The lack of integration of addiction treatment with other health care services presents distinct challenges for people with higher levels of OUD treatment needs who require SNF care. Since inpatient SUD treatment programs are not currently classified as medical facilities, a status that some in the SUD treatment sector defend to avoid increased regulation and cost, they do not address medical and rehabilitation needs as part of their services. Medically-enhanced addiction treatment programs should be options for people with OUD.
Cutting back on drinking can be a real challenge, but CAAS Professors Suzanne Colby and Christopher Kahler say goal-setting to reduce your alcohol consumption is a big deal. "The most important step to cutting back is to set an intention," Dr. Kahler says.
A team of Brown faculty members is conducting the first study of its kind to investigate whether MDMA-assisted therapy can relieve the suffering of Veterans with PTSD and alcohol use disorder.
Overdose deaths are increasing, despite efforts by governments to address illicit drug use and implement public health approaches. A significant reason is the increasing prevalence of xylazine (tranq), an alpha-2 adrenergic agonist and central nervous system depressant present in the fentanyl drug supply.
Post traumatic stress disorder (PTSD) is among the most common conditions facing U.S. Veterans, with no effective cure. Additionally, many Veterans use alcohol to alleviate their trauma, making medical treatment even more complex. For these high risk patients, Professors Christy Capone and Carolina Haass-Koffler are thinking outside the box: Could a treatment involving psychedelic drugs potentially save Veteran lives?
It’s imperative that we further our knowledge and understanding on smoking as a harm reduction strategy, and begin to identify and promote safer, evidence-based methods people can utilize while smoking to reduce health risks.
Now in its second year, Babson SUD Sprint (formerly L-SPRINT) is a 6-day bespoke program in entrepreneurship and commercialization for researchers and inventors tackling substance use disorders (SUD)/drug addiction, taught at the world’s #1 college for entrepreneurship.
We all understand the dangers of smoking—but the debate over vapes, nicotine pouches and other tobacco alternatives rages on: Can vaping really save lives? Or are nicotine alternatives a slippery slope: a dangerous gateway to lifelong substance use? Professors Jasjit Ahluwalia and Jennifer Tidey discuss their takes on a harm reduction and how it applies to the modern nicotine landscape.
Over his 50 years at Brown University, Professor Peter Monti has not only been witness to a sea change in our understanding of addictive disorders, but has contributed to that understanding with his research and leadership. At the School of Public Health’s 10th anniversary, he reflects on the decades of work defining Brown’s public health legacy.
Melissa Pielech and Robert Miranda, in conjunction with co-authors and the Society of Behavioral Medicine, published a policy position statement advocating for allocating funds from opioid settlement lawsuits towards expansion of youth substance use treatment.
Dr. Jasjit S. Ahluwalia has been awarded the 2023 Health Equity SIG Lifetime Achievement Award, which will be presented at the Society of Behavioral Medicine's annual scientific meeting in Phoenix, Arizona. This year's meeting takes place April 26-29.
Safety, feasibility, and acceptability of MDMA-assisted therapy for the treatment of co-occurring alcohol use disorders and posttraumatic stress disorder in veterans.
Rachel Cassidy recently was interviewed about the potential for the FDA's newly announced nicotine reduction policy to affect smokers. "We don't want to create a prohibition on nicotine. What we want is for people to shift from combustible cigarettes, which are incredibly harmful — they kill half the people who use them past the age of 40 — to other forms of nicotine which are far less harmful," Cassidy said.
Drs. Gunn, Aston, and Metrik published a review paper, "Patterns of cannabis and alcohol co-use: Substitution versus complementary effects" in Alcohol Research: Current Reviews. (image credit: Jorge Láscar, Wikimedia Commons)
CAAS Senior Research Assistant Jake Tempchin will matriculate this fall at the University of Memphis in pursuit of a PhD in clinical psychology. He will study with Dr. Jim Murphy, focusing on behavioral economics, motivational interviewing, and the implementation of interventions to reduce harms experienced from substance use.
