Surveillance System for Opioid-Associated Amnestic Syndrome Creator: Shawn McNeil, MD Duration: 18:09 Journal of Addiction Medicine Journal of Addiction Medicine. 16(6):684-688, November/December 2022 In episode twenty-four of Addiction Medicine: Beyond the Abstract, host Shawn McNeil, MD is joined by Dr. Jed Barash, a Neurologist from Massachusetts. In his paper, Dr. Barash and his colleagues discuss using an existing syndromic surveillance system to monitor for possible cases of opioid-associated amnestic syndrome in the state of Massachusetts. Download (25.56 MB) Favorite
Racial-ethnic Differences in Misuse of Prescription Medications Creator: Shawn McNeil, MD Duration: 14:34 Journal of Addiction Medicine Journal of Addiction Medicine. ():, February 08, 2022 In episode twenty-three of Addiction Medicine: Beyond the Abstract, host Shawn McNeil, MD is joined by Catalina Lopez-Quintero, MD, PhD, MPH. Dr. Lopez-Quintero is an Assistant Professor of Epidemiology at the University of Florida. In her paper, Dr. Lopez-Quintero discusses racial-ethnic differences in reasons for misuse of prescription medications among a nationally representative sample of US adults. Download (19.53 MB) Favorite
HIV Preexposure Prophylaxis by Buprenorphine Prescribers Creator: Shawn McNeil, MD Duration: 13:00 Journal of Addiction Medicine Journal of Addiction Medicine. 15(3):261-263, May/June 2021 In episode twenty-two of Addiction Medicine: Beyond the Abstract, host Shawn McNeil, MD is joined by Amy Kennedy, MD, MS. Dr. Kennedy is an Acting Assistant Professor of Medicine at the University of Washington and Director of GMS Addiction Medicine Program at the VA Puget Sound Healthcare System. In her paper, Dr. Kennedy discusses barriers and facilitators of the prescription of HIV preexposure prophylaxis to high-risk injection drug users by buprenorphine prescribers Download (17.38 MB) Favorite
Rejection of Referrals based on Substance Use Diagnosis and Treatment Creator: Shawn McNeil, MD Duration: 11:47 Journal of Addiction Medicine Journal of Addiction Medicine. 15(1):20-26, January/February 2021 In episode twenty one of Addiction Medicine: Beyond the Abstract, host Shawn McNeil, MD is joined by Simeon Kimmel, MD. Dr. Kimmel is an Assistant Professor of Medicine at Boston University School of Medicine and Attending Physician at Boston Medical Center. In his paper, Dr. Kimmel discusses a trend of referral rejections for post-acute medical care among patients with substance use disorders and patients receiving opioid agonist treatment. Download (15.82 MB) Favorite
Patient-Centeredness of Addiction Treatment Intake Creator: Shawn McNeil, MD Duration: 10:12 Journal of Addiction Medicine Journal of Addiction Medicine. 15(2):134-142, March/April 2021 In episode twenty of Addiction Medicine: Beyond the Abstract, we are joined by Tami Mark, PhD. She is a Senior Fellow of Behavioral Health Financing and Quality Measurement for RTI International. In her paper, Dr. Mark discusses patient placement criteria for addiction treatment and multidimensional assessments. Download (13.67 MB) Favorite
Sex Differences Among Adults with Opioid Use Disorder Creator: Shawn McNeil, MD Duration: 11:52 Journal of Addiction Medicine Journal of Addiction Medicine. 14(6):502-509, November/December 2020 In episode nineteen of Addiction Medicine: Beyond the Abstract, we are joined by MacKenzie Peltier, PhD. She is an Assistant Professor of Psychiatry at Yale School of Medicine. In her paper, Dr. Peltier discusses sex-specific vulnerabilities observed among individuals with opioid use disorder. Download (16.32 MB) Favorite
Avoiding NICU for Newborns With Neonatal Opioid Withdrawal Syndrome Creator: Shawn McNeil, MD Duration: 9:56 Journal of Addiction Medicine Journal of Addiction Medicine. 14(5):401-408, September/October 2020 In episode eighteen of Addiction Medicine: Beyond the Abstract, we are joined by Kimberly Spence, MD. She is an Associate Professor of Pediatrics at the Saint Louis University School of Medicine. In her paper, Dr. Spence discusses the benefits of treating neonates with Neonatal Opioid Withdrawal Syndrome (NOWS) on the mother-baby unit rather than admitting them to the NICU. Download (13.67 MB) Favorite
Computerized CBT for Substance Use Disorders Creator: Shawn McNeil, MD Duration: 13:37 Journal of Addiction Medicine In episode seventeen of Addiction Medicine: Beyond the Abstract, we are joined by Kathleen Carroll, PhD. She is the Albert E. Kent Professor of Psychiatry at Yale University School of Medicine. In her paper, Dr. Carroll discusses the feasibility of implementing computer-based treatments for substance use disorders in primary care settings. Download (18.7 MB) Favorite
Opioid Overdose in the Hospital Setting: A Systematic Review Creator: Shawn McNeil, MD Duration: 13:13 Journal of Addiction Medicine Journal of Addiction Medicine. 14(1):39-47, January/February 2020 In episode sixteen of Addiction Medicine: Beyond the Abstract, we are joined by Itai Danovitch, MD, MBA. He is the chairman of the Department of Psychiatry and Behavioral Neurosciences at Cedars-Sinai Medical Center in Los Angeles. In his paper, Dr. Danovitch discusses some of the challenges facing the study of opioid overdose events in the hospital setting. Download (18.62 MB) Favorite
