Introduction 

There is increasing interest and evidence for the use of cannabinoid medications in the treatment of cannabis use disorder, but little examination of the correlates of successful treatment. This paper is a secondary analysis of a randomised placebo-controlled trial of nabiximols for the treatment of cannabis use disorder (CUD), aiming to identify which client and treatment characteristics impact treatment engagement and outcomes.

Method

Bayesian multiple regression models were used to examine the impact of age, gender, duration of regular cannabis use, daily quantity of...

Background

Novel public health interventions are needed to address the toxic drug supply and meet the needs of people who use drugs amidst the overdose crisis. Safer supply – low-barrier distribution of pharmaceutical grade substances – has been implemented in some jurisdictions to provide safer alternatives to the unregulated drug supply, yet no studies to date have explored professional stakeholder perspectives on this approach.

Methods

Purposive sampling was used to recruit professional stakeholders (n = 17) from four locations in British Columbia, Ontario, and Nova Scotia, including...

Background

There is a higher prevalence of substance use disorder (SUD) among justice-involved children (JIC). It is critical to ensure that JIC who report current use are referred for SUD assessment and potentially life-saving treatment services. Prior research suggests that certain minoritised groups may be less likely to have ever been referred for screening, and research on intersectionality suggests that these disparities may be exacerbated for racially minoritised females.

Methods

Multivariate logistic regression and interaction effects were employed to analyse longitudinal data from...

Background

COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services.

Results

Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of provision...

خلفية

يذكر أن التعاون متعدد التخصصات (أي حيث تعمل التخصصات المختلفة بشكل منسق ومترابط نحو الأهداف المشتركة) يحقق فعالية فريق أعلى من النهج متعددة التخصصات (أي حيث تعمل التخصصات المختلفة بالتوازي داخل حدودها المهنية) في إعدادات الرعاية الصحية الجسدية. ومع ذلك ، لا توجد أبحاث حول الأساليب متعددة التخصصات لعلاج اضطراب تعاطي الكحول (AUD) للمرضى في المستشفى لأن هذه الأنواع من الأساليب لا تزال غير شائعة. تهدف هذه الدراسة إلى تقييم مبادرة مبتكرة متعددة التخصصات لعلاج AUD في قسم المستشفى العام من خلال 1) تحديد أي شركاء الشبكة وإلى أي مدى يشاركون و 2) لاستكشاف كيف اختبر شركاء الشبكة التعاون متعدد...

Introduction and aims

There is increasing interest and evidence for the use of cannabinoid medications in the treatment of cannabis use disorder, but little examination of the correlates of successful treatment. This paper is a secondary analysis of a randomised placebo-controlled trial of nabiximols for the treatment of cannabis use disorder (CUD), aiming to identify which client and treatment characteristics impact treatment engagement and outcomes.

Method

Bayesian multiple regression models were used to examine the impact of age, gender, duration of regular cannabis use, daily quantity...

خلفية

هناك حاجة إلى تدخلات جديدة في مجال الصحة العامة لمعالجة إمدادات الأدوية السامة وتلبية احتياجات الأشخاص الذين يتعاطون المخدرات وسط أزمة الجرعة الزائدة. تم تنفيذ إمدادات أكثر أمانا - توزيع منخفض الحواجز للمواد الصيدلانية - في بعض الولايات القضائية لتوفير بدائل أكثر أمانا لإمدادات الأدوية غير المنظمة ، ومع ذلك لم تستكشف أي دراسات حتى الآن وجهات نظر أصحاب المصلحة المحترفين حول هذا النهج.

أساليب

استخدمنا أخذ العينات الهادفة لتوظيف أصحاب المصلحة المحترفين (ن = 17) من أربعة مواقع في كولومبيا البريطانية وأونتاريو ونوفا سكوشا ، بما في ذلك مديري البرامج والمديرين التنفيذيين وممثلي السلطات...

Background

The COVID-19 emergency has tested the public health, medical, and public safety infrastructure of the United States (U.S.) in unprecedented ways. As the focal point for public health in their communities, local health departments (LHDs) were particularly impacted by the pandemic’s onset. The pandemic limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between...

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تتم مناقشة التمويل والنشر وصنع السياسات والدعوة.

Canada’s Low-Risk Alcohol Drinking Guidelines were originally published by CCSA in November 2011 and were the result of the work of alcohol research experts in Canada. Since then, substantial new research on the association between alcohol use and physical, mental and social harms has been completed. Many countries have updated their guidance on drinking to reflect these advancements in what is known about the risks and benefits associated with alcohol consumption.

The report is composed of three documents: the Public Summary, the Technical Summary and the Technical Report. 

• The Public...

Background

Appointment no-show and early dropout from treatment represent major challenges in outpatient substance use disorder treatment, adversely affecting clinical outcomes and health care productivity. In this quasi-experimental study, we examined how a brief reminder intervention for new patients before their first appointment affected treatment participation and retention. No-shows (not attending any sessions) and dropouts (discontinuation of initiated treatment because of three consecutively missed appointments) were compared between a period with pre-admission telephone calls...

Background

In somatic health care settings, interdisciplinary collaborations (where various disciplines work coordinated and interdependently toward shared goals) are considered to yield higher team effectiveness than multidisciplinary approaches (where various disciplines work in parallel within their professional boundaries). Nonetheless, research on multidisciplinary techniques for the treatment of alcohol use disorder (AUD) in hospitalised patients is limited since these approaches are relatively uncommon. The purpose of this study is to evaluate a novel multidisciplinary AUD treatment...

Background

Aftercare programs for people with substance use disorders (PWSUD) are frequently challenged with a number of overlapping obstacles, including uncertain policy consequences and a lack of resources. Despite demographic variety, service providers in South Africa are obligated to offer aftercare programs that effectively reintegrate people with PWSUD into society, the workforce, family, and community life, as specified by Act No. 70 of 2008. Little is known about the availability of aftercare services in South Africa, particularly in rural areas. This paper investigates service...