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Alcohol Use Study, National Meeting Bring Focus to Veterans' Problems Two Surveys On Teen Motivations for Drug Use Focus on Parents and Stress Appalachia Has Highest Rate of Opiate Treatment Admissions Binge Drinking Most Affected by Environment, Says Wechsler FDA Issues Alert on Vivitrol Injection Site Problems Survey Methodology Study Supports ‘Social Norms’ Marketing Value Briefly Noted State Watch Call for Participation Coming Up     

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California Outcome Measurement Forges Ahead with all 58 Counties on Board Maryland Audit Charges Single State Authority with Accountability Problems California Drug Abuse Index Methamphetamine is Number‐One for Treatment Admissions in California Governor's Budget Proposal Slashes Prop. 36 Funding Texas County Boosts Capacity to Treat Probationers Mass. Agency to Bring Efficiencies to New Outpatient Services Addictive Diseases Chair Funded at University of Florida Methamphetamine Treatment Admissions Decline in Minnesota Briefly Noted Call for Applications Coming Up     

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Provider Organizations Weigh Merits of Giving the Media Access to Patients Second Chance Act to Add $110 Million a Year for Treatment and Other Services Alcohol Problems Highest in Rural Western/Midwestern States SAMHSA Reports Show ‘tween’ Drug of Choice is Inhalants Caron CEO on Medical Leave After DWI Briefly Noted State Watch Resources Names in the News Coming up     

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Off‐Label Use of Buprenorphine for Pain Worries Officials Growing Number of Programs Add Legitimacy to Sex Addiction Treatment Painkillers, Tranquilizers Account for Rise in Drug Use by Troops Addiction Drug Market ‘Underexploited,’ Should Focus on Cure, Says Report CAARR Responds to From the Field Article on Calif. Licensing Bill Briefly Noted State News Call for Applications Coming up     

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Public Opinion Poll Shows Deep‐Seated Conflict About Addiction as a Disease Internet Addiction Gains Attention as It Intersects with Other Problems Poll Highlights Do You Believe That Addiction Is — or Is Not — a Disease? Factors in Family Member's Drug or Alcohol Addiction GAO Recommends Monitoring Funds Made to Faith‐Based Organizations What Is an FBO? Substance Abuse Counseling Written into Federal Disaster Response Bill Plan for Disaster New CASA Survey Finds Most Parents Don't Know Teens Are Drinking or Using Drugs Briefly Noted Resources Grants and Funding Coming Up     

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SAMHSA Plans Dramatic Changes as Health Reform Proceeds Kansas Professionals See License Law as Pivotal to Elevating Counseling NIDA Heralds New Delivery Systems to Treat Opioid Addiction Alcoholism & Drug Abuse Weekly Wins Two Azbee Awards SAMHSA Grant Will Help Odyssey House Develop Peer Workforce Briefly Noted State Watch Names in the News Obituary Resources Coming up     

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Methadone Painkiller Overdoses Causing PR Problem for Treatment Field Internet Availability Threatens to Worsen Rx Drug Problems Pharmacokinetics of Methadone Addiction Caucus Briefed on Workforce Issues NCADD Campaign for ‘Hope, Help & Healing’ Launched NASADAD Director Addresses Methamphetamine Treatment Before Souder Panel Student Illicit Drug Use Declining Benzodiazepines Most Widely Available on Internet Briefly Noted Resources Coming Up     

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CDC Issues Warning in MMWR About Rapid Opioid Detox Some Providers Will Weigh Option of Steering Workers to Exchanges One in Three Teens With BP Develops an SUD Within Four Years N.M., Vt. Get Best Scores, S.D. Worst in Rx Drug Abuse Strategies States Roll out Marketplaces; Medicaid Expansion in Only Some State News Names in the News Coming up     

Morrison celebrates 10 years as NASADAD executive director

This year, Robert I.L. Morrison will have been executive director of the National Association of State Alcohol and Drug Abuse Directors (NASADAD) for 10 years (see NASADAD selects Morrison as Executive Director, ADAW, Dec. 14, 2009, https://onlinelibrary.wiley.com/doi/epdf/10.1002/adaw.20213 ) — and 19 years overall at the agency (he was director of public policy before then).     

