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Keeping clients connected: exploring Australian alcohol and other drug clinicians' perspectives on barriers and facilitators to treatment attendance.
Rubenis, Adam J.;Barnett, Anthony I.;Arunogiri, Shalini
Academic Journal Academic Journal | Addiction Research & Theory. Apr2024, Vol. 32 Issue 2, p120-128. 9p. Please log in to see more details
Substance use contributes to significant individual and social harms. Although psychos... more
Keeping clients connected: exploring Australian alcohol and other drug clinicians' perspectives on barriers and facilitators to treatment attendance.
Addiction Research & Theory. Apr2024, Vol. 32 Issue 2, p120-128. 9p.
Substance use contributes to significant individual and social harms. Although psychosocial treatment is effective, early treatment discontinuation is common. Despite this, exploration of clinicians' perspectives on barriers and facilitators to attendance has been limited in scope (e.g. specialized settings, written responses). The current study used an in-depth approach to explore the views of clinicians on barriers and facilitators to attendance in psychosocial alcohol and other drug (AOD) treatment, with a view to translating these views to clinical practice. Semi-structured interviews were conducted with AOD clinicians from a range of professional backgrounds (n = 15: 7 female; 8 male) working in treatment settings in Australia. Thematic analysis was used to analyze interview content. Themes relating to attendance included client-related factors (motivation, expectations, beliefs; complexity, access, level of support), clinician-related factors (therapeutic relationship), organizational and systemic factors (individual service factors; systemic/sector wide factors), and stigma (experienced across clinician-related, organization and systemic domains). A complex combination of practical, psychosocial, and systemic/organizational factors intersect with, and influence, client attendance. These findings speak to the importance of client-centered and flexible approaches from clinicians and organizations. Such approaches might simultaneously mitigate a key barrier to attendance: stigma. This study highlights the impact of the therapeutic relationship on attendance despite organizational and funding constraints. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - SUBSTANCE abuse treatment - HEALTH services accessibility - PATIENT compliance - RESEARCH funding - INTERVIEWING - CONTENT analysis - DESCRIPTIVE statistics - THEMATIC analysis - ATTITUDES of medical personnel - RESEARCH methodology - SOCIAL stigma - AUSTRALIA

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Psychology and Behavioral Sciences Collection

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Strategies for facilitating protocol compliance in alcoholism treatment research [microform] / editors, Allen Zweben ... [and others].
Government Document | 1998
Available at Available Merrill-Cazier Government Documents (Lower Level) (Call number: HE 20.8323:7)

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The effects and challenges of alcohol use disorder peer support service in South Korea: A focus group study.
Kim, Soojeong;Lee, Insuk;Lee, Mihyong;Champion, Jane Dimmitt
Academic Journal Academic Journal | International Journal of Mental Health Nursing. Feb2024, Vol. 33 Issue 1, p159-165. 7p. Please log in to see more details
Although alcohol use disorder (AUD) is associated with a high disease burden due to me... more
The effects and challenges of alcohol use disorder peer support service in South Korea: A focus group study.
International Journal of Mental Health Nursing. Feb2024, Vol. 33 Issue 1, p159-165. 7p.
Although alcohol use disorder (AUD) is associated with a high disease burden due to medical consequences, people with AUD often do not receive appropriate treatment or community health service support. Peer‐support services, intended to bridge the gap between patients with AUD and mental health providers have produced successful results. However, the number of studies on peer supporters in South Korea, especially those with AUD, is limited. Therefore, research on the effectiveness or challenges faced by AUD peer supporters in Korea is required to meet the challenges posed by increases in the numbers and capabilities of peer supporters in the mental health field. This qualitative study (N = 13), included focus group interviews of AUD peer supporters (n = 7), and supervisors of peer supporters (n = 6). Focus group data were analysed using thematic analysis methods. These analyses identified themes including 'Life before AUD peer supporters: The moment of change', 'Effects of peer support services: Working as peer supporters changed our lives', 'Challenges of peer supporter services: Things experienced as a team' and 'Future directions: How we can improve peer support services'? Findings indicate that healthcare professionals, educated to maintain clear boundaries, are discouraged from disclosing personal information or developing personal relationships with patients. On the other hand, peer supporters discuss personal histories and prioritize personal connections. By acting as comrades, peer supporters have positive effects. By sharing their experiences, peer supporters formed appropriate relationships with AUD patients and families resulting in more active engagement in treatment programmes and increased numbers of patients receiving outpatient treatment. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - SOCIAL support - FOCUS groups - PEER counseling - INTERVIEWING - QUALITATIVE research - EXPERIENCE - RESEARCH funding - DESCRIPTIVE statistics - INTERPERSONAL relations - SUPPORT groups - THEMATIC analysis - MENTAL health services - SECONDARY analysis - SOUTH Korea

