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[PMID]:27422762
[Au] Autor:Brown QL; Hasin DS; Keyes KM; Fink DS; Ravenell O; Martins SS
[Ad] Endereço:Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
[Ti] Título:Health insurance, alcohol and tobacco use among pregnant and non-pregnant women of reproductive age.
[So] Source:Drug Alcohol Depend;166:116-24, 2016 Sep 01.
[Is] ISSN:1879-0046
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Understanding the relationship between health insurance coverage and tobacco and alcohol use among reproductive age women can provide important insight into the role of access to care in preventing tobacco and alcohol use among pregnant women and women planning to become pregnant. METHODS: We examined the association between health insurance coverage and both past month alcohol use and past month tobacco use in a nationally representative sample of women age 12-44 years old, by pregnancy status. The women (n=97,788) were participants in the National Survey of Drug Use and Health (NSDUH) in 2010-2013. Logistic regression models assessed the association between health insurance (insured versus uninsured), past month tobacco and alcohol use, and whether this was modified by pregnancy status. RESULTS: Pregnancy status significantly moderated the relationship between health insurance and tobacco use (p-value≤0.01) and alcohol use (p-value≤0.01). Among pregnant women, being insured was associated with lower odds of alcohol use (adjusted odds ratio [AOR]=0.47; 95% confidence interval [CI]=0.27-0.82), but not associated with tobacco use (AOR=1.14; 95% CI=0.73-1.76). Among non-pregnant women, being insured was associated with lower odds of tobacco use (AOR=0.67; 95% CI=0.63-0.72), but higher odds of alcohol use (AOR=1.23; 95% CI=1.15-1.32). CONCLUSION: Access to health care, via health insurance coverage is a promising method to help reduce alcohol use during pregnancy. However, despite health insurance coverage, tobacco use persists during pregnancy, suggesting missed opportunities for prevention during prenatal visits.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/epidemiologia
Consumo de Bebidas Alcoólicas/tendências
Seguro Saúde/tendências
Cuidado Pré-Natal/métodos
Uso de Tabaco/epidemiologia
Uso de Tabaco/tendências
[Mh] Termos MeSH secundário: Adolescente
Adulto
Consumo de Bebidas Alcoólicas/prevenção & controle
Criança
Estudos Transversais
Feminino
Seres Humanos
Cobertura do Seguro/tendências
Pessoas sem Cobertura de Seguro de Saúde
Gravidez
Cuidado Pré-Natal/economia
Reprodução
Uso de Tabaco/prevenção & controle
Estados Unidos/epidemiologia
United States Substance Abuse and Mental Health Services Administration/tendências
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160717
[St] Status:MEDLINE


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[PMID]:27422149
[Au] Autor:Palinkas LA; Spear SE; Mendon SJ; Villamar J; Valente T; Chou CP; Landsverk J; Kellam SG; Brown CH
[Ad] Endereço:School of Social Work, University of Southern California, Los Angeles, CA, USA. palinkas@usc.edu.
[Ti] Título:Measuring sustainment of prevention programs and initiatives: a study protocol.
[So] Source:Implement Sci;11:95, 2016 Jul 16.
[Is] ISSN:1748-5908
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sustaining prevention efforts directed at substance use and mental health problems is one of the greatest, yet least understood, challenges in the field of implementation science. A large knowledge gap exists regarding the meaning of the term "sustainment" and what factors predict or even measure sustainability of effective prevention programs and support systems. METHODS/DESIGN: The U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) supports a diverse portfolio of prevention and treatment grant programs that aim to improve population and individual level behavioral health. This study focuses on four SAMHSA prevention grant programs, two of which target substance abuse prevention at the state or single community level, one targets suicide prevention, and one targets prevention of aggressive/disruptive behavior in elementary schools. An examination of all four grant programs simultaneously provides an opportunity to determine what is meant by the term sustainment and identify and support both the unique requirements for improving sustainability for each program as well as for developing a generalizable framework comprised of core components of sustainment across diverse prevention approaches. Based on an analysis of qualitative and quantitative data of 10 grantees supported by these four programs, we will develop a flexible measurement system, with both general and specific components, that can bring precision to monitoring sustainment of infrastructure, activities, and outcomes for each prevention approach. We will then transform this system for use in evaluating and improving the likelihood of achieving prevention effort sustainment. To achieve these goals, we will (1) identify core components of sustainment of prevention programs and their support infrastructures; (2) design a measurement system for monitoring and providing feedback regarding sustainment within the four SAMHSA's prevention-related grant programs; and (3) pilot test the predictability of this multilevel measurement system across these programs and the feasibility and acceptability of a measurement system to evaluate and improve the likelihood of sustainment. DISCUSSION: This project is intended to improve sustainment of the supporting prevention infrastructure, activities, and outcomes that are funded by federal, state, community, and foundation sources.
[Mh] Termos MeSH primário: Avaliação de Programas e Projetos de Saúde/métodos
Transtornos Relacionados ao Uso de Substâncias/terapia
Suicídio/prevenção & controle
Consumo de Álcool por Menores/prevenção & controle
Violência/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Implementação de Plano de Saúde/métodos
Seres Humanos
Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
Estados Unidos
United States Substance Abuse and Mental Health Services Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170422
[Lr] Data última revisão:
170422
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160717
[St] Status:MEDLINE
[do] DOI:10.1186/s13012-016-0467-6


