TIPSHEET: Counseling Experts Present Latest Research at the 2025 ACA Conference & Expo, March 27-29 in Orlando, Florida

SELECT RESEARCH HIGHLIGHTS: 

Newswise — Navigating Cyber Risks: Prevalence and Prevention of Impulsivity, Disinhibition and Cyberbullying among College Freshmen, March 28, 11–11:30 a.m. ET

With increased internet accessibility on college campuses, dysfunctional online behaviors among college freshmen have become a growing concern. The presentation will offer prevention strategies aimed at fostering safer online environments for college students, equipping attendees with tools to address these pressing issues in their institutions.

Poster presented by Nicholas Monahan, master’s student, Marymount University and Bilal Kalkan, PhD, LPC, NCC, assistant professor, Marymount University.

Nicotine Dependence and Cognitive Function among Young Adults: An Exploration of Lifestyle, Social and Psychological Mechanisms, March 28, 11–11:30 a.m. ET

The findings of this study provide new insights into how smoking behavior impacts cognitive function and highlights the role of lifestyle, social and psychological factors in mediating the relationship between smoking behavior and memory performance among young adults.

Poster presented by Sang Qin, PhD, assistant professor, University of Wisconsin–Madison and Yongsu Song, doctoral student, University of Wisconsin–Madison.

Increasing School-Based Mental Health Support Through Community Partnerships, 

March 28, 12–12:30 p.m. ET

School counselors are on the front lines of providing mental health services to support the emotional and social development of youth; however, there is a national shortage of these providers. This presentation will introduce attendees to a community partnership program designed to increase the number of mental health service providers in high-need schools.

Poster presented by Alexandra Robertson, doctoral student, University of Central Florida and Melissa Zeligman, PhD, associate professor, University of Central Florida.

The Double-Edged Sword of Social Media: Impacts on Social Disconnection, Isolation and Mental Health among Gen Z, March 28, 12–12:30 p.m. ET

This presentation will examine the impact of social media on social disconnection, feelings of isolation, and mental health challenges among Gen Z, exploring both the potential harms and benefits of these platforms in shaping their social and psychological well-being.

Poster presented by Anah Sinkfield, master’s student, Marymount University and Bilal Kalkan, PhD, LPC, NCC, assistant professor, Marymount University.

The Journey from Grandparent to Parent: Perceptions of Adoptive Grandparents Post Adoption, March 28, 12–12:30 p.m. ET

Nearly 1 million children in the U.S. are being raised by grandparents. While much of the existing research explores grandfamilies broadly, this study focuses specifically on grandparents who have formally adopted their grandchildren, transitioning from grandparent to parent roles. 

Poster presented by Jill Bryant, PhD, LMHC, contributing faculty member, Walden University and self-employed in private practice.

Mental Health Implications of Forced Family Separation at the Border, March 28, 1–1:30 p.m. ET

In 2018, the U.S. implemented the Zero Tolerance Policy, which led to the prosecution of undocumented immigrants, including asylum seekers, and the separation of over 5,000 children from their caregivers. Although the policy was terminated in January 2021, approximately 1,000 children remain separated from their families. This presentation will explore recent research findings highlighting the mental health issues on this population, including PTSD, depression, anxiety and behavioral problems. 

Poster presented by Amy Work, LCMHC-QS, RPT, founder and owner of Renewed Counseling & Play Therapy in Charlotte, N.C. and doctoral student, The University of North Carolina at Charlotte.

Post-Infidelity Stress Disorder: Understanding the Lived Experiences of Women in Midlife, 

March 28, 3–3:30 p.m. ET

Traditional life events such as aging parents, becoming empty-nesters and career changes are increasingly compounded by divorce, contributing to a rise in mental health challenges among middle-aged women. Recent trends indicate higher rates of depression, anxiety and serious psychological distress, including suicidal ideation. Notably, infidelity is cited as the reason for divorce in 60% of separated and divorced couples. The emotional toll of infidelity has been termed “post-infidelity stress disorder.” This condition can disrupt endocrine, cardiovascular and immune system functioning, resulting in poor health outcomes. Despite these effects, clinical interventions have predominantly focused on couples and betrayed individuals within a couples-focused framework. To effectively address the needs of middle-aged women experiencing post-infidelity stress disorder, a trauma-informed approach is essential.  

