Impact of Pandemic on Addiction Treatment Centers in Latin America
Preliminary report of the study "Overall impact of the pandemic in the Addiction Treatment Centers of Latin America", which aims to explain the overall impact
There is a paucity of translational research programmes to improve implementation of evidence-based care in drug and alcohol settings. This systematic review aimed to provide a synthesis and evaluation of the effectiveness of implementation programmes of treatment for patients with drug and alcohol problems using the Consolidated Framework for Implementation Research (CFIR).
Drug abuse is a foremost public health problem. Cocaine is a widely abused drug worldwide that produces various reward-related behaviors. The mechanisms that underlie cocaine-induced disorders are unresolved, and effective treatments are lacking.
Importance: The United States is experiencing a crisis of opioid overdose. In response, the US Department of Health and Human Services has defined a goal to reduce overdose mortality by 40% by 2022.
Importance: Recent studies have revealed increases in population-level cannabis use after legalization of recreational cannabis. However, the association of cannabis legalization with maternal cannabis use during important life stages remains unknown.
People with mental health issues are more likely to smoke compared to the general population. They are also more likely to experience severe withdrawals and are less responsive to treatment. Indeed, some people believe that quitting smoking can worsen individuals mental health difficulties.
Importance: Although longitudinal studies have reported associations between early life factors (ie, in-utero/perinatal/infancy) and long-term suicidal behavior, they have concentrated on 1 or few selected factors, and established associations, but did not investigate if early-life factors predict suicidal behavior.
Chile has one of the highest rates of alcohol use per capita in the Americas. Policy to reduce alcohol-related harm is often up against resistance from alcohol industry, policymakers and the public.
This review, published in the Journal of Addiction, provides an analysis of enacted and proposed laws of national alcohol policies in Chile.
This paper reviews the international evidence on approaches to drug law reform, focussing on case studies from Australia, Canada, Denmark, Portugal and The Netherlands.
It seeks to support the ongoing development of innovative approaches to reducing drug harms, by identifying the impact of interventions abroad and situating them within their legal context
Excessive alcohol use in the US contributes to over 88,000 deaths per year and costs over $250 billion annually. While previous studies have shown that excessive alcohol use can be detected from general patterns of social media engagement, we characterized how drinking-specific language varies across regions and cultures in the US.
Alcohol consumption is influenced by the characteristics of drinking occasions, for example, location, timing, or the composition of the drinking group. However, the relative importance of occasion characteristics is not yet well understood.
This cross-sectional study found that, after the state-level legalization of cannabis for recreational use in California, greater retail availability was associated with higher odds of cannabis use among pregnant women; these results were consistent with a dose-response association.
Importance People experiencing homelessness have been disproportionately affected by the opioid overdose crisis. To mitigate morbidity and mortality, several office-based addiction treatment (OBAT) programs designed for this population have been established across the US, but studies have not yet evaluated their outcomes.
Importance A persistently high US drug overdose death toll and increasing health care use associated with substance use disorder (SUD) create urgency for comprehensive estimates of attributable direct costs, which can assist in identifying cost-effective ways to prevent SUD and help people to receive effective treatment.
The COVID-19 pandemic resulted in stay-at-home orders, which presented a significant challenge to the design and operation of an essential harm-reduction strategy in the opioid epidemic: community-based, take-home naloxone (THN) programs. This commentary describes how four rural and/or Appalachian communities quickly pivoted their existing THN programs to respond to community need.
Improving access to medications for opioid use disorder (MOUD) is a national priority; however, these efforts commonly focus on the provider. Access to buprenorphine through retail pharmacies and stigma associated with filling prescriptions for MOUD pose additional barriers for patients when embarking on their road to recovery.
Methadone maintenance treatment is a life-saving treatment for people with opioid use disorders (OUD). The coronavirus pandemic (COVID-19) has introduced many concerns surrounding access to opioid treatment. In March 2020, the Substance Abuse and Mental Health Services Administration (SAMHSA) issued guidance allowing for the expansion of take-home methadone doses.
No systematic review has yet examined the consistency between self-reports of alcohol consumption and alcohol biomarkers among patients in treatment for alcohol use disorders (AUD). Therefore, we aimed to provide an overview of the consistency between self-reported alcohol intake and biomarkers among patients in treatment for AUD.
Recovery community centers (RCCs) have expanded across the U.S., serving as social “recovery hubs” that increase recovery capital (e.g., employment, housing) by providing resources that clinical care does not provide. While research supports RCCs' general utility, little is known about new participants' characteristics, predictors of engagement, services used, and benefits derived.
Importance: Hypertension is a leading cause of cardiovascular disease in adults; preclinical associations between hypertension and cardiovascular disease are seen in childhood. Nicotine is a known toxin, but its association with pediatric hypertension is unclear.
Importance: The US Food and Drug Administration (FDA) is required to communicate the risks of tobacco constituents to the public. Few studies have addressed how FDA media campaigns can effectively communicate about cigarette smoke constituents.
There is a high risk of death from opioid overdose following release from prison. Efforts to develop and implement overdose prevention programs for justice-involved populations have increased in recent years. An understanding of the gaps in knowledge on prevention interventions is needed to accelerate development, implementation, and dissemination of effective strategies.
In Mexico, excessive alcohol consumption represents one of the main public health challenges at the national level. Although there are a number of intervention strategies that seek to affect this problem, there is also a large gap as to whether such interventions are a causal factor in the change produced by the consumer and the way in which such change occurs after treatment.
Public stigma towards people who use substances can impact people seeking support and treatment outcomes. It can also influence how public health policy is shaped and accepted.
Researchers have been interested in understanding how people appraise substance use and whether attitudes can be changed if they frame substance use in different ways.
The Millennium Cohort Study (MCS), is following the lives of around 19,000 young people born across England, Scotland, Wales and Northern Ireland.
In 2018-2019, the researchers from UCL analysed data from 10,000 17 years olds on their substance use – including drug taking, binge drinking and smoking – and antisocial behaviours – such as assault, shoplifting and vandalism.
Some of the key findings include:
Following the launch of the UNODC-WHO International Standards for the Treatment of Drug Use Disorders (2016) (“the Standards”), there was a need for new globally applicable tools to ensure a qualified and effective response to drug use disorders (DUDs) around the world.
The American University of Beirut (AUB), with an affiliated tertiary medical center, developed one of the first smoking-cessation programs in the country in 2015 in response to an identified need within the university community. The program offers counseling to promote learning behavior modification and provides nicotine replacement therapy (NRT), including nicotine gum and patch.