Substance Abuse Treatment, Prevention, and Policy最新文献

{"title":"Barriers to opioid replacement therapy in pregnant women with opioid use disorder: a systematic review.","authors":"Biruk Adie Admass, Belete Muluadam Admassie, Wubie Birlie Chekol, Eniyew Assimie Alemu, Debas Yaregal Melesse, Yonas Admasu Ferede, Demelash Gedefaye Anteneh, Mulualem Endeshaw Zeleke, Samrawit Andargie Kassa, Abebe Chanie Wagaw, Solomon Yimer Nigatu, Natnael Atnafu Gebeyehu","doi":"10.1186/s13011-025-00675-5","DOIUrl":"10.1186/s13011-025-00675-5","url":null,"abstract":"<p><strong>Background: </strong>Opioid use disorder (OUD) during pregnancy has increased dramatically, paralleling epidemic trends in the general population. Pregnant women with OUD face considerable risks of adverse outcomes. While medications for opioid use disorder (MOUD) is the mainstay of treatment, substantial barriers limit its implementation. Despite the critical need for effective interventions, a comprehensive synthesis of the challenges to MOUD during pregnancy remains lacking. This review examines these barriers to improve treatment access and outcomes for this vulnerable population.</p><p><strong>Methods: </strong>This review was conducted in accordance with the PRISMA 2020 guidelines and was registered in PROSPERO (registration number: CRD420251047657). We searched for peer-reviewed articles in PubMed, Scopus, and ScienceDirect published between 2015 and 2025, using a combination of keywords and MeSH terms. Two independent reviewers screened studies, extracted data, and assessed quality using the Joanna Briggs Institute (JBI) critical appraisal tools. Discrepancies were resolved through consensus with a third author. Data were synthesized narratively to identify key challenges in the treatment of OUD during pregnancy.</p><p><strong>Results: </strong>Of the 9,288 articles identified from databases and websites, 23 met the eligibility criteria, including 14 qualitative studies, 5 cross-sectional studies, and 4 review articles. Patient-related barriers to accessing MOUD for pregnant women with OUD included fear of stigma and child custody loss, concerns about fetal risks, childcare and legal issues, coping with abuse, guilt, social pressure, and financial constraints. Meanwhile, provider-related barriers involved knowledge gaps, inadequate training, bias, stigma, time constraints, and the perceived complexity of treating OUD during pregnancy. Moreover, system-level barriers such as fragmented care models, geographic disparities, gaps in insurance coverage, and punitive policies further limited access to treatment.</p><p><strong>Conclusion: </strong>Pregnant women with OUD face barriers including stigma, childcare demands, provider bias, training gaps, fragmented care, financial and insurance issues, and punitive policies. Implementing patient-centered care, provider education, policy reforms, and practical supports may help promote compassionate, equitable treatment for this vulnerable population.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"39"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying how tobacco industry-targeted communities perceive California's tobacco endgame initiative.","authors":"Rachael A Record, Katya Azzam, Mary Margaret Gonzales, Lydia H Greiner, Georg E Matt","doi":"10.1186/s13011-025-00674-6","DOIUrl":"10.1186/s13011-025-00674-6","url":null,"abstract":"<p><p>The Tobacco Endgame is a global initiative that seeks to implement tobacco prevention policies to collectively end the commercial tobacco epidemic and eliminate tobacco-related health disparities around the world. California seeks to be among the first regions to effectively implement such an initiative, with a statewide Tobacco Endgame goal of 2035. Given the tobacco industry's manipulation marketing tactics that perpetuated tobacco-related disparities among select communities, California's Tobacco Endgame prioritizes these communities (i.e., African American, Hispanic, Asian American/Pacific Islander, and LGBTQ+). To effectively support underserved communities as they prepare for Tobacco Endgame-related policies, research is needed to understand their perspectives and priorities. Through a qualitative approach, this study explored the present awareness and perspectives of California's priority communities regarding the Tobacco Endgame. Following virtual focus groups (n = 19), analyses revealed four shared themes that appeared in all four community groups (i.e., health implications, addiction, post-implementation challenges, children and youth) as well as at least two unique themes that emerged within each of the four priority communities. Findings highlight community-specific concerns, including the prioritization of flavored products, an emphasis on the environmental impact, and the need to protect communities from black market sales, that can inform targeted communication and education outreach. In addition, shared concerns for health, enforcement challenges, and children can inform communication and outreach approaches for a statewide awareness campaign that could resonate broadly.