The historical patterns of opiate use show that sources and methods access greatly influence who is at risk. Today, there evidence an enormous increase in the availability prescription opiates fuelling a rise addiction nationally, drawing new initiates to these drugs changing geography overdoses. Recent efforts supply-based reductions may reduce harm, but addicted individuals switch other such as heroin. In this analysis, we test hypothesis changes rates Prescription Opiate Overdoses (POD)...

The authors describe the development of Maryland Assessment Recovery in People with Serious Mental Illness, or MARS, a 25-item self-report instrument that measures recovery people serious mental illness, and report study its psychometric properties.Doctoral-level scientists expertise illness drafted set survey items about process. Items reflected domains outlined by Substance Abuse Health Services Administration. After consultation panel experts on included consumers clinical small group...

Abstract Background and Aims Heroin‐related overdose is linked to polydrug use, changes in physiological tolerance social factors. Individual risk can also be influenced by the structural environment including illicit drug market. We hypothesized that components of US market, specifically heroin source/type, price purity, will have independent effects on number heroin‐related hospital admissions. Methods Yearly, from 1992 2008, M etropolitan S tatistical A rea (MSA) purity series were...

Vicarious trauma (VT) involves affective distress and shifts in cognitive schemas following secondary exposure to traumatic material. The Trauma Scale (VTS) is a brief measure designed assess resulting from such has potential as screening tool for VT practice educational settings. current study the first examination of psychometric properties VTS sample social workers (n = 157) collected cross-sectional survey. Results item response models (IRM) confirmatory factor analysis (CFA) suggest...

The purpose of this study was to examine the fit existing Western posttraumatic stress disorder (PTSD) models across 3 non-Western low and middle income countries (LMIC). Secondary data analysis conducted from studies among torture survivors in Northern Iraq, sexual violence Democratic Republic Congo (DRC), Burmese refugees Thailand. Confirmatory factor analyses were on Harvard Trauma Questionnaire (HTQ) compare established PTSD using (a) 3-factor Diagnostic Statistical Manual (DSM) 4th...

Objective: This aim of this study was to characterize trends in alcohol-related hospital admissions among middle-aged and older adults from 1993 2010 relation age, gender, race, cohort membership. Method: utilized repeated cross-sectional data the Nationwide Inpatient Sample. Using classified admissions, yearly rates longitudinal inpatient hospitalizations based on period, birth cohort, race were estimated. Results: Among those aged 45 older, rose an estimated 610,634 more than 1,134,876,...

Abstract Aims To examine the relationship between fatigue and sickness absence in nurses from a paediatric hospital over 12 months of follow‐up. A secondary aim was to identify other work personal factors that predict absence. Background Sickness is often related worker‐fatigue, yet few studies have explored this despite documented high levels. Design The study used retrospective cohort design. Methods Baseline data on 40 an intervention were linked using hospital's attendance records...

Major depressive disorder (MDD) and generalized anxiety (GAD) are highly comorbid and, as diagnoses, problematic because they heterogeneous, may impair functioning even in subclinical manifestations, not predict important external criteria well empirically-derived classifications. The present study employed a latent class analysis using data from National Comorbidity Survey (1990–1992) focused on respondents who endorsed at least 1 screening question for MDD GAD (N = 1009). Results revealed...

In response to the growing awareness of high rates potentially traumatic experiences and their potential adverse impacts, health human service providers have increasingly focused on implementing trauma-informed care (TIC). However, studies focusing effective implementation been limited. this study, we explored relationship individual agency characteristics level organizational TIC. With data collected from a sample 345 67 agencies, used TICOMETER, brief measure TIC with strong psychometric...

Objective: This study examined effects of patient-level and hospital-level characteristics on length cost hospital stays among adult patients with psychotic disorders. Methods: A subsample 677,684 a primary diagnosis disorder was drawn from the 2003–2011 Healthcare Cost Utilization Project Nationwide Inpatient Sample. nationally representative survey design census data were used to calculate hospitalization rates. Multilevel models variation in stay relation individual (age, sex,...

Objective The study objective was to fill research gaps about inpatient psychiatric service utilization among Asian Americans and Pacific Islanders (AA/PIs). Methods Rates of hospitalization, illness severity, length stay were compared AA/PI adults overall across diagnoses (schizophrenia, depression, bipolar, anxiety, other disorders identified by All Patient Refined Diagnosis Related Groups) using discharge data from all hospitalizations in Hawaii December 2006 2010. Multivariable models...

Objective: The prevalence of depression in older adults has been increasing over the last 20 years and is associated with economic costs form treatment utilization caregiving, including inpatient hospitalization. Comorbid alcohol diagnoses may serve as a complicating factor admissions lead to overutilization care greater cost. This study sought isolate comorbidity effect among adult hospital for depression. Methods: We analyzed subsample (N = 8,480) (65+) from 2010 Nationwide Inpatient...