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Substance Use Disorder Prevention

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Commentary
Treating Supervised Drug Consumption Sites Like Cannabis
Some communities hard hit by the opioid crisis are interested in opening supervised consumption sites—places where people who use drugs can do so under supervision of trained staff. What could be done to make it easier to pilot and evaluate these sites in the United States?
Oct 22, 2021
Report
America's Opioid Ecosystem
Patterns and consequences of opioid use are changing dramatically. Researchers provide a nuanced assessment of America's opioid ecosystem, highlighting how leveraging system interactions can reduce addiction, overdose, suffering, and other harms.
Mar 16, 2023

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Journal Article
Traditions and Connections for Urban Native Americans (TACUNA): Utilizing Community-Based Input to Develop an Opioid Prevention Intervention for Urban American Indian/Alaska Native Emerging Adults
Very few opioid prevention programs exist for urban Native American emerging adults. Community participation enhances opioid prevention programs for urban Native Americans. Engaging in Native American traditional practices promotes healthy behaviors.
Jun 21, 2023
Report
Implementation and Outcome Evaluation of LA DOOR: A Proposition 47-Funded Program in Los Angeles: Cohort 2 Final Evaluation Report
The authors discuss the Los Angeles Diversion, Outreach, and Opportunities for Recovery program, which uses a health-focused preventative approach to engage those at risk of misdemeanors related to substance use, mental illness, or homelessness.
May 24, 2023
Journal Article
Feasibility and Acceptability of Incorporating Social Network Visualizations Into a Culturally Centered Motivational Network Intervention to Prevent Substance Use Among Urban Native American Emerging Adults: A Qualitative Study
Social network visualizations are a promising tool for increasing awareness of social challenges and sources of resilience for urban American Indian/Alaska Native emerging adults.
Nov 22, 2022
Multimedia
Commission on Combating Synthetic Opioid Trafficking
This video provides an overview of the Commission on Combating Synthetic Opioid Trafficking, including its purpose, research, and findings.
May 3, 2022
Commentary
A New and More Dangerous Drug Market Requires a New Approach
Synthetic opioids are likely to increasingly reach illegal drug markets. Failure to recognize and respond to how rapidly drug markets have changed with the arrival of illegally manufactured synthetic opioids will continue to put many at risk of exposure to fentanyl, endangering the lives of hundreds of thousands more Americans for years to come.
Mar 16, 2022
Journal Article
Reducing Opioid Overdose Deaths by Expanding Naloxone Distribution and Addressing Structural Barriers to Care
Qualitatively synthesizing evidence from six systematic reviews, the authors conclude that OEND programs generally produce beneficial outcomes across all domains considered, although the authors' ratings for the strength of the evidence are often "limited" or "moderate."
Feb 1, 2022
Report
Can Extremism Be Addictive?
Why do former extremists feel drawn back to radical ideological thoughts and long for reengagement with the movements they left? Is it like an addiction? There could be opportunities to apply lessons from addiction research and treatment to efforts to counter hate and violent extremism.
Jan 5, 2022
Report
Final Evaluation of LA DOOR: Proposition 47 Grant Program
In this report, the authors summarize their findings from an evaluation of Cohort 1 of the Los Angeles Diversion, Outreach, and Opportunities for Recovery program.
Sep 30, 2021
Journal Article
Mental Health Conditions and Substance Use Disorders Among Youth Subsequently Diagnosed With Opioid Use Disorder or Opioid Poisoning
This study examined receipt of services for mental health conditions and non-opioid substance use disorders among privately insured adolescents and young adults (ie, youth) with subsequent clinically diagnosed opioid use disorder or opioid poisoning.
Jul 21, 2021
Journal Article
The Association of State Opioid Misuse Prevention Policies With Patient- and Provider-Related Outcomes: A Scoping Review
This review reveals a growing literature on the effects of certain state opioid misuse prevention policies, but persistent gaps in evidence on other prevalent state policies remain.
Apr 29, 2020
Journal Article
Influence of an Implementation Support Intervention on Barriers and Facilitators to Delivery of a Substance Use Prevention Program
Findings highlight that implementation support, such as Getting to Outcomes, is likely to help low-resourced community-based organizations improve program delivery through a focus on implementation processes.
Feb 13, 2020
Commentary
Where Science Says to Spend Any U.S. Opioid Settlement Money
A global settlement with pharmaceutical companies has started to appear more and more likely. Even with billions of dollars, the settlement resources won't be unlimited. To avoid mistakes made in the tobacco master settlement agreement, any opioid funds must be carefully allocated.
Dec 19, 2019
Journal Article
Blackouts as a Moderator of Young Adult Veteran Response to Personalized Normative Feedback for Heavy Drinking
Online personalized normative feedback (PNF) interventions for alcohol use may be particularly effective for people who have recently experienced an alcohol-induced blackout.
May 22, 2018
Journal Article
Desistance Mandates Compared with Treatment Mandates in Criminal Justice Populations
Empowering those under criminal justice supervision to cease drug use on their own - rather than forcing them into formal treatment against their will - is a policy approach that warrants further evaluation.
Jun 8, 2017
Report
Mindfulness-Based Relapse Prevention for Substance Use Disorders: A Systematic Review
RAND researchers conducted a systematic review that synthesized evidence from trials of Mindfulness-Based Relapse Prevention (MBRP) to provide estimates of its efficacy and safety for treating substance use disorders.
Jul 28, 2015
Research Brief
Improving the Physical Health of Adults with Serious Mental Illness
RAND's evaluation of the Primary and Behavioral Health Care Integration grants program found that programs improved access to integrated primary and behavioral health care for people with serious mental illness but had mixed success improving health.
May 28, 2014
Report
Developing Effective Prevention Programs and Initiatives for Young People
These e-learning modules show how to strengthen planning, implementation, and evaluation efforts for youth-serving programs and community-based coalitions or initiatives.
Jan 2, 2014
Journal Article
Is Marijuana Use a Factor in Teenage Antisocial Behavior?
Despite efforts to curb substance use and abuse, marijuana consumption continues to be a problem among young adults. Analysis of a nationally representative sample revealed a significant association between marijuana use and antisocial behavior in young adults, with higher levels of antisocial behavior among heavy users.
Jan 1, 2014
Report
Los Angeles County Juvenile Justice Crime Prevention Act: Fiscal Year 2011-2012 Report
This annual report for the California Board of State and Community Corrections measures the success of Juvenile Justice Crime Prevention Act programs and initiatives for six state-mandated outcome measures and county-mandated supplemental measures.
Aug 12, 2013

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RAND Topic:
Substance Use Disorder Prevention

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