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Substance Use Disorder Treatment

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Article
Illegal Opioids Are Hurting Too Many of Us. We Need a New Approach
Fatal overdoses are on the rise in the United States, with the proliferation of potent, synthetic opioids like illicit fentanyl. But deaths are just the tip of America's iceberg-sized opioid crisis. To save and improve lives, policymakers will need to take a holistic approach. People who use opioids and their families should be at the heart of this new response.
Mar 16, 2023
News Release
Admissions to Drug Treatment Programs Fell Sharply During the First Year of the Pandemic
Admissions to drug treatment programs declined by nearly one-quarter during the first year of the COVID-19 pandemic, with the cuts steepest among people of color.
Sep 22, 2022

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Journal Article
Integrating Traditional Practices and Social Network Visualization to Prevent Substance Use: Study Protocol for a Randomized Controlled Trial Among Urban Native American Emerging Adults
A community-informed and culturally grounded opioid prevention intervention can be developed for urban AI/AN emerging adults and can help to build resilience and hopefully decrease opioid use among this underserved population.
Jun 21, 2023
Journal Article
Social Networks of Clients in First-Time DUI Programs
Individuals convicted of driving under the influence (DUI) having networks with more substance use individuals had greater substance use and drinking and driving behaviors. Network support was associated with lower drinking and driving.
Jun 15, 2023
Journal Article
State Policy and the Breadth of Buprenorphine-Prescriber Networks in Medicaid Managed Care
Researchers used a diff-in-diff approach to compare three Medicaid Managed Care networks for buprenorphine providers across specialties and market segments within the same state.
Jun 14, 2023
Journal Article
Prevalence of Buprenorphine Providers Requiring Cash Payment From Insured Women Seeking Opioid Use Disorder Treatment
Researchers used an audit (simulated patient) study methodology to examine appointment-granting behavior by buprenorphine prescribers in ten different U.S. states.
Jun 14, 2023
Testimony
Geographic Availability of Substance Use Disorder Treatment for Veterans
Far too many Americans, and especially veterans, fail to receive treatment for substance use disorder. Improved data collection on the availability and accessibility of treatment could help increase the number of veterans who get treatment and prevent unnecessary drug overdose deaths.
Jun 14, 2023
Journal Article
Trends in Methadone Dispensing for Opioid Use Disorder After Medicare Payment Policy Changes
A new Medicare policy may have improved access to methadone and buprenorphine treatment for Medicare beneficiaries with a diagnosed opioid use disorder (OUD) during the COVID-19 pandemic, but further research is needed to determine its impact.
Jun 2, 2023
Journal Article
Geographical Access to Specialized Behavioral Health Treatment Programs for U.S. Active Duty Service Members and Military Families from Military Installations
The purpose of this study is to determine geographical access to specialized behavioral health programs tailored to active duty U.S. service members and military families from military installations.
Jun 1, 2023
Blog
Immigration Policy, the Black-White Wealth Gap, ChatGPT: RAND Weekly Recap
This weekly recap focuses on the challenges facing U.S. immigration policy, what it would take to close America's Black-white wealth gap, risks and opportunities associated with artificial intelligence, more.
May 26, 2023
News Release
State Policies Requiring Education for Buprenorphine Prescribers Boosts Use of Opioid Use Disorder Treatment
States that want to increase access to buprenorphine, a lifesaving medication used to treat opioid use disorder, should consider efforts to enhance professional education and clinician knowledge.
May 26, 2023
News Release
Treatment for Opioid Use Disorder Rises After Medicare Expands Coverage for Methadone
The use of methadone among Medicare beneficiaries to treat opioid use disorder increased sharply after the program began covering the drug, with evidence suggesting the change created new treatment rather than displacing use of other medications.
May 19, 2023
Journal Article
Buprenorphine Treatment Episodes During the First Year of COVID: A Retrospective Examination of Treatment Initiation and Retention
Buprenorphine treatment remained stable during the pandemic, however the flow of individuals receiving treatment changed significantly, indicating that policy efforts were successful in maintaining existing patients, but did not extend to new patients.
May 2, 2023
Journal Article
Association Between Hospital Adoption of an Emergency Department Treatment Pathway for Opioid Use Disorder and Patient Initiation of Buprenorphine After Discharge
Researchers evaluated the association between hospitals attesting to an emergency department buprenorphine treatment Opioid Hospital Quality Improvement Program (O-HQIP) pathway and patients' subsequent initiation of buprenorphine treatment.
Apr 20, 2023
Journal Article
Trends in Geographic Proximity to Substance Use Disorder Treatment
This study aims to assess trends in the number and characteristics of substance use disorder treatment (SUDT) facilities within the county of residence of adults aged 50+ over time.
Apr 18, 2023
Report
Behavioral Health Care Following the Onset of the Pandemic
In what ways did the onset of the COVID-19 pandemic change how behavioral health care was delivered to service members with PTSD, depression, or substance use disorder?
Mar 20, 2023
News Release
U.S. Opioid Crisis Best Viewed as Connected Ecosystem; Changing Policymakers' Approach Can Aid Solutions
The nation's opioid crisis, which kills thousands of Americans annually, is best viewed as an ecosystem where all parts of the vexing problem are interconnected, underscoring the need for holistic solutions that address the broad needs of those with substance use disorders, their families, and the communities where they live.
Mar 16, 2023
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
Visualization
The Ecosystem Approach to Opioid Policy
RAND researchers created a tool to help federal, state, and local policymakers better understand issues surrounding opioids as an ecosystem—and explore innovative policy ideas.
Mar 16, 2023
Tool
CLARO Intervention User Manual: A Guide for Care Teams and Individual Practitioners
The Collaboration Leading to Addiction Treatment and Recovery from Other Stresses research study advances collaborative care treatment for patients who have opioid use disorder with major depressive disorder and/or posttraumatic stress disorder.
Mar 10, 2023
Journal Article
Association of Polysubstance Use Disorder with Treatment Quality Among Medicaid Beneficiaries with Opioid Use Disorder
Ongoing progress toward increasing access to and quality of evidence-based treatment for OUD requires further efforts to ensure that individuals with co-occurring SUDs are engaged and retained in effective treatment.
Mar 10, 2023

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RAND Topic:
Substance Use Disorder Treatment

Research conducted by

Researcher Spotlight

Megan S. Schuler

Policy Researcher

Megan Schuler is an applied statistician at the RAND Corporation. Her research focuses on substance use and mental health disorders and methodologically on causal inference methods which facilitate rigorous analysis of observational health data. As a co-investigator affiliated with the RAND…
Alex Sizemore

Ph.D. Student, Pardee RAND Graduate School, and Assistant Policy Researcher, RAND

Alex Sizemore (she/they) is a Ph.D. student in the Community-Partnered Policy and Action stream at Pardee RAND Graduate School and an assistant policy analyst at RAND. She has an M.A. in urban planning from the University of Southern California, an M.A. in curatorial studies from the University…

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