NASADAD to NIDA: Connect research to practice

When the National Institute on Drug Abuse (NIDA) sought input on its five‐year plan, the people responsible for publicly funded prevention, treatment and recovery — state directors — called for returning to the days of communication between federal agencies like the Substance Abuse and Mental Health Services Administration (SAMHSA) and between NIDA researchers and the service delivery system. In an Aug. 7 letter to NIDA's strategic planning team, Robert I.L. Morrison, executive director of the National Association of State Alcohol and Drug Abuse Directors (NASADAD), noted that each state alcohol and drug agency has a critical role to play in NIDA initiatives. This role includes.     

Pharmacy model for methadone,NAS link to demographics

In “Methadone Matters: What the United States Can Learn from the Global Effort to Treat Opioid Addiction,” senior author Jeffrey H. Sabet, M.D., and colleagues write about the lack of access to methadone treatment, in particular, for opioid use disorder (OUD) in the United States. They look at three pharmacy‐based models that exist in other countries. In their article, published online Feb. 6 in the Journal of General Internal Medicine, they promote the model of patients picking up methadone from pharmacies, as is done in, for example, Canada. The study was funded by the National Institute on Drug Abuse (NIDA) (from the United States) and cited by many as a call to reform the current opioid treatment program (OTP) system in the United States, where patients often prefer buprenorphine simply because they don't have to abide by methadone regulations.     

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Counseling on the Internet Found Effective in Small‐Scale Study In‐Prison Treatment Changing to Reflect Demands for Effectiveness Ariz. Treatment Providers Protest Against Uncompensated Care Diversification Pays? NIDA‐NIAAA Merger Would Hurt Alcoholism Issues, Says NAATP President ‘Committed’ to Filling SAMHSA Administrator Post ADAW Publisher Sponsors National Council's Excellence in Innovation Award Briefly Noted State News Resources Coming up     

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Gitlow as ASAM President and Orexo Medical Director: Conflict of Interest? Centers Take Baby Steps to Combat Turnover, with Solutions Elusive Conflict of Interest Rules for DSM‐5 Task Force and Work Groups A Year after Newtown, What Has Changed? NAADAC Faults SAMHSA, HRSA in Lack of Workforce Planning Researchers Find Gene Linked to Excessive Alcohol Consumption NIDA Terminates CEWG; Data to Be Collected under New System Coming up     

CONTRACTS AS RENT‐SEEKING DEVICES: EVIDENCE FROM GERMAN SOCCER

Recent theoretical research has identified many ways how contracts can be used as rent‐seeking devices vis‐à‐vis third parties, but there is no empirical evidence on this issue so far. To test some basic qualitative properties of this literature, we develop a theoretical and empirical framework in the context of European professional soccer where (incumbent) teams and players sign binding contracts which, however, are frequently renegotiated when other teams (entrants) want to hire the player. Because they weaken entrants in renegotiations, long‐term contracts are useful rent‐seeking devices for the contracting parties. However, they reduce the likelihood of (mutually beneficial) transfers, which generates a trade‐off in the spirit of Aghion and Bolton (1987). Using a data set from the German “Bundesliga,” our model predictions are broadly confirmed. (JEL L14, J63, L40, L83)     

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Mothers Addicted to Meth Face Losing their Children; Crisis Looms in Child Welfare Systems Two Studies Show Disparate Triggers for Gambling Who Are the Friends of NIDA? Meth Treatment Works: Friends of NIDA Federal Grants Available for School Drug Tests Senate Subcommittee Approves $300 Million for Drug‐Free Schools SAMHSA Awards $60 Million for SA Services to Homeless Coming Up…     

Are the Negative Effects of Divorce on Well‐Being Dependent on Marital Quality?

