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Using state opioid response grant funding to disseminate contingency management for substance use disorder treatment in Indiana.
J Subst Use Addict Treat
November 2024
Department of Psychiatry, Indiana University, Indianapolis, IN, United States.
Article Synopsis
- Contingency management (CM) is a proven method for treating substance use disorders but faces challenges in adoption within treatment settings; recent initiatives are promoting its use.
- A state-funded program in Indiana aimed to enhance CM implementation involved workshops, technical assistance, and financial support for treatment agencies, along with ongoing evaluations of effectiveness.
- After the training, staff reported improved knowledge and confidence in CM; within six months, nine agencies started using CM, supporting numerous clients with various levels of engagement and reinforcements.
Association of intestinal dysbiosis with susceptibility to multiple sclerosis: Evidence from different population studies (Review).
Biomed Rep
December 2023
Department of Microbiology and Pathology, University Center for Health Sciences, University of Guadalajara, Guadalajara, Jalisco 44340, Mexico.
Understanding the relationship between microorganisms that live in our intestines and neuroinflammatory and neurodegenerative pathologies of the central nervous system (CNS) is essential, since they have been shown to have an immunomodulatory effect in neurological disorders, such as multiple sclerosis (MS). The gut microbiota can be affected by several environmental factors, including infections, physical and emotional stress and diet, the latter known as the main modulator of intestinal bacteria. An abrupt shift in the gut microbiota composition and function is known as dysbiosis, a state of local and systemic inflammation produced by pathogenic bacteria and its metabolites responsible for numerous neurological symptoms.
View Article and Find Full Text PDF[Introduction to the hierarchical taxonomy of psychopathology].
Encephale
February 2022
Service universitaire de médecine du sommeil, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France; USR CNRS 3413 SANPSY, université de Bordeaux, CHU Pellegrin, 33076 Bordeaux cédex, France.
Introduction: In clinical practice, the usefulness of diagnosis based on the Diagnostic or Statistical Manual of Mental Disorders (DSM) or the International Classification of Diseases, 11th edition, appears essential from a clinical, research, epidemiological, administrative, economic and political level. However, such diagnostic systems have shortcomings in terms of validity, little consideration of comorbidities and strong intra-class heterogeneity. On a structural level, the operationalization of its criteria is based on a reliability which has been defined a posteriori and which does not lead to improving the validity of the diagnosis but rather to the reification of the diagnostic categories.
View Article and Find Full Text PDFFiscal federalism vs fiscal decentralization in healthcare: a conceptual framework.
Hippokratia
January 2020
Laboratory of Primary Health Care, General Medicine and Health Services Research, School of Medicine, Aristotle University of Thessaloniki, Greece.
Introduction: Fiscal federalism and fiscal decentralization are distinct policy options in public services in general and healthcare in particular, with possibly opposed effects on equity, effectiveness, and efficiency. However, the pertinent discourse often reflects confusion between the concepts or conflation thereof.
Methods: This paper performs a narrative review of theoretical literature on decentralization.
Community psychology at the crossroads: prospects for interdisciplinary research.
Am J Community Psychol
September 2006
Psychology Department, University of Maryland, Baltimore County, 21250, USA.
Effective engagement in interdisciplinary work is critical if community psychology is to achieve its promise as a field of ecological inquiry and social action. The purpose of this paper and special issue is to help make the benefits of interdisciplinary community research clearer and to identify and begin to address its challenges. Although some areas of psychology (e.
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