Poster presented by Lois Curry-Catanese, LPC, AAT-C, doctoral student, Walden University and self employed in Fisherville, Va.

Effects of Military Sexual Trauma on Substance Use Patterns and Problematic Hypersexuality in Male Military Populations, March 29, 11–11:30 a.m. ET

Military sexual trauma (MST) includes experiences of sexual assault and/or harassment occurring during active military service. Among male service members, MST accounts for an estimated 60% of annual sexual assaults within active military populations. This poster will share findings from a study on MST in male military populations, specifically examining MST’s influence on substance misuse and problematic hypersexuality.

Poster presented by Tyler Oberheim, PhD, LPC-MHSP (TN), LMHC (FL), assistant professor, University of Tennessee at Chattanooga and owner of a private practice in Chattanooga and Necole Gonsahn, master’s student, University of Tennessee at Chattanooga and former member, U.S. Army Reserve.

The Aftermath of Parental Alienation: Coping Styles of Adult Children Who Experienced Parental Alienation During Childhood, March 29, 12–12:30 p.m. ET

Parental alienation occurs when one parent manipulates a child by expressing undue negativity about the other parent, creating a harmful dynamic. Exposure to parental alienation during childhood can significantly impact a child’s ability to develop healthy coping behaviors. Despite its long-term effects, little research has been conducted on the coping styles of these children as they transition into adulthood. This presentation will explore the coping styles commonly observed in adult children who experienced parental alienation during childhood.

Poster presented by Ching-Chen Chen, PhD, NCC, associate professor, University of Nevada, Las Vegas and Rachel Dugan, Zihan Gong, and Mikayla Harris, master’s students, University of Nevada, Las Vegas.

Psychosocial Factors Predicting Adolescents’ Marijuana Use, March 29, 3–3:30 p.m. ET

Adolescents’ marijuana use has been linked to lower academic performance, higher rates of delinquent behavior and poorer mental health. This study explored how different levels of variables influence adolescents’ marijuana use. 

Poster presented by Dasom Han, Zhi Jie Lee, Gahyun Park, and Tomas Guzman, PhD students, The Ohio State University.

View the full list of posters, education sessions, and roundtable discussions.

About the American Counseling Association

Founded in 1952, the American Counseling Association (ACA) is a not-for-profit, professional and educational organization that is dedicated to the growth and enhancement of the counseling profession. ACA represents more than 60,000 members and is the world’s largest association exclusively representing professional counselors in various practice settings. For more information, visit the ACA website and read more about the Conference & Expo.

Xylazine Detected in U.S.-Mexico Border Drug Supply, Study Finds

Original post: Newswise - Substance Abuse Xylazine Detected in U.S.-Mexico Border Drug Supply, Study Finds

Newswise — Researchers at University of California San Diego School of Medicine, in collaboration with the Prevencasa free clinic in Tijuana, Mexico, have confirmed the presence of xylazine in the illicit drug supply at the U.S.-Mexico border. While xylazine remains less common in the Western U.S., border cities serve as key trafficking hubs and may have higher rates of emerging substances. The findings, published on March 20, 2025 in the Journal of Addiction Medicine, highlight the urgent need for public health intervention.

“Xylazine is a veterinary anesthetic that is not approved for human use and is increasingly detected alongside illicit fentanyl in parts of the United States and Canada,” said senior author Joseph R. Friedman, M.D., Ph.D., a resident physician in the Department of Psychiatry at UC San Diego School of Medicine. “Although xylazine has been most prevalent on the East Coast of the United States, this new evidence confirms its presence in Tijuana, on the U.S.-Mexico border, posing numerous health risks for people in this region.”