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New Drug Court Program in Michigan Defines Distinct Alcohol Component Serious Mental Disorders Predict New Onset Substance Abuse NASADAD Supports Veterans Bill, State Involvement in Services States Set up Programs for Veterans Building the Science of Recovery Gambling vs. Drug/Alcohol Addiction Treatment: Showdown in Iowa Briefly Noted State Watch Resources Names in the News Coming up     

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Sequestration: Waiting for the Cuts to Start Center Expands Outpatient Limit but Sees Residential Surviving State‐by‐State Cuts Study Finds CMHCs Reduce Readmissions Cigna Joins ABHW, Pledging to Expand Network NAADAC and IC&RC to Collaborate N.H. Releases Five‐Year Plan to Target Alcohol and Drug Abuse Briefly Noted In the States Resources Coming up     

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Two N.J. Programs Join Forces to Capitalize on Economies of Scale, Synergy Wis. Providers Lament State Culture They Say Doesn't Back Treatment HARMD Agenda Worsens Methadone Stigma Issues Vermont Addiction Counselors Under Pressure to Have MH Licenses Police Pay Students for Drug Tips in Controversial Move White House Proposes Level Funding for SAPT Block Grant Briefly Noted State News Business Coming up     

ONDCP issues first ‘treatment plan’: Not part of Strategy

Last week, in a surprise move, the Office of National Drug Control Policy (ONDCP) issued its first National Treatment Plan for Substance Use Disorder, along with its National Drug Control Strategy. If anyone was expecting an additional windfall like the $1 billion annual State Opioid Response grant program, it's not there.     

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Omnibus Spending Bill Passed; SAPT Block Grant Increased, ‘Tap’ Eliminated Leaders Urge Diversified Approach to Advocacy at the State Level Pre‐Conviction Diversion is Best for Outcomes: TASC Report Study Finds Lack of Medicaid Providers May Limit Access to SUD Treatment Drug Courts Found Biased against Methadone, Buprenorphine Briefly Noted State News Names in the News Coming up     

Briefly Noted

Internalizing and externalizing problems predicted onset of any tobacco use in youth; however, findings differed for internalizing and externalizing problems across tobacco products, researchers found in analyzing the Population Assessment of Tobacco and Health Study of 12‐ to 24‐year‐old never‐users. Self‐reported internalizing and externalizing symptoms were assessed at wave 1 (45,971 subjects), and past‐12‐month use of tobacco products was assessed at wave 2 (38,443 subjects). The researchers found that high‐severity internalizing symptoms at wave 1 increased the risk by 1.5 times of using tobacco by wave 2, and that high‐severity externalizing problems increased the risk of tobacco use by 1.3 times at wave 2. Low‐ and moderate‐severity problems did not predict tobacco onset. The study was funded by the National Institute on Drug Abuse and the Food and Drug Administration. Several authors declared conflicts of interest — one as an expert witness in a lawsuit against the tobacco industry. The article, “Mental Health Problems and Onset of Tobacco Use Among 12‐ to 24‐Year‐Olds in the PATH Study,” was published in the December 2018 issue of the Journal of the American Academy of Child and Adolescent Psychiatry.     

NASADAD pushes block‐grant increase for stimulus 4 bill

The National Association of State Alcohol and Drug Abuse Directors (NASADAD) last week wrote to Sen. Patty Murray (D‐ Washington) and Sen. Roy Blunt (R‐Missouri), the Senate co‐chairs of the Labor, Health and Human Services (HHS), Education, and Related Agencies Appropriations Subcommittee, asking specifically for the $1.5 billion in supplemental funding as provided by the House in the HEROES Act for the Substance Abuse Prevention and Treatment (SAPT) block grant (see “Proposed bill for HEROES Act would give $1.5 billion to SAPT block grant,” ADAW, May 18, https://onlinelibrary.wiley.com/doi/10.1002/adaw.32722 ).     

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Adolescent Painkiller Use May Increase Risk of Addiction, Heroin Use Women's Component of NASADAD Offers Guidance Document for State Systems Parity Bill Attached to Tax Extender Bill Treatment Funds in Illinois Caught in Apparent Stalemate Substance Abuse: A 12‐Step Primer for Change No Drug Abuse, Underage Drinking or Smoking Allowed on YouTube Briefly Noted State Watch Names in News Call for Applications Coming up     

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Parity Bill Misses Senate Passage by Narrow Margin; Field Buoyed Anyway N.Y. Providers Guardedly Optimistic on Minimizing Problems from Smoking Ban CAADAC Splits from NAADAC in Bitter end to Contract Dispute NAADAC's Concerns about Calif. Licensure Bill Fentanyl Report Shows Need for Case Definition of Overdose Deaths Briefly Noted State Watch Resources Coming up