Journal of Substance Abuse Treatment RSS feed: Articles in Press. The Journal of Substance Abuse Treatment (JSAT) features original reviews, training and educational articles, special commentary, and especially research articles that are meaningful to the treatment of alcohol, heroin, marijuana, and other drugs of dependence. JSAT is directed toward treatment practitioners from all disciplines (medicine, nursing, social work, psychology, and counseling) in both private and public sectors, including those involved in schools, health centers, community agencies, correctional facilities, and individual practices. The editors emphasize that JSAT articles should address techniques and treatment approaches that can be used directly by contemporary practitioners.http://www.journalofsubstanceabusetreatment.com//inpress?rss=yesElsevier Inc.en © 2010 Published by Elsevier Inc. Journal of Substance Abuse Treatment0740-54722010-02-04 © 2010 Published by Elsevier Inc. healthpermissions@elsevier.comhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000061/abstract?rss=yesAbstract: This retrospective cohort study examined risk factors for co-occurring substance use and mental disorders (COD) and the effect of COD and intimate partner violence (IPV) victimization among women and IPV-related arrest among men on 1-year substance abuse treatment outcomes. The study sample included clients admitted to Washington State publicly funded substance abuse treatment facilities in 2004–2007. COD was associated with a high substance use and IPV risk profile at admission. Having a COD decreased the odds of completing treatment by 30% among men and women and increased the risk of treatment reentry by 9% and 12% among men and women, respectively. IPV also decreased the odds of completing treatment among women and increased the risk of treatment reentry among men. Men with COD were less likely than those without COD to be arrested for substance-related crimes but more likely to be arrested for violence-related crimes in the follow-up period. Implications of these findings are discussed.Effect of co-occurring disorders and intimate partner violence on substance abuse treatment outcomes - Corrected ProofSherry Lipsky, Antoinette Krupski, Peter Roy-Byrne, Barbara Lucenko, David Mancuso, Alice Huber10.1016/j.jsat.2009.12.005Journal of Substance Abuse Treatment (2010)2010-02-04Journal of Substance Abuse Treatment2010-02-04REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000127/abstract?rss=yesAbstract: Studies demonstrate associations between nonmedical use of prescription stimulants (NMUPS) and depressed mood; however, relevance of NMUPS route of administration and frequency of use have not been examined. We hypothesized frequent NMUPS and nonoral routes would be significantly associated with depressed mood. A Web survey was self-administered by a probability sample of 3,639 undergraduate students at a large U.S. university. The survey contained substance use (e.g., frequency, route of administration) and depressed mood measurement. Past-year prevalence of NMUPS was 6.0% (n = 212). Approximately 50% of frequent or nonoral NMUPS reported depressed mood. Adjusted odds of depressed mood were over two times greater among frequent monthly NMUPS (adjusted odds ratio [AOR] = 2.3, 95% confidence interval [CI] = 1.01–5.15) and nonoral routes of administration (AOR = 2.2, 95% CI = 1.36–3.70), after controlling for other variables. Nonmedical users of prescription stimulants should be screened for depressed mood, especially those who report frequent and nonoral routes of administration.Nonmedical use of prescription stimulants and depressed mood among college students: Frequency and routes of administration - Corrected ProofChristian J. Teter, Anthony E. Falone, James A. Cranford, Carol J. Boyd, Sean Esteban McCabe10.1016/j.jsat.2010.01.005Journal of Substance Abuse Treatment (2010)2010-02-04Journal of Substance Abuse Treatment2010-02-04REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000036/abstract?rss=yesAbstract: Most individuals receiving substance abuse treatment also use tobacco, which suggests that smoking cessation is an important clinical target for most clients. Few studies have measured the extent to which addiction treatment counselors address clients' tobacco use. In this study, we examined counselors' implementation of brief interventions that are consistent with the U.S. Public Health Service's (PHS) clinical practice guideline, Treating Tobacco Use and Dependence, when counselors are engaging new clients in treatment. We hypothesized that counselors' implementation of tobacco-related brief interventions is associated with organizational and counselor-level factors. Data were collected from 2,067 counselors via mailed surveys. Implementation of recommended brief interventions during intake was significantly lower among counselors reporting greater barriers to smoking cessation services within their organizational context. Perceived managerial support for smoking cessation services was positively associated with implementation. Counselors with greater knowledge of the PHS guideline and who believed in the positive impact of smoking cessation interventions on sobriety reported greater implementation. Relative to counselors who have never