Substance Abuse and Rehabilitation最新文献

{"title":"Insights Into Electronic-Cigarette Perspectives: Smokers' Knowledge Attitudes and Practices at Hamad Medical Corporation, 2020.","authors":"Mohamad Chehab, Yasamin Abdu, Noora J Alkubaisi, Ahmad Al Mulla, Mohamed Iheb Bougmiza","doi":"10.2147/SAR.S473116","DOIUrl":"10.2147/SAR.S473116","url":null,"abstract":"<p><strong>Purpose: </strong>The rising use of electronic cigarettes alongside traditional tobacco presents a global health concern. Despite this, little is known about smokers' knowledge and attitudes toward electronic cigarettes in Qatar. This study addresses this gap by exploring the knowledge, attitude, and practice (KAP) of electronic cigarette use among smokers attending cessation clinics in Qatar.</p><p><strong>Patients and methods: </strong>This analytical cross-sectional study involved 453 adult smokers, recruited through systematic random sampling at the Tobacco Control Center (TCC) in Qatar in 2020. Participants were interviewed via phone using a structured 42-item questionnaire after providing verbal consent. A cut-off score of 3 or higher indicated good knowledge, while a score of 1 or higher reflected a positive attitude. Bivariate analyses followed by logistic regression identified predictors of good knowledge and electronic cigarette use.</p><p><strong>Results: </strong>Of the 453 participants, the average age was 38.9 ± 8.9 years, with most being male (95.1%, n=429), married (77.9%, n=353), and university-educated (64.7%, n=293). Participants had smoked for an average of 18.5± 9.1 years, consuming 15.3 cigarettes per day. Low nicotine dependence was found in 36% (n=163), while 5.5% (n=25) were highly dependent. About 60.2% (n=259) demonstrated good knowledge of electronic cigarettes, but 69% held negative attitudes ((n=289). Nearly half (48.3%, n=219) had tried electronic cigarettes, with 55.2% using them for cessation attempts (n=121). Age, marital status, education, and income levels were significantly associated with knowledge and practice, with high income (≥ 30,000 QR/month) predicting both good knowledge and use.</p><p><strong>Conclusion: </strong>Although smokers are generally aware of electronic cigarettes, gaps persist in understanding their contents and health effects. Negative attitudes persist, yet half of current smokers have experimented with them. Tailored education and regulations are needed to dispel misconceptions and minimize risks for smokers in Qatar.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"223-237"},"PeriodicalIF":5.9,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12407013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Employment and Long-Acting Injectable Buprenorphine for Opioid Use Disorder: Findings from Longitudinal Qualitative Interviews Conducted with Patients Recruited from Drug Treatment Services.","authors":"Joanne Neale, Sarah Cosgrove, James Cassidy, John Strang","doi":"10.2147/SAR.S528381","DOIUrl":"10.2147/SAR.S528381","url":null,"abstract":"<p><strong>Introduction: </strong>Associations between substance use and unemployment are well established but complex. People dependent on opioids often want to work but encounter barriers, including requirements to attend services and/or pharmacies frequently. Long-acting injectable buprenorphine (LAIB) is a new pharmacological treatment for opioid use disorder, which reduces such attendance requirements. Studies indicate positive associations between LAIB treatment and employment, but there has been no detailed analysis of this topic.</p><p><strong>Methods: </strong>Longitudinal qualitative interviews were conducted with 26 people (18 males; 8 females) initiating LAIB in English and Welsh drug treatment services. Participants were interviewed by telephone up to six times over a year (125 interviews in total). Interview data were used to produce narrative accounts of each participant's work-related experiences. These accounts were then combined and analysed via Iterative Categorization.</p><p><strong>Results: </strong>Participants reported mixed education and employment histories. At first interview, three had full-time jobs, three were students, one worked occasionally, and nineteen were not working. Participants who remained on, or completed, their LAIB treatment reported ongoing work and education or new work-seeking activities, temporary/part-time work, or volunteering. Participants who discontinued LAIB did not start any new education, training or work during their time in the study. Most participants wanted to work but identified barriers to employment and little help with job-seeking. Participants confirmed that LAIB facilitated employment because they did not have to attend pharmacies so often and felt physically and psychologically more able to work. Nonetheless, they sometimes felt unwell after initiating LAIB, which interrupted work and study and made them reluctant to reduce their LAIB treatment later.