- Substance Abuse Treatment and Outcomes
- Opioid Use Disorder Treatment
- Healthcare professionals’ stress and burnout
- Cannabis and Cannabinoid Research
- HIV, Drug Use, Sexual Risk
- Primary Care and Health Outcomes
- Gambling Behavior and Treatments
- Counseling Practices and Supervision
- Homelessness and Social Issues
- Suicide and Self-Harm Studies
- Pediatric Pain Management Techniques
- HIV/AIDS Research and Interventions
- Health Policy Implementation Science
- Housing, Finance, and Neoliberalism
- Child and Adolescent Psychosocial and Emotional Development
- Cardiac Arrest and Resuscitation
- Prenatal Substance Exposure Effects
- Criminal Justice and Corrections Analysis
- Workplace Health and Well-being
- Pain Management and Opioid Use
- Digital Mental Health Interventions
- Child Abuse and Trauma
- HIV-related health complications and treatments
- Racial and Ethnic Identity Research
- Emergency and Acute Care Studies
Boston University
2018-2025
Boston Medical Center
2024-2025
Bay State College
2024
University of Pittsburgh
2019
Abstract Background In 2021–2022, encampments in a downtown Boston neighborhood reached record heights, increasing the visibility of drug use and homelessness city. response, city planned “sweep” (i.e., eradication encampments) requested support from social services medical providers to pilot low-threshold shelters. Low-threshold shelters reduce barriers staying traditional congregate with more flexible regulations, longer-term bed assignments, secured storage for contraband (e.g., drugs,...
Historically, the addiction field considered abstinence to be key marker of recovery and has been a primary treatment outcome focus mutual aid groups. The centrality limited exploration non-abstinence or resolution pathways. As becomes more inclusive different paths, it is increasingly important learn about this population. This study was designed to: (1) explore substance use, history, mental health individuals who resolved an addiction; (2) compare abstinent non-abstinent participants on...
Abstract: Adults experiencing homelessness (AEH) have high rates of psychiatric conditions, face barriers to accessing care, and are emergency department (ED) utilizers, a setting often unable address their complex health needs. This study assesses time trends frequency utilization by AEH in one services (PES) program. A retrospective review electronic records from 2005 2020 was conducted at an urban PES program serving uninsured publicly insured adults. Of the 227,553 encounters examined,...
Abstract Background Recovery from addiction is frequently equated with abstinence. However, some individuals who resolve an continue to use substances, including via substitution (i.e., increased of one substance after eliminating/ reducing another). Substitution may play a distinct role during early recovery (≤ 1 year), as this period marked by dramatic change and adjustment. Cannabis the most used substances legal for medical recreational in increasing number states. Consequently, cannabis...
The current older adult population is more likely to need and seek treatment for alcohol drug abuse than previous cohorts of adults, which necessitates the age-appropriate substance use treatment. Building on research that examined lack attention among this study examines articles addressing disorders adults in leading gerontological journals federal funding between 2011 2017. Publications were identified from ten using Medical Subject Heading (MeSH) terms. During time-period, there 68 44...
Purpose Emergency medical service (EMS) workers are at risk for burnout related to the opioid overdose crisis because they frequently present during events. The study’s aims were twofold: 1) determine whether variables associated with and 2) explore relationship between mental health, sleep, substance use, social support, attitudes about working burnout. Design/methodology/approach In a cross-sectional web-based study, surveys distributed by supervisors EMS in Pennsylvania (winter 2018)....
Background Injured patients are at risk for prolonged opioid use after discharge from care. Limited evidence exists regarding how continued may be related to medication misuse and disorder (OUD) following injury. This pilot study characterized consumption patterns, health characteristics, substance among with active prescriptions medications injury Methods was a cross-sectional screening survey combined medical record review February 2017 March 2018 conducted outpatient trauma orthopedic...
The transition of HIV from an acute, fatal illness to a chronic health condition has shifted the treatment needs people living with (PLWH). PLWH, including sexual minority men (SMM), are longer and subject concerns often associated aging. A major concern older SMM who report problematic substance use is pain. This qualitative analysis 15 one-on-one interviews pain aimed characterize this population's experiences pain, engagement in care, use. study was conducted community center Boston, MA....
Abstract Pain is a complex construct contributing to significant impairment, particularly among physically injured patients seeking treatment in trauma and orthopedic surgery settings which social workers are an integral component of care. The biopsychosocial theory, fear-avoidance, cognitive mediation models pain suggest that psychological factors (for example, depression) affect one’s ability tolerate distress, leading negative appraisals, such as catastrophizing. This study examined...
Increases in the numbers of older adults with mental health and substance use concerns compel us to identify best practices training address these issues. Senior Centers are an ideal location for behavioral education programs as they go-to place many adults. This paper describes online certificate program Behavioral Health Aging offered by Center Disability Education Research at Boston University School Social Work collaboration National Council on increase senior center staff knowledge...
In a sample of adults who reported cutting down on their alcohol use in the past 3 months, study goals were to Identify how many increased consumption licit substances (called 'substituters'); and analyze psychological profiles substituters compared non-substituters. Participants (25.6% Latinx, 46.2% female) recruited using Amazon's Mturk completed questionnaires substance substitution (i.e. any while another substance) stress, depression, anxiety. Among those reporting decreases (N = 78),...