scholarly journals A National Opioid Tax for Treatment Programs in the US

2022 ◽  
Vol 3 (1) ◽  
pp. e214316
Author(s):  
Rebecca Arden Harris ◽  
David S. Mandell ◽  
Robert Gross
Keyword(s):  
2020 ◽  
Author(s):  
John A. Furst ◽  
Nicholas J. Mynarski ◽  
Kenneth L. McCall ◽  
Brian J. Piper

AbstractObjectiveMethadone is an evidence based treatment for opioid use disorder and is also employed for acute pain. The primary objective of this study was to explore methadone distribution patterns between the years 2017 and 2019 across the United States (US). This study builds upon previous literature that has analyzed prior years of US distribution patterns, and further outlines regional and state specific methadone trends.MethodsThe Drug Enforcement Administration’s Automated Reports and Consolidated Ordering System (ARCOS) was used to acquire the number of narcotic treatment programs (NTPs) per state and methadone distribution weight in grams. Methadone distribution by weight, corrected for state populations, and number of NTPs were compared from 2017 to 2019 between states, within regions, and nationally.ResultsBetween 2017 and 2019, the national distribution of methadone increased 12.30% for NTPs but decreased 34.57% for pain, for a total increase of 2.66%. While all states saw a decrease in distribution for pain, when compared regionally, the Northeast showed a significantly smaller decrease than all other regions. Additionally, the majority of states experienced an increase in distribution for NTPs and most states demonstrated a relatively stable or increasing number of NTPs, with an 11.49% increase in NTPs nationally. The number of NTPs per 100K in 2019 ranged from 2.08 in Rhode Island to 0.00 in Wyoming.ConclusionAlthough methadone distribution for OUD was increasing in the US, there were pronounced regional disparities.


2016 ◽  
Vol 16 (3) ◽  
pp. 1 ◽  
Author(s):  
David B Wexler ◽  
Michael L Perlin ◽  
Michel Vols ◽  
Pauline Spencer ◽  
Nigel Stobbs

<p><em><span style="font-family: Times New Roman;">On behalf of the guest editors of this special issue, leading scholars and practitioners in the therapeutic jurisprudence (‘TJ’) field in Australia, Europe, and the US, we congratulate QUT and the authors for a valuable contribution to the increasingly influential presence of TJ on the international stage.</span></em></p><p><em><span style="font-family: Times New Roman;">TJ had its genesis in the early 1990s as a new interdisciplinary approach to mental health law in the US, but has expanded remarkably in scope, reach and influence since then. TJ sees law as a social force which inevitably gives rise to unintended consequences, which may be either beneficial or harmful (what we have come to identify as therapeutic or anti-therapeutic consequences). These consequences flow from the operation of substantive rules, legal procedures, or from the behaviour of legal actors (such as lawyers and judges). It is in this sense that we conceive of the role of the law as a ‘therapeutic agent’. TJ researchers and practitioners typically make use of social science methods and data to study the extent to which a legal rule or practice affects the psychological well-being of the people it affects, and then explore ways in which anti-therapeutic consequences can be reduced, and therapeutic consequences enhanced, without breaching due process requirements. The jurisdiction with which TJ was most often associated in its earlier days tended to the that of the drug courts (in which the drug court team assists drug addicted offenders to break out of their cycle of offending by facilitating and supervising treatment programs as part of the court process itself) and the other so-called problem solving courts (more commonly referred to as ‘solution focussed courts’ in Australia).</span></em></p>


2021 ◽  
Author(s):  
Rebecca Robbins ◽  
Matthew D Weaver ◽  
Stuart Quan ◽  
Jason P Sullivan ◽  
Mairav C Zion ◽  
...  

Sleep deficiency is a hidden cost of our 24-7 society, with 70% of adults in the US admitting that they routinely obtain insufficient sleep. Further, it is estimated that 50-70 million adults in the US have a sleep disorder. Undiagnosed and untreated sleep disorders are associated with diminished health for the individual and increased costs for the employer. Research has shown that adverse impacts on employees and employers can be mitigated through sleep health education and sleep disorder screening and treatment programs. Smartphone applications (app) are increasingly commonplace and represent promising, scalable modalities for such programs. The dayzz app is a personalized sleep training program that incorporates assessment of sleep disorders and offers a personalized comprehensive sleep improvement solution. Using a sample of day workers affiliated with a large institution of higher education, we will conduct a single-site, parallel-group, randomized, waitlist control trial. Participants will be randomly assigned to either use the dayzz app throughout the study or receive the dayzz app at the end of the study. We will collect data on feasibility and acceptability of the dayzz app; employee sleep, including sleep behavioral changes, sleep duration, regularity, and quality; employee presenteeism, absenteeism, and performance; employee mood; adverse and safety outcomes; and healthcare utilization on a monthly basis throughout the study, as well as collect more granular daily data from the employee during pre-specified intervals. Our results will illuminate whether a personalized smartphone app is a viable approach for improving employee sleep, health, and productivity.