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[PMID]:27180417
[Au] Autor:Bondurant K
[Ti] Título:Preventing Substance Abuse With Data-Driven Coalitions.
[So] Source:J Ark Med Soc;112(12):228-9, 2016 Apr.
[Is] ISSN:0004-1858
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Comportamento Cooperativo
Órgãos Governamentais/organização & administração
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
[Mh] Termos MeSH secundário: Alcoolismo/epidemiologia
Alcoolismo/prevenção & controle
Arkansas/epidemiologia
Seres Humanos
Transtornos Mentais/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/terapia
Estados Unidos
United States Substance Abuse and Mental Health Services Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160516
[Lr] Data última revisão:
160516
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160517
[St] Status:MEDLINE


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[PMID]:27110843
[Au] Autor:Rapp L
[Ad] Endereço:a Department of Social Work , Saint Leo University , St. Leo , Florida , USA.
[Ti] Título:Delinquent-Victim Youth-Adapting a Trauma-Informed Approach for the Juvenile Justice System.
[So] Source:J Evid Inf Soc Work;13(5):492-7, 2016 Sep-Oct.
[Is] ISSN:2376-1415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The connection between victimization and later delinquency is well established and most youth involved with the juvenile justice system have at least one if not multiple victimizations in their history. Poly-victimized youth or those presenting with complex trauma require specialized assessment and services to prevent deleterious emotional, physical, and social life consequences. Empirical studies have provided information which can guide practitioners work with these youth and families, yet many of the policies and practices of the juvenile justice system are counter to this model. Many youth-serving organizations are beginning to review their operations to better match a trauma-informed approach and in this article the author will highlight how a trauma-informed care model could be utilized to adapt the juvenile justice system.
[Mh] Termos MeSH primário: Delinquência Juvenil/psicologia
Delinquência Juvenil/reabilitação
Trauma Psicológico/psicologia
Trauma Psicológico/reabilitação
Serviço Social/organização & administração
[Mh] Termos MeSH secundário: Vítimas de Crime/psicologia
Vítimas de Crime/reabilitação
Meio Ambiente
Seres Humanos
Relações Interinstitucionais
Liderança
Cultura Organizacional
Fatores Sexuais
Serviço Social/normas
Estados Unidos
United States Substance Abuse and Mental Health Services Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160426
[St] Status:MEDLINE
[do] DOI:10.1080/23761407.2016.1166844


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[PMID]:27049548
[Au] Autor:Morrone WR
[Ad] Endereço:a American Osteopathic Academy of Addiction Medicine , Oak Brook , Illinois , USA.
[Ti] Título:President's message. The perfect storm: Substance Abuse and Mental Health Services Administration (SAMHSA) Buprenorphine notice of proposed rule-making (NPRM).
[So] Source:J Addict Dis;35(2):157-8, 2016.
[Is] ISSN:1545-0848
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Buprenorfina/uso terapêutico
Política de Saúde
Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico
United States Substance Abuse and Mental Health Services Administration
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
40D3SCR4GZ (Buprenorphine)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170105
[Lr] Data última revisão:
170105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160407
[St] Status:MEDLINE
[do] DOI:10.1080/10550887.2016.1148999