We test the so‐called escape hypothesis, which argues that for people from a poor marriage, a divorce has a less negative or even a positive effect on well‐being. In an analysis of two waves of the National Survey of Families and Households (N =4,526), we find only limited evidence. When people divorce from a dissatisfactory or unfair marriage, they experience smaller increases in depression than when they divorce from a less dissatisfactory and less unfair marriage. For marital conflict, we find no interaction. Marital aggression seems to increase the negative effect of divorce, especially among women, suggesting that notions about the accumulation of problems after divorce need to be considered in combination with notions of escape.     

PARENTAL SUBSTANCE USE AND FOSTER CARE: EVIDENCE FROM TWO METHAMPHETAMINE SUPPLY SHOCKS

Foster care caseloads have nearly doubled over the last three decades. Parental methamphetamine (meth) use grew significantly during the same period. While child welfare workers and law enforcement claim that parental meth use contributes to foster care growth, the evidence for a causal effect has not been determined. This paper presents the first evidence of a causal effect of meth on foster care admissions using two exogenous supply‐side interventions in meth markets from the late 1990s for identification. First, we find that restrictions on meth precursor distribution caused meth use (proxied by white meth self‐referred treatment cases) to decline 4.1%. Second, using two‐stage least squares, we estimate a positive elasticity of foster care cases with respect to meth use of 1.54. We also estimate elasticities of 1.03 and 1.49 for cases of child neglect and parental abuse, respectively. These results suggest that child welfare policies should be designed specifically for the children of meth‐using parents. (JEL I12, J13, K42)     

NIDA: Daily marijuana use at 13% in noncollege young adults

The latest Monitoring the Future (MTF) survey results on teens transitioning to adulthood shows that more than 13 percent who are not in college are using marijuana on a daily basis. Conducted for the National Institute on Drug Abuse (NIDA), MTF is a national survey released in December every year, with a specialized focus on 19‐ to 22‐year‐olds released in the following September.     

DO SUPPLY‐SIDE FORCES EXPLAIN GEOGRAPHIC VARIATION IN HEALTH CARE USE?

Regional variation in health care utilization has been well‐documented, yet uncertainty persists about whether this variation is primarily the result of supply‐side or demand‐side forces. We provide new evidence on this issue by examining changes in health care use for the near‐elderly as they transition from being uninsured into Medicare. Results support a causal, supply‐side explanation of regional variation. Estimates indicate that gaining Medicare coverage in above‐median spending regions increases the probability of at least one hospital visit by 40% and the probability of having more than five doctor visits by 26% relative to similar individuals in below‐median spending regions. (JEL D43, H42, H51, I1, I11, I13)     

Long‐term use of methylphenidate continues to confer benefits

Patients continue to receive benefits from treatment for attention‐deficit/hyperactivity disorder (ADHD) with methylphenidate after long‐term use, researchers have found. Some patients may be withdrawn from the medication, however. Therefore, all patients should be assessed periodically to determine whether they continue to need the medication. The study, published in the American Journal of Psychiatry, was conducted because, while long‐term use of methylphenidate for children with ADHD is frequent clinical practice, its benefits are unclear. They looked at whether the medication remains beneficial after 2 years. Methylphenidate, a stimulant, has been controversial in some quarters because it is a controlled substance, However, the first‐line treatment for ADHD is psychostimulant medication, such as methylphenidate. How long children should take is is a question, but 60% of children receive stimulant treatment for ADHD for more than 2 years, and this is increasingly common, extending even into adolescence and adulthood. This is partly due to the awareness that ADHD is not a pediatric‐only condition. The study, “Continued benefits of methylphenidate in ADHD after 2 years in clinical practice: A randomized placebo‐controlled discontinuation study,” was published online May 21 by the American Journal of Psychiatry.     