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"40"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling binge drinking trends and triggers among army personnel: a cross sectional study.","authors":"Lakna Vajiramali Jayasinghe, Shamini Prathapan, Saveen Semage","doi":"10.1186/s13011-025-00655-9","DOIUrl":"10.1186/s13011-025-00655-9","url":null,"abstract":"<p><strong>Background: </strong>Military populations are known to have higher prevalence and heavier alcohol use compared to the general population globally. This has serious negative implications to the military. The objective of this study was to describe the prevalence, patterns and associated factors of binge drinking among male military personnel in the Sri Lanka Army.</p><p><strong>Methods: </strong>A cross sectional study was conducted among 1337 male Army personnel in active service using multistage sampling. A self-administered questionnaire and the interviewer-administered Alcohol Use Disorders Identification Test which is a 10-item screening tool were used. Prevalence of binge drinking was summarised as a proportion with 95% Confidence Intervals (CI). Age specific prevalence rates and the age standardized prevalence rate of binge drinking were calculated. The standard measure of one unit of alcohol being equivalent to 10 g of pure alcohol was used as a reference to calculate the units of alcohol consumption. Binary logistic regression analysis was used to determine the factors associated with binge drinking.</p><p><strong>Results: </strong>The overall prevalence of binge drinking was 51.2% (95% CI 48.5%-54.0%). The age standardized prevalence of binge drinking was 28.3%. The majority binge drank once a month (50.4%). Those engaged in binge drinking used 5.6 median units of alcohol on a typical day, 84% consumed arrack, 69.3% have ever thought or attempted to quit and median age of first alcohol consumption was 18 years. When controlled for confounding, those who had mental distress (AOR 2.46, 95% CI = 1.72-3.53), had sex with a commercial sex worker (AOR 1.92, 95% CI = 1.21-3.06), ever smoking (AOR 1.69, 95% CI = 1.27-2.25), had serious consequences (AOR 1.58, 95% CI = 1.13-2.20), currently used cannabis (AOR 1.39, 95% CI = 1.02-1.89) and had combat exposure (AOR 1.37, 95% CI 1.00-1.87) had a higher likelihood of binge drinking.</p><p><strong>Conclusions: </strong>The high prevalence of binge drinking warrants immediate advocacy to the highest level of command of the Sri Lanka Army for support to implement sustainable evidence-based alcohol prevention programmes.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"38"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The path forward for substance use disorder treatment using contingency management under sect. 1115 demonstration waivers.","authors":"Vivian Kaufman, Devin C Tomlinson, Lauren Hellman, Lewei A Lin, Anne C Fernandez, Lara N Coughlin","doi":"10.1186/s13011-025-00666-6","DOIUrl":"10.1186/s13011-025-00666-6","url":null,"abstract":"<p><strong>Introduction: </strong>Substance use disorders (SUDs) are a prevalent issue in the United States (U.S.) and there is a need for innovative treatments to address this public health issue. As of March 2025, there are seven states either approved or in the process of applying for Sect. 1115 Demonstration Waivers to implement pilot contingency management (CM) programs for SUD treatment. This manuscript qualitatively summarizes these Sect. 1115 Demonstration Waivers and the different aspects of each U.S. state's program.</p><p><strong>Methods: </strong>Data are from states Sect. 1115 Demonstration Waivers, collected through September 2024 and updated in March 2025. When possible the information has been verified with pilot program managers from each state, and pilot program managers have provided information when possible.</p><p><strong>Results: </strong>Eight states have applied for Sect. 1115 Demonstration Waivers to implement pilot CM programs. Five states have been approved (California, Washington, Montana, Hawaii, and Delaware), two are pending approval (Michigan, and Rhode Island) and one state's CM application was denied (West Virginia). California is the only state to have confirmed implementing the Sect. 1115 Demonstration Waiver funding and has started to review evaluation data. The CM programs covered under Sect. 1115 Demonstration Waivers vary in substance targeted (e.g., stimulants, opioids), length of program (12-64 weeks), amount of incentives ($596-1092), and other characteristics (e.g. incentive delivery type, schedule of reinforcement).