2020
Mobilizing an institutional supportive response for healthcare workers and other staff in the context of COVID-19: The Yale experience
Krystal JH, Alvarado J, Ball SA, Fortunati FG, Hu M, Ivy ME, Kapo J, Olson KD, Rohrbaugh RM, Sinha R, Tebes JK, Vender RJ, Yonkers KA, Mayes LC. Mobilizing an institutional supportive response for healthcare workers and other staff in the context of COVID-19: The Yale experience. General Hospital Psychiatry 2020, 68: 12-18. PMID: 33254081, PMCID: PMC7680059, DOI: 10.1016/j.genhosppsych.2020.11.005.Peer-Reviewed Original ResearchMentorship for Addiction Problems (MAP): A New Behavioral Intervention to Assist in the Treatment of Substance Use Disorders.
Tracy K, Wachtel L, Goldmann E, Nissenfeld J, Burton M, Galanter M, Ball SA. Mentorship for Addiction Problems (MAP): A New Behavioral Intervention to Assist in the Treatment of Substance Use Disorders. Journal Of Studies On Alcohol And Drugs 2020, 81: 664-672. PMID: 33028480, PMCID: PMC8076492, DOI: 10.15288/jsad.2020.81.664.Peer-Reviewed Original ResearchConceptsSubstance use disordersWeek 13Use disordersOutpatient substance use disorder treatmentHigh patient interestNew behavioral interventionNew behavioral treatmentSubstance useSubstance use disorder treatmentTreatment weeks 1Drug use scoresSuccessful treatment outcomeUse disorder treatmentAddiction Severity Index AlcoholDelivery of treatmentAddiction problemsPreliminary efficacyWeeks 0Treatment outcomesTreatment efficacyWeek 1Disorder treatmentDrug useBehavioral treatmentBehavioral interventions
2018
An investigation of an open‐access model for scaling up methadone maintenance treatment
Madden LM, Farnum SO, Eggert KF, Quanbeck AR, Freeman RM, Ball SA, Schottenfeld RS, Shi JM, Savage ME, Barry DT. An investigation of an open‐access model for scaling up methadone maintenance treatment. Addiction 2018, 113: 1450-1458. PMID: 29453891, DOI: 10.1111/add.14198.Peer-Reviewed Original ResearchConceptsNon-medical opioid useOpioid use disorderMethadone maintenance treatmentOpioid useMaintenance treatmentTreatment accessUse disordersTreatment modelMethadone maintenance treatment centersMaintenance treatment centersDeleterious effectsMethadone treatmentPatient mortalityTreatment optionsTreatment outcomesTreatment centersProspective patientsRate of retentionPatient censusRapid enrollmentAddiction treatmentApparent deleterious effectsTreatmentMortalityProgrammatic outcomes
2016
Assessing the risk of marijuana use disorder among adolescents and adults who use marijuana
Richter L, Pugh BS, Ball SA. Assessing the risk of marijuana use disorder among adolescents and adults who use marijuana. The American Journal Of Drug And Alcohol Abuse 2016, 43: 247-260. PMID: 27292878, DOI: 10.3109/00952990.2016.1164711.Peer-Reviewed Original ResearchConceptsMarijuana use disorderUse disordersBlack race/ethnicityTobacco/nicotine useSubstance useDrug use disordersMental health characteristicsDSM-IV criteriaRegression analysisRecent national estimatesComprehensive prevalence estimateMental health variablesRace/ethnicityMarijuana usersMultinomial regression analysisHealth characteristicsDisorder prevalenceNicotine usePrevalence estimatesDrug useYounger ageNational estimatesHealth variablesDisordersAge
2014
Gender differences in clinical outcomes for cocaine dependence: Randomized clinical trials of behavioral therapy and disulfiram
DeVito EE, Babuscio TA, Nich C, Ball SA, Carroll KM. Gender differences in clinical outcomes for cocaine dependence: Randomized clinical trials of behavioral therapy and disulfiram. Drug And Alcohol Dependence 2014, 145: 156-167. PMID: 25457739, PMCID: PMC4268325, DOI: 10.1016/j.drugalcdep.2014.10.007.Peer-Reviewed Original ResearchConceptsRandomized clinical trialsClinical trialsClinical outcomesTreatment outcomesCocaine dependenceBehavioral therapyBehavioral treatment conditionsPoor treatment outcomesEvidence-based treatmentsGender differencesWidespread clinical implementationPoor outcomePharmacological treatmentMedication conditionAddiction pharmacotherapyCocaine useSecondary analysisBehavioral treatmentClinical implementationWomenCareful assessmentDisulfiramOutcomesTrialsMenComputer-Assisted Delivery of Cognitive-Behavioral Therapy: Efficacy and Durability of CBT4CBT Among Cocaine-Dependent Individuals Maintained on Methadone