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[PMID]:27032799
[Au] Autor:Aligata D; Steadman HJ
[Ti] Título:Implementation Academy Model for Integrating Behavioral Health Care for Service Members, Veterans, and Their Families.
[So] Source:Psychiatr Serv;67(4):470, 2016 Apr 01.
[Is] ISSN:1557-9700
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços de Saúde Mental/normas
Militares
United States Substance Abuse and Mental Health Services Administration/normas
Veteranos
[Mh] Termos MeSH secundário: Seres Humanos
Serviços de Saúde Mental/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160402
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ps.670502


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[PMID]:26988581
[Au] Autor:Flood JG; Khaliq T; Bishop KA; Griggs DA
[Ad] Endereço:Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA. jflood@partners.org.
[Ti] Título:The New Substance Abuse and Mental Health Services Administration Oral Fluid Cutoffs for Cocaine and Heroin-Related Analytes Applied to an Addiction Medicine Setting: Important, Unanticipated Findings with LC-MS/MS.
[So] Source:Clin Chem;62(5):773-80, 2016 May.
[Is] ISSN:1530-8561
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We implemented oral fluid (OF) as an alternative specimen type to urine for detection of cocaine (COC) and opiate abuse in outpatient addiction medicine clinics. METHODS: We implemented a 2-µg/L limit of quantification OF LC-MS/MS assay and compiled and reviewed all findings from a 22-month collection period for COC, benzoylecgonine (BZE), codeine (COD), 6-acetylmorphine (MAM), and morphine (MOR). We also compared the results of our clinical samples at different OF cutoffs and analytes specified in the new 2015 SAMHSA OF guidelines. RESULTS: Of 3608 OF samples, COC and BZE were positive in 593 and 508, respectively. COC or BZE was positive in 662 samples. Importantly and unexpectedly, 154 samples were COC positive and BZE negative, with 125 having COC 2.0-7.9 µg/L. A simulation with the new guideline cutoffs confirmed 65% (430 of 662) of all COC- or BZE-positive data set samples. Similarly, the new guidelines confirmed 44% (263 of 603) of data set samples positive for MOR or COD. Simulation found that the new, lower MAM guideline cutoffs detected 89% of the 382 MAM-positive samples in the data set, 104 of which the new guidelines had identified as negative for MOR and COD. CONCLUSIONS: COC (not BZE) is the dominant low-concentration OF analyte in an addiction medicine setting. This information will aid OF test interpretation. It also illustrates the importance of the 2015 guideline's new immunoassay cross-reactivity requirements and the likely improvement in detection of heroin use stemming from the new, lower MAM cutoffs.
[Mh] Termos MeSH primário: Cocaína/análise
Heroína/análise
Detecção do Abuso de Substâncias
Transtornos Relacionados ao Uso de Substâncias/diagnóstico
United States Substance Abuse and Mental Health Services Administration
[Mh] Termos MeSH secundário: Administração Oral
Adulto
Cromatografia Líquida
Cocaína/administração & dosagem
Feminino
Heroína/administração & dosagem
Seres Humanos
Masculino
Espectrometria de Massas em Tandem
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
70D95007SX (Heroin); I5Y540LHVR (Cocaine)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160319
[St] Status:MEDLINE
[do] DOI:10.1373/clinchem.2015.251066