The study analyzed de-identified records of 23 users from Prevencasa, examining urine and paraphernalia samples from individuals who reported using illicit opioids within the past 24 hours. Researchers used test strips to screen for xylazine, along with other drugs such as fentanyl, opiates and methamphetamine. Paraphernalia samples were further analyzed using mass spectrometry.

Key findings include:

  • Xylazine was detected in 82.6% of participant urine samples using Wisebatch test strips and in 65.2% using SAFElife test strips.
  • Paraphernalia testing confirmed xylazine in 52.2% of samples via mass spectrometry, along with fentanyl (73.9%), fluorofentanyl (30.4%), tramadol (30.4%) and lidocaine (30.4%).
  • 100% of participants’ urine tested positive for fentanyl.

Xylazine is associated with severe health risks, including profound sedation, more complex withdrawal syndromes, and a heightened risk of skin infections and wounds. Given Tijuana’s strategic location as a transit point for illicit drugs entering the U.S., researchers caution that xylazine prevalence could soon rise in Southern California and beyond.

“This study underscores the importance of expanding drug-checking efforts in border regions,” Friedman added. “Our findings also support the use of xylazine test strips as a harm reduction tool, providing people who use drugs and healthcare providers with critical information about exposure risks.”

A previous study published in the Harm Reduction Journal demonstrated that individuals can use fentanyl test strips to check their own drug supply before consumption. While further research is needed to standardize xylazine testing methods, the results highlight the rapidly evolving landscape of drug-checking technologies and the need for public health agencies to adapt accordingly.

Additionally, researchers noted a high prevalence of lidocaine in Tijuana’s illicit fentanyl supply, which may interfere with xylazine test strip accuracy. More studies are needed to understand why lidocaine is being added and how it affects drug-checking reliability.

Larger studies are required to further assess xylazine’s spread and refine testing methods. Researchers advocate for increased surveillance, harm reduction strategies, and clinical awareness to mitigate the emerging risks posed by xylazine in the illicit drug supply.

Additional co-authors on the study include: Alejandro G. Montoya, M.D., Carmina Ruiz, Mariana A. Gonzalez Tejeda, R.N., Luis A. Segovia, B.S. and Lilia Pacheco Bufanda from Prevencasa A.C. in Tijuana. Morgan E. Godvin, B.A. and Chelsea L. Shover, Ph.D. from UCLA Department of Internal Medicine. Edward Sisco, Ph.D., Elise M. Pyfrom, B.S. and Meghan G. Appley, Ph.D. from the National Institute of Standards and Technology.

The study was funded, in part, by the National Institute on Drug Abuse (DA049644) and (K01DA050771) as well as the National Institute of Mental Health (MH101072).

# # #

Disclosures: Authors have no disclosures.

Available Evidence Supports Continuing Buprenorphine During Episodes of Acute Pain for People with Opioid Use Disorder

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Compound Harnesses Cannabis’ Pain-Relieving Properties Without Side Effects

Original post: Newswise - Substance Abuse Compound Harnesses Cannabis' Pain-Relieving Properties Without Side Effects
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Neuroscience Grads Studied How to Make Opioids Safer

Original post: Newswise - Substance Abuse Neuroscience Grads Studied How to Make Opioids Safer

Newswise — Data from the Centers for Disease Control and Prevention show there were about 107,000 drug overdose deaths in the United States in 2023. Of those, about 75 percent, or 81,000, involved opioids.

a Black woman wears glasses and dark shirt in indoor photo

Lauren Jones ’22.

With the aim of reducing those statistics, Lauren Jones ’22, who is in a post-baccalaureate at Harvard University, Brenna Outten ’22, a third-year doctoral student at Caltech and Leah Juechter ’24, who is working temporarily as a medical assistant, used computational chemistry as undergraduates at Furman to study the impacts of synthetic opioids.