been tobacco users, current tobacco users reported significantly lower implementation of these brief interventions. These findings suggest that attempts to increase the implementation of best practices in substance abuse treatment may require attention to organizational contexts and the individuals responsible for implementation.The implementation of tobacco-related brief interventions in substance abuse treatment: A national study of counselors - Corrected ProofHannah K. Knudsen, Jamie L. Studts10.1016/j.jsat.2009.12.002Journal of Substance Abuse Treatment (2010)2010-02-01Journal of Substance Abuse Treatment2010-02-01REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000048/abstract?rss=yesAbstract: Our objective was to evaluate the prevalence and temporal sequence of co-occurrence of anxiety disorders with opiate dependence in order to better define the relationship between these two disorders and to improve diagnosis and treatment. The search used Medline and Toxibase up to January 1, 2009, and was based on a systematic review method. Eighteen studies were found. Prevalence of anxiety disorders assessed by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria was high in opiate-dependent treated persons (lifetime prevalence ranged from 26% to 35%). Among anxiety disorders, phobic disorders have been shown to often precede the onset of opiate dependence. The identification of substance-induced versus independent anxiety disorder has important treatment implication. The monitoring of anxiety symptoms after several weeks of abstinence may allow physicians to determine the relationship between dependence and anxiety and make a reliable diagnosis of any initial anxious disorder. Specific management of anxiety disorder may then be used.Relationship between anxiety disorders and opiate dependence: A systematic review of the literature: Implications for diagnosis and treatment - Corrected ProofMelina Fatséas, Cécile Denis, Estelle Lavie, Marc Auriacombe10.1016/j.jsat.2009.12.003Journal of Substance Abuse Treatment (2010)2010-02-01Journal of Substance Abuse Treatment2010-02-01REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000073/abstract?rss=yesAbstract: Craving is frequently reported as a trigger for relapse by those trying to remain abstinent from psychoactive substances. Metacognitive beliefs about managing craving may play an important role in determining further cognition and behavior. They are, therefore, important to measure in treatment and may serve as target cognitions to be modified in support of behavioral change. As part of the assessment battery of a randomized controlled trial among 214 methamphetamine users, we included the Craving Beliefs Questionnaire (CBQ), a measure designed to assess an individual's perception of the potential negative impact of craving, at baseline. Changes in abstinence rates were significantly related to CBQ score, suggesting that craving beliefs are associated with changes in methamphetamine use. Further validation of the CBQ is warranted. Future clinical research among methamphetamine users could focus on directly manipulating craving beliefs through cognitive therapy to affect abstinence.It's the thought that counts: Craving metacognitions and their role in abstinence from methamphetamine use - Corrected ProofNicole K. Lee, Sonja Pohlman, Amanda Baker, Jason Ferris, Frances Kay-Lambkin10.1016/j.jsat.2009.12.006Journal of Substance Abuse Treatment (2010)2010-02-01Journal of Substance Abuse Treatment2010-02-01REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000085/abstract?rss=yesAbstract: We report here the results of a randomized, controlled trial evaluating the efficacy of a semiautomated performance improvement system (“patient feedback”) that enables real-time monitoring of patient outcomes in outpatient substance abuse treatment clinics. The study involved 118 clinicians working at 20 community-based outpatient substance abuse treatment clinics in the northeast United States. Ten clinics received 12 weeks of the patient feedback performance improvement intervention, and 10 clinics received no intervention during the 12 weeks. More than 1,500 patients provided anonymous ratings of therapeutic alliance, treatment satisfaction, and drug/alcohol use. There was no evidence of an intervention effect on the primary drug and alcohol use scales. There was also no evidence of an intervention effect on secondary measures of therapeutic alliance. Clinician-rated measures of organizational functioning and job satisfaction also showed no intervention effect. Possible insights from these findings and alternative methods of utilizing feedback reports to enhance clinical outcomes are proposed.A randomized controlled study of a web-based performance improvement system for substance abuse treatment providers - Corrected ProofPaul Crits-Christoph, Sarah Ring-Kurtz, Bridget McClure, Christina Temes, Agatha Kulaga, Robert Gallop, Robert Forman, John Rotrosen10.1016/j.jsat.2010.01.001Journal of Substance Abuse Treatment (2010)2010-02-01Journal of Substance Abuse Treatment2010-02-01REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000097/abstract?rss=yesAbstract: In response to the need for effective drug court interventions, the effectiveness of the Engaging Moms Program (EMP) versus Intensive Case Management Services (ICMS) on multiple outcomes for mothers enrolled in family drug court was investigated. In this intent-to-treat study, mothers (N = 62) were randomly assigned to either usual drug court care or the Engaging Moms drug court program. Mothers were assessed at intake and 3, 6, 12, and 18 months following intake. Results indicated that at 18 months post drug court enrollment, 77% of mothers assigned to EMP versus 55% of mothers assigned to ICMS had positive child welfare dispositions. There were statistically significant time effects for both intervention groups on multiple outcomes including substance use, mental health, parenting practices, and family functioning. EMP showed equal or better improvement than ICMS on all outcomes. The results suggest that EMP in family drug court is a viable and promising intervention approach to reduce maternal addiction and child maltreatment.A randomized pilot study of the Engaging Moms Program for family drug court - Corrected ProofGayle A. Dakof, Jeri B. Cohen, Craig E. Henderson, Eliette Duarte, Maya Boustani, Audra Blackburn, Ellen Venzer, Sam Hawes10.1016/j.jsat.2010.01.002Journal of Substance Abuse Treatment (2010)2010-02-01Journal of Substance Abuse Treatment2010-02-01REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000103/abstract?rss=yesAbstract: Organizational participation in clinical research may lead to adoption of the intervention by treatment agencies, but it is not known whether research involvement enhances innovativeness beyond the specific interventions that are tested. The National Institute on Drug Abuse's Clinical Trials Network (CTN) is a platform for considering this research question. To date, the CTN has not conducted research on medications for alcohol use disorders (AUDs), so greater adoption of innovative AUD pharmacotherapies by CTN-affiliated programs would suggest an added value of research network participation. Using longitudinal data from a pooled sample of CTN and non-CTN publicly funded treatment programs, we investigate adoption of tablet naltrexone and acamprosate over a 2-year period. CTN-affiliated programs were more likely to have adopted tablet naltrexone and acamprosate at 24-month follow-up, net of the effects of a range of organizational characteristics. Research network participation may thus enhance organizational innovativeness to include interventions beyond the scope of the network.The adoption of alcohol pharmacotherapies in the Clinical Trials Network: The influence of research network participation - Corrected ProofAmanda J. Abraham, Hannah K. Knudsen, Tanja C. Rothrauff, Paul M. Roman10.1016/j.jsat.2010.01.003Journal of Substance Abuse Treatment (2010)2010-02-01Journal of Substance Abuse Treatment2010-02-01REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547210000115/abstract?rss=yesAbstract: College students mandated to receive an intervention following an alcohol-related campus violation are a high-risk group of students experiencing the negative effects of alcohol. Understanding the psychological properties associated with mandated students' alcohol use may provide useful clinical information. Hostility is a trait that has shown association with heavy drinking in adults but has gone unstudied in mandated students. We examined the relationship between hostility and a variety of drinking-related variables in mandated students (N = 466). Results indicated that individuals reporting higher levels of hostility reported riskier drinking and alcohol-related problems, yet exhibited ambivalence regarding their alcohol use. Findings are discussed in the context of treating mandated students exhibiting high hostility and risky drinking, a particularly challenging population.Hostility in mandated students: Exploratory analysis and implications for treatment - Corrected ProofCaitlin K. Barthelmes, Brian Borsari, John T.P. Hustad, Nancy P. Barnett10.1016/j.jsat.2010.01.004Journal of Substance Abuse Treatment (2010)2010-02-01Journal of Substance Abuse Treatment2010-02-01REGULAR ARTICLEhttp://www.journalofsubstanceabusetreatment.com/article/PIIS0740547209001846/abstract?rss=yesAbstract: This review summarizes the literature on computer-based drinking assessment and intervention programs evaluated using members of the general public. The primary aim was to summarize the demand, usage, and effectiveness of these services. A systematic search of the literature identified seven online drinking assessments and eight computerized interventions that were evaluated using members of the general public. Internet assessment users tend to be in their early 30s, are more often male, tend to be at risk for or are experiencing alcohol-related problems, more fully explore assessment sites, and are more likely to enroll in interventions linked to these sites when their drinking problem is more severe. Although dropout from computer-based interventions is often very high and treatment models vary widely, program completers appear to show improvements.A review of computer-based alcohol problem services designedfor the general public - Corrected ProofMichael L. Vernon10.1016/j.jsat.2009.11.001Journal of Substance Abuse Treatment (2009)2009-12-16Journal of Substance Abuse Treatment2009-12-16REGULAR ARTICLE