scholarly journals A qualitative examination of substance use disorder treatment-seeking among women with opioid use disorders: The role of syndemics and structural violence

2021 ◽  
pp. 100014
Author(s):  
Antoinette L. Spector ◽  
Katherine G. Quinn ◽  
Staci A. Young ◽  
Mallory O'Brien ◽  
Terri A. deRoon-Cassini ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Structural Violence ◽  
Treatment Seeking ◽  
Opioid Use ◽  
Substance Use Disorder Treatment ◽  
Disorder Treatment ◽  
Opioid Use Disorders

scholarly journals Changes in Post Traumatic Stress Symptoms Among Women in Substance Use Disorder Treatment: The Mediating Role of Bodily Dissociation and Emotion Regulation

2013 ◽  
Vol 7 ◽  
pp. SART.S12426 ◽  
Author(s):  
Cynthia J. Price ◽  
Jerald R. Herting
Keyword(s):  
Substance Use ◽  
Emotion Regulation ◽  
Substance Use Disorder ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Substance Use Disorder Treatment ◽  
Mediating Role ◽  
Post Traumatic ◽  
Disorder Treatment

Individuals in substance use disorder (SUD) treatment have shown high levels of difficulty with emotion regulation, as well as a high prevalence of reported trauma and symptoms of post-traumatic stress (PTS). Dissociation from the body is a common clinical experience among women with a history of sexual trauma. Research has shown promising effects of mind-body approaches in SUD treatment, as well as the importance of emotional regulation in conceptual models of psychopathology. The current study examines the mediating role of bodily dissociation and emotion regulation on PTS symptoms in a sample of women enrolled in substance use disorder treatment. Results indicate that bodily dissociation and emotion regulation had significant direct effects on PTS symptoms from baseline to a 6-month follow-up, and that bodily dissociation also may indirectly operate to reduce PTS symptoms through its effect on emotion regulation difficulties. These results suggest the importance of addressing bodily dissociation and emotion regulation difficulties in women's substance use disorder treatment.

scholarly journals A facilitation model for implementing quality improvement practices to enhance outpatient substance use disorder treatment outcomes: a stepped-wedge randomized controlled trial study protocol

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Megan A. O’Grady ◽  
Patricia Lincourt ◽  
Belinda Greenfield ◽  
Marc W. Manseau ◽  
Shazia Hussain ◽  
...  
Keyword(s):  
Substance Use ◽  
Quality Improvement ◽  
Substance Use Disorder ◽  
Controlled Trial ◽  
Opioid Use Disorder ◽  
Treatment Quality ◽  
Opioid Use ◽  
Substance Use Disorder Treatment ◽  
Randomized Controlled ◽  
Disorder Treatment

Abstract Background The misuse of and addiction to opioids is a national crisis that affects public health as well as social and economic welfare. There is an urgent need for strategies to improve opioid use disorder treatment quality (e.g., 6-month retention). Substance use disorder treatment programs are challenged by limited resources and a workforce that does not have the requisite experience or education in quality improvement methods. The purpose of this study is to test a multicomponent clinic-level intervention designed to aid substance use disorder treatment clinics in implementing quality improvement processes to improve high-priority indicators of treatment quality for opioid use disorder. Methods A stepped-wedge randomized controlled trial with 30 outpatient treatment clinics serving approximately 2000 clients with opioid use disorder each year will test whether a clinic-level measurement-driven, quality improvement intervention, called Coaching for Addiction Recovery Enhancement (CARE), improves (a) treatment process quality measures (use of medications for opioid use disorder, in-treatment symptom and therapeutic progress, treatment retention) and (b) recovery outcomes (substance use, health, and healthcare utilization). The CARE intervention will have the following components: (1) staff clinical training and tools, (2) quality improvement and change management training, (3) external facilitation to support implementation and sustainability of quality improvement processes, and (4) an electronic client-reported treatment progress tool to support data-driven decision making and clinic-level quality measurement. The study will utilize multiple sources of data to test study aims, including state administrative data, client-reported survey and treatment progress data, and staff interview and survey data. Discussion This study will provide the field with a strong test of a multicomponent intervention to improve providers’ capacity to make systematic changes tied to quality metrics. The study will also result in training and materials that can be shared widely to increase quality improvement implementation and enhance clinical practice in the substance use disorder treatment system. Trial registration Trial #NCT04632238NCT04632238 registered at clinicaltrials.gov on 17 November 2020

Substance Use Disorders

2019 ◽  
Author(s):  
Erik A. Levinsohn ◽  
Kevin P. Hill
Keyword(s):  
Substance Use ◽  
General Population ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
General Framework ◽  
Opioid Use ◽  
Diagnosis And Management ◽  
Conceptual Background ◽  
Opioid Use Disorders

Given the incredible scope of substance use disorders, this chapter will primarily focus on alcohol and opioid use disorders, while also discussing substance use broadly. Furthermore, this chapter does not provide detailed guidelines for managing patients with a substance use disorder. Instead, this review aims to provide the reader with conceptual background of the biology of addiction as well as a general framework for its diagnosis and management. While this chapter primarily focuses on physicians in the role of caregiver, it is important to note that physicians also struggle with SUDs, at a rate near that of the general population.25 This review contains 3 tables and 25 references.

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