The Experts below are selected from a list of 31029 Experts worldwide ranked by ideXlab platform
Donald A Calsyn - One of the best experts on this subject based on the ideXlab platform.
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heterosexual anal sex among men and women in Substance Abuse Treatment secondary analysis of two gender specific hiv prevention trials
Journal of Sex Research, 2017Co-Authors: Mary A Hatchmaillette, Blair Beadnell, Aimee N C Campbell, Christina S Meade, Susan Tross, Donald A CalsynAbstract:Receptive anal sex has high human immunodeficiency virus (HIV) transmission risk, and heterosexual Substance-abusing individuals report higher anal sex rates compared to their counterparts in the general population. This secondary analysis evaluated the effectiveness of two gender-specific, evidence-based HIV-prevention interventions (Real Men Are Safe, or REMAS, for men; Safer Sex Skill Building, or SSSB, for women) against an HIV education (HIV-Ed) control condition on decreasing unprotected heterosexual anal sex (HAS) among Substance Abuse Treatment-seeking men (n = 171) and women (n = 105). Two variables, engagement in any HAS and engagement in unprotected HAS, were assessed at baseline and three months postintervention. Compared to the control group, women in the gender-specific intervention did not differ on rates of any HAS at follow-up but significantly decreased their rates of unprotected HAS. Men in both the gender-specific and the control interventions reported less HAS and unprotected HAS at t...
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measuring fidelity to a culturally adapted hiv prevention intervention for men in Substance Abuse Treatment
Journal of Substance Abuse Treatment, 2013Co-Authors: Mary A Hatchmaillette, Kathleen A Burlew, Sharriann Turnbull, Michael Robinson, Donald A CalsynAbstract:A fidelity measure was developed for use with Real Men Are Safe-Culturally Adapted (REMAS-CA), an HIV prevention intervention for ethnically diverse men in Substance Abuse Treatment. The aims of this analysis were to: 1) assess the reliability of the Fidelity Rating and Skill Evaluation (FRASE); 2) measure improvement in therapist competence and adherence over time while delivering REMAS-CA; and 3) identify which modules of REMAS-CA were most difficult to deliver. Results showed that, 1) the FRASE was a reliable instrument; 2) therapists achieved adequate adherence and competence after training and demonstrated significant improvement over time in Global Empathy; and 3) Sessions 4 and 5 of REMAS-CA contained the most challenging modules for therapists to deliver. Recommendations for future REMAS-CA therapist trainings and fidelity monitoring are made.
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real men are safe culturally adapted utilizing the delphi process to revise real men are safe for an ethnically diverse group of men in Substance Abuse Treatment
Aids Education and Prevention, 2012Co-Authors: Donald A Calsyn, Mary A Hatchmaillette, Kathleen A Burlew, Blair Beadnell, Jerika Wilson, Lynette WrightAbstract:Real Men Are Safe (REMAS) was effective at reducing the number of unprotected sexual occasions for men in Substance Abuse Treatment compared to an HIV education control intervention. Utilizing a modified Delphi process, modules from REMAS were compared to similar-content modules from other CDC-approved, culturally tailored HIV prevention interventions. Utilizing ratings and recommendations obtained from an independent expert panel, REMAS was subsequently revised to be more culturally adapted for an ethnically diverse group of men. Ratings suggested REMAS was culturally fair, but that in certain areas the culturally tailored interventions were more in tune with African American and Hispanic men. Revisions to REMAS include an added focus on how culture, social norms, and upbringing affect a man's sexual behavior and relationships.
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sex under the influence of drugs or alcohol common for men in Substance Abuse Treatment and associated with high risk sexual behavior
American Journal on Addictions, 2010Co-Authors: Donald A Calsyn, Mary A Hatchmaillette, Sarah J Cousins, Alyssa A Forcehimes, Raul N Mandler, Suzanne R Doyle, George E WoodyAbstract:Sex under the influence of drugs or alcohol is associated with high-risk sexual behavior. Heterosexual men (n = 505) in Substance Abuse Treatment completed a computer-administered interview assessing sexual risk behaviors. Most men (73.3%) endorsed sex under the influence in the prior 90 days, and 39.1% endorsed sex under the influence during their most recent sexual event. Sex under the influence at the most recent event was more likely to involve anal intercourse, sex with a casual partner, and less condom use. Patients might benefit from interventions targeting sexual behavior and Substance use as mutual triggers. (Am J Addict 2010;00:1-9).
Douglas K Novins - One of the best experts on this subject based on the ideXlab platform.