Integrating Reproductive Health Services into Opioid Treatment Facilities Creator: Shawn McNeil, MD Duration: 8:34 Journal of Addiction Medicine November/December 2019, Volume 13, Issue 6; In episode fifteen of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Tricia Wright, MD, MS, FACOG, DFASAM. She is a professor of clinical medicine at the University of California San Francisco. In her recent commentary, Dr. Wright discusses some of the challenges facing women in opioid treatment programs and the need for the provision of reproductive healthcare to this population. Download (11.79 MB) Favorite
Technology Use Among Patients in Inpatient Medically Managed Withdrawal Creator: Shawn McNeil, MD Duration: 12:42 Journal of Addiction Medicine July/August 2019, Volume 13, Issue 4; Journal of Addiction Medicine. 13(4):279-286, July/August 2019 In episode fourteen of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Babak Tofighi. He is an assistant professor in the departments of medicine and population health at the NYU School of Medicine. In his recent article, Dr. Tofighi discusses the use of technology-based interventions to optimize the treatment of substance use disorders (SUDs) and related comorbidities. Download (17.88 MB) Favorite
Opioid Agonist Treatment in Postpartum Period During Incarceration Creator: Shawn McNeil, MD Duration: 13:13 Journal of Addiction Medicine May/June 2019, Volume 13, Issue 3; In episode thirteen of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Jessica Gray. She is a family medicine physician and an addiction specialist in the departments of Medicine at Massachusetts General Hospital (MGH) and Pediatrics at Massachusetts General Hospital for Children (MGHfC). She is also Associate Program Director for the MGH Addiction Medicine Fellowship and Clinical Director of the HOPE Clinic at MGH. In her recent article, Dr. Gray discusses a case of a woman who was able to continue opioid agonist treatment during the postpartum period while she remained incarcerated, in a system that generally did not allow for opioid agonist treatment during incarceration except during pregnancy. Download (18.1 MB) Favorite
Integrating Reproductive and Sexual Health Services for Women in Opioid Treatment Programs Creator: Shawn McNeil, MD Duration: 11:25 Journal of Addiction Medicine March/April 2019, Volume 13, Issue 2; In episode twelve of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Hendrée Jones, a professor in the Department of Obstetrics and Gynecology at the University of North Carolina and the Director of UNC Horizons Program. In her recent article, Dr. Jones and her colleagues discuss the treatment of women in opioid use treatment programs in North Carolina and their utilization of reproductive and sexual health services. Download (16.09 MB) Favorite
Hospital-Based Addiction Care: The Improving Addiction Care Team (IMPACT) Creator: Shawn McNeil, MD Duration: 13:37 Journal of Addiction Medicine March/April 2019, Volume 13, Issue 2; In episode eleven of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Honora Englander, an Associate Professor of Medicine at Oregon Health & Science University and the Director and Principal Investigator of the Improving Addiction Care Team (IMPACT). In her recent article, Dr. Englander and her colleagues discuss using hospitalization as a "reachable moment" for highly vulnerable patients who are not engaged in treatment elsewhere and utilizing the IMPACT team in this process. Download (18.71 MB) Favorite
Interest in Reduction or Cessation of Opiate Use Among Syringe Exchange Clients Creator: Shawn McNeil, MD Duration: 13:00 Journal of Addiction Medicine November/December 2018, Volume 12, Issue 6; In episode ten of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Caleb Banta-Green, principal research scientist at The Alcohol and Drug Abuse Institute at the University of Washington. In his recent study, Dr. Banta-Green and his colleagues surveyed syringe exchange program (SEP) clients to gauge interest in receiving help with cessation or reduction of opiate use. Data from this study produced valuable conclusions about subgroups that are more likely to take advantage of available interventions. Download (17.86 MB) Favorite
Perinatal Pharmacokinetics and Serum Methadone/Metabolite Ratios Creator: Shawn McNeil, MD Duration: 11:38 Journal of Addiction Medicine May/June 2018, Volume 12, Issue 3; In episode nine of Addiction Medicine: Beyond the Abstract, we are joined by Dr. John McCarthy, an associate professor of psychiatry and volunteer clinical faculty at the University of California Davis. In his recent study, Dr. McCarthy and his colleagues examined the significance of serum methadone/metabolite ratios (or MMRs). In particular, they looked at the changes in these ratios for the expecting mother throughout pregnancy and sought to use these ratios to objectively guide methadone dosing. Download (16.01 MB) Favorite
Buprenorphine Treatment for Adolescents and Young Adults Creator: Shawn McNeil, MD Duration: 17:09 Journal of Addiction Medicine May/June 2018, Volume 12, Issue 3; In episode eight of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Lisa Marsch. She is a professor at Dartmouth and Director of both the Center for Technology and Behavioral Health and the Dartmouth Psychiatric Research Center. In her recent study, Marsch and her colleagues took a look at relevant randomized controlled trials and observational studies which evaluated the use of buprenorphine in adolescents and young adults. Download (23.59 MB) Favorite