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Psychology and Behavioral Sciences Collection

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A primer of research strategies in alcoholism treatment assessment / by Dan J Lettieri ; editors, John Allen, Fulton Caldwell.
Government Document | 1992
Available at Available Merrill-Cazier Government Documents (Lower Level) (Call number: HE 20.8308/2:3)

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"The peer workers, they get it" – how lived experience expertise strengthens therapeutic alliances and alcohol and other drug treatment-seeking in the hospital setting.
Francia, Leanne;Berg, Amelia;Lam, Tina;Morgan, Kirsty;Nielsen, Suzanne
Academic Journal Academic Journal | Addiction Research & Theory. Apr2023, Vol. 31 Issue 2, p106-113. 8p. Please log in to see more details
Despite a long history of the adoption of a peer workforce in alcohol and other drug t... more
"The peer workers, they get it" – how lived experience expertise strengthens therapeutic alliances and alcohol and other drug treatment-seeking in the hospital setting.
Addiction Research & Theory. Apr2023, Vol. 31 Issue 2, p106-113. 8p.
Despite a long history of the adoption of a peer workforce in alcohol and other drug treatment service provision, there is limited peer reviewed literature on the benefits of peer worker role integration in the hospital setting. Our qualitative study explored the perceptions of people with lived experience of problematic alcohol and other drugs use and their experiences of peer worker roles in the hospital setting. Twenty semi-structured interviews with people who experienced problematic alcohol and other drug use. Transcripts were thematically analyzed and guided by a broad interest in a therapeutic alliance. We identified four themes related to how lived experience expertise within a peer worker role strengthened therapeutic alliances: (i) by building trust and credibility; (i) by building hope; (iii) the ability to approach informally; and (iv) in continuing to be accessible long term. The results partly echo earlier literature, however highlight two innovative aspects that relate to lived experience expertise that maintain therapeutic alliances in the hospital setting being, firstly, the ability to approach informally, and secondly, an opportunity for longer-term engagement. In Australia at present there is a window of opportunity to better integrate peer workers into clinical care models, and as such our results have implications for how policy makers might better approach peer worker integration and configuration to improve treatment-seeking intentions both within and beyond the hospital setting. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - AFFINITY groups - HOSPITALS - RESEARCH methodology - HELP-seeking behavior - INTERVIEWING - EXPERIENCE - QUALITATIVE research - HOPE - RESEARCH funding - THEMATIC analysis - THERAPEUTIC alliance - TRUST

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Psychology and Behavioral Sciences Collection

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Alcoholism treatment assessment research instruments / edited by Dan J. Lettieri, Jack E. Nelson, Mollie A. Sayers.
Government Document | 1985
Available at Available Merrill-Cazier Government Documents (Lower Level) (Call number: HE 20.8308/2:2)