Carroll KM, Kiluk BD, Nich C, Gordon MA, Portnoy GA, Marino DR, Ball SA. Computer-Assisted Delivery of Cognitive-Behavioral Therapy: Efficacy and Durability of CBT4CBT Among Cocaine-Dependent Individuals Maintained on Methadone. American Journal Of Psychiatry 2014, 171: 436-444. PMID: 24577287, PMCID: PMC4042674, DOI: 10.1176/appi.ajp.2013.13070987.Peer-Reviewed Original ResearchConceptsCocaine-dependent individualsCognitive behavioral therapyMethadone maintenanceCommunity-based outpatient clinicsPrevious pilot trialMethadone maintenance programStandard methadone maintenanceDisseminable strategyDefinitive trialOutpatient clinicClinical trialsEffective adjunctPilot trialTreatment terminationTreatment retentionBetter outcomesConsecutive weeksCBT4CBTWeekly accessAddiction treatmentDurable effectsTrialsSubstance usersStatistical significanceMethadone
2013
The Recovery Line: A pilot trial of automated, telephone-based treatment for continued drug use in methadone maintenance
Moore BA, Fazzino T, Barry DT, Fiellin DA, Cutter CJ, Schottenfeld RS, Ball SA. The Recovery Line: A pilot trial of automated, telephone-based treatment for continued drug use in methadone maintenance. Journal Of Substance Use And Addiction Treatment 2013, 45: 63-69. PMID: 23375114, PMCID: PMC3642223, DOI: 10.1016/j.jsat.2012.12.011.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAutomationCocaine-Related DisordersFeasibility StudiesFemaleHumansMaleMethadoneMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPatient Acceptance of Health CarePatient SatisfactionPilot ProjectsSubstance Abuse DetectionTelephoneTherapy, Computer-AssistedConceptsMethadone maintenanceLarge clinical trialsTelephone-based treatmentCurrent pilot studyPatient satisfactionClinical trialsPatient utilizationComputer-based treatmentPilot trialInitial efficacyInteractive voice response systemDrug usePatientsScreen outcomesVoice response systemPilot studyIllicit drugsTreatmentDaily useTrialsEfficacyOpioidsAbstinenceRecovery lineCocaine
2011
Personality Disorders and Retention in a Therapeutic Community for Substance Dependence
Samuel DB, LaPaglia DM, Maccarelli LM, Moore BA, Ball SA. Personality Disorders and Retention in a Therapeutic Community for Substance Dependence. American Journal On Addictions 2011, 20: 555-562. PMID: 21999502, PMCID: PMC3856923, DOI: 10.1111/j.1521-0391.2011.00174.x.Peer-Reviewed Original ResearchConceptsAntisocial personality disorderProgram retentionEarly attritionPersonality disorderSubstance use disordersTherapeutic community treatmentPersonality disorder diagnosisSuccessful treatmentTreatment completionRisk individualsTreatment retentionUse disordersCommunity treatmentSurvival analysisPromising interventionSubstance dependenceTC outcomesPremature attritionDisorder diagnosisEarly assessmentTC treatmentDisordersTreatmentTherapeutic communityOutcomes
2010
Cognitive Function and Treatment Response in a Randomized Clinical Trial of Computer-Based Training in Cognitive-Behavioral Therapy
Carroll KM, Kiluk BD, Nich C, Babuscio TA, Brewer JA, Potenza MN, Ball SA, Martino S, Rounsaville BJ, Lejuez CW. Cognitive Function and Treatment Response in a Randomized Clinical Trial of Computer-Based Training in Cognitive-Behavioral Therapy. Substance Use & Misuse 2010, 46: 23-34. PMID: 21190403, PMCID: PMC3083447, DOI: 10.3109/10826084.2011.521069.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyCognitive functionComputer-assisted cognitive behavioral therapyComputer-assisted versionCognitive demandsCognitive functioningRisk takingPoor substanceSubstance usersHomework assignmentsHigh levelsClinical trialsSecondary analysisFunctioningRandomized clinical trialsParticipantsTreatment responseTakingTrainingSessionsSuch patientsInformal discussions in substance abuse treatment sessions with Spanish-speaking clients