Their work, with collaborators at Hendrix College and California State University, Los Angeles, was published in December in The Journal of Physical Chemistry B.

To say the project was formative for Jones and Outten is an understatement. They laid the foundation for the study during the height of COVID when traditional wet labs were all but shuttered.

“It’s amazing we were able to continue the work virtually during the pandemic,” said Jones, who researches sensory processing in children with autism and brain activity in children with rare neurodevelopmental and neurogenetic disorders at Boston Children’s Hospital.

Outten said the project “opened my eyes to how a scientist can contribute to fields like neuroscience, chemistry, biology and physics in ways I had never considered before.”

The paper focuses on work targeting the mu opioid receptor, or MOR. It resides mainly in the central nervous system and the GI tract. It’s like a molecular lock waiting for the right key (a drug like morphine or fentanyl) to unlock or activate a favorable response, such as reduced pain signals. But the same drugs can activate negative responses like drug tolerance, constipation, respiratory depression, addiction and overdose.

“There’s a lot we don’t understand about how opioids interact with the receptors embedded on nerves that mitigate the pain-signaling process,” Juechter said. “So the more we can uncover about how these drugs are interacting with the receptors in our bodies and the responses we feel, the better we’re able to help create pain therapeutics with reduced adverse effects and more beneficial safety profiles.”

What makes the researchers’ study unique is the application of both quantum mechanics conducted by Juechter, Outten and Jones, led by chemistry Professor George Shields, and molecular dynamics carried out by teams at Cal State and Hendrix College.

“It was interesting to see two drugs (morphine and fentanyl) that elicit almost identical effects are binding to the receptor in completely different ways,” Juechter said. “And to demonstrate that with highly accurate quantum mechanics was one of the first times we’ve seen that done.”

A white woman in pink sweater stands with sunset and trees in background.

Leah Juechter ’24.

The manner in which opioids bind to MOR is diverse and complex. “So the need for a precise computing model becomes essential,” Juechter explained. “Even slight variations in calculations can drastically affect the data and subsequent conclusions.”

The ability to do research computationally can make drug development faster and cheaper, Juechter added. “Being able to paint the picture of what’s going on using empirically-supported mathematical theories, we can streamline the initial process of drug development.”

Impactful undergraduate research is a hallmark of The Furman Advantage, a four-year approach to education that creates a pathway for students to determine who they want to be and how they want to contribute to the world once they leave the university.

Juechter spent about eight months post-graduation fine-tuning the work with her coauthors before the paper was published.

“It was exceedingly evident Dr. Shields wanted to elevate me and give me the opportunity to pursue research,” Outten said.

Juechter hopes the project will set the tone for organic chemists involved in drug research and development.

“I want a role in the health care industry because I like the idea of affecting someone’s life in real time, in a positive way,” she said.

Novel Research Reveals How Adversity Shapes the Developing Brain and Its Connection to Future Health Risks

While researchers have long spotlighted the role childhood abuse, poverty, and substance use play in human development, Virginia Tech’s Jungmeen Kim-Spoon is pulling back the curtain on what actually happens inside the brains of the young adults affected. 

For the past 10 years, Kim-Spoon and her colleague Brooks Casas have co-led a research team that has tracked the brain function of teens. They found adolescents who experienced early life adversity showed unusual brain activity during tasks that require focus and self-control. This finding suggests delayed development in certain areas of the brain, which is linked to higher risks for mental health disorders in early adulthood and future substance use. 

“Our findings show that early adverse experiences not only predict and impact mental health such as depression and anxiety, but also affect brain development,” said Kim-Spoon, professor of psychology. 

