Introdução 

Há crescente interesse e evidências para o uso de medicamentos canabinoides no tratamento do transtorno por uso de cannabis, mas pouco exame dos correlatos do tratamento bem-sucedido. Este artigo é uma análise secundária de um ensaio clínico randomizado controlado por placebo de nabiximols para o tratamento do transtorno do uso de cannabis (CUD), com o objetivo de identificar quais características do cliente e do tratamento afetam o engajamento e os resultados do tratamento.

Método

Modelos de regressão múltipla bayesiana foram usados para examinar o impacto da idade, sexo...

Background

COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services.

Results

Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of provision...

Background

Interdisciplinary collaborations (i.e., where various disciplines work coordinated and interdependently toward shared goals) are stated to yield higher team effectiveness than multidisciplinary approaches (i.e., where various disciplines work in parallel within their professional boundaries) in somatic health care settings. Nevertheless, research is lacking on interdisciplinary approaches for alcohol use disorder (AUD) treatment of hospitalized patients as these types of approaches are still uncommon. This study aims to evaluate an innovative interdisciplinary AUD treatment...

Introduction and aims

There is increasing interest and evidence for the use of cannabinoid medications in the treatment of cannabis use disorder, but little examination of the correlates of successful treatment. This paper is a secondary analysis of a randomised placebo-controlled trial of nabiximols for the treatment of cannabis use disorder (CUD), aiming to identify which client and treatment characteristics impact treatment engagement and outcomes.

Method

Bayesian multiple regression models were used to examine the impact of age, gender, duration of regular cannabis use, daily quantity...

Background

The COVID-19 emergency has tested the public health, medical, and public safety infrastructure of the United States (U.S.) in unprecedented ways. As the focal point for public health in their communities, local health departments (LHDs) were particularly impacted by the pandemic’s onset. The pandemic limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between...

O manejo de contingência (MC) é um tratamento psicológico baseado no condicionamento operante. Consiste em fornecer incentivos em troca de alcançar um comportamento-alvo, como a abstinência ou outras variáveis relacionadas com o tratamento (por exemplo, participação na sessão, adesão à medicação). O objetivo deste artigo foi apresentar a lógica do MC para o uso de substâncias e, mais especificamente, para a cessação do tabagismo. Um crescente corpo de literatura empírica apóia a MC como um tratamento eficaz para parar de fumar, tanto na população em geral quanto entre outros fumantes difíceis...

For behavioral health providers, the effectiveness of clinical work is dependent upon the clinician/client relationship. When appropriate boundaries are not maintained, it is these same relationships that can be at the root of serious professional misconduct. In this one hour workshop, participants will be provided with a summary overview of the legal ethical standards regarding non-clinical relationships with behavioral health clients. We will then apply these standards to discussion of scenarios and real-world examples. The focus will be dedicated to applying legal and standards from...

Background

Appointment no-show and early dropout from treatment represent major challenges in outpatient substance use disorder treatment, adversely affecting clinical outcomes and health care productivity. In this quasi-experimental study, we examined how a brief reminder intervention for new patients before their first appointment affected treatment participation and retention. No-shows (not attending any sessions) and dropouts (discontinuation of initiated treatment because of three consecutively missed appointments) were compared between a period with pre-admission telephone calls...