Publications by authors named "Ernest Fletcher"
Article Synopsis
- Strong recovery ecosystems, measured by the Recovery Ecosystem Index (REI), are associated with lower drug overdose mortality rates in U.S. counties.
- The study analyzed data from 2,076 counties, finding that counties with stronger REI scores (indicating better recovery support) generally had lower drug overdose rates, while weaker REI scores were linked to higher rates.
- Results indicated a complex distribution of counties across different REI and mortality rate combinations, highlighting the varying effectiveness of recovery systems in addressing substance use disorders.
Background: Individuals with substance use disorder (SUD) and recovery support services often face significant social stigma, especially in rural areas. One method of addressing stigma is through education and personal recovery stories. It is unclear if such messages will work similarly across rural and non-rural areas.
View Article and Find Full Text PDFSingle State Agencies (SSAs) are responsible for managing the publicly funded alcohol and other drug prevention, treatment, and recovery service system. Recovery housing (RH) is an important recovery support service (RSS) for individuals experiencing substance use disorder (SUD). Despite its effectiveness, information on state utilization and support is limited.
View Article and Find Full Text PDFIntroduction: Opioid and other substance use disorders (OUD/SUDs) have been and continue to be significant public health issues. The standard of care for OUD is the use of medication for opioid use disorder (MOUD) in conjunction with counseling or behavioral therapies, yet research has indicated that barriers exist for patients accessing MOUD as well as for physicians prescribing MOUD due to requirements associated with the DATA 2000 waiver.
Methods: A pilot cross-sectional survey was conducted among Kentucky physicians in order to reassess common barriers as well as to explore barriers that non-waivered providers face to becoming waivered.
Recovery housing provides substance-free living environments that use peer-support to empower individuals in recovery from substance use disorder. This study estimated the total revenue of the recovery housing industry from recovery houses, nationwide. Using survey data collected in June and July of 2020, we calculate the total revenue of the recovery housing industry and determine the share of revenue that comes from different sources for rural and nonrural houses.
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