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Kuerbis A.,Research Foundation for Mental Hygiene | Hayes M.,Research Foundation for Mental Hygiene | Morgenstern J.,Columbia University
Journal of Social Work Practice in the Addictions

As baby boomers age, identifying effective and efficacious interventions for older adults (OA) with alcohol use disorder is vital for the ongoing viability of the health care system. Brief alcohol use disorder interventions with OA have yet to be examined in the context of studies with high internal validity. Post-hoc, exploratory, single-system analyses were performed on 10 OA and 13 middle-aged problem drinkers who had participated in a randomized controlled trial. Their trajectories were compared to peer age groups who received no treatment. Although OA appeared to respond to most interventions, some interventions yielded greater response than others. Implications are discussed. © 2013 Copyright Taylor and Francis Group, LLC. Source

Rodriguez C.I.,New York State Psychiatric Institute NYSPI | Rodriguez C.I.,Columbia University | Arbuckle M.R.,New York State Psychiatric Institute NYSPI | Arbuckle M.R.,Columbia University | And 11 more authors.
Psychiatric Services

To help grow a cadre of researchers with the knowledge and skills to pursue topics of great utility to public mental health systems, the director of the Division of Mental Health Services and Policy Research at Columbia University used funding from the New York State Office of Mental Health (OMH) to create a rapid small-grant program called the OMH Policy Scholars Program. This column uses two case examples to describe how this public-academic partnership exposes early-career researchers to the needs and complexities of large public mental health systems while providing them with senior research and policy mentors to help ensure the success of the scholars' projects and oversee their introduction to and work within the public mental health system. This type of collaboration is one model of encouraging early-career psychiatric researchers to pursue policy-relevant research. Source


Agency: Department of Health and Human Services | Branch: | Program: STTR | Phase: Phase I | Award Amount: 106.61K | Year: 2000


Morgenstern J.,Columbia University | Kuerbis A.N.,Columbia University | Kuerbis A.N.,Research Foundation for Mental Hygiene | Chen A.C.,Columbia University | And 4 more authors.
Journal of Consulting and Clinical Psychology

Objective: This study tested the comparative effectiveness of modified behavioral self-control therapy (MBSCT) and naltrexone (NTX), as well as the added benefit of combining the 2, in problem drinking men who have sex with men (MSM) seeking to reduce but not quit drinking. Method: Participants (N = 200) were recruited and urn randomized to 1 of 2 medication conditions, NTX or placebo (PBO), and either MSBCT or no behavioral intervention, yielding 4 conditions: PBO, NTX, MSBCT, and NTX + MSBCT. In addition, all participants received a brief medication compliance intervention. Participants were treated for 12 weeks and assessed 1 week after treatment completion. Two primary outcomes-sum of standard drinks and number of heavy drinking days-and 1 secondary outcome-percentage of those drinking in a nonhazardous manner (NoH)-were selected a priori. Results: There was a significant main effect for MBSCT (all ps <.01) but not NTX on all 3 outcomes. In addition, the combination of NTX and MBSCT was not more effective than either MSCBT or PBO. There was a significant interaction effect on NoH, such that NTX significantly increased the likelihood (odds ratio = 3.3) of achieving a nonhazardous drinking outcome relative to PBO. In addition, NTX was significantly more effective than PBO on a descriptive outcome: negative consequences of drinking. Conclusions: There was no advantage to adding NTX to MBSCT. In addition, MBSCT showed stronger evidence of efficacy than NTX. At the same time, NTX delivered in the context of a minimal medication compliance intervention was significantly more effective than PBO on an important clinical indicator. Results provide new information to guide the treatment of problem drinking, including in primary care settings. © 2012 American Psychological Association. Source

Appel P.W.,NYS Office of Alcoholism and Substance Abuse Services | Warren B.E.,Office of Diversity and Inclusion | Yu J.,NYS Office of Alcoholism and Substance Abuse Services | Yu J.,University at Albany | And 4 more authors.
Journal of Behavioral Health Services and Research

This report presents results of Project LINK, a Substance Abuse and Mental Health Services Administration (SAMHSA)-funded, 5-year collaboration (2007–2012) between New York City (NYC) health and NY State substance abuse disorder (SUD) agencies, an LGBT organization contractor, and multiple SUD, social service, and mental health referral agencies. LINK allowed the first ever SUD screening, brief intervention, and referrals to treatment (SBIRT) intervention services onsite in NYC Bureau of Sexually Transmitted Disease Control (BSTDC) clinics. Factors favoring collaboration were (a) joint recognition of substance abuse as an STD risk factor; (b) prior collaborations; (c) agreement on priority of BSTDC’s mission and policies; (d) extensive SBIRT training, cross training on STDs; (e) a memorandum of agreement; and (f) mutual transparency of collaborative efforts, among others. LINK screened over 151,000 STD clinic patients and delivered brief interventions to 60% of positively screened patients and met a mandated follow-up target. Factors found to facilitate collaboration here may help screen prospective new health collaborations. © 2015 National Council for Behavioral Health Source

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