Substance Use &amp Addiction Journal

Background: Psychosis is a complex neuropsychiatric state which can be induced by methamphetamine. How methamphetamine-associated psychosis (MAP) is perceived by those who experience it, and whether it increases or reduces motivation for recovery is unclear. Objective: Using qualitative methods, our study explored the relationships between MAP and subjective changes in methamphetamine use among i…

BACKGROUND: The relationship between menopausal transition, alcohol use and women's health remains poorly understood despite its relevance in psychiatry and women's health. Alcohol and menopausal symptoms can overlap, which can lead to misattribution and a barrier to access appropriate care. The objectives are to map the existing literature on the relationship between menopause, perimenopause and…

BACKGROUND: People with (vs without) disabilities may be at greater risk for substance use, but limited research has explored the use of various substances among people with disabilities. This study examined differences in substance use among U.S. young adults with versus without disabilities. METHODS: = 26.4; 61.2% female, 63.2% White). Multivariable regression analyses examined disability statu…

Background: Cocaine use disorder (CUD) presents high relapse rates and limited treatment options. Repetitive transcranial magnetic stimulation (rTMS) has shown promise, but evidence in clinical practice is scarce. Methods: We conducted a naturalistic retrospective study using medical records of patients with CUD (n = 93) who received rTMS treatment in a private clinic between October 2018 and 202…

BACKGROUND: Previous research indicates that opioid overdose risk is significantly higher during community reentry following incarceration, particularly for women. However, there is a limited understanding of factors specifically associated with women's overdose risk post-jail release. This study examines the relationship between individual risk factors, structural vulnerabilities, and nonfatal o…

Health care providers in a legal cannabis state have encountered AEs and other complications related to cannabis use, and many are concerned about their frequency and severity. According to study participants, expanding access to clinical guidelines, validated tools, referral pathways, and specialized training may enhance their willingness and capacity to screen and intervene effectively.

Most participants favored integrated care, highlighting its convenience and continuity with a trusted provider. However, concerns about PCP training in addiction care were common, suggesting the need for enhanced clinician preparation starting in medical school and residency. Regardless of model, participants emphasized the importance of wrap-around services, including peer recovery specialists, …

HRVM colocation across health care and supportive housing reached Veterans and supported after-hours access where needs were greatest, while also linking many to naloxone, education, and health care resources. Findings demonstrate a feasible, scalable approach for integrating HRVMs into Veteran-centered public health strategies. Future research should evaluate longer term clinical outcomes, parti…

Findings suggest that interventions promoting healthier coping strategies and increasing access to inclusive social and recreational spaces may help reduce tobacco use among rural female SMYAs.

Findings from this study suggest that encountering pre-employment drug screens and being denied a job due to pre-employment drug screens are common among Veterans with mental health and substance use conditions. Individuals with high drug use and/or alcohol use may be at greatest risk. Continued research on this common experience is needed to support employment recovery among people who use subst…

The findings indicated that nursing students have limited knowledge, moderate levels of stigma, and varied skill sets when caring for women with PSU and their infants. Nursing curricula should consider including broader coverage of PSU using various and effective educational strategies (ie, simulation; AI) which incorporate the lived experiences of women with PSU.

Receipt of an OUD consult did not improve rates of referral success, though this may be due to the non-random nature of the consult population. The low overall referral success rate highlights the need for a multifaceted approach to improve referral success.

Accordingly, the Association for Multidisciplinary Education and Research in Substance Use and Addiction supports funding and research for the broader application of HRVMs, alongside the creation of national implementation guidance and federal and state policy alignment, to ensure that communities across the United States can access these crucial harm reduction services.

A mailed academic detailing intervention did not change NNS availability or BUP/NX stocking but did modestly increase willingness to order BUP/NX. This intervention is easily replicable and scalable, but modifications to increase the magnitude of its effect are needed.

SLT use during pregnancy is prevalent in several parts of the world, especially among socioeconomically disadvantaged populations. These findings underscore the urgent need for targeted tobacco control interventions, maternal health education, and region-specific policy strategies addressing SLT use during pregnancy. Increased awareness, regulatory action, and integration of SLT screening in ante…

Transitions from high-dose methadone to buprenorphine remain challenging, and the evidence base for high-dose buprenorphine initiation (HDBI) strategies in this context is limited. We reviewed the published literature on HDBI with a particular focus on their application for patients maintained on methadone and identified no prior reports of successful transition from methadone doses as high as 18…

Results indicate that changes to physical and social environment are key features of initiating and sustaining cannabis use cessation, which aligns with research on tobacco cessation. Future research should explore how these factors interact and investigate additional influences on long-term cessation success.

Our results provide support for the feasibility and utility of the LDP for addiction behavioral health providers. Additionally, the article provides guidance for the development of leadership training programs to support the leadership development of addiction workforce and the field broadly.

This commentary provides an overview of the 49th annual AMERSA conference, held from November 13 to 15, 2025, in Portland, OR. The conference featured 16 interactive workshops, over 160 oral abstract presentations, and 120 poster presentations. In alignment with the theme of Building Stronger Communities through Addiction Care Innovation, Research, Education and Advocacy, the conference program p…

High-quality training curricula that cover a range of topics, particularly knowledge- and value-based topics, may enhance PSWs' sense of personal accomplishment. Improving content and quality over quantity may also reduce PSWs' job stress. These efforts can support positive work experiences and engagement among PSWs in the substance use disorder recovery field.