- Substance Abuse Treatment and Outcomes
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Digital Mental Health Interventions
- Prenatal Substance Exposure Effects
- Health Policy Implementation Science
- Adolescent Sexual and Reproductive Health
- Posttraumatic Stress Disorder Research
- Child Abuse and Trauma
- Sex work and related issues
- Migration, Health and Trauma
- Mobile Health and mHealth Applications
- Homelessness and Social Issues
- Mental Health Research Topics
- Mental Health Treatment and Access
- Behavioral Health and Interventions
- Mental Health and Patient Involvement
- Community Health and Development
- Child and Adolescent Psychosocial and Emotional Development
- Pharmaceutical Practices and Patient Outcomes
- Advanced Causal Inference Techniques
- LGBTQ Health, Identity, and Policy
- Pain Management and Opioid Use
- Statistical Methods in Clinical Trials
Columbia University
2016-2025
Columbia University Irving Medical Center
2016-2025
New York State Psychiatric Institute
2015-2024
Riverside Research Institute
2024
New York Psychoanalytic Society and Institute
2014-2023
New York University
2016-2023
Johns Hopkins University
2023
Cornell University
2023
JDSU (United States)
2023
Indiana University – Purdue University Indianapolis
2020
The purpose of the analysis was to examine temporal course improvement in symptoms posttraumatic stress disorder (PTSD) and substance use among women outpatient abuse treatment.Participants were 353 randomly assigned 12 sessions either trauma-focused or health education group treatment. PTSD assessments conducted during treatment posttreatment at 1 week after 3, 6, months. A continuous Markov model fit on four defined response categories (nonresponse, response, global [improvement both use])...
The authors compared the effectiveness of Seeking Safety group, cognitive-behavioral treatment for substance use disorder and posttraumatic stress (PTSD), to an active comparison health education group (Women's Health Education [WHE]) within National Institute on Drug Abuse's Clinical Trials Network. randomized 353 women receive 12 sessions (M = 6.2 sessions) or WHE 6.0 with follow-up assessment 1 week 3, 6, months posttreatment. Primary outcomes were Clinician Administered PTSD Scale...
The Therapeutic Education System, which combines skills-oriented counseling and contingency management in an Internet-delivered behavioral intervention, produced high rates of abstinence from drugs heavy drinking among patients with a good prognosis (those who entered the study positive urine drug or breath alcohol screen) but doubled likelihood otherwise poor prognosis.
Opioid overdose deaths remain high in the U.S. Despite having effective interventions to prevent deaths, there are numerous barriers that impede their adoption. The primary aim of HEALing Communities Study (HCS) is determine impact an intervention consisting community-engaged, data-driven selection, and implementation integrated set evidence-based practices (EBPs) on reducing opioid deaths.The HCS a four year multi-site, parallel-group, cluster randomized wait-list controlled trial. (n = 67)...
Abstract Background Lesbian, gay, bisexual, transgender, queer, and other LGBTQ populations (LGBTQ+; e.g., asexual individuals) have higher rates of substance use (SU) disorders (SUD) compared to heterosexual cisgender populations. Such disparities can be attributed minority stress, including stigma discrimination in healthcare settings. LGBTQ+-affirming SU treatment related services remain limited. The purpose this exploratory qualitative descriptive study was characterize LGBTQ+ people’s...
Because drug-involved women are among the fastest growing groups with AIDS, sexual risk reduction intervention for them is a public health imperative. To test effectiveness of HIV/STD safer sex skills building (SSB) in community drug treatment. Randomized trial SSB versus standard Education (HE); assessments at baseline, 3 and 6 months. Women recruited from 12 methadone or psychosocial treatment programs Clinical Trials Network National Institute on Drug Abuse. Five hundred fifteen >or=1...
The application of digital technologies to better assess, understand, and treat substance use disorders (SUDs) is a particularly promising vibrant area scientific research. National Drug Abuse Treatment Clinical Trials Network (CTN), launched in 1999 by the U.S. Institute on Abuse, has supported growing line research that leverages glean new insights into SUDs provide science-based therapeutic tools diverse array persons with SUDs.This manuscript provides an overview breadth impact conducted...
Background & Objectives We investigated gender differences in individuals with opioid use disorder (OUD) receiving inpatient services and entering a randomized controlled trial comparing extended‐release naltrexone to buprenorphine. Methods Participants ( N = 570) provided demographic, substance use, psychiatric information. Results Women were significantly younger, more likely identify as bisexual, live sexual partner, be financially dependent, less employed. reported greater...
The opioid epidemic continues to evolve and impact all groups of people. Moreover, there are concerning trends among women. aim this article is provide a review use disorder in women the implications for treatment.
Providing take-home naloxone (THN) to people who use opioids is an increasingly common strategy for reversing opioid overdose. However, implementation hindered by doubts regarding the ability of administer and respond appropriately overdoses. We aimed increase understanding competencies required demonstrated users had recently participated in a THN programme were subsequently confronted with overdose emergency.
In response to the U.S. opioid epidemic, HEALing (Helping End Addiction Long-termSM) Communities Study (HCS) is a multisite, wait-listed, community-level cluster-randomized trial that aims test novel That HEAL (CTH) intervention, in 67 communities. CTH will expand an integrated set of evidence-based practices (EBPs) across health care, behavioral health, justice, and other community-based settings reduce overdose deaths. We present rationale for adaptation RE-AIM/PRISM framework...
Opioid-related overdose deaths in North America have increased drastically, partially due to the prevalence of illicitly manufactured fentanyl. The current study sought assess and intentionality fentanyl use among individuals with opioid disorder (OUD).For this secondary analysis (study 1) we screened a total 1118 urine samples from 316 participants OUD 2016 2019. Fentanyl knowledge were assessed separate sample 2; N = 33).In 1, 34.6% all tested positive for Overall, 149 (47.2%) provided...