Bamatter W, Carroll KM, Añez LM, Paris M, Ball SA, Nich C, Frankforter TL, Suarez-Morales L, Szapocznik J, Martino S. Informal discussions in substance abuse treatment sessions with Spanish-speaking clients. Journal Of Substance Use And Addiction Treatment 2010, 39: 353-363. PMID: 20817381, PMCID: PMC2967664, DOI: 10.1016/j.jsat.2010.07.005.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapyStandard treatmentDrug Abuse Clinical Trials Network protocolTreatment sessionsSubstance abuse treatment outcomesSignificant inverse correlationHispanic clientsEarly treatment sessionsSession audiotapesTreatment outcomesSubstance abuse treatment sessionsEnhancement therapyClient motivationSubstance useInverse correlationTreatment fidelityNational InstituteTreatmentAdverse consequencesTrialsSessionsClient retentionMonolingual SpanishTeaching community program clinicians motivational interviewing using expert and train‐the‐trainer strategies
Martino S, Ball SA, Nich C, Canning‐Ball M, Rounsaville BJ, Carroll KM. Teaching community program clinicians motivational interviewing using expert and train‐the‐trainer strategies. Addiction 2010, 106: 428-441. PMID: 20925684, PMCID: PMC3017235, DOI: 10.1111/j.1360-0443.2010.03135.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultClinical CompetenceConnecticutEducation, Medical, ContinuingEducational MeasurementFemaleHumansInterview, PsychologicalMaleMiddle AgedMotivationProgram DevelopmentProgram EvaluationRegression AnalysisSubstance Abuse Treatment CentersSubstance-Related DisordersTeachingTeaching MaterialsTechnology TransferConceptsClinical trial standardsTreatment programPercentage of cliniciansMental health treatment programsCommunity treatment programsMI adherencePrimary outcomeClinician adherenceProgram cliniciansMI performanceTrainer strategyCliniciansAddiction treatmentTrial standardsTrainer approachAdherenceTT conditionsHigh percentageTreatmentSkill-building workshopsTTExMIEffective strategyStudy
2009
The Alliance in Motivational Enhancement Therapy and Counseling as Usual for Substance Use Problems
Crits-Christoph P, Gallop R, Temes CM, Woody G, Ball SA, Martino S, Carroll KM. The Alliance in Motivational Enhancement Therapy and Counseling as Usual for Substance Use Problems. Journal Of Consulting And Clinical Psychology 2009, 77: 1125-1135. PMID: 19968388, PMCID: PMC2829757, DOI: 10.1037/a0017045.Peer-Reviewed Original ResearchSubstance User Treatment Dropout from Client and Clinician Perspectives: A Pilot Study
Palmer RS, Murphy MK, Piselli A, Ball SA. Substance User Treatment Dropout from Client and Clinician Perspectives: A Pilot Study. Substance Use & Misuse 2009, 44: 1021-1038. PMID: 19938942, PMCID: PMC3678276, DOI: 10.1080/10826080802495237.Peer-Reviewed Original ResearchConceptsClinician's perspectiveTreatment dropoutPilot studyClient-level factorsSample of cliniciansEarly therapeutic allianceAfrican AmericansTreatment retentionTreatment attendanceSubstance user treatmentAlcohol useCliniciansTherapeutic allianceUser treatmentHeavy drugSocial supportCaucasiansTreatmentClient motivationPremature terminationProgram characteristicsPrimary reasonAbstinence
2008
Personality disorders in homeless drop-in center clients.
Connolly AJ, Cobb-Richardson P, Ball SA. Personality disorders in homeless drop-in center clients. Journal Of Personality Disorders 2008, 22: 573-88. PMID: 19072678, DOI: 10.1521/pedi.2008.22.6.573.Peer-Reviewed Original ResearchConceptsAxis IDSM-IV Axis IPersonality disorderConstellation of symptomsStructured Clinical InterviewAxis I psychotic disorderSubstance use disordersNegative Syndrome ScaleAxis I moodPsychotic disordersUse disordersClinical InterviewSyndrome ScaleHomeless dropDisordersCenter clientsPatterns of associationHigh rateHomeless clientsSerious Adverse Events in Randomized Psychosocial Treatment Studies: Safety or Arbitrary Edicts?
