A5076369609- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Mental Health Treatment and Access
- Neurotransmitter Receptor Influence on Behavior
- Innovations in Medical Education
- Homelessness and Social Issues
- Alcoholism and Thiamine Deficiency
- Suicide and Self-Harm Studies
- Simulation-Based Education in Healthcare
- Alcohol Consumption and Health Effects
- Schizophrenia research and treatment
- Clinical Reasoning and Diagnostic Skills
- COVID-19 and Mental Health
- Forensic Toxicology and Drug Analysis
- Psychedelics and Drug Studies
- Attention Deficit Hyperactivity Disorder
- Healthcare Decision-Making and Restraints
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Food Security and Health in Diverse Populations
- Digital Mental Health Interventions
- Treatment of Major Depression
- Posttraumatic Stress Disorder Research
- Cardiac Arrest and Resuscitation
- Healthcare professionals’ stress and burnout
- Pain Management and Opioid Use
Yale University
2016-2025
VA Connecticut Healthcare System
2013-2025
VA Connecticut Research and Education Foundation
2024
Yale New Haven Hospital
2020
The University of Texas Southwestern Medical Center
2012-2014
RTI International
2014
VA North Texas Health Care System
2014
Mental Illness Research, Education and Clinical Centers
2013
University of Florida
2004-2013
Florida College
2006
To analyze data from a large, contemporary, nationally representative sample of US veterans to evaluate: (1) the prevalence life-time alcohol use disorder (AUD) and past-year AUD; (2) common psychiatric comorbidities associated with (3) correlates probable AUD.Data were analyzed National Health Resilience in Veterans Study (NHRVS), web-based survey random probability military veterans.United States.Nationally 3157 aged 21 years older.Life-time abuse dependence assessed according DSM-IV...
Opioid use disorder (OUD) is a major public health threat, contributing to morbidity and mortality from addiction, overdose, related medical conditions. Despite our increasing knowledge about the pathophysiology existing treatments of OUD, it has remained relapsing remitting for decades, with rising deaths overdoses, rather than declining. The COVID-19 pandemic accelerated increase in overall substance interrupted access treatment. If increased naloxone access, more buprenorphine...
Introduction: Glucagon-Like Peptide-1 Receptor (GLP1R) agonists have become widespread anti-obesity/diabetes pharmaceuticals in the United States. Aim: This article aimed to provide our current knowledge on plausible mechanisms linked role of Ozempic (Semaglutide), which is generalized as one anti-addiction compounds. Methods: The effects GLP1R Alcohol Use Disorder (AUD) and substance use disorder (SUD) are mediated, part, through downregulation dopamine signaling. We posit that while...
Caffeine is the most widely consumed drug in world with coffee representing a major source of intake. Despite widespread availability, various medical conditions necessitate caffeine-restricted diets. Patients on certain prescription medications are advised to discontinue caffeine Such admonition has implications for psychiatric patients because pharmacokinetic interactions between and anti-anxiety drugs. In an effort abstain from caffeine, may substitute decaffeinated caffeinated coffee....
Ketogenic diets (KDs) are used for treatment of refractory epilepsy and metabolic disorders. The classic saturated fatty acid-enriched (SAT) KD has a fat:carbohydrate plus protein ratio 4:1, in which the predominant fats saturated. We hypothesized that polyunsaturated fat-enriched (POLY) would induce similar degree ketosis with less detrimental effects on carbohydrate lipid metabolism. Twenty healthy adults were randomized to two different weight-maintaining KDs 5 d. Diets 70% fat, 15%...
Background and Objectives While alcohol use disorder is prevalent in U.S. veterans, little known about the nature determinants of predominant trajectories consumption this population. The objective current study was to identify over a 4‐year period, baseline these veterans. Methods Data were analyzed from National Health Resilience Veteran Study, which surveyed nationally representative sample 3,157 veterans (Wave 1). Assessments (Waves 2 3) conducted every years thereafter. Alcohol assessed...
Alcohol withdrawal-especially delirium tremens (DT)-is a potentially life-threatening condition. While short-term treatment regimens and factors that predispose to more severe symptomatology have been extensively studied, little attention has paid the clinical epidemiology long-term care of chronic medical, addictive, psychiatric, psychosocial problems faced by these patients.National Veterans Health Administration data from fiscal year 2012 were examined identify veterans diagnosed with DT;...
Major depressive disorder (MDD) is a serious mental health condition that contributes to complications, financial burden and death. In 2020, about one in five US adults had lifetime diagnosis of MDD. With Depressive Disorder being common concern, it important understand treatment patterns within public systems like Medicaid, as they play crucial role providing care diverse populations.The study investigated antidepressant usage market distribution the Medicaid Program. By doing so, aimed...
The complex needs of homeless populations result in use a wide range services and high costs for housing programs psychiatric general medical care. Allocation resources often is not congruent with assessed needs. A series cost-congruence hypotheses was developed to test assumptions that are associated provided appropriate populations.Individuals (N=255) who were followed two years categorized by status over time (consistently housed, housed late, lost housing, or consistently homeless)....
The COVID-19 pandemic led to a decline in emergency department visits the United States. Less is known about how has impacted psychiatric services (PES). This report compares Connecticut Department of Veterans Affairs room from March-August 2020 same period three prior years (2017, 2018, 2019) evaluate impact on patient volume and dispositions. Compared years, there was 2020, particularly April. coincided with peak state. Rates hospitalizations remained consistent, while rates referrals...
Abstract Background and Objectives Benzodiazepines are the primary method of treatment alcohol withdrawal, though American Society Addiction Medicine guidelines also include alternative agents for consideration. Observations in a Department Veterans Affairs (VA) psychiatric emergency room noted consistent benzodiazepine use with an overall lack agents, even low Clinical Institute Withdrawal Assessment Alcohol (CIWA) scores absence other concerning symptoms. Due to concerns potential...
High-fidelity mannequin-based simulation is frequently used to compliment medical student education during clinical clerkships. However, psychiatric educators have not broadly adopted this modality, focusing rather on standardized patient actors. We developed and delivered a case involving with alcohol withdrawal lithium toxicity followed by debriefing session students at the end of their clerkship.The involves 40-year-old male truck driver history bipolar disorder who presents emergency...