A5011289567- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- HIV, Drug Use, Sexual Risk
- Disaster Response and Management
- Poisoning and overdose treatments
- Disaster Management and Resilience
- Health Policy Implementation Science
- Prenatal Substance Exposure Effects
- Forensic Toxicology and Drug Analysis
- Hepatitis C virus research
- Emergency and Acute Care Studies
- Community Health and Development
- Veterinary Pharmacology and Anesthesia
- Homelessness and Social Issues
- Mental Health and Patient Involvement
- Resilience and Mental Health
- Mental Health Treatment and Access
- Healthcare Policy and Management
- Migration, Health and Trauma
- Liver Disease Diagnosis and Treatment
- Criminal Justice and Corrections Analysis
- Racial and Ethnic Identity Research
- Antibiotic Use and Resistance
- Gender Roles and Identity Studies
- LGBTQ Health, Identity, and Policy
Johns Hopkins University
2023-2025
Institute for Research and Evaluation
2024
Public Health Department
2024
Pacific Institute For Research and Evaluation
2024
Louisiana State University Health Sciences Center New Orleans
2018-2022
Office of the Assistant Secretary for Health
2020
Louisiana State University
2019
Background: This year has seen the emergence of two major crises, a significant increase in frequency and severity hurricanes COVID-19 pandemic. However, little is known as to how each these events have impacted other. A rapid qualitative assessment was conducted determine impact pandemic on preparedness response natural disasters past experiences with responding Methods: Semi-structured interviews were 26 representatives 24 different community-based programs southern Louisiana. Data...
Abstract Background Addressing xylazine harms are now a critical harm reduction priority, but relatively little epidemiological information exists to determine prevalence, magnitude, and correlates of use or related outcomes. Methods We conducted rapid behavioral survey among people who inject drugs ( n = 96) in Baltimore November–December 2022. Using novel indicator self-reported presumed effects, we examined prevalence sociodemographic past year effects association with overdose...
Objectives. To determine how community-based organizations (CBOs) define priorities for bolstering community resilience, challenges in addressing these priorities, and strategies to address challenges. Methods. The Community Resilience Learning Collaborative Research Network (C-LEARN) is a multiphase study examining opportunities improve resilience the threats of disaster climate change South Louisiana. Phase I C-LEARN involved using National Health Security Strategy Implementation Plan...
Increasing access to medications for opioid use disorder (MOUD) is a key strategy in addressing the crisis. To increase MOUD access, state governments have pursued combination of increased funding and requirements that providers offer treatment. Louisiana has multiple strategies, including requirement residential treatment programs as part their licensure. Using Medicaid claims data enrollees with diagnosed OUD from period 2018–21, we analyzed trends between treated nonresidential settings...
This Viewpoint advocates for improved strategies to measure naloxone distribution and evaluate how effectively reaches people most likely experience or witness an opioid overdose.
There is a rising effort for hospital emergency departments (EDs) to offer and expand substance use disorder (SUD) services. This state-wide evaluation studies SUD services offered along the continuum of implementation across Kentucky's EDs inform future state efforts build ED bridge programs.
This manuscript presents the protocol and participatory planning process for implementing Community Resilience Learning Collaborative Research Network (C-LEARN) study. C-LEARN is designed to determine how build a service program individual client capacity improve mental health-related quality of life among individuals at risk depression, with exposure social factors or concerns about environmental hazards in areas Southern Louisiana events such as hurricanes storms. The study uses Partnered...
Objectives. To understand changes in behavioral health services utilization and expenditures before after natural disaster with an adult Medicaid population affected by the Baton Rouge, Louisiana-area flood (August 2016).Methods. We examined de-identified claims data for Medicaid-insured adults region 10 months flooding (October 2015-June 2017). This constituted 273 233 provider 22 196 individuals. Claims included patient gender, diagnoses, treatment dates, costs. made adjustments expansion...
Importance Rates of overdose deaths involving synthetic opioids remain high, increasingly involve stimulants combined with opioids, and are increasing rapidly in racially ethnically minoritized communities, yet little is known about access to harm reduction treatment services these groups. Objective To characterize barriers a diverse population people who use drugs. Design, Setting, Participants A cross-sectional telephone survey recruited from 39 treatment, reduction, social service...
Abstract Racial disparities in opioid overdose have increased recent years. Several studies linked these to health care providers’ inequitable delivery of use disorder (OUD) services. In response, policymakers and systems designed new programs improve equitable OUD delivery. bias training has been 1 commonly utilized program. educates providers about the existence racial treatment people who drugs role implicit bias. Our study evaluates a pilot delivered 25 hospital emergency treating...
Background: Addressing behavioral health impacts of major disasters is a priority increasing national attention, but there are limited examples implementation strategies to guide new disaster responses. We provide case study an effort being applied in response the 2016 Great Flood Baton Rouge. Methods: Resilient Rouge was designed support recovery after flooding by building local capacity implement expanded model depression collaborative care for adults, coupled with identifying and...
Introduction Depression is the leading cause of adult disability and common among sexual gender minority (SGM) adults. The current study builds on findings showing effectiveness depression quality improvement (QI) delivery cognitive behavioural therapy (CBT) skills provided by community health workers in reducing depression. QI approaches across healthcare social/community services safety-net settings have shown improvements mental wellness, life over 12 months. Further, a randomised showed...
We describe the rationale, development, and progress on Community Patient Partnered Research Network (CPPRN). The CPPRN builds more than a decade of partnered work is designed to promote health equity by developing research behavioral social risk factors in Los Angeles New Orleans.A community-academic partnership across County Orleans.Review history, structure, activities applying community participatory (CPPR) CPPRN.Patient stakeholders participated all phases including local national...
Background: The Resilience Against Depression Disparities (RADD), a community partnered, randomized comparative effectiveness study, aimed to address mental health in Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning (LGBTQ) racial/ethnic populations New Orleans Los Angeles.
Coastal communities in South Louisiana and worldwide are increasingly impacted by climate-related events such as hurricanes, floods, rising sea levels. In addition, they have recently faced the burden of a global pandemic that may also be consequence climate change. many under-resourced communities, nongovernmental community-based organizations (CBOs) represent backbone response to COVID-19 pandemic. However, little is known about pandemic's impact on efforts these support sustain individual...