The first-of-its-kind study recently resulted in two published journal articles, one in Development and Psychopathology and another in Biological Psychiatry: Cognitive Neuroscience and Neuroimaging. The former discusses findings related to maltreatment, brain development related to cognitive control, and psychopathology. The latter focuses on connectivity between neural circuits of the brain as a predictor of substance use initiation. 

Jungmeen said that despite the well documented connection between adverse experiences and the development of mental health disorders, the lack of available information on exactly how adolescents are impacted internally motivated the research. 

“By age 18, more than half of adults in the United States have experienced at least one type of adversity,” said Kim-Spoon, who is also director of the JK Lifespan Development Lab at Virginia Tech. “Yet our understanding about how adverse experiences may alter the ways in which the brain and nervous system change over time, increasing vulnerability to mental health and substance use disorders, remains vastly insufficient.”   

She and her collaborators set out to investigate this by recruiting adolescents from rural, suburban, and urban communities in Southwest Virginia, North Carolina, Tennessee, and West Virginia in 2014. Over 10 years, they tracked participant brain function, neural precursors – neurobiological markers in the developing brain – and other developmental check points through annual MRI scanning, questionnaires, and neurocognitive testing. 

The research team includes: 

Participants’ family dynamics, decision-making skills, substance use initiation and frequency, personality factors, and social relationships were also assessed yearly with the goal of providing a well-rounded view of the factors impacting the adolescents.

“Jungmeen and I get to tackle thorny problems while pursuing answers to questions that matter for promoting healthier youth development,” Deater-Deckard said. “Our team utilizes state-of-the-art quantitative modeling techniques to integrate complex arrays of data from many sources such as surveys, observations, and brain imaging. She has helped me understand the complex changes in health and functioning over time.”   

Researchers also annually observed adolescents with no prior history of substance use in the same study sample from ages 14 to 21 over a period of seven years. Their findings suggest brain connectivity — the pattern of connections between different parts of the brain — rather than cognitive control behavior — the ability to adapt your behavior to meet your goals, and to override automatic responses — was the stronger predictor of future substance use.

Specifically, stronger connectivity between the dorsal anterior cingulate cortex and the dorsolateral prefrontal cortex — two brain regions that are crucial to cognitive control — was associated with delayed substance use onset, and this connectivity pattern showed a significant drop one year prior to substance use initiation.

Some of the group’s findings also illustrate the brain’s resiliency. Although cognitive control brain functioning is delayed in early adolescence following childhood maltreatment, the findings suggest it often “catches up” during middle to late adolescence, suggesting neural plasticity and opportunities to help these young people. 

“By conducting more research on neural plasticity during adolescence, we can shed light on the brain’s potential as a target for preventive interventions, aimed at promoting resilient functioning in young people facing adversity,” Kim-Spoon said.

Fueled by these results and supported by several grants from the National Institutes of Health to Kim-Spoon and Casas as well as the Virginia Tech Institute for Society, Culture and Environment, Kim-Spoon and the research team plans to continue this study for another five years. As the participants enter their 20s, the team will focus more on examining their relationships, networks, and social environments to understand how they contribute to the ways young people navigate unique challenges in early adulthood.    

“This longitudinal project has been very rewarding especially in terms of collaborating with brilliant minds within Virginia Tech and outside,” Kim-Spoon said. “It has been fun to look into the things we can do to help young people develop healthier, and it will be interesting to see what we will find in the next few years.”   

By expanding this research, Kim-Spoon and her collaborators can contribute to the development of effective resilience and protective strategies to help people at higher risk of developing mental health and addiction problems improve their future well-being. 

Kim-Spoon said she believes we are just beginning to better understand the factors affecting young people’s mental health, substance use, and well-being by examining how brain function and development interact with social and emotional dynamics, and spirituality.

“Adverse experiences, no matter how we view them, are tough, but there are things we can do to help these young people develop healthier, such as access to parental support, education, and positive experiences with peer groups,” Kim-Spoon said.