Reallocation of pronouns through contact: In‐the‐moment identity construction amongst Southern California Salvadorans

This study uses natural, everyday social interaction within Salvadoran families living in Southern California to examine the use of the 2nd‐person singular pronouns tú and vos (and their corresponding morphologies) in this contact variety of Spanish. An in‐depth, qualitative analysis reveals that the employment and significance of these forms of address do not conform entirely to Salvadoran norms, nor to those of the surrounding Mexican‐based Spanish koiné. Accommodation to the pronominal repertoire of the region's majority serves as a communicative resource driven by questions of U.S./Los Angeles identity and solidarity with speakers in‐the‐moment interlocutor(s), a process which has caused the original Salvadoran pronouns to also be reallocated and refunctionalized (Britain and Trudgill 1999 ) as resources for accomplishing Salvadoran identity. Members of this community make active use of their pronominal options in real‐time interaction as they navigate the fluid, multifaceted identities that they and their interlocutors now embody in the U.S. context.     

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Recovery Homes Gain Strength With Health Reform, But Access May be Limited Phoenix House Expands to D.C. Area; Helps Mid‐Sized Provider Strengthen NIDA Sceptical of 3‐Day Detox With Non‐Approved Implant Coleman's Three‐Day Detoxification Process NFIA Launches Campaign to Temper Marijuana Legalization Automation of Screens, Assessments Still Requires Clinician Input The UNCOPE Briefly Noted State News Coming up     

GENDER DIFFERENCES IN EXPERIMENTAL WAGE NEGOTIATIONS

We examine behavioral gender differences and gender pairing effects in a laboratory experiment with face‐to‐face alternating‐offers wage bargaining. Our results suggest that gender differences in bargaining behavior are role‐dependent. We find that women obtain worse bargaining outcomes than men when they take on the role of employees, but not when they act as employers. Differences in bargaining outcomes can be explained by the bargaining parties' initial offers and counteroffers. We do not find evidence for behavioral differences between men and women in the process of alternating offers after first offers and counteroffers are made.(JEL J16, C78, C91)     

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Health‐Care Reform: Addiction Field Starts Building a Coalition Center Offers Interest‐Free Financing; Others Cautious About Extending Credit OxyContin Settlement Funds to Benefit Virginia Providers NIDA‐NIAAA Merger to be Decided by NIH Panel RAND Study Finds Methamphetamine Cost U.S. $23 Billion in 2005 Ohio Governor Proposes Stimulus Funds to Pay for Treatment N.Y. Drug Sentencing Reform Urged with Focus on Treatment Briefly Noted State News Coming up     

Localized globalization: A multi‐local,multivariate investigation of quotative be like1

We conduct a multi‐local, multivariate analysis of be like in comparable datasets from three discontinuous geographic settings (the U.S.A., England, and New Zealand). Previously, comparative cross‐variety analysis of this form has been fundamentally hampered by key methodological differences. A methodologically coherent analysis reveals that the ‘classic factors’ ( Tagliamonte and D’Arcy 2007 : 203) grammatical person and content of the quote, as well as the effect of mimesis, are transferred to the receptor variety, albeit with varying degrees of completeness. Other conditioning factors are particularized to the local system into which be like is adopted, which leads us to define its spread as a case of weak transfer. We suggest that there are at least two explanations for this finding: (1) global innovations must be considered in light of the local systems into which they are adopted; and (2) the form and amount of contact must be correlated with respect to the knowledge transfer they allow.     

