Featured Publications
Does Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons?
Edens EL, Mares AS, Tsai J, Rosenheck RA. Does Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons? Psychiatric Services 2011, 62: 171-178. PMID: 21285095, DOI: 10.1176/ps.62.2.pss6202_0171.Peer-Reviewed Original ResearchThe 14-year course of alcoholism in a community sample: Do men and women differ?
Edens EL, Glowinski AL, Grazier KL, Bucholz KK. The 14-year course of alcoholism in a community sample: Do men and women differ? Drug And Alcohol Dependence 2007, 93: 1-11. PMID: 17935914, PMCID: PMC2324065, DOI: 10.1016/j.drugalcdep.2007.08.013.Peer-Reviewed Original ResearchConceptsAlcohol abusePast-year DSM-IV alcohol dependenceDSM-III alcohol abuseDSM-IV AUD criteriaPast-year alcohol use disorderCommunity sampleHealth service useCase-control studyEpidemiologic Catchment Area studyDSM-III criteriaDSM-IV alcohol dependencePatterns of drinkingCatchment Area StudyAlcohol use disorderDSM-IV alcohol abuseCourse of alcoholismRisk drinkingService useUse disordersClinical relevanceHeavy drinkersLifetime ratesAlcohol dependenceUnaffected controlsAlcohol use behaviors
2021
Management of Adolescents With OUD: A Simulation Case for Subspecialty Trainees in Addiction Medicine and Addiction Psychiatry
Garcia-Vassallo G, Edens EL, Heward B, Auerbach MA, Wong AH, Camenga D. Management of Adolescents With OUD: A Simulation Case for Subspecialty Trainees in Addiction Medicine and Addiction Psychiatry. MedEdPORTAL 2021, 17: 11147. PMID: 33889724, PMCID: PMC8056775, DOI: 10.15766/mep_2374-8265.11147.Peer-Reviewed Original ResearchConceptsOpioid use disorderSimulation-based educational interventionClinical Opiate Withdrawal ScaleSymptoms of opioid withdrawalOpiate Withdrawal ScaleEducational interventionWithdrawal ScaleUse disorderOpioid withdrawalTreating adolescentsConfidence surveyTrainee confidenceAddiction medicineMedical treatment optionsAssess symptomsMedication treatment optionsQuality health careManagement of adolescentsParticipants' reportsEvaluating adolescentsMedical education curriculumAdolescentsIncrease trainees' confidenceAddictionTreatment options
2018
Multimodal Treatment Options, Including Rotating to Buprenorphine, Within a Multidisciplinary Pain Clinic for Patients on Risky Opioid Regimens: A Quality Improvement Study
Oldfield BJ, Edens EL, Agnoli A, Bone CW, Cervone DJ, Edmond SN, Manhapra A, Sellinger JJ, Becker WC. Multimodal Treatment Options, Including Rotating to Buprenorphine, Within a Multidisciplinary Pain Clinic for Patients on Risky Opioid Regimens: A Quality Improvement Study. Pain Medicine 2018, 19: s38-s45. PMID: 30203007, DOI: 10.1093/pm/pny086.Peer-Reviewed Original ResearchConceptsPrimary care providersIntake appointmentMorphine equivalent daily dosePartial opioid agonist buprenorphineVeterans Health Administration hospitalsPartial agonist therapiesPrescribed opioid dosesRetrospective cohort studyUnsafe useEquivalent daily doseMultidisciplinary pain clinicMultimodal treatment optionsChronic pain managementPrimary care settingQuality improvement studyHealth system levelHealth system improvementOpioid dosesCohort studyPain clinicDaily doseOpioid regimensPain managementMultidisciplinary clinicTreatment optionsBrief Counseling for Veterans with Musculoskeletal Disorder, Risky Substance Use, and Service Connection Claims
Rosen MI, Becker WC, Black AC, Martino S, Edens EL, Kerns RD. Brief Counseling for Veterans with Musculoskeletal Disorder, Risky Substance Use, and Service Connection Claims. Pain Medicine 2018, 20: 528-542. PMID: 29800338, PMCID: PMC6387983, DOI: 10.1093/pm/pny071.Peer-Reviewed Original ResearchConceptsRisky substance useMusculoskeletal disordersSubstance useMean pain severityCourse of illnessPain severity ratingsProportion of veteransScreening Brief InterventionCounseling armPain severityPain treatmentTAU conditionWeek 12Brief counselingEarly interventionOutcome assessmentBrief interventionStudy therapistsTelephone callsVeteransCounseling interventionCounselingInterventionSeverity ratingsDisorders
2017
Evaluation of an Integrated, Multidisciplinary Program to Address Unsafe Use of Opioids Prescribed for Pain
Becker WC, Edmond SN, Cervone DJ, Manhapra A, Sellinger JJ, Moore BA, Edens EL. Evaluation of an Integrated, Multidisciplinary Program to Address Unsafe Use of Opioids Prescribed for Pain. Pain Medicine 2017, 19: 1419-1424. PMID: 28371816, DOI: 10.1093/pm/pnx041.Peer-Reviewed Original ResearchConceptsPreliminary efficacyUnsafe useSubstance abuse/dependenceMultidisciplinary care teamSubstance use disorder diagnosisPrimary care physiciansAdvanced practice nursesUrine drug testingLength of treatmentStructured clinical assessmentNurse case managersAbuse/dependenceHealth system levelHigh-complexity patientsElectronic progress notesOpioid prescribedOpioid receiptCare physiciansPractice nursesPrimary careCare coordinationCare teamClinical assessmentCare modelClinic processesUltra–High-Dose Opioids With Low Efficacy and Significant Harm—Time to Make a Change: A Teachable Moment
Guillod P, Edens EL, Becker WC. Ultra–High-Dose Opioids With Low Efficacy and Significant Harm—Time to Make a Change: A Teachable Moment. JAMA Internal Medicine 2017, 177: 17-18. PMID: 27893881, DOI: 10.1001/jamainternmed.2016.7344.Peer-Reviewed Original Research
2014
Pilot results of a new model of addiction treatment: managing addiction as a chronic disease.