Original study DOI:10.1017/S0954579424000531

Original study DOI:10.1016/j.bpsc.2024.11.020

Critical Need for Regulation to Protect People with Substance Use Disorder From Exploitative Marketing Practices on Social Media

Newswise — People seeking online support for addiction recovery may encounter cynical marketing by the addiction treatment industry that sometimes prioritizes financial gain over clients’ health and well-being, according to a study of public discourse around substance use recovery on Twitter. Among people trying to quit or reduce their use of alcohol or other substances, engagement with clinical treatment remains low. More typically, people with alcohol use disorder (AUD) or other substance use disorders (SUDs) seek community-based mutual-help groups (such as Alcoholics Anonymous, Narcotics Anonymous, or SMART Recovery). Since the COVID-19 pandemic, online recovery supports have become a central piece of recovery efforts for many. Forums that offer access to peer support and accountability include virtual mutual-help group meetings, social networking sites focused on recovery, and traditional social media (e.g., Reddit). For the study in Alcohol: Clinical & Experimental Research, US investigators examined how Twitter, a social network site since renamed X, was used for AUD and SUD recovery support.

The researchers used large-scale data analytics to collect tweets posted in English during 2022 that contained certain keywords and hashtags relating to substance use recovery (e.g., #recovery, #sober, #wedorecover, #alcoholicsanonymous, #harmreducation). They retained 186,460 tweets addressing 18 relevant topics. A random 100 tweets from each topic group—1,800 posts—were manually examined and categorized by certain attributes, including source and theme. After filtering for relevance and other criteria, the researchers used statistical analysis to explore the attributes and themes of 1,132 tweets on substance use recovery.

These tweets were posted by individuals in or seeking recovery (42%), the addiction treatment industry (21%), general individuals including politicians and celebrities (13%), health organizations (9%), health-related individuals such as clinicians (6%), and news organizations (3%). Content posted by people in or seeking recovery typically aimed to provide emotional support to others, celebrate a sobriety milestone, express gratitude, or acknowledge mutual-help group participation. Sociopolitical commentary—in 15% of posts—advocated for harm reduction strategies and policy change. One in 5 tweets, however, featured marketing content, primarily from addiction treatment industry accounts. Of those, 9 in 10 promoted purported treatments, services, and products (e.g., inpatient treatment centers, sober houses, detox programs, counseling, medications, and self-help books), including approaches not supported by scientific evidence.

The study highlights a critical need to regulate addiction-related marketing practices on social media, researchers concluded. While Twitter was commonly used to provide or receive support around recovery and to advocate for beneficial policies and strategies, the substantive presence of addiction treatment industry content presented a risk to people seeking guidance. Previous research has highlighted ethical issues in the addiction treatment industry’s misrepresentation of its services online, including predatory marketing and fraudulent practices. In combination with the tendency of social networking platforms and search engines to prioritize commercial interests over the risk of harm to users, the nature of addiction industry social marketing could erode trust in treatment, reinforce barriers to evidence-based services, and contribute to poor outcomes.

Content analysis of substance use disorder recovery discourse on Twitter: From personal recovery narratives to marketing of addiction treatment. A. M. Russell, D. Valdez, M. Wang, J.-P. Allem, B. Bergman, J. Kelly, D. M. Litt, P. Massey.

ACER-24-6271.R1

Co-Prescribed Stimulants, Opioids Linked to Higher Opioid Doses

Original post: Newswise - Substance Abuse Co-Prescribed Stimulants, Opioids Linked to Higher Opioid Doses

COLUMBUS, Ohio – The combination of prescribed central nervous system stimulants, such as drugs that relieve ADHD symptoms, with prescribed opioid medications is associated with a pattern of escalating opioid intake, a new study has found. 

