Rick Altice

Rick Altice

MD
Professor of Medicine (Infectious Diseases) and of Epidemiology (Microbial Diseases); Director, Clinical and Community Research; Director, HIV in Prisons Program; Director, Community Health Care Van; Academic Icon Professor of Medicine, University of Malaya-Centre of Excellence for Research in AIDS (CERiA)

Contact Information

Rick Altice, MD

Patient Care Locations

Lab Location

Office Location

Mailing Address

  • 135 College Street, Suite 323

    New Haven, CT, 06510-2283

    United States

Rick Altice

Appointments

Biography

Frederick L. Altice is a professor of Medicine, Epidemiology and Public Health and is a clinician, clinical epidemiologist, intervention and implementation science researcher at Yale University School of Medicine and School of Public Health. Dr. Altice’s primary research focuses on interventions and implementation science at the interface between infectious diseases and addiction and he has conducted research in several global health settings. He also has a number of projects working in the criminal justice system, including transitional programs addressing infectious diseases, medication-assisted therapies (methadone, buprenorphine, extended release naltrexone), mental illness, homelessness and social instability. Specific topics include alcohol, opioid and nicotine use disorders on HIV treatment outcomes, HIV and addiction treatment, interface with the criminal justice system, and pharmacokinetic drug interactions between treatment for substance use disorders and antiretroviral and tuberculosis therapy. At a basic level, his research focuses on clinical epidemiology, especially in key populations at risk for HIV (e.g., MSM, TGW, PWID, prisoners, sex workers) and development, an adaptation and evaluation of of biomedical and behavioral interventions to improve treatment outcomes. His research, however, has evolved and included development and testing of mobile technologies (mHealth) to intervene with key populations in more effective ways.  His research is especially concentrated in health services research techniques with a focus on implementation science, seeking to introduce and scale-up evidence-based interventions in numerous contexts. A number of implementation science strategies are underway to examine scale-up of medication-assisted therapies to treat opioid use disorder in community, criminal justice and in primary care settings. Most recently, his work has been augmented through use of decision science techniques to understand and promote patient preferences, including the development of informed and shared decision-making aids. His work has emerged primarily with a global health focus with funded research projects internationally in Malaysia, Ukraine, Central Asia, Peru, and Indonesia. He has participated in projects through the National Institute on Alcohol Abuse and Alcoholism, the National Institute on Drug Abuse, Centers for Disease Control and Prevention, Substance Abuse and Mental Health Services Agency, Special Projects of National Significance with HRSA, and the Center for Substance Abuse Treatment. He is currently also collaborating on projects with the WHO, UNAIDS, USAID, PEPFAR and UNODC. Current internationally funded projects in dedicated research sites that are being conducted in Malaysia, Ukraine, Moldova, Azerbaijan, Armenia, Kyrgyzstan and Peru. His research and training sites in Malaysia (2005), Peru (2010) and Ukraine (2005) are dedicated training and research sites for the Global Health Equity Scholars Fogarty Training Program and the Doris Duke International Fellowship program.

Education & Training

  • MA
    Yale University, Honorary (2008)
  • MD
    Emory University (1986)
  • MA
    Universidad de Santiago de Compostela, Spanish Literature (1982)
  • Fellow
    Yale University School of Medicine
  • Resident
    Yale University School of Medicine
  • Board Certification
    AB of Internal Medicine, Internal Medicine (1989)

