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What’s Old Is New Again in Addiction Treatment: The Expansion of Involuntary Commitment in the United States
A recent report found that people involuntarily committed for substance use disorder in Massachusetts faced a 1.4-fold increased risk of non-fatal overdose after release, and potentially higher risk of death.
Expanding Access to Medications for Opioid Use Disorder in the Criminal Legal System Beyond Prisons and Jails
The criminal justice system worsens the overdose crisis by denying access to life-saving medications for opioid use disorder (MOUD). MOUD is basic healthcare and proven to reduce deaths, but it is often banned in legal settings.
The Changing Approach to Addiction - From Incarceration to Treatment and Recovery Support
"Tough-on-crime" drug policies have been ineffective. Integrating clinical care with long-term community-based support services and peer recovery efforts improves outcomes, shortens recovery time, and offers significant cost savings.
Bridging the gap: Post-release outcome evaluation of the first jail-based telemedicine buprenorphine program
Recently released incarcerated individuals face a significantly higher risk of overdose death. Providing medication-assisted treatment (MAT) for opioid use disorder during and after incarceration can reduce overdose deaths and relapse.
Prevalence of mental illness, substance use disorder, and dual diagnosis among adults in custody
This study found high rates of mental illness and substance use disorders in Australian prisons. Using multiple data sources provides more accurate prevalence estimates for better health service resourcing.
Community-based substance use treatment programs for reentering justice-involved adults: A scoping review
Mass incarceration has led to many people reentering communities with untreated substance use disorders, increasing their risk of reincarceration and death. There is a critical need for community-based substance use treatment programs.
Jail-based interventions to reduce risk for opioid-related overdose deaths: Examples of implementation within Ohio counties participating in the HEALing Communities Study
Overdoses are a leading cause of death for individuals involved with the criminal legal system. Providing medication for opioid use disorder and naloxone in jails can significantly reduce post-release overdose deaths.
The Neurocircuitry of Substance Use Disorder, Treatment, and Change: A Resource for Clinical Psychiatrists
Substance use disorder (SUD) involves a powerful habit network in the brain. Treatments can help patients change these patterns by reducing cravings, blocking rewarding effects of substances, and easing withdrawal.
The Incentive-Sensitization Theory of Addiction 30 years on
A theory of addiction suggests that drug use can increase "wanting" for drugs over time, even if the "liking" or pleasure from them decreases. This "wanting" is driven by changes in specific brain systems.
From relapse prevention to recovery protection: A positive perspective on recovery from substance use disorder
Harmful drug and alcohol use leads to millions of deaths and widespread suffering annually. Supporting individuals in maintaining abstinence is crucial to reducing this public health burden.
A probabilistic model of relapse in drug addiction
Drug overdose deaths have sharply risen, with addiction now seen as a chronic brain disease. Relapse is common, often triggered by stress, cues, and the memory of a first drug high.
Cannabis use disorder: From neurobiology to treatment
Cannabis use disorder is a chronic condition affecting millions, especially young adults. The risk of developing CUD increases with the frequency of cannabis use and co-occurs with other mental health conditions.
Stress and substance use disorders: Risk, relapse, and treatment outcomes
Stress is a common reason for drug misuse, which can be seen as a coping mechanism. This review introduces an "adaptive stress response" framework and outlines how disruptions in this response contribute to addiction.
Harm reduction for Opioid Use Disorder: Strategies and outcome metrics
The opioid crisis has led to over one million overdose deaths. Harm reduction strategies, such as syringe exchange programs, are crucial to mitigate negative consequences and save lives, especially given low treatment initiation rates.
Hippocampal gray matter volume in young adulthood varies with adolescent alcohol use
Adolescent substance use, even at recreational levels, may alter brain structure and cognitive development. Previous research on this link has yielded inconsistent results, highlighting the need for more studies on long-term use patterns.