Medication Assisted Treatment Prescription Drug and Opioid Addiction (MAT Iowa) Year One Annual Evaluation Report, September 2016

In August 2015, the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) awarded a three-year grant to the Iowa Department of Public Health (IDPH) under the Targeted Capacity Expansion: Medication Assisted Treatment-Prescription Drug and Opioid Addiction (MAT-PDOA) program. The purpose of this grant is to broaden treatment services and infrastructure for evidence-based medication assisted treatment (MAT) services in Iowa. In November 2015, IDPH contracted with the following four substance use treatment providers in the highest need counties in Iowa

Developing Problem Gambling Distance Treatment Services in Iowa, July 2008

The Iowa Department of Public Health (IDPH)/Iowa Gambling Treatment Program will begin offering distance treatment as an approved service type for individual, family, and group counseling on July 1, 2008. As a lead-up to this initiative, IDPH contacted the Center for Substance Abuse Treatment (CSAT) and requested technical assistance in developing a problem gambling distance treatment program. Under contract with CSAT, JBS International, Inc., formed an agreement with Problem Gambling Solutions, Inc. (PGS), to undertake a 6-month project with IDPH to develop the foundation to a statewide problem gambling distance treatment program. This manuscript documents the development phase of this initiative—from January to June 2008

A criminal justice-engaged research collaborative: Findings and lessons learned from Western Massachusetts

The Medication Assisted Treatment (MAT) and Re-entry Initiative was one of several projects funded in 2018 by the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration (SAMHSA) to expand capacity to deliver medications to treat opioid use disorder (MOUD). Nationwide, the Franklin County Sheriff’s Office (FCSO) was the only criminal justice institution to be awarded a grant. The project created a new criminal justice-engaged evaluation and research collaborative in Western Massachusetts that now involves the University of Massachusetts Amherst (UMass), the Hampshire County House of Corrections, and several community-based providers of health and social services. Building on this foundation, the collaborative is now a key component of several NIH-funded research projects. Presenters will provide an overview of the SAMHSA-funded project, report on findings, and present lessons learned from the first year of implementation. This session will also provide guidance on how to launch, sustain, and grow criminal justice-engaged evaluation and research collaboratives

A Matter of Substance, March 2013

A publication of the IDPH Division of Behavioral Health to find out what's happening with Substance Abuse Prevention and Treatment

Competency based alcohol and drug clinical supervision model.\

A competency based supervision model is proposed combining the framework developed by the Center for Substance Abuse Treatment, the Blended Model of Supervision, and the Integrated Developmental Model based on supervisee needs. The application and structure of the newly defined Competency Based Alcohol and Drug Clinical Supervision Model is presented

Annual Review of Addicitons and Offender Counseling II: Best Practices

Supported by the International Association of Addictions and Offender Counselors (IAAOC), this second annual review addresses innovation, evaluation, and program development efforts in addictions and offender counseling. Experts in the field present peer-reviewed models and recommendations for ensuring best practices in addictions and offender counseling.https://digitalcommons.unomaha.edu/counselingbooks/1002/thumbnail.jp

The effect of treatment completion and length of stay on employment and crime in outpatient drug-free treatment

Length of stay in treatment has been found to be a significant predictor of positive post-treatment outcomes, such as decreases in unemployment and crime. However, length of stay may be an incomplete predictor of successful treatment. Surprisingly, few studies have examined whether completing treatment in addition to length of stay is an important factor in explaining positive treatment outcomes. The objective of our study is to examine the effect that treatment completion and length of stay have on post-treatment employment and crime for patients in outpatient drug-free treatment, the largest treatment modality in the United States. We use conditional logit and multiple regression models with program-level indicator variables (fixed effects) to estimate the effect of treatment completion and length of stay on employment and crime controlling for drug use severity, previous treatment history, and other patient demographics. Data are from the National Treatment Improvement Evaluation Study and include 986 adults enrolled in outpatient drug-free programs across the United States. We find that treatment completion and length of stay are significantly related to post-treatment employment. Holding length of stay constant, the occurrence of employment at follow-up among patients who complete their planned treatment is almost 2 times that of patients who do not complete treatment. However, treatment completion did not have a statistically significant effect on the probability of post-treatment crime. Although our results are mixed, these findings suggest that greater attention should be placed on evaluating the importance of both length of stay and treatment completion in treatment outcome studies

Factors Contributing to the Rise of Buprenorphine Misuse: 2008-2013

OBJECTIVE: The purpose of the present study was to examine the motivations underlying the use of buprenorphine outside of therapeutic channels and the factors that might account for the reported rapid increase in buprenorphine misuse in recent years. METHODS: This study used: (1) a mixed methods approach consisting of a structured, self-administered survey (N=10,568) and reflexive, qualitative interviews (N=208) among patients entering substance abuse treatment programs for opioid dependence across the country, centered on opioid misuse patterns and related behaviors; and (2) interviews with 30 law enforcement agencies nationwide about primary diverted drugs in their jurisdictions. RESULTS: Our results demonstrate that the misuse of buprenorphine has increased substantially in the last 5 years, particularly amongst past month heroin users. Our quantitative and qualitative data suggest that the recent increases in buprenorphine misuse are due primarily to the fact that it serves a variety of functions for the opioid-abusing population: to get high, manage withdrawal sickness, as a substitute for more preferred drugs, to treat pain, manage psychiatric issues and as a self-directed effort to wean themselves off opioids. CONCLUSION: The non-therapeutic use of buprenorphinehas risen dramatically in the past five years, particularly in those who also use heroin. However, it appears that buprenorphine is rarely preferred for its inherent euphorigenic properties, but rather serves as a substitute for other drugs, particularly heroin, or as a drug used, preferable to methadone, to self-medicate withdrawal sickness or wean off opioids

SBIRT IOWA: SBIRT to Treatment Analysis, Spring 2016

In July 2012, the Iowa Department of Public Health (IDPH) was awarded a five-year grant to provide Screening, Brief Intervention and Referral to Treatment (SBIRT IOWA) services by the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT). SBIRT IOWA uses a comprehensive, integrated, public health approach to incorporate universal screening into medical practice and within the Iowa Army National Guard (IAARNG) to identify, reduce, and prevent hazardous alcohol or drug use. SBIRT IOWA programs were implemented at four Federally Qualified Health Centers (FQHC’s) in Black Hawk, Polk, Scott, and Woodbury counties of Iowa as well as at Camp Dodge, home of Iowa’s Army National Guard. Co-located substance use disorder professionals work with each site. These staff also conduct brief interventions, brief treatment sessions, and make referrals for substance use disorder treatment. The Iowa Consortium for Substance Abuse Research and Evaluation (Consortium) conducts the evaluation for the SBIRT IOWA project

Prevalence of Suicide Attempts in a Deaf Population with Co-Occurring Substance Use Disorder

The Deaf Off Drugs & Alcohol (DODA) Program provides culturally appropriate recovery services via e-therapy to Deaf and hard of hearing (HH) individuals with substance use disorder (SUD). In the first three years DODA was providing services,149 consumers (107 Deaf, 42 HH) received treatment. A retrospective secondary data analysis sought to examine the lifetime prevalence of suicidal behavior in Deaf individuals receiving alcohol and drug treatment services from the DODA program. The prevalence of self-reported lifetime suicide attempts in the Deaf sample was 42.1%, higher than rates reported for other subgroups with coexisting conditions. Suicidal ideation was reported by 50.5% of Deaf consumers and by 65.1% of Deaf women. Variables significantly associated with suicide attempts included past mental health diagnosis. Possible explanations and future study are discussed