</p><p><strong>Conclusion: </strong>LAIB may help drug treatment patients who are interested in securing employment or achieving broader employment-related outcomes, such as education, training and volunteering. However, patients receiving LAIB may also need personalized employment support to assist them with wider barriers to working.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"211-221"},"PeriodicalIF":5.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol and Disability Sports: Insights from Swiss Coaches.","authors":"Nikolai Kiselev, Florence Epiney, Linus Hany, Mariana Imhof, Regina Anton, Simon Amsler, Thomas Hurni, Simona Vallan, Susanne Dedial, Michael P Schaub, Corina Salis Gross","doi":"10.2147/SAR.S528608","DOIUrl":"10.2147/SAR.S528608","url":null,"abstract":"<p><strong>Purpose: </strong>Inclusion in sports fosters social integration and well-being for individuals with disabilities. However, sports environments also present risks related to alcohol consumption, particularly through social interactions and established drinking norms. While general prevention programs exist in Swiss sports, limited research exists and no specific strategies are tailored to the needs of disability sports settings. This study explores alcohol consumption and prevention measures in Swiss disability sports, focusing on the perspectives of sports coaches.</p><p><strong>Methods: </strong>A qualitative research design was employed using semi-structured interviews with 27 coaches from disability sports programs in Switzerland. The thematic analysis by means of NVivo examined four key dimensions: perceptions of alcohol consumption, knowledge of alcohol-related risks, intervention approaches, and prevention strategies. The sample included coaches from diverse sports, disability groups, linguistic regions, and educational backgrounds.</p><p><strong>Results: </strong>Coaches exhibited varying perspectives on alcohol consumption, with some considering it irrelevant in disability sports and others recognizing its role in social settings surrounding sports activities. While alcohol use was largely rejected during training, it was often normalized in post-sports socialization. Knowledge of alcohol-related risks, particularly concerning its interaction with medication, was inconsistent among coaches, and few had received formal guidance on managing alcohol-related issues. Additionally, prevention measures were seldom implemented, and coaches' awareness of the (national) prevention programs was unexpectedly low.</p><p><strong>Conclusion: </strong>The findings highlight a need for targeted prevention strategies in disability sports, particularly concerning alcohol consumption and its health implications for athletes with disabilities. Strengthening educational initiatives for coaches, integrating substance use prevention into training curricula, and fostering structured intervention strategies could improve awareness and promote safer sports environments. Future research should explore the perspectives of athletes with disabilities and examine broader policy implications to enhance prevention efforts in inclusive sports.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"193-209"},"PeriodicalIF":5.9,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeking Satisfaction Among Israeli Young Adults: The Roles of Gratification, Compensation, Reward Deficiency Syndrome, and Compulsivity in Relation to Addictive Behaviors.","authors":"Yaniv Efrati, Zsolt Demetrovics, Zsolt Horváth, Mark D Griffiths, Marc N Potenza, Kenneth Blum, Andrea Czakó, Eszter Kotyuk","doi":"10.2147/SAR.S527209","DOIUrl":"10.2147/SAR.S527209","url":null,"abstract":"<p><strong>Background and aims: </strong>Behavioral addictions, such as problematic use of social media, gaming disorder, gambling disorder, and compulsive buying-shopping disorder, are increasingly common among young adults worldwide. The aim of the present study was to identify distinctive factors of these behavioral addictions, focusing on gratification and compensation, reward deficiency syndrome, and compulsivity among young adults.</p><p><strong>Methods: </strong>The sample comprised 1459 Jewish Israeli young adults from the general community (36% male, 64% female; aged 19-27 years). Participants were surveyed regarding general and compulsive/problematic engagement in shopping, online gaming, gambling, and social media use. The study also assessed gratification and compensation specific to each behavior, as well as reward deficiency syndrome and compulsivity.