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Effectiveness of an intervention to improve ART adherence among men who have sex with men living with HIV: a randomized controlled trial in three public HIV clinics in Mexico.
Andrade-Romo, Zafiro;La Hera-Fuentes, Gina;Ochoa-Sánchez, Luz Edith;Chavira...
Academic Journal Academic Journal | AIDS Care. Jun2024, Vol. 36 Issue 6, p816-831. 16p. Please log in to see more details
We conducted a parallel-group randomized controlled trial in three HIV clinics in Mexi... more
Effectiveness of an intervention to improve ART adherence among men who have sex with men living with HIV: a randomized controlled trial in three public HIV clinics in Mexico.
AIDS Care. Jun2024, Vol. 36 Issue 6, p816-831. 16p.
We conducted a parallel-group randomized controlled trial in three HIV clinics in Mexico to evaluate a user-centred habit-formation intervention to improve ART adherence among MSM living with HIV. We randomized 74 participants to the intervention group and 77 to the control group. We measured adherence at one, four, and ten months through medication possession ratio and self-reported adherence. Additionally, we measured viral load, CD4 cell count, major depression disorder symptoms, and alcohol and substance use disorder at baseline, fourth and tenth months. We found no statistically significant effect on adherence between groups. However, the intervention demonstrated positive results in major depression disorder symptoms (21% vs. 6%, p = 0.008) and substance use disorder (11% vs. 1%, p = 0.018) in the fourth month. The latter is relevant because, in addition to its direct benefit, it might also improve the chances of maintaining adequate adherence in the long term. This trial was retrospectively registered at ClinicalTrials.gov (trial number NCT03410680) on 8 January 2018. Trial registration: ClinicalTrials.gov identifier: NCT03410680. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - SUBSTANCE abuse treatment - CLINICAL drug trials - PATIENT compliance - SELF-evaluation - BEHAVIOR modification - VIRAL load - RESEARCH funding - EVALUATION of human services programs - STATISTICAL sampling - HIV-positive persons - CD4 lymphocyte count - HIV infections - RANDOMIZED controlled trials - DESCRIPTIVE statistics - MEN who have sex with men - LONGITUDINAL method - CONTROL groups - PRE-tests & post-tests - HEALTH behavior - ANTI-HIV agents - HEALTH promotion - COMPARATIVE studies - MENTAL depression - MEXICO

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Psychology and Behavioral Sciences Collection

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Understanding Patients' Experiences with a Brief Alcohol Reduction Intervention among People Living with HIV in Uganda: A Qualitative Study.
Gichane, Margaret W.;Camlin, Carol S.;Getahun, Monica;Emenyonu, Nneka;Woolf...
Academic Journal Academic Journal | Substance Use & Misuse. 2023, Vol. 58 Issue 13, p1714-1721. 8p. 1 Chart. Please log in to see more details
Background: Brief alcohol reduction interventions for people living with HIV (PLWH) ha... more
Understanding Patients' Experiences with a Brief Alcohol Reduction Intervention among People Living with HIV in Uganda: A Qualitative Study.
Substance Use & Misuse. 2023, Vol. 58 Issue 13, p1714-1721. 8p. 1 Chart.
Background: Brief alcohol reduction interventions for people living with HIV (PLWH) have resulted in mixed findings with some studies showing null or limited treatment effects. To better understand factors that may contribute to their success or failure, this qualitative study sought to explore participants' experiences in a randomized trial (RCT) of a brief counseling-based alcohol reduction intervention, including challenges that may have impeded alcohol reduction. Methods: We conducted in-depth semi-structured interviews with 24 PLWH engaging in unhealthy alcohol use, who were enrolled in an RCT to reduce alcohol consumption conducted in southwestern Uganda in 2019–2020 (NCT03928418). We used a collaborative thematic approach to analyze data from transcribed and translated audio recordings. Results: Perceived benefits of the intervention included increased awareness of alcohol use and its impact on personal finances, the relationship between alcohol use and violence, and a commitment to drinking reduction. Participants experienced several barriers to decreasing their alcohol use, including: prevailing social norms about alcohol use, lack of social support, and economic and social consequences of the COVID-19 pandemic. Conclusion: Factors in the immediate contexts of PLWH in low-income settings, including social norms influencing alcohol consumption and lack of social support, may impede the impact of alcohol reduction interventions, especially during times of stress such as the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - COUNSELING - RESEARCH methodology - INTERVIEWING - TREATMENT effectiveness - EXPERIENCE - QUALITATIVE research - RANDOMIZED controlled trials - ALCOHOL drinking - RESEARCH funding - STATISTICAL sampling - THEMATIC analysis - PSYCHOLOGY of HIV-positive persons - UGANDA

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Psychology and Behavioral Sciences Collection

