A5008837858- Cardiac Arrest and Resuscitation
- Opioid Use Disorder Treatment
- Traumatic Brain Injury Research
- Posttraumatic Stress Disorder Research
- Suicide and Self-Harm Studies
- Musculoskeletal pain and rehabilitation
- Occupational Health and Performance
- Migration, Health and Trauma
- Trauma and Emergency Care Studies
- Substance Abuse Treatment and Outcomes
- Pain Management and Opioid Use
- Traumatic Brain Injury and Neurovascular Disturbances
- Health disparities and outcomes
- Healthcare professionals’ stress and burnout
- Prenatal Substance Exposure Effects
- Indoor Air Quality and Microbial Exposure
- Homelessness and Social Issues
- Healthcare Policy and Management
- Poisoning and overdose treatments
- Disaster Response and Management
- HIV, Drug Use, Sexual Risk
- Animal Nutrition and Health
- Stress and Burnout Research
- Ruminant Nutrition and Digestive Physiology
- Neuroscience of respiration and sleep
Boston University
2022-2025
Easy Global Market (France)
2025
Boston Medical Center
2025
Mental Illness Research, Education and Clinical Centers
2019-2024
Brandeis University
2015-2024
VA Boston Healthcare System
2024
Veterans Health Administration
2020-2023
Rocky Mountain MS Center
2023
Uniformed Services University of the Health Sciences
2019-2023
Adams State University
2017-2023
Iraq and Afghanistan veterans experience extreme stressors injuries during deployments, witnessing participating in traumatic events. The military has organized prevention treatment programs as a result of increasing rates suicide posttraumatic stress disorder among troops; however, there is limited research on how to intervene with alcohol misuse drug use that accompany these problems. This review presents statistics about postdeployment substance problems comorbidities, it discusses the...
Importance Research to identify the direct and indirect associations of military-related traumatic brain injury (TBI) with suicide has been complicated by a range data-related challenges. Objective To differences in rates new-onset mental health conditions (ie, anxiety, mood, posttraumatic stress, adjustment, alcohol use, substance use disorders) among soldiers without history TBI explore (through suicide. Design, Setting, Participants This retrospective cohort study used data from Substance...
Objective: To determine whether combat-acquired traumatic brain injury (TBI) is associated with postdeployment frequent binge drinking among a random sample of active duty military personnel. Participants: Active personnel who returned home within the past year from deployment to combat theater operations and completed survey health assessment (N = 7155). Methods: Cross-sectional observational study multivariate analysis responses 2008 Department Defense Survey Health Related Behaviors Among...
T he Centers for Disease Control and Prevention re- ported that the number of opioid deaths in 2016 was five times 1999, 1 prompting United States Department Health Human Services to declare crisis a public health emergency.Long-term use is associated with risk disorder (OUD), overdose, death. 2 In 2017, > 40% suicide overdose involved known use, which likely an underestimate. 3The economic cost estimated at $504 billion or 2.8% gross domestic product. 4UD most commonly starts prescription...
Soldiers are at risk for acute and chronic pain due to the mental physical challenges of military duties ongoing training force readiness. With burden on any individual attributable across sources, a broad perspective that goes beyond prior characterizations is important. We aim further understanding pain's effects among non-deployed active duty soldiers Military Health System (MHS), by describing prevalence 10 painful conditions, reported levels, duration impact limitations. Data from MHS...
Objective: Examine associations between traumatic brain injury (TBI) and (1) suicide (2) method among individuals receiving Veterans Health Administration (VHA) care. Setting: VHA, Fiscal Years 2006-2015. Participants: with a TBI diagnosis during/prior to the study window ( n = 215 610), compared 20% random sample of those without 1 187 639). Design: Retrospective, cohort study. Cox proportional hazards models were fit accounting for time-dependent measures, chronic conditions, demographics...
Evidence about substance use and misuse among adults with disabilities is still emerging, despite increased risk of chronic pain mental health problems, which are in turn factors for misuse.We examined selected self-reported disability (versus without), controlling sociodemographics, depression/anxiety, physical health, pain, assessed whether associations could be attributed to pain.Data from the nationally representative 2020 US National Alcohol Survey. Disability indicators included...
