scholarly journals A practical clinical trial of coordinated care management to treat substance use disorders among public assistance beneficiaries.

2009 ◽  
Vol 77 (2) ◽  
pp. 257-269 ◽  
Author(s):  
Jon Morgenstern ◽  
Aaron Hogue ◽  
Sarah Dauber ◽  
Christopher Dasaro ◽  
James R. McKay
Keyword(s):  
Clinical Trial ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Care Management ◽  
Public Assistance ◽  
Coordinated Care

Clinical trials and American Indians/Alaska Natives with substance use disorders: identifying potential strategies for a new cultural-based intervention

2014 ◽  
Vol 13 (4) ◽  
pp. 175-178 ◽  
Author(s):  
Daniel L. Dickerson ◽  
Kamilla L. Venner ◽  
Bonnie Duran
Keyword(s):  
Clinical Trial ◽  
Substance Abuse ◽  
Clinical Trials ◽  
Substance Use ◽  
Focus Groups ◽  
Substance Use Disorders ◽  
American Indians ◽  
Alaska Natives ◽  
Treatment Setting ◽  
Content Type

Purpose – The purpose of this paper is to address a significant public mental health disparity affecting American Indians/Alaska Natives (AI/ANs): the shortage of clinical trials research analyzing the benefits of AI/AN traditional-based treatments, e.g. drumming. Design/methodology/approach – A total of four focus groups were conducted among outpatient and inpatient AI/AN substance abuse patients and providers serving AI/ANs. The purpose of these focus groups was to obtain insights relating to the recent challenges of conducting a clinical trial within the outpatient treatment setting seeking to analyze the benefits of a new substance abuse treatment intervention utilizing drumming for AI/ANs [Drum-assisted Recovery Therapy for Native Americans (DARTNA)] and to obtain recommendations to successfully conduct a similar study within an inpatient treatment setting. Findings – The most prevalent barriers to conducting a clinical trial within an outpatient setting were transportation and child care issues. Recommendations were obtained with regard to optimizing recruitment and retention for a future study within an inpatient setting. Originality/value – This research offers the field rare information that helps toward identifying strategies to successfully conduct clinical trials investigating the benefits of culturally-appropriate treatments for AI/ANs with substance use disorders.

scholarly journals When Research Meets Reality–-Lessons Learned from a Pragmatic Multisite Group-Randomized Clinical Trial on Psychosocial Interventions in the Psychiatric and Addiction Field

2012 ◽  
Vol 6 ◽  
pp. SART.S9245 ◽  
Author(s):  
Linda E. Wüsthoff ◽  
Helge Waal ◽  
Rolf W. Gråwe
Keyword(s):  
Clinical Trial ◽  
Substance Use ◽  
Randomized Clinical Trial ◽  
Substance Use Disorders ◽  
Clinical Studies ◽  
Psychosocial Interventions ◽  
Integrated Treatment ◽  
Lessons Learned ◽  
Future Research ◽  
New Challenges

Research on treatments for patients with co-occurring psychiatric and substance use disorders is of core importance and at the same time highly challenging as it includes patients that are normally excluded from clinical studies. Such research may require methodological adaptations which in turn create new challenges. However, the challenges that arise in such studies are insufficiently discussed in the literature. The aim of this methodology paper is, firstly, to discuss the methodological adaptations that may be required in such research; secondly, to describe how such adaptations created new challenges in a group-randomized clinical trial on Integrated Treatment amongst patients with co-occurring psychiatric and substance use disorders. We also discuss how these challenges might be understood and highlight lessons for future research in this field. Trial registration: NCT00447733.

scholarly journals Effectiveness of Emotion Regulation Group Therapy on Craving, Emotion Problems, and Marital Satisfaction in Patients with Substance Use Disorders: A Randomized Clinical Trial

2019 ◽  
Author(s):  
Fatemeh Zargar ◽  
Nasim Bagheri ◽  
Mohammad Javad Tarrahi ◽  
Mehrdad Salehi
Keyword(s):  
Clinical Trial ◽  
Substance Use ◽  
Emotion Regulation ◽  
Marital Satisfaction ◽  
Group Therapy ◽  
Substance Use Disorders ◽  
Addiction Treatment ◽  
Marital Adjustment ◽  
Dyadic Adjustment ◽  
Controlled Clinical Trial