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Research and engagement considerations for alcohol use telehealth services within HIV care: a qualitative exploration in federally qualified health centers.
Scott, Kelli;Guy, Arryn A.;Zelaya, David G.;Surace, Anthony;Elwy, A. Rani;K...
Academic Journal Academic Journal | AIDS Care. Nov2023, Vol. 35 Issue 11, p1786-1795. 10p. Please log in to see more details
The prevalence of alcohol misuse is high among people with HIV (PWH); however, access ... more
Research and engagement considerations for alcohol use telehealth services within HIV care: a qualitative exploration in federally qualified health centers.
AIDS Care. Nov2023, Vol. 35 Issue 11, p1786-1795. 10p.
The prevalence of alcohol misuse is high among people with HIV (PWH); however, access to and utilization of evidence-based alcohol misuse interventions remain limited. Telehealth is one treatment approach with the potential for enhancing substance use disorder treatment utilization for PWH served by Federally Qualified Health Centers (FQHCs). However, questions remain regarding barriers to alcohol-focused telehealth service integration and telehealth research in FQHCs. This study employed qualitative methods, guided by the Dynamic Sustainability Framework, to evaluate barriers and cultural factors impacting FQHC telehealth integration. Eighteen qualitative interviews were completed with staff and leaders across four FQHCs. Interviews were analyzed using directed content analysis, and codes were organized into a priori and emergent themes. Key themes included the presence of common workflows for referring clients to substance use disorder treatment; existing research workflows and preferences for active project staff involvement; telehealth barriers including exacerbation of healthcare disparities and high provider turnover; and the importance of cultural humility and telehealth adaptations for sexual, gender, racial and ethnic minority clients. Findings from this study will inform the development of an alcohol-focused telehealth implementation strategy for a Hybrid Type 1 implementation effectiveness trial to enhance FQHC substance use disorder treatment. Trial registration: ClinicalTrials.gov identifier: NCT02563574.. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - HIV infections - HEALTH facility employees - HEALTH services accessibility - ATTITUDES of medical personnel - ALCOHOL-induced disorders - QUALITATIVE research - WORKFLOW - LABOR turnover - PUBLIC hospitals - PSYCHOSOCIAL factors - MEDICAL referrals - CULTURAL competence - INTEGRATED health care delivery - CONTENT analysis - HEALTH equity - TELEMEDICINE - MEDICAL research - UNITED States

Content provider:

Psychology and Behavioral Sciences Collection

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Project MATCH hypotheses : results and causal chain analyses / editors, Richard Longabaugh, Philip W. Wirtz.
Government Document | 2001
Available at Available Merrill-Cazier Government Documents (Lower Level) (Call number: HE 20.8323:8)

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Project MATCH hypotheses [electronic resource] : results and causal chain analyses / editors, Richard Longabaugh, Philip W. Wirtz.
Electronic Government Doc | 2001
Available at Online freely available Government Documents (USU and USU Eastern)
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"In my own comfort zone": Clients' experiences of relational aspects of online therapy for alcohol problems.
Atkinson, Louise
Academic Journal Academic Journal | Counselling & Psychotherapy Research. Dec2023, Vol. 23 Issue 4, p1005-1014. 10p. Please log in to see more details
Background: Therapists and counsellors increasingly use online video applications to o... more
"In my own comfort zone": Clients' experiences of relational aspects of online therapy for alcohol problems.
Counselling & Psychotherapy Research. Dec2023, Vol. 23 Issue 4, p1005-1014. 10p.
Background: Therapists and counsellors increasingly use online video applications to offer treatment in place of face‐to‐face delivery. In the alcohol treatment sector, this offers a range of potential benefits for treatment providers. However, the impact of working remotely via video on the therapeutic relationship remains unclear and under‐researched. Aims: This study aimed to explore how alcohol treatment clients make sense of the relational aspects of therapy delivered remotely, and to examine how the use of remote therapy might disrupt existing ideas around the therapeutic relationship. Methodology: This study utilised a qualitative design using thematic analysis, with 15 participant interviews with adult service users from a single treatment provider. All participants had previously undertaken at least four 1‐h online therapy sessions. Findings: The themes that were identified highlighted the significance of the participants' own homes as the site of therapy, with emphasis on the comfort of the home, and the presence of family members and pets. Participants stressed the importance of viewing the face of the therapist, the establishment of a therapeutic bond and specific therapist qualities. Participants also reflected on issues around denial and avoidance associated with self‐image and identity. Discussion There are nuanced and potentially unforeseen consequences of undertaking therapy for alcohol problems via video, relating to the significance of the therapy environment and relationship between client and therapist. This may include issues of shame, denial and avoidance, which are of particular significance for clients experiencing difficulties associated with alcohol. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - CLIENT relations - CONSUMER attitudes - INTERVIEWING - QUALITATIVE research - THEMATIC analysis - TELEMEDICINE

