A5081848839- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Prenatal Substance Exposure Effects
- HIV, Drug Use, Sexual Risk
- Homelessness and Social Issues
- Pharmaceutical Practices and Patient Outcomes
- Forensic Toxicology and Drug Analysis
- Leadership and Management in Organizations
- HIV/AIDS Research and Interventions
- Pain Management and Opioid Use
- COVID-19 and healthcare impacts
- Blood Pressure and Hypertension Studies
- Organizational Change and Leadership
- Maternal Mental Health During Pregnancy and Postpartum
- Medical Imaging Techniques and Applications
- Innovations in Medical Education
- Workplace Violence and Bullying
- Food Security and Health in Diverse Populations
- Urban, Neighborhood, and Segregation Studies
- Reproductive Health and Contraception
- Lanthanide and Transition Metal Complexes
- Healthcare Policy and Management
- Healthcare professionals’ stress and burnout
- Telemedicine and Telehealth Implementation
- Pharmaceutical industry and healthcare
Hennepin Healthcare Research Institute
2020-2024
University of Minnesota
2020-2024
Minnesota Department of Health
2021-2024
University of Minnesota Medical Center
2020-2021
Montana State University
2013
Methamphetamine use, with and without opioids, has increased substantially, but little is known about the sociodemographic characteristics, substance use patterns, or health profiles of individuals who methamphetamine. To design effective public interventions, care professionals policymakers need data describing are using methamphetamine in midst opioid crisis.
Non-emergent clinical services were limited or suspended during the early stages of coronavirus disease 2019 (COVID-19) pandemic in United States (U.S.). This could adversely impact epidemics public health importance, such as HIV, and access to testing, which is a cornerstone prevention efforts. In this observational study, we collected HIV testing positivity rate data from four geographically diverse U.S. healthcare systems New Orleans, Louisiana; Minneapolis, Minnesota; Providence, Rhode...
The rise in drug overdoses and harms associated with the use of more than one substance has led to increased term "polysubstance use" among researchers, clinicians, public health officials. However, retains no consistent definition across contexts. current authors convened from disciplines including sociology, epidemiology, neuroscience, addiction psychiatry propose a recommended polysubstance use. An iterative process considered authors' formal informal conversations, insights relevant...
Moral injury has emerged as a construct of interest in healthcare workers' (HCW) occupational stress and health. We conducted one the first multidisciplinary, longitudinal studies evaluating relationship between exposure to potentially morally injurious events (PMIEs), burnout, turnover intentions. HCWs (N = 473) completed surveys May 2020 (T1) again 2021 (T2). Generalized Linear Models (robust Poisson regression) were used test relative risk intentions, burnout at T2 associated with PMIE...
To examine trends in polysubstance use among adults treatment for opioid disorder (OUD) and estimate associations between patterns receipt of medications OUD (MOUD).We conducted a cross-sectional longitudinal analysis admissions from 1992 to 2017 using the Treatment Episodes Data Set-Admissions (N = 9,440,157). We used multiple logistic regression co-use MOUD categories (opioid only, any methamphetamine, cocaine, alcohol, benzodiazepine).Between 2017, involving opioid/cocaine (-17.2...
Background: The overdose crisis is increasingly characterized by opioid and stimulant co-use. Despite effective pharmacologic treatment for both use disorder (OUD) contingency management disorders, most individuals with these co-occurring conditions are not engaged in treatment. Hospitalization an important opportunity to engage patients initiate treatment, however existing hospital addiction care tailored co-use may meet the needs of this population. Methods: Semi-structured interviews were...
We used data from a statewide public health–health system collaboration to describe trends in COVID-19 vaccination rates by racial and ethnic groups among people experiencing homelessness or incarceration Minnesota. Vaccination completion the general population incarcerated state prisons were substantially higher than those jail incarceration.
The US overdose crisis is increasingly characterized by opioid and methamphetamine co-use. Hospitalization an important opportunity to engage patients in substance use treatment. Understanding characteristics of co-use-related hospital stays can inform the development services better support this growing patient population. We used 2016–2019 National Inpatient Sample data conduct a cross sectional analysis hospitalizations involving opioids, methamphetamine, or both. bivariate compare...
As overdose rates increase for multiple substances, policymakers need to identify geographic patterns of substance-specific deaths. In this study, we describe county-level opioid and psychostimulant how they correlate with social vulnerability measures.
Objectives Safety-net hospitals disproportionately care for people with substance use disorders (SUDs), yet little is known about trends in hospital admissions related to specific substances. This study uses electronic health record data describe substance-specific at a Midwest urban safety-net hospital. Methods We included all from 2008 through 2020 and defined them as non-SUD (N = 154,477) or SUD-related 63,667). described patient characteristics admissions. estimated the association of...
Individuals experiencing homelessness or criminal justice involvement (CJI) have higher rates of substance use than the general public. Despite documented barriers to accessing treatment, few studies compared treatment patterns between these groups.This paper uses data from Treatment Episode Dataset-Admissions 2006 2018 describe characteristics and trends in admissions indicating (n=2,524,413), CJI (4,764,750), both (509,902), neither (8,950,797) United States. We used multivariable logistic...
Individuals with criminal legal involvement (CLI), housing instability, or Medicaid insurance may experience barriers accessing substance use treatment in certain settings. Previous research has found individuals these groups are less likely to receive medications for opioid disorder (MOUD), but the role setting play low rates of MOUD is unclear.
Background: As overdose deaths continue to rise, public health officials need comprehensive surveillance data design effective prevention, harm reduction, and treatment strategies. Disparities across race ethnicity groups, as well trends in substance use, treatment, or deaths, have been examined individually, but reports rarely compare findings multiple substances sources. Objective: To provide a broad assessment of the crisis, we describe mortality racial ethnic groups for substances....
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