This chapter describes STEPPS in Iowa correctional systems and elsewhere, as well as the US federal prison system. The program was introduced to the Iowa correctional system in 2005; data show that it is effective in reducing symptoms specific to borderline personality disorder. In addition, STEPPS has been shown to boost mood, reduce disciplinary infractions, and reduce self-harm behaviors. The advantages over other BPD treatment programs in prison settings include the relatively short 20-week length of STEPPS, which is very important because offenders have varying sentence lengths and are transferred or released (or receive parole/probation status) without notice. The program is easily learned by therapists strapped for time, since corrections-based therapists have little time for extensive additional training and budgets are tight. The STEPPS manual can be used “as-is” in prisons and community corrections without extensive modifications. Last, the authors describe potential problems of implementing the program in prisons.


Criminology ◽  
2019 ◽  
Author(s):  
William G. Staples ◽  
Darcy L. Sullivan

As a tactic of control and punishment, “house arrest’’ has been used for millennia to sequester individuals such as deposed leaders, government officials, and political dissidents in a residence. Since the late 1980s, various forms of house arrest—typically involving some kind of electronic monitoring (EM) and therefore broadly referred to as electronically monitored home confinement (EMHC)—have come to play a role in both the criminal and juvenile justice systems of the United States and in other countries. Unfortunately, the US Department of Justice does not collect data on the numbers of persons under EM. According to a 2015 survey conducted by the Pew Charitable Trusts, more than 125,000 people were supervised by electronic means, up from 53,000 in 2005. The survey also found that all fifty states, the District of Columbia, and the federal government use electronic devices to monitor people at various stages of the justice system including pretrial defendants, immigrants awaiting deportation hearings, and convicted offenders. EMHC is considered an intermediate sanction that permits an individual to live at home except when authorized to attend school, treatment programs, and go to work, or meet with program officials. Participants must agree to an extensive list of conditions of their participation and they are often required to pay for their EMHC (typically $10–15 a day). Violators are commonly jailed for non-compliance. A variety of monitoring systems are used, the original and most common being some form of a continuous radio frequency (RF) signal between a receiver-dialer that is attached to a telephone line in the home and a transmitter that is worn by the offender on the ankle or wrist. With these “tagging” systems, individuals cannot stray further than 150 feet or so from the monitoring box without triggering a violation. More sophisticated designs are based on the Global Positioning System (GPS) that can track the whereabouts of individuals at all times, even if they have absconded from the home. Other systems have added biometric measurements such as transdermal alcohol testing to the anklet to determine a person’s blood alcohol content. Yet another version dispenses with the anklet monitor and a digital device is installed in the home and random phone calls from the program’s computer system must be answered by the offender when they are required to be in the home. To verify compliance, the system uses voice and facial recognition capabilities and collects a breath sample to test for alcohol.


2021 ◽  
Vol 40 (2) ◽  
pp. 317-325
Author(s):  
Tamara Beetham ◽  
Brendan Saloner ◽  
Marema Gaye ◽  
Sarah E. Wakeman ◽  
Richard G. Frank ◽  
...  

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0260828
Author(s):  
Rebecca Robbins ◽  
Matthew D. Weaver ◽  
Stuart F. Quan ◽  
Jason P. Sullivan ◽  
Mairav Cohen-Zion ◽  
...  

Sleep deficiency is a hidden cost of our 24–7 society, with 70% of adults in the US admitting that they routinely obtain insufficient sleep. Further, it is estimated that 50–70 million adults in the US have a sleep disorder. Undiagnosed and untreated sleep disorders are associated with diminished health for the individual and increased costs for the employer. Research has shown that adverse impacts on employees and employers can be mitigated through sleep health education and sleep disorder screening and treatment programs. Smartphone applications (app) are increasingly commonplace and represent promising, scalable modalities for such programs. The dayzz app is a personalized sleep training program that incorporates assessment of sleep disorders and offers a personalized comprehensive sleep improvement solution. Using a sample of day workers affiliated with a large institution of higher education, we will conduct a single-site, parallel-group, randomized, waitlist control trial. Participants will be randomly assigned to either use the dayzz app throughout the study or receive the dayzz app at the end of the study. We will collect data on feasibility and acceptability of the dayzz app; employee sleep, including sleep behavioral changes, sleep duration, regularity, and quality; employee presenteeism, absenteeism, and performance; employee mood; adverse and safety outcomes; and healthcare utilization on a monthly basis throughout the study, as well as collect more granular daily data from the employee during pre-specified intervals. Our results will illuminate whether a personalized smartphone app is a viable approach for improving employee sleep, health, and productivity. Trial registration: ClinicalTrials.gov Identifier: NCT04224285.


Sign in / Sign up

Export Citation Format

Share Document