Content provider:

Psychology and Behavioral Sciences Collection

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Research on promising pharmacotherapies for alcoholism.
Government Document | 1990
Available at Available Merrill-Cazier Government Documents (Lower Level) (Call number: HE 20.8302:P 49)

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The connection still matters: Therapeutic alliance with digital treatment for alcohol use disorder.
Benitez, Bryan;Frankforter, Tami L.;Nich, Charla;Kiluk, Brian D.
Academic Journal Academic Journal | Alcohol: Clinical & Experimental Research. Nov2023, Vol. 47 Issue 11, p2197-2207. 11p. Please log in to see more details

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MANEMOS. The Trigger Situations Inventory. Validation of a Measure Helping Relapse Prevention in the Treatment of Alcohol Use Disorders.
Manera, Ester;Mosti, Antonio;Passini, Stefano;Ambrosini, Federica;Biolcati,...
Academic Journal Academic Journal | Substance Use & Misuse. 2023, Vol. 58 Issue 12, p1574-1579. 6p. 1 Chart. Please log in to see more details
Background: Relapse Prevention (RP) is a cognitive-behavioral approach that aims to id... more
MANEMOS. The Trigger Situations Inventory. Validation of a Measure Helping Relapse Prevention in the Treatment of Alcohol Use Disorders.
Substance Use & Misuse. 2023, Vol. 58 Issue 12, p1574-1579. 6p. 1 Chart.
Background: Relapse Prevention (RP) is a cognitive-behavioral approach that aims to identify situations at high risk of relapse and to support patients with alcohol use disorders (AUDs) in developing coping strategies for the maintenance of desired behavioral changes. Based on this framework, the present study aims to assess and validate the psychometric properties of the MANEMOS, a 24-item inventory of alcohol relapse triggering situations. Methods: The internal consistency and factor structure of the MANEMOS were analyzed in a sample of 313 (27.7% women) in-patients and out-patients, attending alcohol treatment programs in Italian addiction treatment facilities. Results: The results support the internal reliability and validity of the measure. A confirmative factor analysis has revealed the existence of eight distinct dimensions measuring relapse risk situations: namely, Pleasant emotions, Unpleasant emotions, Craving, Conflicts with others, Occasions, Social Pressure, Personal Control, and Physical Discomfort. The patients' assessment of the riskiness of the situation showed some significant differences depending on gender and on type of treatment received. Conclusions: The findings indicate that MANEMOS is a valid measure for identifying and reflecting on patients' high relapse-risk situations. This easy and flexible assessment measure may have important implications for prevention and clinical intervention. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - SOCIAL support - RESEARCH evaluation - HEALTH facilities - HUMAN comfort - DESIRE - PSYCHOMETRICS - DISEASE relapse - CONFLICT (Psychology) - FACTOR analysis - DESCRIPTIVE statistics - HOSPITAL care - PSYCHOLOGICAL adaptation - EMOTIONS - SOCIAL skills - COGNITIVE therapy - CONTROL (Psychology) - DISEASE risk factors - ITALY

Content provider:

Psychology and Behavioral Sciences Collection

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Synopses of community demonstration grant projects for alcohol and drug abuse treatment of homeless individuals.
Government Document | 1988
Available at Available Merrill-Cazier Government Documents (Lower Level) (Call number: HE 20.8302:C 73/2)

