Drug Treatment Program Ownership, Medicaid Acceptance, and Service Provision.

The Institute of Medicine noted that effective substance abuse treatment (SAT) programs integrate individual therapeutic approaches with transitional/ancillary services. In addition, research suggests that type of ownership impacts SAT services offered and that Medicaid plays a key role in SAT access. Data from the National Survey of Substance Abuse Treatment Services for the years 2000 and 2002–2006 were used to examine relationships among SAT program Medicaid acceptance, program ownership, and transitional/ancillary service accessibility. Multivariate logistic regression models controlling for state- and program-level contextual factors were used to analyze the data. Nonprofit SAT programs were significantly more likely to offer transitional/ancillary services than for-profit programs. However, programs that accepted Medicaid, regardless of ownership, were significantly more likely to offer most transitional/ancillary services. The data suggest that Medicaid may play a significant role in offering key transitional/ancillary services related to successful treatment outcome, regardless of program ownership type

Young adult longitudinal patterns of marijuana use among US National samples of 12th grade frequent marijuana users: a repeatedâ measures latent class analysis

Background and AimsLongâ term frequent marijuana use is associated with significant negative outcomes, yet little is known about the longitudinal course of marijuana use among those who start frequent use during adolescence. Objectives are (a) to identify latent patterns of withinâ person marijuana use from ages 19â 30 years among 12th graders reporting frequent marijuana use, (b) to examine if membership in identified patterns has changed across historical time and (c) to examine if key covariates differentiate class membership.Design, Setting, ParticipantsLongitudinal, national US panel data from 4423 individuals [53.4% of the eligible sample; 2744 (62%) males] who reported frequent marijuana use in 12th grade (modal age 18 years; senior year cohorts 1976â 2006) followed biennially from ages 19/20 to 29/30.MeasurementsSelfâ reported past 30â day marijuana use (frequent use defined as use on 20+ occasions), demographics, college graduation, marriage and parenthood.FindingsRepeatedâ measures latent class analysis (RMLCA) identified five latent classes of past 30â day marijuana use from ages 19/20 to 29/30: continued frequent users (estimated membership 23.4%); frequent to nonâ frequent users (15.5%); consistent nonâ frequent users (18.4%); nonâ frequent users to discontinuers (19.5%); and discontinuers (23.2%). In multivariable models, membership in the highestâ risk latent class (continued frequent users) versus one or more of the lowerâ risk latent classes was more likely for recent cohorts (P = 0.038 to <0.001), as well as those who did not marry (P = 0.039 to < 0.001) or become parents (P = 0.001) by modal age 29/30.ConclusionsNearly one in four 12th grade (modal age 18 years) frequent marijuana users in the US continues to report high frequency use to age 30; the proportion continuing high frequency use across young adulthood has increased among more recent cohorts.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149218/1/add14548_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149218/2/add14548.pd

Evaluation of Sexual Communication Message Strategies

Parent-child communication about sex is an important proximal reproductive health outcome. But while campaigns to promote it such as the Parents Speak Up National Campaign (PSUNC) have been effective, little is known about how messages influence parental cognitions and behavior. This study examines which message features explain responses to sexual communication messages

Evaluation of Sexual Communication Message Strategies

Parent-child communication about sex is an important proximal reproductive health outcome. But while campaigns to promote it such as the Parents Speak Up National Campaign (PSUNC) have been effective, little is known about how messages influence parental cognitions and behavior. This study examines which message features explain responses to sexual communication messages

The Relationship between Drug Treatment Program Ownership, Medicaid Acceptance and Types of Service Provision

The Institute of Medicine noted that effective substance abuse treatment (SAT) programs integrate individual therapeutic approaches with transitional/ancillary services. In addition, research suggests that type of ownership impacts SAT services offered and that Medicaid plays a key role in SAT access. Data from the National Survey of Substance Abuse Treatment Services for the years 2000 and 2002-2006 were used to examine relationships among SAT program Medicaid acceptance, program ownership, and transitional/ancillary service accessibility. Multivariate logistic regression models controlling for state- and program-level contextual factors were used to analyze the data. Nonprofit SAT programs were significantly more likely to offer transitional/ancillary services than for-profit programs. However, programs that accepted Medicaid, regardless of ownership, were significantly more likely to offer most transitional/ancillary services. The data suggest that Medicaid may play a significant role in offering key transitional/ancillary services related to successful treatment outcome, regardless of program ownership type

Controlling Methamphetamine Precursors: From Policy to Practice – An Overview of Findings.

Small toxic lab (STL) methamphetamine production is a significant community health and safety issue involving manufacturer, property, and general public toxic chemical exposure. Most policy attempts to reduce the prevalence and consequences of STLs have focused on controlling access to precursor chemicals and have occurred at the state and, more recently, Federal level. We present variance in the types of state and federal precursor policies, key informant perspectives on policy impact, data on changes in STL seizures after the implementation of state precursor policies, and public health implications of state policies. The first presentation will describe state methamphetamine precursor policies and will focus on the types and amounts of chemicals restricted for sale and possession, product placement restrictions, and penalties and other enforcement requirements associated with violations of the restrictions as well as the relationship between the state policies and current federal law. The second presentation will focus on key informant perspectives in five states on the impact of these policies (key informants include legislators and other state policy makers, law enforcement personnel, and independent pharmacists). The third presentation will focus on changes in STL seizures before and after implementation of state methamphetamine precursor policies, examining numbers of seizures, chemicals seized and changes in other health and safety variables. The final presentation will focus on the public health policy implications of the findings. A National Institute of Justice (our project sponsor) discussant will focus on national implications of the reported findings

Smurfing in Small Toxic Meth Labs: Impact of State Methamphetamine Precursor Policies

Over the past 12 years, 31 states have implemented a wide variety of policies to curb methamphetamine production in small toxic labs. This qualitative study explores the perceived impact of methamphetamine precursor laws in five states. Researchers conducted individual and focus group interviews with 77 key state policy makers and law enforcement personnel. Themes included barriers to development, perceived effectiveness and impact, effective provisions, and unintended consequences. Researchers suggest policy recommendations in light of renewed calls by policy makers and law enforcement personnel to address the recent rapid rise in small toxic lab seizures