Achievements

To conduct a preference trial comparing long-acting buprenorphine with sublingual buprenorphine in people with opioid use disorder.

A 45 site, cluster randomized controlled trial comparing standard of care (addiction treatment in specialty care settings) versus integrating care into primary care settings, including the assessment of pay-for-performance incentives (P4P). The research uses a facilitation strategy using an ECHO-like platform to teach addiction, HIV and TB care to primary care physicians and uses a Type II Hybrid Implementation Science Trial.

Biobehavioral Surveys, RCTs of XR-NTX among HIV+ MSM with alcohol use disorders and RCTs of early vs late initiation of ART among newly seroconverted MSM. This is a Fogarty International Global Health Equity Scholars site.

Intervention of HIV, Drug Use and the Criminal Justice System in Malaysia

This involves three projects: 1. HIV and TB Coinfection Among Drug Users in Iran 2. Treatment for Opioid Dependence Among Individuals with HIV or TB 3. Prisoners and Methadone Maintenance.

In 2005, the Malaysian government changed its policies toward substance abuse by implementing syringe exchange programs and methadone maintenance programs. Professor Altice has been a consultant in developing and evaluating the new policies and have since begun several different studies in Malaysia at the interface of substance abuse and infectious diseases, including involvement with the Prison Ministry. Collaboration through the University of Malaysia.