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alcohol detoxification completion acceptance of referral to Substance Abuse Treatment and entry into Substance Abuse Treatment among alaska native people
Addictive Behaviors, 2017Co-Authors: Ursula Running Bear, Douglas K Novins, Janette Beals, Spero M MansonAbstract:Abstract Background Little is known about factors associated with detoxification Treatment completion and the transition to Substance Abuse Treatment following detoxification among Alaska Native people. This study examined 3 critical points on the Substance Abuse continuum of care (alcohol detoxification completion, acceptance of referral to Substance Abuse Treatment, entry into Substance Abuse Treatment following detoxification). Methods The retrospective cohort included 383 adult Alaska Native patients admitted to a tribally owned and managed inpatient detoxification unit. Three multiple logistic regression models estimated the adjusted associations of each outcome separately with demographic/psychosocial characteristics, clinical characteristics, use related behaviors, and health care utilization. Results Seventy-five percent completed detoxification Treatment. Higher global assessment functioning scores, longer lengths of stay, and older ages of first alcohol use were associated with completing detoxification. A secondary drug diagnosis was associated with not completing detoxification. Thirty-six percent accepted a referral to Substance Abuse Treatment following detoxification. Men, those with legal problems, and those with a longer length of stay were more likely to accept a referral to Substance Abuse Treatment. Fifty-eight percent had a confirmed entry into a Substance Abuse Treatment program at discharge. Length of stay was the only variable associated with Substance Abuse Treatment entry. Conclusions Services like motivational interviewing, counseling, development of therapeutic alliance, monetary incentives, and contingency management are effective in linking patients to services after detoxification. These should be considered, along with the factors associated with each point on the continuum of care when linking patients to follow-up services.
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the role of culture in Substance Abuse Treatment programs for american indian and alaska native communities
Psychiatric Services, 2012Co-Authors: Rupinder Legha, Douglas K NovinsAbstract:Objective:Culture figures prominently in discussions regarding the etiology of alcohol and Substance Abuse in American Indian and Alaska Native (AI/AN) communities, and a substantial body of literature suggests that it is critical to developing meaningful Treatment interventions. However, no study has characterized how programs integrate culture into their services. Furthermore, reports regarding the associated challenges are limited. Methods:Twenty key informant interviews with administrators and 15 focus groups with clinicians were conducted in 18 alcohol and Substance Abuse Treatment programs serving AI/AN communities. Transcripts were coded to identify relevant themes. Results:Substance Abuse Treatment programs for AI/AN communities are integrating culture into their services in two discrete ways: by implementing specific cultural practices and by adapting Western Treatment models. More important, however, are the fundamental principles that shape these programs and their interactions with the people ...
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use of the evidence base in Substance Abuse Treatment programs for american indians and alaska natives pursuing quality in the crucible of practice and policy
Implementation Science, 2011Co-Authors: Douglas K Novins, Gregory A Aarons, Sarah G Conti, Dennis Dahlke, Raymond Daw, Alexandra Fickenscher, Candace Fleming, Craig T Love, Kathleen Masis, Paul SpicerAbstract:A variety of forces are now shaping a passionate debate regarding the optimal approaches to improving the quality of Substance Abuse services for American Indian and Alaska Native communities. While there have been some highly successful efforts to meld the traditions of American Indian and Alaska Native tribes with that of 12-step approaches, some American Indian and Alaska Natives remain profoundly uncomfortable with the dominance of this Euro-American approach to Substance Abuse Treatment in their communities. This longstanding tension has now been complicated by the emergence of a number of evidence-based Treatments that, while holding promise for improving Treatment for American Indian and Alaska Natives with Substance use problems, may conflict with both American Indian and Alaska Native and 12-step healing traditions. We convened a panel of experts from American Indian and Alaska Native communities, Substance Abuse Treatment programs serving these communities, and researchers to discuss and analyze these controversies in preparation for a national study of American Indian and Alaska Native Substance Abuse services. While the panel identified programs that are using evidence-based Treatments, members still voiced concerns about the cultural appropriateness of many evidence-based Treatments as well as the lack of guidance on how to adapt them for use with American Indians and Alaska Natives. The panel concluded that the efforts of federal and state policymakers to promote the use of evidence-based Treatments are further complicating an already-contentious debate within American Indian and Alaska Native communities on how to provide effective Substance Abuse services. This external pressure to utilize evidence-based Treatments is particularly problematic given American Indian and Alaska Native communities' concerns about protecting their sovereign status. Broadening this conversation beyond its primary focus on the use of evidence-based Treatments to other salient issues such as building the necessary research evidence (including incorporating American Indian and Alaska Native cultural values into clinical practice) and developing the human and infrastructural resources to support the use of this evidence may be far more effective for advancing efforts to improve Substance Abuse services for American Indian and Alaska Native communities.