Edens EL, Donahue CA, Riordan CE. Pilot results of a new model of addiction treatment: managing addiction as a chronic disease. Connecticut Medicine 2014, 78: 487-91. PMID: 25314889.Peer-Reviewed Original ResearchConceptsSubstance use disordersAddiction treatmentChronic diseasesDSM-5 substance use disordersMonths of treatmentConcept pilot studyOutpatient addiction treatmentRandom alcoholAddiction treatment systemPilot resultsSustained abstinenceUse disordersIllness modelPilot studyDrug testsResidential careCarePilot participantsDay programTreatmentCurrent standardDiseasePotential effectivenessParticipantsAddictionDoes stimulant use impair housing outcomes in low‐demand supportive housing for chronically homeless adults?
Edens EL, Tsai J, Rosenheck RA. Does stimulant use impair housing outcomes in low‐demand supportive housing for chronically homeless adults? American Journal On Addictions 2014, 23: 243-248. PMID: 24724881, DOI: 10.1111/j.1521-0391.2014.12089.x.Peer-Reviewed Original Research
2013
Considering child care and parenting needs in Veterans Affairs mental health services
Tsai J, David DH, Edens EL, Crutchfield A. Considering child care and parenting needs in Veterans Affairs mental health services. Evaluation And Program Planning 2013, 39: 19-22. PMID: 23570988, DOI: 10.1016/j.evalprogplan.2013.03.003.Peer-Reviewed Original ResearchConceptsVeterans Affairs (VA) mental health servicesMental health servicesMental health careHealth servicesCare servicesVA mental health careHealth carePsychiatric rehabilitation centersChild careOutpatient clinicChild care servicesNeeds of adultsVeterans' accessCare programMental illnessRehabilitation centerCareConvenience sampleChild care programsSite child careVAPossible benefitsParticipantsClinicIllness
2011
Association of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans
Edens EL, Kasprow W, Tsai J, Rosenheck RA. Association of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans. American Journal On Addictions 2011, 20: 412-419. PMID: 21838839, DOI: 10.1111/j.1521-0391.2011.00166.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-AgedAged, 80 and overCase-Control StudiesFemaleHumansIll-Housed PersonsIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedRisk FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransVeterans Disability ClaimsConceptsService-connected disabilityPersonality disorderUse disordersPathological gamblingClinical prevention effortsSubstance useLow-risk groupLow-risk subgroupsVA administrative dataSevere mental illnessSubstance use disordersAlcohol use disorderIllicit drug useMental health service usersOEF/OIFHealth service usersModifiable riskPrimary preventionSubgroup analysisReduced riskMental health usersVA servicesDrug useMental illnessLogistic regressionA Typology of Childhood Problems among Chronically Homeless Adults and Its Association with Housing and Clinical Outcomes
Tsai J, Edens EL, Rosenheck RA. A Typology of Childhood Problems among Chronically Homeless Adults and Its Association with Housing and Clinical Outcomes. Journal Of Health Care For The Poor And Underserved 2011, 22: 853-870. PMID: 21841283, DOI: 10.1353/hpu.2011.0081.Peer-Reviewed Original ResearchChronically Homeless Women Report High Rates of Substance Use Problems Equivalent to Chronically Homeless Men
Edens EL, Mares AS, Rosenheck RA. Chronically Homeless Women Report High Rates of Substance Use Problems Equivalent to Chronically Homeless Men. Women's Health Issues 2011, 21: 383-389. PMID: 21703865, DOI: 10.1016/j.whi.2011.03.004.Peer-Reviewed Original ResearchConceptsSubstance use problemsHomeless adultsMental healthLifetime mental healthSupportive housing programHigh rateSignificant baseline differencesUse problemsSubstance use patternsBaseline group differencesMental health outcomesBaseline characteristicsBaseline differencesHealth outcomesMental illnessOutcome findingsSubstance useOutcome evaluationU.S. populationNumber of daysWomenGroup differencesSignificant differencesModest improvementMultivariate regressionRates and Correlates of Pathological Gambling Among VA Mental Health Service Users
Edens EL, Rosenheck RA. Rates and Correlates of Pathological Gambling Among VA Mental Health Service Users. Journal Of Gambling Studies 2011, 28: 1-11. PMID: 21331515, DOI: 10.1007/s10899-011-9239-z.Peer-Reviewed Original ResearchConceptsPG diagnosisMental health service usersHealth service usersUse disordersPathological gamblingMH service usersVA health systemVeterans Health AdministrationCase-control studyDrug use disordersVA administrative dataMental health patientsSevere mental illnessSignificant independent associationMental health careAlcohol use disorderHeavy alcohol useChi-square testPast year ratesPast-year homelessnessClinical factorsService usersIndependent associationHealth patientsPrevalence rates