Petry NM, Roll JM, Rounsaville BJ, Ball SA, Stitzer M, Peirce JM, Blaine J, Kirby KC, McCarty D, Carroll KM. Serious Adverse Events in Randomized Psychosocial Treatment Studies: Safety or Arbitrary Edicts? Journal Of Consulting And Clinical Psychology 2008, 76: 1076-1082. PMID: 19045975, PMCID: PMC2756150, DOI: 10.1037/a0013679.Peer-Reviewed Original ResearchConceptsSerious adverse eventsAdverse eventsStandard careDrug Abuse Clinical Trials NetworkMore (95% CI 4 to 167 more) serious adverse eventsSAE incidence rateClinical Trials NetworkPsychosocial treatment studiesPsychosocial intervention studiesPercent of participantsPsychosocial trialsIncidence ratePharmaceutical trialsTherapy trialsIntervention studiesTreatment studiesTrials NetworkHuman subjects protection policiesSubstance-abusing participantsContingency managementMotivational enhancementNational InstituteTrialsSignificant differencesCareInformal discussions in substance abuse treatment sessions
Martino S, Ball SA, Nich C, Frankforter TL, Carroll KM. Informal discussions in substance abuse treatment sessions. Journal Of Substance Use And Addiction Treatment 2008, 36: 366-375. PMID: 18835679, PMCID: PMC2705985, DOI: 10.1016/j.jsat.2008.08.003.Peer-Reviewed Original ResearchConceptsMotivational interviewingDrug Abuse Clinical Trials Network protocolSubstance abuse treatment sessionsSubstance use outcomesProficient implementationMI proficiencyClient motivationTreatment sessionsCounselor trainingTreatment fidelityUse outcomesSession changesCounselorsProgram retentionSessionsClientsMajor findingsTreatment strategiesInterviewingPersonal informationInformal discussionsMotivationProficiencyFindingsNational InstituteFactor Structure of the Condoms Barriers Scale With a Sample of Men at High Risk for HIV
Doyle SR, Calsyn DA, Ball SA. Factor Structure of the Condoms Barriers Scale With a Sample of Men at High Risk for HIV. Assessment 2008, 16: 3-15. PMID: 18689777, PMCID: PMC2791458, DOI: 10.1177/1073191108322259.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBlack or African AmericanCondomsFactor Analysis, StatisticalHealth BehaviorHIV InfectionsHumansIllicit DrugsMaleMiddle AgedModels, TheoreticalPilot ProjectsPsychometricsReproducibility of ResultsRisk AssessmentRisk-TakingSexual BehaviorSubstance Abuse, IntravenousUnited StatesWashingtonWhite PeopleYoung AdultConceptsHuman immunodeficiency virusCondom Barriers ScaleHigh riskGender-specific HIV prevention interventionsSample of menHigh-risk sexual partnersHIV prevention interventionsMale condom useSafer sex skillsUse of condomsDrug abuse treatmentCondom barriersMale patientsImmunodeficiency virusPrevention interventionsCondom useSexual partnersAbuse treatmentBarriers ScaleTest-retest reliability estimatesMenWomen's perceptionsAppropriate assessmentReliable instrumentInternal consistencyMeasuring Money Mismanagement Among Dually Diagnosed Clients
Black RA, Rounsaville BJ, Rosenheck RA, Conrad KJ, Ball SA, Rosen MI. Measuring Money Mismanagement Among Dually Diagnosed Clients. The Journal Of Nervous And Mental Disease 2008, 196: 576-579. PMID: 18626300, PMCID: PMC2804268, DOI: 10.1097/nmd.0b013e31817d0535.Peer-Reviewed Original ResearchWhat is usual about “treatment-as-usual”? Data from two multisite effectiveness trials
Santa Ana EJ, Martino S, Ball SA, Nich C, Frankforter TL, Carroll KM. What is usual about “treatment-as-usual”? Data from two multisite effectiveness trials. Journal Of Substance Use And Addiction Treatment 2008, 35: 369-379. PMID: 18337053, PMCID: PMC2712113, DOI: 10.1016/j.jsat.2008.01.003.Peer-Reviewed Original ResearchConceptsEffectiveness trialDrug Abuse Clinical Trials NetworkSubstance useMultisite effectiveness trialClinical Trials NetworkStandard clinical practiceParticipants' substance useCommunity-based drug abuse treatmentDrug abuse treatmentNumber of interventionsSubstance use outcomesPatient outcomesClinical practiceTrials NetworkAbuse treatmentUse outcomesNational InstituteSocial functioningTreatmentTrialsOpen-ended questionsOutcomesStandard practiceEarly stagesEarly sessions
2007
The Impact of Personality Disorders on Alcohol‐Use Outcomes in a Pharmacotherapy Trial for Alcohol Dependence and Comorbid Axis I Disorders
Ralevski E, Ball S, Nich C, Limoncelli D, Petrakis I. The Impact of Personality Disorders on Alcohol‐Use Outcomes in a Pharmacotherapy Trial for Alcohol Dependence and Comorbid Axis I Disorders. American Journal On Addictions 2007, 16: 443-449. PMID: 18058408, DOI: 10.1080/10550490701643336.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol DeterrentsAlcoholismAntisocial Personality DisorderBehavior, AddictiveBorderline Personality DisorderComorbidityDiagnostic and Statistical Manual of Mental DisordersDisulfiramFemaleHumansMaleMental DisordersMiddle AgedNaltrexoneNarcotic AntagonistsPatient CompliancePersonality DisordersPlacebosPsychiatric Status Rating ScalesTreatment OutcomeConceptsBorderline personality disorderAxis I DisordersAlcohol dependenceAlcohol use outcomesPersonality disorderI disordersAxis IComorbid Axis I disordersContext of pharmacotherapyAxis II disordersMajor Axis IMedication trialsPharmacotherapy trialsPoor responseOutcome measuresPatientsNaltrexoneAlcohol useDiagnosisUse outcomesDiagnosis of antisocialDisordersDisulfiramOutcomesASPD