The analysis of health insurance claims data from almost 3 million U.S. patients investigated prescribed stimulants’ impact on prescription opioid use over 10 years, looking for origins of the so-called “twin epidemic” of combining the two classes of drugs, which can increase the risk for overdose deaths

“Combining the two drugs is associated with an increase in overdose deaths. This is something we know. But we didn’t know whether stimulant use has a causal role in high use of opioids, so we conducted a big data analysis of how these two patterns interacted over a long period of time,” said senior study author Ping Zhang, associate professor of computer science and engineering and biomedical informatics at The Ohio State University. 

“What we found is that if someone is taking a stimulant and an opioid at the same time, they’re generally taking a high dose of the opioid,” he said. “And if the patient in this study population takes the stimulant before beginning opioid use, they are more likely to have higher doses of subsequent opioids.” 

The study was published Feb. 17 in The Lancet Regional Health – Americas.     

The research team obtained data on 22 million patients with 96 million opioid prescriptions from MarketScan Commercial Claims and Encounters, a large U.S. health insurance database. Researchers established a cohort for this study of 2.9 million patients with an average age of 44 who had at least two independent opioid prescriptions between 2012 and 2021. 

Because these prescriptions included a range of oral formulas – codeine, hydrocodone, methadone, oxycodone, morphine and others – researchers standardized every prescription to morphine milligram equivalents (MME) and calculated each patient’s monthly intake of opioids. The MME computation from electronic health records was previously co-developed by co-senior author Wenyu Song, an instructor at Harvard Medical School. 

First author Seungyeon Lee, a PhD student in Zhang’s lab, used statistical modeling and classified patients into five baseline groups of opioid dosage trajectory over the 10-year study period: very low-dose, low-dose decreasing, low-dose increasing, moderate-dose increasing and high-dose sustained use. 

“Some patients had stable low-dose opioid use, while others had increasing or high dose patterns over time,” Lee said. 

Of the total cohort, 160,243 patients (5.5%) also were prescribed stimulants. The addition of a monthly calculated cumulative number of stimulant prescriptions to the model and statistical analysis showed a shift in the trajectory groups. Characteristics that could serve as risk factors for increasing opioid use also emerged in the data, Lee said. 

Moderate-dose increasing and high-dose groups had an overall higher average MME and a higher proportion of patients with diagnoses of depression, anxiety and attention-deficit/hyperactivity disorder compared to other groups. The low-dose increasing group also had a higher proportion of patients with ADHD compared to the low-dose decreasing group.

The most common diagnoses linked to co-prescription of stimulants and opioids were depression and ADHD or ADHD and chronic pain. 

“This was an important finding, that many patients with ADHD and depression, also experiencing chronic pain, have an opioid prescription,” said Zhang, also a core faculty member in the Translational Data Analytics Institute at Ohio State. “This cohort represents a very realistic health care problem.” 

Even taking those factors into account, the model showed that stimulant use was key to driving up the odds that patients who took both stimulants and opioids would belong to a group of people who increased their doses of opioids.

“Stimulant use before initiating opioids and stimulant co-prescription with opioids are both positively associated with escalating opioid doses compared to other factors,” Lee said.

Analysis of geographic and gender data also offered some clues to opioid use patterns in the United States. Patients in the South and West regions had higher total opioid intakes over the 10-year study period compared to the Northeast and North Central regions, with the highest frequency of opioid prescriptions in the South and higher MMEs per prescription in the West. Males also had higher average daily opioid intakes than females. 

The results linking high opioid doses and stimulant use suggest stimulants may be a driving force behind the emergence of the twin epidemic and offer evidence that regulation of stimulant prescribing may be needed for patients already taking prescription opioids, the researchers said. In addition to the increased risk of overdose death, co-using prescription stimulants and opioids can increase the risk for cardiovascular events and mental health problems, previous research has shown. 

Zhang’s Artificial Intelligence in Medicine Lab focuses primarily on using AI to aid in clinician decision making, and these findings are part of a larger project aimed at development of safer personalized treatment recommendations for people who are prescribed both opioids and stimulants. 