</p><p><strong>Results: </strong>Network analysis of behavioral addiction measures identified three key factors related to buying-shopping, online gaming, and combined gambling and use of social media, with problematic engagement implicated. Gambling disorder acted as an important bridge, connecting different sub-networks and facilitating communication and information flow between them. Subsequently, using structural equation modeling, a higher need for gratification and compensation and more severe reward deficiencies were associated with greater severity across all four addictive behaviors. In contrast, compulsivity was inversely associated with the factor combining gambling and use of social media.</p><p><strong>Conclusion: </strong>The present study highlights the complex relationship between gratification, reward deficiency, and compulsivity in young adults' addictive behaviors. It suggests a need for interventions that specifically address gratification and compensation, raising the possibility that a targeted approach could potentially mitigate the severity of multiple addictive behaviors.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"177-191"},"PeriodicalIF":5.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing High Alcohol Consumption and Alcohol Use Disorders Among Adolescents and Young People in Sub-Saharan Africa: Pathways to Effective Action.","authors":"Munanura Turyasiima, Balbina Gillian Akot, Ibrahimu Makongwa, Hamdi Mohamed Yusuf, Joshua Epuitai","doi":"10.2147/SAR.S526190","DOIUrl":"10.2147/SAR.S526190","url":null,"abstract":"<p><strong>Background: </strong>Adolescents and young adults in sub-Saharan Africa face a growing burden of alcohol use and related disorders, driven by a convergence of biological vulnerability, socio-environmental pressures, and weak regulatory systems. Rising digital media exposure and socio-economic disparities further exacerbate risky drinking behaviors.</p><p><strong>Objective: </strong>This review synthesizes current evidence on the prevalence, risk factors, health and social impacts, and intervention strategies related to alcohol use among adolescents and young people in sub-Saharan Africa.</p><p><strong>Methods: </strong>A narrative review approach was employed, drawing on peer-reviewed articles and global reports published between 2000 and 2024. Studies were identified through searches in databases including PubMed, Scopus, Google Scholar, and Web of Science, using defined inclusion criteria focused on youth aged 10-24 years.</p><p><strong>Findings: </strong>Alcohol use and alcohol use disorders (AUD) among youth are influenced by a complex interplay of genetic, psychological, familial, social, and digital factors. Consequences include increased risks of mental illness, HIV infection, gender-based violence, poor educational outcomes, and long-term health complications. Despite these harms, interventions remain fragmented and under-resourced across much of the region. Promising interventions include school-based programs, community engagement, digital media regulation, and integration of alcohol services into mental and sexual health platforms.</p><p><strong>Conclusion: </strong>Tackling adolescent alcohol misuse in sub-Saharan Africa requires urgent, multisectoral action. Policies must be evidence-based, culturally responsive, and supported by robust surveillance, regulation, and youth-centered programming to prevent long-term public health and socio-economic consequences.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"165-175"},"PeriodicalIF":5.1,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weighted Family History Density of Substance Use: Influence on Participant Substance Use Onset, Duration, and Escalation.","authors":"Carleigh A Litteral, Michelle M Martel, Delvon T Mattingly, Justin Xavier Moore","doi":"10.2147/SAR.S522297","DOIUrl":"10.2147/SAR.S522297","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates how weighted family history density (WFHD) influences the intergenerational transmission of substance use disorders (SUDs), focusing on onset, escalation, and duration of substance use. Substance preference concordance and sex-specific links between affected family members and participants were also assessed.</p><p><strong>Methods: </strong>A cross-sectional analysis of the National Epidemiological Survey on Alcohol and Related Conditions III (NESARC-III) included 36,309 adults. WFHD was defined as drug or alcohol problems among first- and second-degree relatives. Linear regression models assessed the relationships between WFHD, age at onset, and duration of substance use, adjusting for sociodemographic factors. The escalation period to peak alcohol use was plotted by WFHD level, and correlation analyses examined the role of affected family members in shaping participant substance preferences and sex-stratified SUD diagnoses.