2023
Receipt of opioid use disorder treatments prior to fatal overdoses and comparison to no treatment in Connecticut, 2016–17
Heimer R, Black A, Lin H, Grau L, Fiellin D, Howell B, Hawk K, D'Onofrio G, Becker W. Receipt of opioid use disorder treatments prior to fatal overdoses and comparison to no treatment in Connecticut, 2016–17. Drug And Alcohol Dependence 2023, 254: 111040. PMID: 38043226, PMCID: PMC10872282, DOI: 10.1016/j.drugalcdep.2023.111040.Peer-Reviewed Original ResearchConceptsNon-medication treatmentsRelative riskOpioid overdose deathsIncidence rateMOUD treatmentOverdose deathsOpioid use disorder treatmentResults Incidence ratesRetrospective cohort studyDifferent treatment modalitiesPopulation-level effortsUse disorder treatmentFatal opioid poisoningsCohort studyOpioid poisoningTreatment modalitiesConclusion ExposurePoisoning deathsFatal overdosesTreatment exposureDisorder treatmentDeathTreatmentMethadoneRiskTreatment setting among individuals with opioid use and criminal legal involvement, housing instability, or Medicaid insurance, 2015-2021
Shearer R, Howell B, Khatri U, Winkelman T. Treatment setting among individuals with opioid use and criminal legal involvement, housing instability, or Medicaid insurance, 2015-2021. Drug And Alcohol Dependence Reports 2023, 8: 100179. PMID: 37502021, PMCID: PMC10368753, DOI: 10.1016/j.dadr.2023.100179.Peer-Reviewed Original ResearchMedicaid insuranceTreatment settingsDoctor's officeReceipt of MOUDHousing instabilityOpioid use disorderMultivariable logistic regressionCross-sectional studyMental health facilitiesLower ratesMOUD useOpioid useHealth facilitiesProportion of individualsMOUDUse disordersMultiple treatment settingsLogistic regressionLegal involvementHigher likelihoodTreatmentRole TreatmentSimilar ratesLow incomeVariety of settingsHealth Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion
Howell B, Hawks L, Balasuriya L, Chang V, Wang E, Winkelman T. Health Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion. Psychiatric Services 2023, 74: 1019-1026. PMID: 37016823, PMCID: PMC10939137, DOI: 10.1176/appi.ps.20220171.Peer-Reviewed Original ResearchConceptsHealth insurance coverageMental disordersMedicaid expansionSubstance useInsurance coverageTreatment useMental health treatment useAffordable Care Act Medicaid expansionMental health treatmentSubstance use disordersFederal poverty levelUse of treatmentsLegal involvementLow health insurance coverageNSDUH respondentsUse disordersHealth treatmentDrug useMental illnessPercentage point increaseAge 18Insurance accessDisordersHealth insuranceTreatment
2019
Mental Health Treatment Among Individuals Involved in the Criminal Justice System After Implementation of the Affordable Care Act
Howell BA, Wang EA, Winkelman TNA. Mental Health Treatment Among Individuals Involved in the Criminal Justice System After Implementation of the Affordable Care Act. Psychiatric Services 2019, 70: 765-771. PMID: 31138056, DOI: 10.1176/appi.ps.201800559.Peer-Reviewed Original ResearchConceptsMental health treatmentHealth insurance coverageCriminal justice involvementHealth treatmentAffordable Care ActInsurance coveragePast-year criminal justice involvementJustice involvementMultivariable logistic regressionCare ActSerious psychological distressGeneral populationDrug useLogistic regressionAdjusted estimatesPsychological distressTreatmentNational surveyInvolvementStudy yearsPercentage pointsIndividualsPast yearYears