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[PMID]:26751366
[Au] Autor:Paino M; Aletraris L; Roman P
[Ad] Endereço:Department of Sociology, Anthropology, Social Work and Criminal Justice, Oakland University, Rochester, Michigan.
[Ti] Título:The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers.
[So] Source:J Stud Alcohol Drugs;77(1):160-9, 2016 Jan.
[Is] ISSN:1938-4114
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The National Institute on Drug Abuse (NIDA) recommends a comprehensive treatment program for individuals with substance use disorder (SUD) in order to treat needs they often have in addition to their SUD. Specifically, NIDA suggests providing services related to the following issues: medical care, mental health care, HIV/AIDS, child care, educational, vocational, family counseling, housing, transportation, financial, and legal. By providing a comprehensive model that combines core and wraparound services, treatment centers can deliver a higher quality of treatment. In this article, we assessed the relationship between client characteristics and the availability of wraparound services in SUD treatment centers. METHOD: We combined two nationally representative samples of treatment centers and used a negative binomial regression and a series of logistic regressions to analyze the relationship between client characteristics and wraparound services. RESULTS: On average, centers offered fewer than half of the wraparound services endorsed by NIDA. Our results indicated that client characteristics were significantly related to the provision of wraparound services. Most notably, the proportion of adolescent clients was positively related to educational services, the proportion of female clients was positively related to child care, but the proportion of clients referred from the criminal justice system was negatively associated with the provision of multiple wraparound services. CONCLUSIONS: Our findings have important implications for SUD clients and suggest that, although centers are somewhat responsive to their clients' ancillary needs, most centers do not offer the majority of wraparound services.
[Mh] Termos MeSH primário: National Institute on Drug Abuse (U.S.)
Centros de Tratamento de Abuso de Substâncias/métodos
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/terapia
United States Substance Abuse and Mental Health Services Administration
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
National Institute on Drug Abuse (U.S.)/tendências
Centros de Tratamento de Abuso de Substâncias/tendências
Centros de Tratamento de Abuso de Substâncias/utilização
Transtornos Relacionados ao Uso de Substâncias/diagnóstico
Estados Unidos/epidemiologia
United States Substance Abuse and Mental Health Services Administration/tendências
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1608
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160112
[St] Status:MEDLINE


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[PMID]:26586616
[Au] Autor:Sowers W; Primm A; Cohen D; Pettis J; Thompson K
[Ad] Endereço:Western Psychiatric Institute and Clinic, Pittsburgh, PA, USA.
[Ti] Título:Transforming Psychiatry: A Curriculum on Recovery-Oriented Care.
[So] Source:Acad Psychiatry;40(3):461-7, 2016 Jun.
[Is] ISSN:1545-7230
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Currículo
Transtornos Mentais/reabilitação
Reabilitação Psiquiátrica/educação
Psiquiatria/educação
[Mh] Termos MeSH secundário: Seres Humanos
Desenvolvimento de Programas
Estados Unidos
United States Substance Abuse and Mental Health Services Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170124
[Lr] Data última revisão:
170124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151121
[St] Status:MEDLINE
[do] DOI:10.1007/s40596-015-0445-3


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[PMID]:26234331
[Au] Autor:Stainbrook K; Hartwell S; James A
[Ad] Endereço:Dr. Stainbrook is with the Research and Evaluation Division, Advocates for Human Potential, Albany, New York (e-mail: kstainbrook@ahpnet.com ). Dr. Hartwell is with the Department of Sociology, University of Massachusetts, Boston. Dr. James is with the School of Social Work, University of Connecticut, Hartford.
[Ti] Título:Female Veterans in Jail Diversion Programs: Differences From and Similarities to Their Male Peers.
[So] Source:Psychiatr Serv;67(1):133-6, 2016 Jan.
[Is] ISSN:1557-9700
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study compared the demographic, behavioral health, criminal justice, and military characteristics and experiences of female and male veterans participating in criminal justice diversion programs funded under the Substance Abuse and Mental Health Services Administration Jail Diversion and Trauma Recovery program. METHODS: Data on program participants were collected as part of a national cross-site evaluation. Baseline interview data from 1,025 program participants were analyzed. RESULTS: For the most part, there were few statistically significant differences between female and male veterans with criminal justice involvement. However, females reported significantly more sexual trauma, more females had PTSD, and females had more severe PTSD symptoms. In contrast, males reported earlier criminal justice involvement, more males served in military combat, and males had higher rates of substance use. CONCLUSIONS: Although male and female veterans involved in jail diversion programs share many characteristics, the differences in types of trauma exposure and rates of substance use suggest that programs should include attention to gender in planning program services.
[Mh] Termos MeSH primário: Crime/estatística & dados numéricos
Fatores Sexuais
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Direito Penal
Feminino
Seres Humanos
Masculino
Serviços de Saúde Mental/organização & administração
Desenvolvimento de Programas
Estados Unidos
United States Substance Abuse and Mental Health Services Administration
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150804
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ps.201400442



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