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Differences in Perceived Threat and Efficacy in Managing Opioid Use Disorder versus Alcohol Use Disorder.
Tata, Vaishnavi;Majd, Zahra;Talwar, Ashna;Bapat, Shweta;Cruz, Austin De La;...
Academic Journal Academic Journal | Substance Use & Misuse. 2023, Vol. 58 Issue 10, p1187-1195. 9p. 2 Diagrams, 2 Charts. Please log in to see more details
Background: Efforts to increase the availability of Medication Assisted Treatment for ... more
Differences in Perceived Threat and Efficacy in Managing Opioid Use Disorder versus Alcohol Use Disorder.
Substance Use & Misuse. 2023, Vol. 58 Issue 10, p1187-1195. 9p. 2 Diagrams, 2 Charts.
Background: Efforts to increase the availability of Medication Assisted Treatment for alcohol use disorder (AUD) and opioid use disorder (OUD) may be futile if patients lack motivation for recovery and are unwilling to seek treatment. Objectives: In this cross-sectional, online survey, we used the Extended Parallel Process Model (EPPM) to assess how participants at risk of AUD or OUD react to their perceived threat and assess their response to pharmacotherapy as a potential treatment. EPPM constructs were assessed using the Risk Based Diagnosis Scale. Descriptive statistics measure the proportion of treated vs untreated participants. Untreated participants were sorted into one of three groups categorizing perceived threat – low threat appraisal, and danger or fear control. Results: Of 411 total responses, most (n = 293[71.29%]) sorted into the AUD cohort and 118(28.71%) into the OUD cohort. Overall, 104(25.30%) had received treatment and 307(74.70%) didn't. Within the OUD cohort, there were 67 untreated participants − 16(23.88%) exhibited low threat appraisal, 13(19.40%) were likely to undergo fear control, and 38(56.72%) were likely to undergo danger control. Within the AUD cohort, there were 240 untreated participants − 75(31.25%) exhibited low threat appraisal, 100(41.67%) were likely to experience fear control, and 65(27.08%) were likely to experience danger control. Participants in the OUD cohort were more likely to undergo danger control than those in the AUD cohort (χ2 = 19.26, p < 0.05). Conclusions: This study identified perceived threat and efficacy when an individual was at risk of a SUD, but more insight into potential early interventions is needed – particularly in those individuals with polysubstance use disorder. [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - SUBSTANCE abuse risk factors - SUBSTANCE abuse - CROSS-sectional method - MOTIVATION (Psychology) - FEAR - RISK assessment - SURVEYS - DESCRIPTIVE statistics - CHI-squared test - RESEARCH funding - LONGITUDINAL method

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Psychology and Behavioral Sciences Collection

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Psychedelics to treat SUDs: Still growing as an option, but many barriers.
Knopf, Alison
Periodical Periodical | Alcoholism & Drug Abuse Weekly. 10/30/2023, Vol. 35 Issue 42, p1-4. 4p. Please log in to see more details
When we weren't looking, the annual "Innovations" issue crept up on us. And coincident... more
Psychedelics to treat SUDs: Still growing as an option, but many barriers.
Alcoholism & Drug Abuse Weekly. 10/30/2023, Vol. 35 Issue 42, p1-4. 4p.
When we weren't looking, the annual "Innovations" issue crept up on us. And coincidentally, so did advances in the use of psychedelics to treat substance use disorders (SUDs). ADAW reviewed its own archives, as well as the medical literature, attended a conference and found that indeed, psychedelics can be used not only to treat post‐traumatic stress disorder (PTSD), but to treat SUDS, in particular, alcohol use disorder (AUD). [ABSTRACT FROM AUTHOR]

Subject terms:

ALCOHOLISM treatment - THERAPEUTIC use of LSD - SUBSTANCE abuse - ALCOHOLISM - EDIBLE mushrooms - POST-traumatic stress disorder - UNITED States. Food & Drug Administration - NATIONAL Institute on Drug Abuse - ENDOWMENT of research - TREATMENT effectiveness - KETAMINE - ECSTASY (Drug) - DRUG development - COMBINED modality therapy - NATURE - HALLUCINOGENIC drugs - PSYCHOTHERAPY - VIDEO recording

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MAS Complete

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