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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.


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  • Medicaid has announced a two-year pilot program which covers traditional Native American healing practices in four states. The author explores the program through the lens of one Native American who recovered from addiction in a Native-led treatment house.
    October 2024
    Illness/Disease/Injury/Wellbeing, Substance Use and Misuse, Medicaid
  • Substance use disorder (SUD) is a treatable and “complex condition that involves a problematic pattern of substance use”. Recovery services are important to treating substance use disorders and for positive behavior change. These services can include detoxification, cognitive or behavioral therapy, and medication-assisted therapy in an inpatient, outpatient, or long-term sober living community…
    August 2024
    Substance Use and Misuse
  • Substance use and mental illness have significant impacts on people, families, communities, and societies. Previous National Survey on Drug Use and Health (NSDUH) reports have cited differences in substance use, mental illness, and the receipt of substance use and mental health treatment among people in different racial or ethnic groups.1,2 As part of the Strategic Plan: Fiscal Year 2023-2026 of…
    July 2024
    Substance Use and Misuse
  • A CDC Vital Signs report, using drug overdose data from the State Unintentional Drug Overdose Reporting System (SUDORS), found concerning trends and widening disparities between different population groups. From 2019 to 2020, overdose deaths increased 44% for Black people and 39% for American Indian and Alaska Native (AI/AN) people. In addition, the percentage receiving treatment was lowest for…
    May 2024
    Substance Use and Misuse
  • Research has found that sexual and gender minorities, including lesbian, gay, bisexual, transgender, queer, and intersex people (LGBTQI+), have higher rates of substance misuse and substance use disorders than people who identify as heterosexual. People from these groups are also more likely to enter treatment with more severe disorders. People in LGBTQI+ communities can face stressful situations…
    May 2024
    Substance Use and Misuse
  • Practitioners often feel an urgent need to implement immediate solutions to the pressing substance misuse problems facing their communities. But research and experience have shown that prevention must begin with an understanding of these complex behavioral health problems within their complex environmental contexts; only then can communities establish and implement effective plans to address…
    June 2023
    Substance Use and Misuse, Policy and Practice
  • Introduction: States' approaches to addressing prenatal substance use are widely heterogeneous, ranging from supportive policies that enhance access to substance use disorder (SUD) treatment to punitive policies that criminalize prenatal substance use. We studied the effect of these prenatal substance use policies (PSUPs) on medications for opioid use disorder (OUD) treatment, including…
    September 2022
    Maternal/Child Health, Substance Use and Misuse
  • In-hospital substance use is common among patients with addiction because of undertreated withdrawal, undertreated pain, negative feelings, and stigma. Health care system responses to in-hospital substance use often perpetuate stigma and criminalization of people with addiction, long etched into our culture by the racist War on Drugs. In this commentary, we describe how our hospital convened an…
    August 2022
    Substance Use and Misuse, Policy and Practice
  • Drug overdose data show troubling trends and widening disparities between different population groups. In just one year, overdose death rates (number of drug overdose deaths per 100,000 people) increased 44% for Black people and 39% for American Indian and Alaska Native (AI/AN) people. Most people who died by overdose had no evidence of substance use treatment before their deaths. In fact, a…
    July 2022
    Substance Use and Misuse
  • Though much attention is given to youth mental health, addressing unhealthy substance use is equally important for young people’s healthy social and emotional development and can prevent both short-term harms (such as negative impacts on educational goals or family and peer relationships) and lifelong chronic substance use disorders (Onrust et al. 2016; Volkow and Wargo 2022). Adolescents with…
    July 2022
    Substance Use and Misuse, Policy and Practice
  • The number of overdose deaths are on the rise all over the world. An estimate of 93,000 drug overdose deaths have been estimated in the United States in 2020. COVID-19 pandemic has exacerbated the drug crisis. Factors, such as existing health disparities among underserved communities, lack of resources for people of color, lack of belief in available resources, social isolation and economic…
    December 2021
    COVID-19/Coronavirus, Substance Use and Misuse, Policy and Practice
  • People affected by overdose deaths are advocating for prevention and increased access to treatment. Activist coalitions challenged the deadly impact of stigma, discrimination, and inadequate access to life-saving substance use disorder (SUD) and mental health care. Advocacy by coalitions resulted in federal and state funding and legislation, improving access to care. New York State is a model for…
    September 2021
    Substance Use and Misuse, Advocacy
  • Even with great advances in behavioral health policy in the last decade, the problems of mental illness and addiction persist in the United States—so more needs to be done. In this article, which is part of the National Academy of Medicine’s Vital Directions for Health and Health Care: Priorities for 2021 initiative, we describe the steps needed to improve outcomes, focusing on three strategies.…
    January 2021
    Substance Use and Misuse, Policy and Practice
  • The overdose crisis is a health equity crisis. Over the past two decades, overdose-related fatalities have reached devastating numbers across the country. From urban epicenters to rural counties, the hardest hit communities are a stark reminder that the current ‘drug crisis’—like the ones preceding it—was not an accident.Long before the overdose crisis entered the national spotlight, structural…
    December 2020
    Substance Use and Misuse
  • The research team is evaluating how different prenatal substance use policies (PSUPs) impact (1) how systems, such as child welfare, criminal justice and healthcare providers, respond; (2) maternal substance use and healthcare behaviors; and (3) maternal and newborn health. The researchers are also examining whether the policies have differential impact based on the mother’s race and ethnicity. (…
    October 2020
    Adverse Birth Outcomes, Substance Use and Misuse
  • Many people with mental health and substance use conditions lose access to housing because of poverty and disruption of personal relationships related to their disability, and between 20 and 33% of homeless people have serious mental illnesses.[i] In addition, according to the Office of National Drug Control Policy, approximately 67% of people experiencing chronic homelessness have a primary…
    September 2018
    Substance Use and Misuse, Housing Discrimination
  • Services for the prevention and treatment of substance misuse and substance use disorders have traditionally been delivered separately from other mental health and general health care services. Because substance misuse has traditionally been seen as a social or criminal problem, prevention services were not typically considered a responsibility of health care systems; and people needing care for…
    November 2016
    Substance Use and Misuse, Policy and Practice
  • National surveys have estimated that 2%–11% of Americans self-identify as LGBTQ,1 yet as a population, these individuals have historically been underrepresented in addiction research. As scientists have worked over the past three decades to remediate this gap, substance use characteristics and treatment factors present among the LGBTQ population have begun to emerge.
    January 2016
    Substance Use and Misuse

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