</p><p><strong>Conclusions: </strong>Section 1115 Demonstration Waivers addressing SUDs with CM are still new but with the increase in waivers approved, states who wish to apply and receive funding can learn from the approved waivers.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"37"},"PeriodicalIF":3.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying levels of alcohol use disorder severity in electronic health records.","authors":"Jakob Manthey, Carolin Kilian, Ludwig Kraus, Ingo Schäfer, Anna Schranz, Bernd Schulte","doi":"10.1186/s13011-025-00670-w","DOIUrl":"10.1186/s13011-025-00670-w","url":null,"abstract":"<p><strong>Background: </strong>Alcohol use disorder (AUD) is conceptualized as a dimensional phenomenon in the DSM-5, but electronic health records (EHRs) rely on binary AUD definitions according to the ICD-10. The present study classifies AUD severity levels using EHR data and tests whether increasing AUD severity levels are linked with increased comorbidity.</p><p><strong>Methods: </strong>Billing data from two German statutory health insurance companies in Hamburg included n = 21,954 adults diagnosed with alcohol-specific conditions between 2017 and 2021. Based on ICD-10 alcohol-specific diagnoses, patients were classified into five AUD severity levels: 1 (F10.0, T51.0 or T51.9); 2 (F10.1); 3 (F10.2); 4 (F10.3/4); 5 (K70 + or one of the following diagnoses: K70.0-4, K70.9, K85.2, K85.20, K86.0, 10.5-9, E24.4, G31.2, G62.1, G72.1, I42.6, K29.2). Generalized estimating equation regression models for count data (Poisson distribution) were used to assess associations with the Elixhauser Comorbidity Score (ECS).</p><p><strong>Results: </strong>Across the study period, the annual prevalence of any AUD diagnosis varied between 2.7% and 2.9%. A dose-response relationship was observed between AUD severity and ECS, indicating that individuals with higher AUD severity experience more comorbid conditions, particularly cardiovascular and liver diseases.</p><p><strong>Conclusions: </strong>The proposal to define AUD severity levels based on ICD-10 diagnoses allows for a more nuanced analysis of AUD in EHR data.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"36"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, risk factors, and metabolic implications of alcohol use disorders among male workers in Hebei Province, China: a cross-sectional study.","authors":"Zixuan Zhou, Lan Wang, Wenting Lu, Ling Sun, Fengya Zhen, Shuo Wang, Ran Wang, Mei Song, Yuanyuan Gao, Xueyi Wang","doi":"10.1186/s13011-025-00669-3","DOIUrl":"10.1186/s13011-025-00669-3","url":null,"abstract":"<p><strong>Background: </strong>Alcohol is a psychoactive substance that can lead to alcohol use disorders (AUDs), which encompass a spectrum of conditions including alcohol dependence and abuse, causing significant mental and physical health issues. Excessive drinking is linked to various diseases, such as liver damage, metabolic disorders, and mental health conditions, with notable gender differences in drinking patterns, particularly among workers. This study investigates the prevalence, risk factors, and metabolic implications associated with AUDs among male workers in China.</p><p><strong>Method: </strong>Utilizing the Structured Clinical Interview for DSM-IV-TR Disorders (SCID), we diagnosed alcohol dependence and abuse in a sample of 665 male workers, categorizing them into a non-problem drinking group (n = 339) and a problem drinking group (n = 326). We compared depressive and anxiety symptoms, as well as sleep quality between the two groups. Additionally, we assessed metabolic parameters including liver and kidney function, blood lipid profiles, blood pressure, and heart rate.</p><p><strong>Result: </strong>Our findings indicate that the problem drinking group exhibited significantly higher rates of alcohol consumption, including years of drinking, frequency, and quantity of alcohol intake, as well as a higher smoking prevalence (P < 0.05). Notably, sleep disturbances were more prevalent in the problem drinking group compared to the non-problem drinking group (P < 0.05). Metabolic assessments revealed that levels of alanine aminotransferase (ALT), glutamyl transpeptidase (GGT), uric acid, total cholesterol, triglycerides, low-density lipoprotein, fasting blood glucose, diastolic blood pressure, heart rate, and body mass index (BMI) were significantly elevated in the problem drinking group (P < 0.05).</p><p><strong>Conclusion: </strong>Male workers with alcohol use disorders exhibit a significantly worse metabolic profile, placing them at increased risk for alcohol-related liver disease, cardiovascular events like hypertension and arrhythmias, and metabolic syndrome. Our findings also suggest that smoking history is a critical correlate of problem drinking. These results underscore the need for targeted screening and intervention programs in occupational settings.