Publications by authors named "A Y Walley"
Background: The City of Boston has faced unprecedented challenges with substance use amidst changes to the illicit drug supply and increased visibility of homelessness. Among its responses, Boston developed six low threshold harm reduction housing (HRH) sites geared towards supporting the housing needs of people who use drugs (PWUD) and addressing health and safety concerns around geographically concentrated tent encampments. HRH sites are transitional supportive housing that adhere to a "housing first" approach where abstinence is not required and harm reduction services and supports are co-located.
View Article and Find Full Text PDFGrayken Lessons: a patient who developed opioid use disorder after traumatic brain injury.
Addict Sci Clin Pract
December 2024
Background: Traumatic brain injury (TBI) is common in people with substance use disorders (SUDs). TBI often results in cognitive deficits which can affect the clinical course of SUD.
Case Presentation: Here we present the case of a 34-year-old Spanish-speaking man with severe opioid use disorder and two prior TBIs affecting his cognitive abilities.
Background And Aims: Stimulant-involved overdose deaths are increasing throughout the United States. Because stimulant misuse (i.e.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to explore how race and ethnicity (Black, White, Hispanic/Latino) relate to the rejection of referrals from private postacute care facilities for hospitalized individuals with opioid use disorder (OUD).
- Researchers utilized electronic records from Boston Medical Center to analyze data from 159 hospitalizations, finding that non-Hispanic Black individuals faced significantly higher odds of referral rejection compared to non-Hispanic White individuals (1.83 times more likely).
- The study concludes that racial discrimination is evident in postacute care admissions for OUD, highlighting the need for initiatives to improve racial equity in healthcare access.
Background: The City of Boston has faced unprecedented challenges with substance use amidst changes to the illicit drug supply and increased visibility of homelessness. Among its responses, Boston developed six low threshold harm reduction housing (HRH) sites geared towards supporting the housing needs of people who use drugs (PWUD) and addressing health and safety concerns around geographically concentrated tent encampments. HRH sites are transitional supportive housing that adhere to a "housing first" approach where abstinence is not required and harm reduction services and supports are co-located.
View Article and Find Full Text PDF