Nicotine Content in E-cigarette liquid: often not as labeled Creator: Shawn McNeil, MD Duration: 13:23 Journal of Addiction Medicine March/April 2018, Volume 12, Issue 2; In episode seven of Addiction Medicine: Beyond the Abstract, we are joined by Barrett Raymond. He is a nurse practitioner and graduate of Brigham Young University. In his recent study, Raymond analyzed e-cigarette liquid samples from popular online manufacturers and distributors in the United States. He compared the expected nicotine content with the measured levels. He also discussed regulatory changes and the potential impact on the industry. Download (18.41 MB) Favorite
Methadone Maintenance Treatment During Incarceration Compared with Forced Withdrawal Creator: Shawn McNeil, MD Duration: 11:58 Journal of Addiction Medicine March/April 2018, Volume 12, Issue 2; In episode six of Addiction Medicine: Beyond the Abstract, we are joined by Kelly Moore, PhD of Yale University School of Medicine. Her new study takes a look at the implementation of continued methadone maintenance treatment (MMT) upon incarceration. Often, inmates undergo forced withdrawal once they are placed in a correctional setting. Her study sought to measure the difference in behavior both during incarceration and after release for inmates in a methadone maintenance group compared to those in a forced withdrawal group. Download (16.86 MB) Favorite
Integrating Substance Use Services with Primary Care: Incentives Based on Choice Architecture Principles Creator: Shawn McNeil, MD Duration: 14:48 Journal of Addiction Medicine January/February 2018, Volume 12, Issue 1; In episode five of Addiction Medicine: Beyond the Abstract, we are joined by Leo Beletsky, JD, MPH of Northeastern University. His commentary from the latest issue of the journal addresses common challenges that influence the delivery of substance use treatment in the primary care setting. He details underlying concepts of behavioral economics that may impact the decisions made by healthcare providers. Specifically, he addresses choice architecture as it relates to decisions regarding substance use treatment. Download (16.04 MB) Favorite
Improving Opioid Addiction Treatment for Pregnant Women Creator: Shawn McNeil, MD Duration: 14:43 Journal of Addiction Medicine January/February 2018, Volume 12, Issue 1; In episode four of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Gerald Cochran of the University of Pittsburgh. His recent article details a pilot study which assesses a patient navigation intervention model for pregnant women with opioid use disorder. This represents a novel application for patient navigation. He details the clinical relevance of these techniques and discusses the potential impact of his findings. Download (21.68 MB) Favorite
Addressing Stigma in medication Treatment of Adolescents with Opioid Use Disorder Creator: Shawn McNeil, MD Duration: 11:22 Journal of Addiction Medicine November/December 2017, Volume 11, Issue 6; In episode three of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Sarah Bagley of Boston Medical Center and Boston University School of Medicine. Her recent commentary addresses the approach clinicians take in treating adolescents with opioid use disorder and perceptions about the use of medication management. She also discusses the recent policy statement by the American Academy of Pediatrics concerning the use of pharmacotherapy with buprenorphine/naloxone, methadone, and naltrexone in this population. Download (10.67 MB) Favorite
The Unexpected Urine Test: A Matter Far From Simple Creator: Shawn McNeil, MD Duration: 14:47 Journal of Addiction Medicine November/December 2017, Volume 11, Issue 6; In episode two of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Stefan Kertesz of the University of Alabama Birmingham and the Birmingham VA Medical Center. In his recent piece from the Journal, Dr. Kertesz discusses the challenge of treating patients who obtain benzodiazepines from another provider in addition to known prescribed opiates. He addresses this issue in the context of the results from a recent study by McClure, et al. in the same issue of the Journal which analyzes patterns of urine drug test results from a national laboratory. Download (13.86 MB) Favorite
Post-Cesarean Analgesia in Women on opioid agonists to treat Opiate Use Disorder Creator: Shawn McNeil, MD Duration: 26:30 Journal of Addiction Medicine September/October 2017, Volume 11, Issue 5; In this episode of Addiction Medicine: Beyond the Abstract, we are joined by Dr. Daniel Alford of Boston Medical Center and Boston University School of Medicine. His new study takes a closer look at the continuation of opiate agonist treatment in the perioperative setting among women undergoing cesarean section. Dr. Alford talks about the study, its limitations and applicability, and how the findings compare to current trends in practice. He also discusses his career in studying and treating patients with these issues. Download (24.26 MB) Favorite
