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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 2024Illness/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 2024Substance 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 2024Substance 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 2024Substance 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 2024Substance 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 2023Substance Use and Misuse, Policy and Practice
- American Indian and Alaska Native (AIAN)* communities have successfully relied on long-held traditional ceremonial practices (TCPs) to survive and recover from historical traumas for generations. Interventions that incorporate TCPs to prevent or treat problem substance use are increasingly replacing the more deficit-based clinical approaches employed by Western science. Beyond merely introducing…June 2023Substance Use and Misuse
- In the United States, recreational drugs continue to play a prominent role in drug use disorders and fatalities. Included in this category are psychostimulant drugs such as cocaine, which is well-known for its euphoric effects and abuse potential. Cocaine produces euphoria by blocking the reuptake of neurotransmitters, that is, dopamine, norepinephrine, and serotonin. Although cocaine produces…May 2023Substance Use and Misuse
- Several health inequities exist among racial/ethnic minoritized populations (REMPs) who use substances including disparities in use patterns, inequities in health and legal consequences of use, as well as in treatment access and effectiveness. To address these inequities, more research is needed to examine the associated factors and identify areas for improving treatment. Divided into three…November 2022Substance Use and Misuse
- 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 2022Maternal/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 2022Substance 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 2022Substance 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 2022Substance Use and Misuse, Policy and Practice
- Key FindingsThe number of studies focusing on evaluated substance use services (treatment or harm reduction) for racialized communities were limited; the majority of the literature focused on documenting inequities, discussing barriers and facilitators in accessing services, or offered general recommendations without action.Findings pointed to a few imbalances in the literature: a focus on…June 2022Substance Use and Misuse, Services & Programs
- We study the effect of punitive and priority treatment policies relating to illicit substance use during pregnancy on the rate of neonatal drug withdrawal syndrome, low birth weight, low gestational age, and prenatal care use. Punitive policies criminalize prenatal substance use, or define prenatal substance exposure as child maltreatment in child welfare statutes or as grounds for termination of…April 2022Maternal/Child Health, Substance Use and Misuse
- 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 2021COVID-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 2021Substance Use and Misuse, Advocacy
- Background: Medications for opioid use disorder (MOUD) improve outcomes for pregnant women and infants. Our primary aim was to examine disparities in maternal MOUD receipt by family sociodemographic characteristics. Methods: This retrospective cohort study included mother-infant dyads with Medicaid-covered deliveries in Tennessee from 2009 to 2016. First, we examined family sociodemographic…July 2021Maternal/Child Health, Substance Use and Misuse, Medicaid
- Historical and contemporary trauma among Native Americans is linked to disparate health outcomes across the lifespan including the very recent coronavirus 2019 (COVID-19) outbreak. Early and prolonged exposure to positive family-child engagement activities and the natural environment (greenspace) act as protective factors against a range of maladaptive development across the lifespan. Yet, little…May 2021COVID-19/Coronavirus, Substance Use and Misuse
- American Indian/Alaska Native (AI/AN) populations have proven particularly susceptible to the opioid crisis in the USA, but the White House’s 2019 national opioid policy roadmap is not structured to address AI/AN vulnerabilities. The concept of resilience, usually considered a positive system attribute, can be applied to complex systems to understand the larger compensatory interactions that…April 2021Substance Use and Misuse, Social/Structural Determinants
- 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 2021Substance 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 2020Substance 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 2020Adverse Birth Outcomes, Substance Use and Misuse
- Objective:The authors qualitatively examined how lesbian, gay, bisexual, transgender, and queer (LGBTQ) young adults with probable substance use disorders conceptualized their substance use vis-à-vis their LGBTQ identities.Methods:Individual, in-depth, semistructured interviews were conducted with 59 LGBTQ young adults (ages 21–34) who were participants in a larger longitudinal cohort study and…October 2019Substance Use and Misuse
- ObjectiveRacial/ethnic disparities in the use of substance abuse treatment services have been documented. The objective of this study was to re-examine if racial/ethnic disparities in the use of treatment still exist using current data collected post-implementation of the Affordable Care Act.MethodsData were pooled from the National Survey on Drug Use and Health survey years 2015, 2016, and 2017…September 2019Substance Use and Misuse
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