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Treatment Settings
Various treatment formats, either in a live-in facility or through regular visits to a clinic, are designed for ongoing support, to help maintain recovery, and to prevent relapse.
Transcranial Magnetic Stimulation of Dorsolateral Prefrontal Cortex Reduces Cocaine Use
Abstract
Recent animal studies demonstrate that compulsive cocaine seeking strongly reduces prelimbic frontal cortex activity, while optogenetic stimulation of this brain area significantly inhibits compulsive cocaine seeking, providing a...
Efficacy and Safety of High-Dose Baclofen for the Treatment of Alcohol Dependence
Abstract
Previous randomised placebo-controlled trials with low-to-medium doses of baclofen (30–60 mg) showed inconsistent results, but case studies suggested a dose-response effect and positive outcomes in patients on high doses of...
Syndemic Risk Classes and Substance Use Problems among Adults in High-Risk Urban Areas
Substance use problems tend to co-occur with risk factors that are especially prevalent in urban communities with high rates of poverty. The present study draws on Syndemics Theory to understand profiles of risk and resilience and their...
Terminology and Stigma: How Should We Talk about Substance Use?
In the field of substance use prevention and treatment choosing the correct terminology can be tricky, especially if we want to avoid contributing to stigmatised perceptions of people battling with substance use disorders.
‘Abuse’, ‘abuser...
The 2014-2015 Tobacco Use Supplement to the Current Population Survey (TUS-CPS)
Especially due to its large sample size and incorporation into the CPS survey, the TUS provides a unique opportunity for tracking long-term trends in tobacco use, cessation attempts, and tobacco-related policies; evaluation of tobacco...
Barriers and Facilitators to Implementing Addiction Medicine Fellowships
Abstract
Background
Although progress in science has driven advances in addiction medicine, this subject has not been adequately taught to medical trainees and physicians. As a result, there has been poor integration of evidence-based...
Effectiveness Bank Drug Treatment Matrix Cell B1: The Practitioner in Harm Reduction
Second cell of the Drug Treatment Matrix explores key studies on the impact of the practitioner on reducing harms associated with illegal drug use, in which trust emerges as a fundamental ingredient. Reconceptualise needle exchanges as safe...
Neural Mechanisms of Extinguishing Drug and Pleasant Cue Associations in Human Addiction
Abstract
The neurobiological mechanisms that underlie the resistance of drug cue associations to extinction in addiction remain unknown. Fear extinction critically depends on the ventromedial prefrontal cortex (VMPFC). Here, we tested if...
Multimorbidity in Patients Enrolled in a Community-Based Methadone Maintenance Treatment Programme Delivered through Primary Care
Abstract
Background: Multimorbidity, the co-existence of two or more (2+) long-term conditions in an individual, is common among problem drug abusers.
Objective: To delineate the patterns, multimorbidity prevalence, and disease severity...
What is 'Substance Use'?
Characteristics of Persons Who Inject Drugs and Who Witness Opioid Overdoses in Vietnam
Abstract
Background
Persons who use opioids have a high risk of overdose and associated mortality. In Vietnam, little is known about the characteristics of this population and the persons who are witness to those overdoses. One approach...
Barriers to Retention in Methadone Maintenance Therapy among People who Inject Drugs in Bangkok
Abstract
Background
Methadone maintenance therapy (MMT) is a mainstay for treating opioid use disorder and preventing and managing HIV among people who inject drugs (PWID). While previous research suggested low dosing of methadone and...
The Importance of Nutrition for Recovery from Addiction
How important is nutrition for recovery from Substance Use Disorders (SUDs)?
According to new research published in the academic journal Drug and Alcohol Dependence the answer is: very.
The paper, which looked at the relationship between...
Dual Disorders: A New Way to Think about Addiction?
Despite a growing evidence base and numerous policy changes, the association between addiction and other mental health problems is often ignored.
It remains that many patients with Substance Use Disorder (SUDs) also have Other Psychiatric...
Synthetic Cathinone and Cannabinoid Designer Drugs Pose a Major Risk for Public Health
As part of an increasing worldwide use of designer drugs, recent use of compounds containing cathinones and synthetic cannabinoids is especially prevalent. Here, we reviewed current literature on the prevalence, epidemiology, bio-behavioral...
How States Are Tackling the Opioid Crisis
ABSTRACT
Objectives:
We used data from the 2015 National Association of State Alcohol and Drug Abuse Directors Web-based questionnaire and other sources to demonstrate the range and scope of state initiatives being used to deal with the...
Drug Matrix Cell A1: Interventions - Ways to Reduce the Harm
Initiates a fortnightly course on the evidence base for harm reduction and treatment in relation to illegal drugs. Comprehensively updated, the cell explores key research on interventions to reduce the harms to the user as a result of their...
Trends in Deaths Involving Heroin and Synthetic Opioids Excluding Methadone, and Law Enforcement Drug Product Reports
Summary
What is already known about this topic?
Opioid overdose deaths in the United States have been increasing since 1999, initially driven by prescription opioid misuse and more recently by heroin and other illicit opioid use.
What is...
Smartphone Ownership among US Adult Cigarette Smokers
ABSTRACT
Background: Despite increasing interest in smartphone apps as a platform for delivery of tobacco cessation interventions, no previous studies have evaluated the prevalence and characteristics of smokers who can access smartphone...
Worrying Substance Use Trends among over 50s
In 2011, the Royal College of Psychiatrists advised that over 50s should not exceed more than 11 units of alcohol a week, compared with 14 for the rest of the adult population, due to age-related physiological and metabolic changes.
Since...
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