“We want to reduce the risk of opioid- or stimulant-related adverse drug events in real-world practice,” Zhang said. 

This work was funded by the National Institute of General Medical Sciences, the National Institute on Drug Abuse and the National Science Foundation. 

Additional co-authors were David Bates of Harvard Medical School and Richard Urman, chair of anesthesiology in Ohio State’s College of Medicine.

#

Contact: Ping Zhang, [email protected]

Written by Emily Caldwell, [email protected]; 614-292-8152

Telehealth May Be Closing the Care Gap for People with Substance Use Disorder in Rural Areas

Original post: Newswise - Substance Abuse Telehealth May Be Closing the Care Gap for People with Substance Use Disorder in Rural Areas
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Rutgers Center for Recovery and Wellbeing Dedicated in Plainfield

Original post: Newswise - Substance Abuse Rutgers Center for Recovery and Wellbeing Dedicated in Plainfield

Each year since 2021, more than 3,000 New Jerseyans – eight people per day on average – have died from unintentional overdoses. For those trying to escape this cycle, inpatient withdrawal management, more commonly referred to as “detox,” is often their best hope.

But in many parts of the state, wait times for a bed could be too long for someone on the edge of sobriety.

The Rutgers Center for Recovery and Wellbeing, in Plainfield, N.J., aims to help fill this need.

“In New Jersey, there is a significant need for new providers to increase access to services, particularly within the inpatient and withdrawal management sector,” said Caitlin Simpson, senior director of addiction services at Rutgers University Behavioral Health Care (UBHC), which partners with RWJBarnabas Health Behavioral Health Services in offering a comprehensive network of mental health services in the state. “The Rutgers Center for Recovery and Wellbeing strives to fill the existing gap in services and the needs of the community.”

Located at the former Muhlenberg Hospital, the four-story, 20,000-square-foot renovated building in the Muhlenberg Medical Arts Complex will be led by Simpson and colleague Josephine Schettino, program director for the Center, who will oversee daily operations.

Once fully operational later this year, the center will offer holistic and integrated diagnostic and clinical care to individuals and their families affected by substance use and co-occurring disorders.

Four levels of care will be available. Twenty of the 44-bed center are designated for individuals in need of medically monitored inpatient withdrawal management services. Clients may choose to transition to one of 24 short-term inpatient beds, with therapy and round-the-clock nursing and monitoring. For those not needing withdrawal management, inpatient care will be the first step.

Following successful completion of inpatient treatment, clients will have the opportunity to transition to the center’s intensive outpatient program, which will offer up to 12 hours of group/individual therapy per week to include medication management and case management services, in addition to traditional outpatient services. For those individuals who live a distance from the Plainfield location, appropriate referrals will be made for outpatient care in their home communities.

The key to the center’s success will be accessibility, said Simpson, adding that the access team will try to schedule clients within 72 hours of contact, if not immediately. 

“When someone calls seeking treatment and is experiencing withdrawal symptoms, they often will require the support and interventions from our medical team, and quick access to treatment can be a world of difference for the overall success of the individual,” Simpson said.

Rutgers purchased the building in May 2020, and a certificate of occupancy was issued by the city in June 2022. Rutgers assumed title of the building in November 2022. Construction of the complex is now complete. The center is currently licensed for outpatient and intensive outpatient care and is awaiting licensure for medically monitored withdrawal management and short-term inpatient treatment.

Rutgers Health University Behavioral Health Care operates substance use disorder treatment services to include intensive outpatient and traditional outpatient programs in New Brunswick, Newark, Cherry Hill and a small program at the Middlesex County Jail. The addition of the Plainfield center will enable Rutgers to provide services to clients across New Jersey with the goal to seamlessly coordinate ongoing care as clinically indicated upon completion of treatment.

“With the Rutgers Center for Recovery and Wellbeing, we will have a great opportunity to support individuals and loved ones on their path to an improved quality of life and long-term recovery,” Simpson said.