Activities

  • Studies of Alcohol and Drug Use Among MSM in Peru
    Lima, Peru (2011-2016)
    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.
  • HIV, Opioid, Substance abuse, Malaysia
    Kuala Lumpur, Malaysia 2010
    Intervention of HIV, Drug Use and the Criminal Justice System in Malaysia
  • HIV, Tuberculosis and Drug Dependence In Iran
    Iran 2009
    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.
  • Opioid Dependence and HIV in Malaysia
    Malaysia 2009
    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.
  • Infectious Diseases and Addiction
    Kuala Lumpur, Malaysia 2005
    Funded Research Activities with Centre of Excellence in Research on AIDS (CERiA). Projects are extensive and include epidemiological studies with vulnerable populations including prisoners, female sex workers, men who have sex with men and people who inject drugs. Current studies also include those involving HIV, TB, substance abuse and intervention research. This is a Fogarty International Global Health Equity Scholars site.
  • HIV/AIDS, Tuberculosis and Addiction
    Ukraine 2005
    Technical Assistance and Research, Developed integrated health care delivery system, Rolled out buprenorphine and methadone
  • Opioid Dependence and HIV in Ukraine
    Ukraine 2005
    Since 2005, Professor Altice have trained the physicians on treatment of opioid dependence, HIV and tuberculosis. Specifically, in collaboration with his Ukrainian colleagues, They introduced the first pilot buprenorphine treatment programs in the country. They are now participating in the establishment and expansion of methadone maintenance treatment and how integrated health services can be developed that target substance abuse, HIV and tuberculosis. Currently, there are two NIH funded research projects. One is to expand medication assisted therapies in Ukraine, while the other is to introduce and expand evidence-based intervention for prisoners in Ukraine and Central Asia. This is a Fogarty International Global Health Equity Scholars site.

Honors & Recognition

AwardAwarding OrganizationDate
Most Influential Paper on Addictions - 2016 (Lancet)European Monitoring Centre for Drugs and Drug Addiction2017
Appointed as Academic Icon Professor of Medicine, Centre for Excellence in Research in AIDS (CERiA) at University of MalayaInfectious Diseases Unit, Department of Medicine, Faculty of Medicine, University of Malaya2009
Board of Permanent OfficersYale University School of Medicine2009
National Hope is a Vaccine" Award RecipientGAIA, Global Alliance to Immunize against AIDS2008

Professional Service

OrganizationRoleDate
Yale University School of MedicineAdvisor2017 - Present
World Health Organization Guidelines Committee for Treatment of HIV and Tuberculosis Among Drug Users.2009 - Present
Symposium Chair, International AIDS Society Conference, 2009, Cape Town, South Africa2009 - Present
American Board of Correctional Medicine2009 - Present
Board of Permanent Officers, Yale Univ. School of Medicine2009 - Present
Yale School of Medicine M.D. Thesis Mentor Council. Office of Student Research.2008 - 2009
Correctional Academic Liaison Meeting (CALM), CT. Department of Corrections.2008 - Present
Addiction, Journal of General Internal Medicine, International Journal of Prison Health Care2008 - Present
The Open Public Health Journal, Open Infectious Diseases Journal, International Journal of Prisoner Health2008 - Present
Executive Board, Liberty Community Services, Inc. New Haven CT.2008 - Present
Research Director, AIDS Project Hartford2007 - Present
Clinical Core Committee, Center for Interdisciplinary Research on AIDS (CIRA)2007 - Present
Scientific Advisory Board, Center for Drug Abuse and AIDS Research (CDAAR) P30 grant at Tufts University, School of Medicine.2007 - Present
Clinical Infectious Diseases, Drug and Alcohol Dependence, Journal of Substance Abuse Treatment 2005 - Present
American Society of Addiction Medicine2005 - Present
AAHIVM-American Academy of HIV Medicine2004 - Present
AIDS Reader, Annals of Internal Medicine, JAIDS, JAMA2003 - Present
Advisory Committee, Connecticut AIDS Drug Assistance Program (CADAP)2002 - Present
NIDA K Training & Career Development Subcommittee, National Institute on Drug Abuse Initial Review Group2001 - Present
American Correctional Association2001 - Present
Society for Correctional Physicians1997 - Present
Morse College, Yale University1995 - Present
Yale University School of MedicineStudent Mentor1995 - Present
International AIDS Society1994 - Present
American College of Physicians1993 - Present
Infectious Disease Society of America1993 - Present
American Public Health Association1992 - Present

Departments & Organizations