</p><p><strong>Results: </strong>Each unit increase in WFHD was linked to a minimum 0.53-year earlier onset [β = -0.53, SE = 0.02] and 0.48-year longer duration (β = 0.48, SE = 0.03) of substance use. WFHD increased the adjusted odds of onset before age 18 by 27% and duration exceeding half of one's age by 19%. Adjusted odds for durations exceeding 5 and 10 years rose by 26% and 21%, respectively. Higher WFHD was linked to faster escalation to peak use. Substance preferences showed significant concordance within families. Males were most strongly associated with paternal use, while females were more closely linked to maternal use.</p><p><strong>Conclusion: </strong>Higher WFHD is strongly associated with earlier initiation, faster escalation to peak use, prolonged duration of substance use, and patterns of substance preference concordance, highlighting the importance of including family history assessments in substance use prevention and intervention strategies. Future research should use longitudinal studies to establish causal relationships and explore interactions between WFHD and other risk factors, such as environmental stressors, epigenetic changes, or genetic markers.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"147-163"},"PeriodicalIF":5.1,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid Virtual Group Model for Substance Use Disorder Therapy: A Scoping Review.","authors":"Edward A Trimble, Nicholas L Bormann, Alyssa H Kalata, Dana Gerberi, Stephan Arndt, Tyler S Oesterle","doi":"10.2147/SAR.S518266","DOIUrl":"10.2147/SAR.S518266","url":null,"abstract":"<p><strong>Background: </strong>Substance use disorder (SUD) group therapy has traditionally been conducted in-person; however, there is growing interest in virtual formats. While virtual group therapy can address certain barriers for in-person attendance, it may compromise key elements like therapeutic alliance and group cohesiveness. A model that integrates both in-person and virtual participants may help balance the benefits of these two approaches.</p><p><strong>Objective: </strong>To identify and define approaches to SUD group therapy that integrate in-person and virtual participants, summarize study outcomes associated with these models, propose standardized terminology, and provide preliminary recommendations for their application in SUD treatment.</p><p><strong>Design: </strong>A comprehensive search was conducted on 11/13/2024 and updated on 12/16/2024 by a medical librarian. Included articles were published 2000 onwards and conducted with SUD group therapy where participants or group facilitators were both in-person and virtual. We extracted data from 4 articles that met the search criteria.</p><p><strong>Results: </strong>A total of 1353 articles were screened, 20 were evaluated at the full-text level, and 4 met study inclusion criteria. Two \"hybrid\" model designs for SUD were identified. One model utilized a virtual group facilitator, while participants remained together in-person. The second model kept the facilitator in-person and allowed group participants to be present either virtually or in-person within the same group. Outcomes evaluated included treatment completion across groups and patient perceived changes in therapeutic alliance, group cohesion, and understanding of addiction.</p><p><strong>Conclusion: </strong>We propose a consensus definition of hybrid virtual group models where at least one group member, either the facilitator or one of the participants, attends groups in-person while at least one member attends virtually. While research is limited, early findings suggest that hybrid SUD groups have similar outcomes to in-person groups and better outcomes than virtual-only groups. Unique considerations should be made to ensure that hybrid SUD models are implemented appropriately and effectively.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"137-146"},"PeriodicalIF":5.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Arabic Version of the Addiction Severity Index (ASI-5): A Cross-Cultural Validation Study in Egypt and Saudi Arabia.","authors":"Mohamed Abouzed, Ahmed Aljadani, Amgad Gabr, Mohamed Elsheikh, Mohamed Saad Almuqahwi, Mohamed Fayed Alrashidy, Ghali Khalaf Alrashidi, Mahmoud Farag Soliman, Amal Nasser Altamimi, Nida Saleh Alenze, Nisrin Elsaadouni","doi":"10.2147/SAR.S519241","DOIUrl":"https://doi.org/10.2147/SAR.S519241","url":null,"abstract":"<p><strong>Background: </strong>The Addiction Severity Index (ASI) is a globally recognized tool for assessing substance use disorder (SUD) severity. Despite its widespread use, no validated Arabic version exists. This study aimed to validate the Arabic ASI-5 in Egypt and Saudi Arabia and evaluate its psychometric properties.</p><p><strong>Methods: </strong>: A cross-sectional study recruited 400 participants (200 per country) from inpatient/outpatient SUD treatment centers. The ASI-5 underwent forward-backward translation, pilot testing, and cultural adaptation. Internal consistency (Cronbach's α), test-retest reliability (Spearman's ρ), and inter-observer reliability were assessed. Convergent and discriminant validity were evaluated using adjusted Spearman's correlations.