The emotional abuse of elite child athletes by their coaches

This study investigates the prevalence of emotional abuse of elite child athletes by their coaches in the UK. Previous research has focused primarily on the parent–child relationship, with little attention given to date on the sports environment. Participants were 12 former elite child athletes who competed as internationals in their respective age groups. All participants had been identi?ed as elite athletes between the ages of 8 and 16 years (M = 13.1 yr, SD = 2.4 yr) and had competitive careers of between 6 and 10 years. Participants were from the sports of diving (N = 2), football (N = 3), gymnastics (N = 4), hockey, netball and track and ?eld athletics (N = 1 each). The study was a retrospective analysis of their experiences as elite child athletes. (Age at interview: M = 22.9 yr, SD = 0.9 yr. male = 4, female = 8.) Thus, participants were re?ecting on experiences from about 10 years previously, so their responses represented the residual impact of their experiences that had survived over this period. Data were collected using semi‐structured interviews and response‐coding techniques. Abusive behaviours were categorized under eight headings: belittling, humiliating, shouting, scapegoating, rejecting, isolating, threatening and ignoring. Results showed that all (N = 12) of the participants reported experiencing belittling and shouting by their coach, nine athletes reported frequent threatening behaviour, nine reported frequent humiliation, seven reported scapegoating, six reported rejection or being ignored and four reported being isolated when they were elite child athletes. All participants reported that the behaviour of their coaches changed and became more negative after they were identi?ed as elite performers. Participants reported feeling stupid, worthless, upset, less con?dent, humiliated, depressed, fearful and angry as a result of the behaviour of their coaches. The results provide tentative evidence that the behaviour of some coaches is a threat to the psychological well‐being of elite child athletes. Copyright © 2004 John Wiley & Sons, Ltd.     

Market Earnings and Household Work: New Tests of Gender Performance Theory

I examine the contested finding that men and women engage in gender performance through housework. Prior scholarship has found a curvilinear association between earnings share and housework that has been interpreted as evidence of gender performance. I reexamine these findings by conducting the first such analysis to use high‐quality time diary data for a U.S. sample in the contemporary period. Drawing on data on 11,868 married women and 10,770 married men in the American Time Use Survey (2003–2007), I find no evidence that married men “do gender” through housework. I do, however, find strong evidence of gender performance among women as evidenced by a curvilinear association between earnings share and women's housework time.     

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Centers Prepare for Flu's Effects by Educating Both Staff and Clients NQF Standards for Treating SUDs Move Closer to Implementation by States Mo. Requires Providers to Offer Medication‐Assisted Treatment Obesity Linked to Addiction in Rat Study of Brain Reward Center Field Should be Unified, Not Split, by NIDA‐NIAAA Merger Talks ‘Chronic Inebriates’ Who are Homeless Caught Between State and Local Care Briefly Noted In the States Coming up     

Briefly Noted

The biennial International Drug Policy Reform Conference, sponsored by the Drug Policy Alliance and held Nov. 7–9 in St. Louis, Missouri, was full of varying sessions on harm reduction and reform — 45 of them in all. An article by Filter editor Will Godfrey summed up his perspective — he was the only print reporter so far to have covered the entire conference. We asked him what his feeling was about the prospects for treatment and harm reduction working together, as they have in the past. “There's plenty of friction, but there can and should be rapprochement between the harm‐reduction and traditional treatment communities,” he told ADAW. “Many people in the harm‐reduction movement pursue traditional recovery, and there are treatment folks who support harm reduction. All should be trying to save lives and empower people. Harm reductionists' legitimate concerns about mainstream treatment include its coercive or controlling deployment, its frequent eschewal of evidence‐based practices and its promotion of abstinence at the expense of stigmatizing people who use drugs. Treatment advocates often overlook that most people who use drugs are fine. And in any case, everyone must be free to choose their own path.” But the fact that two approaches — one more radical than the other — coexist still is bound to make some treatment providers uncomfortable. After all, some of the speakers said that even supervised consumption sites are unfair to drug users, who have no need to be “supervised,” and instead should be free to use drugs. All viewpoints were there. “There's constant debate in the harm‐reduction movement about working to change systems that inflict harm from the inside, versus calling for radical reforms from the outside,” said Godfrey. “I think both approaches are simultaneously necessary.” Not everyone saw the conflict. “I have to say that I didn't see an anti‐public health movement there at all,” Maia Szalavitz, who is writing a history of harm reduction and is respected in both harm reduction and some, at least, treatment camps, told ADAW. “There has always, of course, been tension between activists and researchers and between people who want to fight within the system and those who want to tear it all down.” For the Filter article, go to https://filtermag.org/drug‐policy‐reform‐movement/ .