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"35"},"PeriodicalIF":3.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco and asthma: presenting the world health organization (WHO) tobacco knowledge summary.","authors":"Wenying Lu, Sarah Rylance, Kerstin Schotte, Rebekka Aarsand, Elizaveta Lebedeva, Werner Bill, Jing Han, David Cl Lam, Joan B Soriano, Arzu Yorgancioglu, Sukhwinder Singh Sohal","doi":"10.1186/s13011-025-00673-7","DOIUrl":"10.1186/s13011-025-00673-7","url":null,"abstract":"<p><p>The WHO recently published a Tobacco Knowledge Summary (TKS) which is prepared with the objective to summarize the current evidence on the association between tobacco use and asthma. This is also intended as an advocacy tool to widely include health care professionals in the fight for tobacco control and prevention of tobacco related adverse health effects. This article expands on the evidence outlined in the TKS, providing a more comprehensive and clinically focused analysis, aimed at lung-specialist audience. It emphasizes six key messages aimed at guiding healthcare providers and governments in advocating for the health of people living with asthma and the broader population: (1) Babies born to mothers who smoke have smaller lungs and an increased risk of developing asthma during childhood. Pregnant women should receive targeted support to quit tobacco use. (2) Children exposed to second-hand tobacco smoke have an increased risk of developing asthma. (3) Smoking during adolescence and adulthood increases the risk of developing asthma and exacerbates the condition, as well as causing other lung diseases such as chronic obstructive pulmonary disease (COPD) and lung cancer. (4) For people living with asthma, smoking worsens symptoms and can make treatment with medications less effective. All smokers with asthma should be supported to quit smoking. (5) E-cigarettes, heated tobacco products and other nicotine-delivery devices likely also carry risks. Governments should implement effective tobacco control measures to protect all individuals, including those who are vulnerable. (6) The tobacco and nicotine industries' aggressive tactics in the marketing of their products specifically target children, adolescents and young adults. Protecting youth from these harmful tactics is a top priority.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"34"},"PeriodicalIF":3.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences between men who have sex with men that use drugs and engage in chemsex and those who do not engage in chemsex in the French ANRS-PREVENIR cohort: the need to rethink harm reduction services.","authors":"Luis Sagaon-Teyssier, Maxime Hoyer, Cécile Donadille, Abdourahmane Sow, Lambert Assoumou, Jade Ghosn, Dominique Costagliola, Bruno Spire, Jean-Michel Molina, Christel Protiere, Perrine Roux","doi":"10.1186/s13011-025-00661-x","DOIUrl":"https://doi.org/10.1186/s13011-025-00661-x","url":null,"abstract":"<p><strong>Background: </strong>An increasing number of studies are exploring the profiles of men who have sex with men (MSM) in the context of the sexualized use of drugs (chemsex). However, less attention has been paid to MSM who use drugs but do not engage in chemsex. We do not know to what extent the latter are different from the former, or whether they require similar harm reduction services. This study aimed to compare both populations in terms of their sexual risk practices, health, and pre-exposure prophylaxis (PrEP) use.</p><p><strong>Methods: </strong>We used longitudinal data from the ongoing French cohort study ANRS-PREVENIR, which comprises 3076 MSM receiving PrEP. Analyses were conducted on MSM who engaged in chemsex, MSM who used drugs but did not engage in chemsex, and MSM who did not use drugs. Only persons with available data from at least one follow-up visit between M0 and M36 were included, representing 19,375 visits. We built a three-category outcome: (i) MSM who did not use drugs (non-DU), (ii) MSM who used drugs but did not engage in chemsex (DU), and (iii) MSM who engaged in chemsex (CX). A multinomial logistic functional form was used to estimate odds-ratios and 95% confidence intervals, using the DU category as a reference.</p><p><strong>Results: </strong>Among the 2493 cohort participants, at baseline, 62.8%, 22.5%, and 14.6% of the participants were classified in the non-DU, DU, and CX categories, respectively. Compared to DU, non-DU were less likely to (i) declare fisting/BDSM practices, (ii) have a moderately risky sex life, ii) report lifetime PrEP use. Compared to DU, CX also had lower alcohol consumption, and were less likely to have (i) a tertiary education qualification, and (ii) a main partner; in contrast, CX were more likely to be depressed. CX were more likely to report fisting/BDSM practices, but less likely not to use PrEP and to report suboptimal PrEP adherence compared to DU participants.