of addiction: A survey of treatment providers' attitudes in Australia, the UK, and U.S.

    abstract:BACKGROUND:How addiction treatment providers view different models of addiction has implications for workforce development and addiction treatment, however research exploring their views is limited. This study examined Australian, UK and US treatment providers': (1) levels of support for the psychosocial, disease model...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.108033

    authors: Barnett A,O'Brien K,Hall W,Carter A

    更新日期:2020-08-01 00:00:00