CONTEXTO: O abuso de medicamentos psicoativos tem se tornado cada vez mais comum na República Tcheca. Essas drogas incluem sedativos, hipnóticos, ansiolíticos (benzodiazepínicos e Z-hipnóticos) e opioides. Pacientes com dependência desses medicamentos prescritos apresentam sintomas associados ao uso prolongado, particularmente problemas psicológicos e somáticos, distúrbios do sono, funcionamento cognitivo prejudicado e irritabilidade. Há necessidade de uma resposta flexível às suas necessidades.

OBJETIVOS: O objetivo da pesquisa é descrever sintomas psicológicos selecionados e a qualidade...

Introdução 

Há crescente interesse e evidências para o uso de medicamentos canabinoides no tratamento do transtorno por uso de cannabis, mas pouco exame dos correlatos do tratamento bem-sucedido. Este artigo é uma análise secundária de um ensaio clínico randomizado controlado por placebo de nabiximols para o tratamento do transtorno do uso de cannabis (CUD), com o objetivo de identificar quais características do cliente e do tratamento afetam o engajamento e os resultados do tratamento.

Método

Modelos de regressão múltipla bayesiana foram usados para examinar o impacto da idade, sexo...

Fundo

Novas intervenções de saúde pública são necessárias para lidar com o fornecimento de drogas tóxicas e atender às necessidades das pessoas que usam drogas em meio à crise de overdose. O fornecimento mais seguro – distribuição de baixa barreira de substâncias de grau farmacêutico – foi implementado em algumas jurisdições para fornecer alternativas mais seguras ao fornecimento não regulamentado de medicamentos, mas nenhum estudo até o momento explorou as perspectivas das partes interessadas profissionais sobre essa abordagem.

Métodos

A amostragem intencional foi usada para recrutar...

Background

There is a higher prevalence of substance use disorder (SUD) among justice-involved children (JIC). It is critical to ensure that JIC who report current use are referred for SUD assessment and potentially life-saving treatment services. Prior research suggests that certain minoritised groups may be less likely to have ever been referred for screening, and research on intersectionality suggests that these disparities may be exacerbated for racially minoritised females.

Methods

Multivariate logistic regression and interaction effects were employed to analyse longitudinal data...

Background

COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services.

Results

Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of...

Background

Interdisciplinary collaborations (i.e., where various disciplines work coordinated and interdependently toward shared goals) are stated to yield higher team effectiveness than multidisciplinary approaches (i.e., where various disciplines work in parallel within their professional boundaries) in somatic health care settings. Nevertheless, research is lacking on interdisciplinary approaches for alcohol use disorder (AUD) treatment of hospitalized patients as these types of approaches are still uncommon. This study aims to evaluate an innovative interdisciplinary AUD treatment...

Introduction and aims

There is increasing interest and evidence for the use of cannabinoid medications in the treatment of cannabis use disorder, but little examination of the correlates of successful treatment. This paper is a secondary analysis of a randomised placebo-controlled trial of nabiximols for the treatment of cannabis use disorder (CUD), aiming to identify which client and treatment characteristics impact treatment engagement and outcomes.

Method

Bayesian multiple regression models were used to examine the impact of age, gender, duration of regular cannabis use, daily...

Background

Novel public health interventions are needed to address the toxic drug supply and meet the needs of people who use drugs amidst the overdose crisis. Safer supply – low-barrier distribution of pharmaceutical grade substances – has been implemented in some jurisdictions to provide safer alternatives to the unregulated drug supply, yet no studies to date have explored professional stakeholder perspectives on this approach.

Methods

We used purposive sampling to recruit professional stakeholders (n = 17) from four locations in British Columbia, Ontario, and Nova Scotia...

Background

The COVID-19 emergency has tested the public health, medical, and public safety infrastructure of the United States (U.S.) in unprecedented ways. As the focal point for public health in their communities, local health departments (LHDs) were particularly impacted by the pandemic’s onset. The pandemic limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected...

Originally held on September 6, 2022, this webinar focuses on questions from new researchers and international researchers looking to expand their work.

Funding, publishing, policymaking, and advocacy are discussed.

Canada’s Low-Risk Alcohol Drinking Guidelines were originally published by CCSA in November 2011 and were the result of the work of alcohol research experts in Canada. Since then, substantial new research on the association between alcohol use and physical, mental and social harms has been completed. Many countries have updated their guidance on drinking to reflect these advancements in what is known about the risks and benefits associated with alcohol consumption.

The report is composed of three documents: the Public Summary, the Technical Summary and the Technical Report. 

• The...

Background

Appointment no-show and early dropout from treatment represent major challenges in outpatient substance use disorder treatment, adversely affecting clinical outcomes and health care productivity. In this quasi-experimental study, we examined how a brief reminder intervention for new patients before their first appointment affected treatment participation and retention. No-shows (not attending any sessions) and dropouts (discontinuation of initiated treatment because of three consecutively missed appointments) were compared between a period with pre-admission telephone calls...