Mary A Hatchmaillette - One of the best experts on this subject based on the ideXlab platform.
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heterosexual anal sex among men and women in Substance Abuse Treatment secondary analysis of two gender specific hiv prevention trials
Journal of Sex Research, 2017Co-Authors: Mary A Hatchmaillette, Blair Beadnell, Aimee N C Campbell, Christina S Meade, Susan Tross, Donald A CalsynAbstract:Receptive anal sex has high human immunodeficiency virus (HIV) transmission risk, and heterosexual Substance-abusing individuals report higher anal sex rates compared to their counterparts in the general population. This secondary analysis evaluated the effectiveness of two gender-specific, evidence-based HIV-prevention interventions (Real Men Are Safe, or REMAS, for men; Safer Sex Skill Building, or SSSB, for women) against an HIV education (HIV-Ed) control condition on decreasing unprotected heterosexual anal sex (HAS) among Substance Abuse Treatment-seeking men (n = 171) and women (n = 105). Two variables, engagement in any HAS and engagement in unprotected HAS, were assessed at baseline and three months postintervention. Compared to the control group, women in the gender-specific intervention did not differ on rates of any HAS at follow-up but significantly decreased their rates of unprotected HAS. Men in both the gender-specific and the control interventions reported less HAS and unprotected HAS at t...
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measuring fidelity to a culturally adapted hiv prevention intervention for men in Substance Abuse Treatment
Journal of Substance Abuse Treatment, 2013Co-Authors: Mary A Hatchmaillette, Kathleen A Burlew, Sharriann Turnbull, Michael Robinson, Donald A CalsynAbstract:A fidelity measure was developed for use with Real Men Are Safe-Culturally Adapted (REMAS-CA), an HIV prevention intervention for ethnically diverse men in Substance Abuse Treatment. The aims of this analysis were to: 1) assess the reliability of the Fidelity Rating and Skill Evaluation (FRASE); 2) measure improvement in therapist competence and adherence over time while delivering REMAS-CA; and 3) identify which modules of REMAS-CA were most difficult to deliver. Results showed that, 1) the FRASE was a reliable instrument; 2) therapists achieved adequate adherence and competence after training and demonstrated significant improvement over time in Global Empathy; and 3) Sessions 4 and 5 of REMAS-CA contained the most challenging modules for therapists to deliver. Recommendations for future REMAS-CA therapist trainings and fidelity monitoring are made.
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real men are safe culturally adapted utilizing the delphi process to revise real men are safe for an ethnically diverse group of men in Substance Abuse Treatment
Aids Education and Prevention, 2012Co-Authors: Donald A Calsyn, Mary A Hatchmaillette, Kathleen A Burlew, Blair Beadnell, Jerika Wilson, Lynette WrightAbstract:Real Men Are Safe (REMAS) was effective at reducing the number of unprotected sexual occasions for men in Substance Abuse Treatment compared to an HIV education control intervention. Utilizing a modified Delphi process, modules from REMAS were compared to similar-content modules from other CDC-approved, culturally tailored HIV prevention interventions. Utilizing ratings and recommendations obtained from an independent expert panel, REMAS was subsequently revised to be more culturally adapted for an ethnically diverse group of men. Ratings suggested REMAS was culturally fair, but that in certain areas the culturally tailored interventions were more in tune with African American and Hispanic men. Revisions to REMAS include an added focus on how culture, social norms, and upbringing affect a man's sexual behavior and relationships.
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sex under the influence of drugs or alcohol common for men in Substance Abuse Treatment and associated with high risk sexual behavior
American Journal on Addictions, 2010Co-Authors: Donald A Calsyn, Mary A Hatchmaillette, Sarah J Cousins, Alyssa A Forcehimes, Raul N Mandler, Suzanne R Doyle, George E WoodyAbstract:Sex under the influence of drugs or alcohol is associated with high-risk sexual behavior. Heterosexual men (n = 505) in Substance Abuse Treatment completed a computer-administered interview assessing sexual risk behaviors. Most men (73.3%) endorsed sex under the influence in the prior 90 days, and 39.1% endorsed sex under the influence during their most recent sexual event. Sex under the influence at the most recent event was more likely to involve anal intercourse, sex with a casual partner, and less condom use. Patients might benefit from interventions targeting sexual behavior and Substance use as mutual triggers. (Am J Addict 2010;00:1-9).
Paul Spicer - One of the best experts on this subject based on the ideXlab platform.