Dr. David Zelaya recently published "Psychometric validation and extension of the LGBT people of Color Microaggressions Scale with a sample of sexual minority BIPOC college students" in the journal Psychology of Sexual Orientation and Gender Diversity. Dr. Zelaya's research provides further rigorous statistical support and evidence for researchers and clinicians to use the LGBT People of Color Microaggressions Scale. Additionally, findings from the study allows for more nuanced ways to capture the frequency (i.e., within the past year and lifetime) and appraisal of stress associated with intersectional forms of discrimination.
Dr. Christy Capone and colleagues recently published primary outcomes of an RCT funded by the DoD examining a psychotherapy focused on trauma-related guilt and shame in post-9/11 veterans. Results found that Trauma Informed Guilt Reduction (TrIGR) resulted in significant reductions in guilt and PTSD and depressive symptoms as compared to Supportive Care Therapy. The research appears in the journal Depression and Anxiety.
Matthew Meisel had a paper accepted for publication in the journal BMC Psychology. In the manuscript, in a sample of emerging adults who never attended 4-year college, the authors found that most of the sample experienced some form of education-based stigma and discrimination and that these experiences were associated with worse mental health symptoms.
Dr. Lauren Micalizzi, along with Brown University co-authors, recently published their manuscript "A psychometric assessment of the Brief Situational Confidence Questionnaire for Marijuana (BSCQ-M) in juvenile justice-involved youth" in Addictive Behaviors.
Highlights of the manuscript include: the study provided the first test of the psychometric properties of the BSCQ-M; findings indicated a three-factor structure; BSCQ-M scores showed convergent validity with past 30-day cannabis use; and the BSCQ-M can be implemented quickly and effectively among justice involved youth.
Dr. Becker is the ninth recipient of an NIH merit award, the second health services researcher, the first implementation scientist, and the first woman to win this award at Brown University since the program was started in 1986.
Dr. Kelli Scott and collaborators at CAAS and the Brown University Center for Evidence Synthesis in Health recently published, "Pharmacotherapy interventions for adolescent co-occurring substance use and mental health disorders: a systematic review" in Family Practice. Findings from the review suggest that pharmacotherapy for mental health is insufficient for addressing substance use, suggesting the need for additional intervention for teens with substance use problems.
Co-authors include: Drs. Sara Becker, Sarah Helseth, Ian J Saldanha, Ethan M Balk, Gaelen P Adam, Kristin J Konnyu, Dale W Steele
Dr. Nathan Kearns recently published a new first-author manuscript "Effects of bodily arousal on desire to drink alcohol among trauma-exposed college students" in Alcohol.
Generally, findings suggest that bodily arousal may only serve as an implicit, trauma-relevant interoceptive cue that increases desire to drink within a specific subset of trauma-exposed college students (i.e., individuals indexing interpersonal trauma).
These fellows will spend the next few years focused on innovative research, advanced dissemination and implementation strategies, and public education.
In a new paper, Dr. Tara White and Meg Gonsalves propose that human rights are deeply rooted in human brain science, which provides a novel evidentiary base informing the universality, scope, and content of human rights and their relationship to human dignity. Their paper, "Dignity neuroscience: universal rights are rooted in human brain science" was published in Annals of the New York Academy of Sciences on August 5, 2021.
Congratulations to Dr. Arryn Guy, current CAAS Postdoctoral Fellow, for being selected to receive a Loan Repayment Program award from the Clinical through the National Institute on Alcohol Abuse and Alcoholism!
Scholars at Brown found that brain science bolsters long-held notions that people thrive when they enjoy basic human rights such as agency, freedom from want, and freedom from fear.
Mo Akande will be pursuing a Ph.D. in Population, Family and Reproductive Health at Johns Hopkins Bloomberg School of Public Health advancing her passion for preventing violence domestically and globally.
Dr. Rachel Cassidy is part of a team that received an R01 from the National Institute on Drug Abuse (NIDA) to study the impact of new graphic warning labels for cigarillo packaging on young adult tobacco use behavior.
Dr. Aditya Khanna was recently featured in three media interviews from the Chattanooga Times Free Press and the Vermont Digger discussing COVID-19 testing, the emergence of new variants, and reopening timelines.