Objective: Psychological and environmental factors, such as difficulties in emotion regulation (ER) and marital problems, are involved in relapse and craving in patients with substance use disorders. Emotional regulation therapy can help maintain opioid withdrawal and improve marital relations by focusing on appropriate adjustment of emotions. This study aimed to evaluate the effectiveness of emotion regulation therapy on craving, emotion regulation, and marital satisfaction in patients with substance use disorders. Method: This randomized controlled clinical trial with pretest and posttest was performed in 2014 in Noor hospital, Isfahan, Iran. In this study, 30 patients who were admitted to the addiction center of Noor hospital were selected using purposive sampling. They were assigned into two groups randomly: (1) 15 patients in treatment as usual (TAU group); (2) 15 patients in emotion regulation group therapy (ERGT). The ERGT group received eight weekly treatments, based on Gross model, to learn recognize emotions and their effects, overcome obstacles of positive emotions, accept emotions, identify regulatory maladaptive and adaptive strategies of emotions, and modify behavior. Before and after the emotion regulation sessions in experimental group, Craving Beliefs Questionnaire (CBQ), Emotion Regulation Questionnaire, and Dyadic Adjustment Scale (DAS) were administered in both groups. Results: The results of analysis of variance indicated that mean scores of marital adjustment increased in ERGT (93.66 ± 15.81) compared to TAU group (55.26 ± 20.98) and the mean scores of craving were decreased in ERGT compared to TAU group (56.66 ± 18.39 and 105.2 ± 34.5, respectively). Also, most aspects of ER improved in ERGT compared to TAU group, and the total score of ER was increased in ERGT significantly (96.69 ± 5.38 in ERGT versus 73.70 ± 5.05 in TAU). Conclusion: Based on the findings of this study, emotion regulation group therapy has a significant effect on reducing Craving and improving marital adjustment and emotion regulation in Patients with Substance Use Disorders. So, it can use as a useful psychotherapy in addiction treatment centers.

A Case and Care Management Program to Reduce Use of Acute Care by Clients With Substance Use Disorders

2013 ◽  
Vol 64 (5) ◽  
pp. 491-493 ◽  
Author(s):  
Thomas A. Kirk ◽  
Paul Di Leo ◽  
Patricia Rehmer ◽  
Samuel Moy ◽  
Larry Davidson
Keyword(s):  
Substance Use ◽  
Acute Care ◽  
Substance Use Disorders ◽  
Care Management ◽  
Management Program ◽  
Care Management Program

scholarly journals Participants’ Treatment Perspectives on a Clinical Trial on the Use of Extended-Release Naltrexone for Substance Use Disorders

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Geoff Bardwell ◽  
Kaitlyn Jaffe ◽  
P. Todd Korthuis ◽  
Lindsey Richardson
Keyword(s):  
Clinical Trial ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Extended Release

Even More Complex…. When Mental Disorder Meets Addiction in Youth: Dual Pathology

2019 ◽  
Vol 11 (1) ◽  
pp. 40-43
Author(s):  
Julio Torales ◽  
João M. Castaldelli-Maia ◽  
Antonio Geraldo da Silva ◽  
Marcela W. Campos ◽  
Israel González-Urbieta ◽  
...  
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Substance Use Disorders ◽  
Temporal Association ◽  
Negative Consequences ◽  
Longitudinal Assessment ◽  
Coordinated Care ◽  
Dual Pathology

Background: The management of mental disorders in child and adolescent is challenging. In addition, when substance use disorders are associated with mental disorders, important complications are noted. Dual pathology and Substance-induced disorders should be distinguished in cases like this. Objective: To summarize the latest information on the epidemiology, etiology and management aspects of dual pathology in adolescents. Methods: PubMed, Web of Science, PsycINFO and SciELO databases were searched to perform a narrative review. Results: Dual pathology is the term used to designate the co-occurrence of an addictive disorder and at least one other mental health disorder, independently. To distinguish dual pathology from substance- induced disorders, the temporal association between the disorders in a longitudinal assessment should be emphasized. If the symptoms of the mental disorder appear prior to the substance use or after a long period of abstinence, a diagnosis of dual pathology should be considered. Patients with dual pathology present greater psychosocial issues, more medical problems, and worse prognosis than those with substance-induced disorders. The proposed etiological models agree that biological, psychological and social factors are shared in the development of these conditions. Conclusion: Healthcare systems should focus on creating policies that will allow early detection, preventive public health measures, and an integrated and coordinated care for these patients. Public health policies should create means to promote awareness and prevention of these pathologies since early initiation of treatment (pharmacological, psychotherapeutic, family therapy, education in schools, behavioral interventions and treatment of comorbidities) reduces the risks associated to substance use disorders and other negative consequences.

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