The authors sampled for expanded drug testing of 1,061 urine specimens collected by Maryland Division Parole and Probation staff. They found an increase in the percentage individuals positive buprenorphine that these often contained other drugs, suggesting misuse. Subsequent interviews with 15 probationers parolees Baltimore, Maryland, showed wide-scale availability on street prisons. Medical examiners programs should immediately initiate routine to track a possible outbreak diversion...

Epidemiologic studies have consistently found elevated rates of alcohol and other substance use among sexual minority women (SMW), despite calls for "LGBT-specific" services culturally-tailored interventions, few such exist. This study involved qualitative interviews with directors from treatment programs (N=10) about how they addressed the needs SMW. Strategies implemented primarily focused on creating a safe welcoming environment clients. Findings highlight challenges in meeting SMW...

Recovery housing is a service delivery modality that simultaneously addresses the social support and needs of those in recovery from substance use disorders. This article describes group homes Texas (N = 10) representing lesser-studied type housing, one which explicitly bridges treatment peer by providing variety services. All residents meet with coach, undergo regular drug screening, have access to intensive outpatient treatment—a program was developed specifically homes. Unlike Oxford...

In March–April, 2020, we communicated with a cohort of criminal justice–involved (CJI) women to see how they were navigating COVID-19, chronic illness, homelessness, and shelter-in-place orders in Oakland, Birmingham, Kansas City. We report on conversations N = 35 (out the 474 women) our own observations from ongoing justice involvement studies. Women reported barriers protecting themselves given widespread unstable housing complex health needs, though many tried follow COVID-19 prevention...

Women involved in the criminal legal (CL) system United States have much higher levels of chronic and infectious illness than women general population. Over 80% CL are on community supervision, which means they receive health care settings. While use Emergency Department among populations has been examined fairly extensively, less is known about engagement routine preventive medical people supervision.We conducted a longitudinal study utilization with Medicaid who were currently or...

The continuing development and refinement of empirically supported interventions to increase participation in posttreatment care promote sustained abstinence from illicit drug use is a priority for the addictions field.The purpose this study was assess combined relative effectiveness four types counseling styles, delivered by telephone, no-call control condition.Stimulant users (N = 302) were randomized one low-cost, telephone support protocols (unstructured/non-directive,...

Background: Gay, bisexual, and other men who have sex with (MSM) face unique recovery challenges. Recovery housing may play an important role in improving outcomes among MSM, but little is known about their experiences these settings. Methods: This study examined 3-month MSM (N = 22) living a group of residences Texas, one which home specifically designated for gay bisexual men. Upon intake, adult were recruited to participate the study, involved baseline phone interview allowing staff...

The unintentional consumption of fentanyl is a serious health risk for people who use illicit drugs. In an ongoing community-based study regarding polysubstance among opioids, we found that 17 58 (29%) participants did not endorse in the past thirty days tested positive during point-of-care urinalysis (UA). This paper describes reactions and experiences were informed they had consumed unintentionally, as well how research team handled unanticipated occurrence discordant results. Consistent...

Recovery housing is a promising way to augment the substance use continuum of care, but we know little about experiences members lesbian, gay, bisexual, transgender, and queer (LGBTQ) community who live in them or residences specifically for them. Within LGBTQ community, other men have sex with (MSM) often experience co-occurring syndemic conditions (e.g., trauma, depression, HIV) that present unique recovery challenges. Using qualitative data gathered from residents living residence gay...

To assess whether adolescent marijuana exposure represents a modifiable predictor of risk sexually transmitted infections as adults, we used nationally representative, longitudinal data from Waves I (1994–1995, adolescence) and III (2001–2002, adulthood) the National Longitudinal Study Adolescent Health (N = 10,738) to examine racial gender differences in associations between use, current peer use adulthood multiple partnerships, self-reported infections, biologically confirmed infections....

Click to increase image sizeClick decrease size Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis opinion piece draws upon research activities that were primarily funded National Cancer Institute/ Institutes Health under Award Number R01CA226838 Principal Investigator Ramaswamy. No funds supported development and writing this article.Notes on contributorsJordana HembergJordana Hemberg, MPH, is a Research Public Analyst at...

Background & Objectives This study assessed the role of 14 specific relapse‐prevention activities and their underlying factors in maintaining abstinence among subjects ( N = 302) completing outpatient treatment for stimulant dependence. Methods We examined what broader dimensions might subsume items constituting Drug Avoidance Activities checklist (Farabee et al. J Subst Abuse Treat 2002;23:343–350), how well these derived predicted concurrent drug use at baseline again 3 12 months...

There is currently a nationwide effort to decrease the number of persons who are incarcerated in jails and prisons. However, many ex-offenders on probation or parole do not have access affordable housing larger proportions histories HIV risk as well substance abuse problems. In California, sober living houses (SLHs) becoming an increasingly popular option for these individuals. Based largely principles Alcoholics Anonymous (AA), SLHs require abstinence from alcohol drugs provide peer support...

Background & Aims: Gay, bisexual, and other men who have sex with (MSM) face distinct recovery challenges. This mixed-methods study examines the service needs help-seeking pathways of MSM (N = 25) living in a group residences operated Texas, one which is home specifically designated for gay bisexual men.Methods: Upon intake, adult were recruited to complete an interview assessing extent their as well goals expectations about stay. Men regardless whether they moved into or another men's...

Research participants were enrolled in an ongoing, three-city study of cervical cancer risk among women involved the CL system, funded by National Cancer Institute (R01CA226838).Data are collected annually with a cohort