</p><p><strong>Conclusions: </strong>Differences between the DU and CX populations were observed; the latter were more likely to (i) have at-risk sexual practices, (ii) suffer from depression, and (iii) have optimal PrEP adherence. It is essential to provide suitable mental health services to people who engage in chemsex, and to implement tailored sexual health and harm reduction services to MSM who use drugs but who do not engage in chemsex.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"33"},"PeriodicalIF":3.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative analysis of how U.S. college students construct their alcohol-related content identities via social media.","authors":"Mackenzie J Farbo, Pavan S Brar, April M Morris, Mai-Ly N Steers","doi":"10.1186/s13011-025-00659-5","DOIUrl":"10.1186/s13011-025-00659-5","url":null,"abstract":"<p><strong>Background: </strong>This qualitative study investigates how college students construct their alcohol-related content (ARC) identities on social media platforms. Through the lens of social norms theory, symbolic interactionism, and public commitment paradigms, we examined how students portray themselves through ARC posts.</p><p><strong>Methods: </strong>In-depth semi-structured interviews were conducted with 20 college students (M_age= 21.2, SD = 1.67) who reported engaging in drinking and ARC posting to elucidate what types of ARC-related identities students employed on social media by going through participants' social media posts. Thematic analysis was used to categorize ARC identity themes and subthemes.</p><p><strong>Results: </strong>Results revealed two central themes where alcohol was either featured as focal point or as an accessory within students' ARC identities. Under the central theme of alcohol as a focal point, subthemes of partier, humorist, and master drinker ARC identities were uncovered. Under the central theme of alcohol as an accessory, the subthemes of social/outgoing, sophisticated, and material status ARC identities were identified. Some students within the partier, humorist, social/outgoing, and sophisticated subthemes engaged in secrecy/implicit signaling to shield their drinking from others outside their in-groups.</p><p><strong>Conclusions: </strong>Uncovering specific types of ARC identities could be helpful to identify harmful drinking patterns in college students. Future research could explore how the frequency in which students display their identities using alcohol as either a focal point or alcohol as an accessory might differentially predict varying levels of drinking and alcohol-related problems among college students. This type of research could help target which college students are more at-risk and inform intervention strategies for college students whose ARC identities are more intertwined with alcohol misuse and alcohol-related problems.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"32"},"PeriodicalIF":3.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A self-assessment of opioid use disorder services at a Pacific Northwest County jail.","authors":"Joseph E Schumacher, Scott A Bell, Abdullah Ahsan, Phillip R Cochran, Allan G Gutierrez, Emma R Morris, Bradley J Cain","doi":"10.1186/s13011-025-00667-5","DOIUrl":"10.1186/s13011-025-00667-5","url":null,"abstract":"<p><p>This study describes the delivery of opioid use disorder (OUD) services in a Pacific Northwest County jail focusing on screening, assessment, withdrawal management, and medications for opioid use disorder (MOUD). Guided by the 2023 Medicaid performance measures, self-assessment data were collected through stakeholder interviews, policy and electronic healthcare records (EHR) analyses, and a systematic survey focusing on conformity to practice, policy, and documentation. This jail provided OUD screening, assessment, withdrawal management, and MOUD supported by institutional policy and an EHR software system. Survey results confirmed strong conformity to the 2023 Medicaid performance measures, with 91.9% of required recommendations met for policy and practice domains and 87.9% for documentation. Optional (not required) recommendations achieved 80.0% conformity for policy, 93.3% for practice, and 60.0% for documentation. The findings from this self-assessment underscore the robust implementation of OUD services in one jail and can inform internal and external performance improvement goals and activities. (150 words).</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"20 1","pages":"31"},"PeriodicalIF":3.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}