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(Subst Abuse Treat Prev Policy[TA])
422 results
  • Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review. [Review]
  • SASubst Abuse Treat Prev Policy 2017 Apr 07; 12(1):19
  • Savic M, Best D, … Lubman DI
  • CONCLUSIONS: Despite considerable limitations and gaps in the literature in terms of the evaluation of integrated care strategies, particularly between AOD services, our review highlights several strategies that could be useful at multiple levels. Given the interconnectedness of integrated care strategies identified, implementation of multi-level strategies rather than single strategies is likely to be preferable.
  • Predictors of breath alcohol concentrations in college parties. [Journal Article]
  • SASubst Abuse Treat Prev Policy 2017 Mar 30; 12(1):10
  • Croff JM, Leavens E, Olson K
  • CONCLUSIONS: Field-based data collection methods can, and should, be modified to conduct needs assessment and evaluation of prevention programs on college campuses. The findings on this campus were different than the originally sampled campus. Prevention programs should target unique risks identified on each campus, and to respond to problematic party behaviors with comprehensive programming rather than policy-level bans.
  • What constitutes problematic khat use? An exploratory mixed methods study in Ethiopia. [Journal Article]
  • SASubst Abuse Treat Prev Policy 2017 Mar 21; 12(1):17
  • Mihretu A, Teferra S, Fekadu A
  • CONCLUSIONS: Despite reported religious, sociocultural and functional benefits to the use of khat, those with defined problematic khat use have impaired mental health, and social and occupational performance. Comparison of these respondent defined indicators of problem behavior matched almost completely to the DSM-5 (etic-defined) understanding of problematic stimulant use. Although the findings have relevant clinical, research and policy implications, the study focused on users purposively identified. Future larger scale definitive studies are required to make concrete policy recommendations.
  • Students as effective harm reductionists and needle exchange organizers. [Editorial]
  • SASubst Abuse Treat Prev Policy 2017 Mar 17; 12(1):15
  • Barbour K, McQuade M, Brown B
  • CONCLUSIONS: We argue that students, and especially professional and graduate students, have the potential to play an important role in advancing harm reduction. Students benefit from the respect given to the professions they are training to enter, which gives them leverage to navigate the political hurdles often faced by needle exchange organizers, especially in areas that presently lack services. In addition, due to their relative simplicity, needle exchanges do not require much of the licensing, clinical knowledge, and infrastructure associated with more traditional student programs, such as student-run free medical clinics. Students are capable of learning harm reduction cultural approaches and techniques if they remain humble, open-minded, and seek the help of the harm reduction community. Consequently, students can generate tremendous benefits to their community without performing beyond their appropriate clinical limitations. Students benefit from organizing needle exchanges by gaining applied experience in advocacy, organization-building, and political finesse. Working in a needle exchange significantly helps erode stigma against multiple marginalized populations. Students in health-related professions additionally learn clinically-relevant knowledge that is often lacking from their formal training, such as an understanding of structural violence and inequality, root causes of substance use, client-centered approaches to health services, and interacting with clients as peers, rather than through the standard hierarchical medical interaction.We therefore encourage students to learn about and consider organizing needle exchanges during their training. Our experience is that students can be successful in developing sustainable programs which benefit their clients, the broader harm reduction movement, and themselves alike.
  • Post-operative opioid pain management patterns for patients who receive hip surgery. [Journal Article]
  • SASubst Abuse Treat Prev Policy 2017 Mar 16; 12(1):14
  • Cook CE, Rhon DI, … George SZ
  • CONCLUSIONS: Long-term opioid prescription use has been identified as a concern, but our findings demonstrate that LD-LD post-operative opioid management for hip surgery recipients was associated with lower costs and utilization. Whether these management patterns were a reflection of pre-operative health status, impacted pain-related outcomes, or can be replicated in other orthopedic procedures remains a consideration for future studies.
  • Harm Reduction and Tensions in Trust and Distrust in a Mental Health Service: A Qualitative Approach. [Journal Article]
  • SASubst Abuse Treat Prev Policy 2017 Mar 08; 12(1):12
  • Lago RR, Peter E, Bógus CM
  • CONCLUSIONS: The mismatch between wants and needs of users and the expectations and requirements of a society and mental health care system based on a logic of "fixing" has contributed to distrust and stigma. Therefore, we recommend policies that increase the investment in harm reduction education and practice that target service providers, PSCSU, and society to change the context of distrust identified.
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