Importance Adverse outcomes associated with opioid use disorder (OUD) are disproportionately high among people disabilities (PWD) compared those without disability. A gap remains in understanding the quality of OUD treatment for physical, sensory, cognitive, and developmental disabilities, specifically regarding medications (MOUD), a foundation treatment. Objective To examine adults diagnosed disabling conditions, these diagnoses. Design, Setting, Participants This case-control study used...
AbstractThe Substance Use and Psychological Injury Combat Study (SUPIC) will examine whether early detection intervention for post-deployment problems among Army Active Duty National Guard/Reservists returning from Iraq or Afghanistan are associated with improved long-term substance use psychological outcomes. This paper describes the rationale significance of SUPIC, presents demographic deployment characteristics study sample (N = 643,205), self-reported alcohol health subsample matched...
Background This study evaluated an educational intervention intended to increase physicians’ use of patient prescription history information from the state monitoring program (PMP) and their adoption clinical behaviors consistent with opioid guidelines reduce risk. Methods Physician volunteers (n = 87) in community practices Veterans Administration medical settings South Carolina received office-based, individualized, (Academic Detailing) a trained pharmacist who promoted three key messages...
Little is known about long-term prescription opioid utilization in the Military Health System. The objectives of this study were to examine predictors any receipt, and among active duty soldiers year following deployment. analytic sample consisted Army returning from deployment Operation Enduring Freedom, Iraqi or New Dawn fiscal years 2008–2014 (N = 540,738). Heckman probit procedure was used jointly receipt (i.e., an episode 90 days longer where days-supply covered at least two-thirds...
Objective: Within the same time frame, compare National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) VA Traumatic Brain Injury Model System (TBIMS) data sets to inform future research generalizability of findings across cohorts. Setting: Inpatient comprehensive interdisciplinary rehabilitation facilities. Participants: Civilians, Veterans, active duty service members in ( n = 550) NIDILRR civilian settings 5270) who were enrolled TBIMS between August...
Opioid misuse is a significant public health problem in the United States; however, there gap knowledge regarding experiences of individuals who have experienced both opioid misuse/opioid use disorder (OUD) and another disability. This particularly problematic because people with disabilities are more likely to co-occurring serious mental illness, experience chronic pain, be socially isolated, which all independent risk factors for any substance (SUD).The purpose this study was illuminate...
Alcohol use is increasing among women in mid-life concurrently with societal changes timing of parenthood and changing cultural norms, which may influence alcohol use. The aim this study was to determine if age first parenting associated excessive drinking [i.e. past 2-week binge 5-year disorder (AUD) symptoms] during the United States there were pronounced cohort effects influencing these relationships.
Objective: To investigate the incidence of early/unplanned (E/U) separations following mild traumatic brain injury (mTBI) and assess whether sex impacts hazard separation. Setting: Military Health System (MHS). Participants: Active duty service members (N = 75,730) with an initial mTBI diagnosis in military records between January 2011 2018. Design: Retrospective cohort study electronic health MHS. Cause-specific Cox proportional hazards models were used at birth as primary predictor. Main...
Objectives The association between traumatic brain injury (TBI) and alcohol use disorder (AUD) is known, but the extent of TBI’s role in developing AUD remains unclear. This study examines TBI severity with subsequent diagnosis, hazard for death due to alcohol, drug overdose, or suicide. Methods Data from a national US military/veteran cohort (October 1999–September 2016, followed until September 2020) were analyzed using Fine-Gray competing risk models investigate relationships exposure,...
Importance Evidence-based, patient-centered treatment for alcohol use disorder (AUD) can include pharmacotherapy with naltrexone, acamprosate, or disulfiram; however, these medications are rarely used. Medicaid managed care plans (MCPs) manage health services nearly 80% of enrollees and the largest payer addiction services. Little is known about MCP policies AUD medications. Objectives To describe MCPs’ coverage management disulfiram examine associations plan characteristics state medication...
Introduction General opioid prescribing has decreased in response to practice guidelines and policy changes, but information on recent practices initial is needed support interventions reduce the risk of long-term prescription use. Methods This cross-sectional study examined Military Health System data between 1 October 2015 30 September 2021 explore prescriptions among providers serving 1.66 million US service members. We compared characteristics a subgroup (n=372 960) receiving an within...