</p><p><strong>Results: </strong>The Arabic ASI-5 demonstrated acceptable internal consistency (α = 0.61-0.82), with medical (α = 0.78) and psychiatric (α = 0.82) domains showing the highest reliability. Lower consistency in drug (α = 0.62) and legal (α = 0.61) domains reflected cultural and methodological factors. Test-retest (<i>ρ</i> = 0.55-0.98) and inter-observer reliability (<i>ρ</i> = 0.78-0.99) were strong. Convergent validity was robust for medical and psychiatric domains (r = 0.70-0.85).</p><p><strong>Conclusion: </strong>The Arabic ASI-5 is a reliable tool for assessing SUD severity in Arabic-speaking populations. Further refinement of drug and legal domains is recommended to enhance cultural relevance.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"129-136"},"PeriodicalIF":5.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Perspectives on a Rapid Access, Walk-in, Medication for Addiction Treatment Clinic.","authors":"Linda Peng, Nicholas L Bormann, Stephan Arndt, Benjamin A Miskle, Andrea N Weber","doi":"10.2147/SAR.S517660","DOIUrl":"https://doi.org/10.2147/SAR.S517660","url":null,"abstract":"<p><strong>Purpose: </strong>Rapid access addiction medicine (RAAM) walk-in clinics offer low-barrier, prompt treatment for substance use disorders (SUDs). These models differ from bridge clinics, which primarily address the barriers of transitioning between inpatient and outpatient SUD treatment settings. Previous RAAM models have been shown to be effective in urban areas. Through patient interviews, this qualitative study sought to describe the unique challenges and successes of a RAAM clinic that serves a primarily rural area.</p><p><strong>Patients and methods: </strong>Adult patients with a SUD who utilized a medication for addiction treatment (MAT) walk-in clinic participated in semi-structured, recorded interviews. Participants were asked about facilitators and barriers to attaining treatment, as well as their perspectives/experiences and unmet wants/needs. Interviewee responses were transcribed, qualitatively coded, and analyzed for prominent trends.</p><p><strong>Results: </strong>Twelve patients participated. Stigma, lack of rural treatment options, and accessibility concerns were identified as general barriers to receiving SUD care. MAT walk-in clinic specific barriers included distance to clinic, clinic hours, and transportation. Patients identified the clinic's walk-in structure as a primary facilitator of receiving quality SUD care and felt the clinic offered a non-judgmental and accessible environment, differing positively from past treatments. Unmet wants and needs that patients identified included more extensive social services and communication after leaving the clinic.</p><p><strong>Conclusion: </strong>This MAT walk-in clinic is the only RAAM-style clinic offering same-day dual-diagnosis medication management in the state of Iowa. The walk-in structure was a key facilitator for patients accessing initial care. Expanding RAAM models in rural areas and incorporating telehealth may help address proximity barriers reported by patients.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"119-128"},"PeriodicalIF":5.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Relapse Following Discharge from Non-Hospital Residential Opioid Use Disorder Treatment: A Systematic Review of Studies Published from 2018 to 2022.","authors":"Orrin D Ware, Gabriella Rose Geiger, Veronica D Rivas, Miracle A Macias Burgos, Lea Nehme-Kotocavage, Tara G Bautista","doi":"10.2147/SAR.S440214","DOIUrl":"https://doi.org/10.2147/SAR.S440214","url":null,"abstract":"<p><p>Relapsing on opioids after residential treatment may involve fatal outcomes, considering the potential for reduced tolerance and the potency of fentanyl in the illicit opioid market. The present paper examines recent literature on the risk of relapse among adults with opioid use disorder after discharge from residential treatment. We searched for published studies from 2018 to 2022 through database searches, including CINAHL, PsychINFO, PubMed, and Scopus. Across the N=10 studies included in this review, returning to substance use after residential treatment was captured differently, including self-report, hair samples, and urine samples. Follow-up relapse data after discharging from treatment was also captured across different time periods of included studies ranging from one month to six months. Variability was also identified in the percentage of individuals who relapsed after treatment, ranging from 0% to 95%. Considering the potential for a fatal overdose in the current fentanyl era, it is imperative to provide resources during residential treatment that can reduce the risk of relapse after discharge.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"105-118"},"PeriodicalIF":5.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}