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use of the evidence base in Substance Abuse Treatment programs for american indians and alaska natives pursuing quality in the crucible of practice and policy
Implementation Science, 2011Co-Authors: Douglas K Novins, Gregory A Aarons, Sarah G Conti, Dennis Dahlke, Raymond Daw, Alexandra Fickenscher, Candace Fleming, Craig T Love, Kathleen Masis, Paul SpicerAbstract:A variety of forces are now shaping a passionate debate regarding the optimal approaches to improving the quality of Substance Abuse services for American Indian and Alaska Native communities. While there have been some highly successful efforts to meld the traditions of American Indian and Alaska Native tribes with that of 12-step approaches, some American Indian and Alaska Natives remain profoundly uncomfortable with the dominance of this Euro-American approach to Substance Abuse Treatment in their communities. This longstanding tension has now been complicated by the emergence of a number of evidence-based Treatments that, while holding promise for improving Treatment for American Indian and Alaska Natives with Substance use problems, may conflict with both American Indian and Alaska Native and 12-step healing traditions. We convened a panel of experts from American Indian and Alaska Native communities, Substance Abuse Treatment programs serving these communities, and researchers to discuss and analyze these controversies in preparation for a national study of American Indian and Alaska Native Substance Abuse services. While the panel identified programs that are using evidence-based Treatments, members still voiced concerns about the cultural appropriateness of many evidence-based Treatments as well as the lack of guidance on how to adapt them for use with American Indians and Alaska Natives. The panel concluded that the efforts of federal and state policymakers to promote the use of evidence-based Treatments are further complicating an already-contentious debate within American Indian and Alaska Native communities on how to provide effective Substance Abuse services. This external pressure to utilize evidence-based Treatments is particularly problematic given American Indian and Alaska Native communities' concerns about protecting their sovereign status. Broadening this conversation beyond its primary focus on the use of evidence-based Treatments to other salient issues such as building the necessary research evidence (including incorporating American Indian and Alaska Native cultural values into clinical practice) and developing the human and infrastructural resources to support the use of this evidence may be far more effective for advancing efforts to improve Substance Abuse services for American Indian and Alaska Native communities.
Rudolf H Moos - One of the best experts on this subject based on the ideXlab platform.
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dual diagnosis patients in Substance Abuse Treatment relationship of general coping and Substance specific coping to 1 year outcomes
Addiction, 1999Co-Authors: Franz Moggi, Paige Ouimette, Rudolf H Moos, John W FinneyAbstract:Aims. This study examined general and Substance-specific coping skills and their relationship to Treatment climate, continuing care and 1-year post-Treatment functioning among dual diagnosis patients (i.e. co-occurrence of Substance use and psychiatric disorders). Design. In a prospective multi-site study, dual diagnosis patients participating in Substance Abuse Treatment were assessed at intake, discharge and at a 1-year follow-up. Setting. Patients were recruited from 15 Substance Abuse Treatment programs, which were selected from a larger pool of 174 inpatient Treatment programs in the Department of Veterans Affairs Health Care System. Participants. A total of 981 male dual diagnosis patients participated in the study. Measurements. Assessments included general and Substance-specific coping skills, Treatment climate, continuing outpatient care, abstinence and clinically significant psychiatric symptoms. Findings. Dual diagnosis patients modestly improved on general and Substance-specific coping skills over the 1-year follow-up period. Patients who were in programs with a 'dual diagnosis Treatment climate' and who participated in more 12-Step self-help groups showed slightly more gains in adaptive coping. Both general and Substance-specific coping were associated with abstinence, but only general coping was associated with freedom from significant psychiatric symptoms. Conclusions. Enhancing general and Substance-specific coping skills in Substance Abuse Treatment may reduce dual diagnosis patients' post-Treatment Substance use and improve their psychological functioning.
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alcohol drug Abuse the transformation of the veterans affairs Substance Abuse Treatment system
Psychiatric Services, 1999Co-Authors: Keith Humphreys, Rudolf H Moos, Penny Dearmin Huebsch, Richard T SuchinskyAbstract:I recent years managed health care principles developed in the private sector have increasingly been applied in public-sector mental health and addiction service systems. At the state level, this change in health care management has consistently reduced costs, but it has had mixed results for access and quality of care for severely disabled individuals (1,2). In 1995 the Department of Veterans Affairs (VA) also began to transform its vast health care system along the lines of managed care (3). The health care system was decentralized into 22 regional service networks, each charged with providing an integrated continuum of care to its population of veterans (4). Furthermore, service networks were given a mandate and the autonomy to shift the focus of services from hospital-based inpatient care to outpatient and primary care. The study described here used program data from before and after the shift to outpatient care to assess the effects of these new policies on VA’s national Substance Abuse Treatment system, which is the nation’s largest.
