According to the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-5; American Psychiatric Association, 2013), an substance use disorder (SUD) involves patterns of symptoms caused by using a substance that an individual continues taking despite its negative effects. Though there are 11 specific DSM-5 criteria for an SUD, they…

Objective: To conduct a preliminary cost-effectiveness analysis of collegiate recovery programs in the United States and to create a tailorable cost-effectiveness calculator based on the preliminary cost-effectiveness model. Methods: Cost-effectiveness was assessed with a base case, one-way sensitivity analyses, and probabilistic sensitivity…

Objective: Examine the proportion of students with rapid firearm access and associations with recent alcohol and marijuana use. Participants: Cross-sectional data from college freshmen (n = 183) in 2020 who participated in the "Mason: Health Starts Here" study. Methods: Using logistic regression, associations were examined between past…

Although substance use is very common, it is estimated that about 37% of those enrolled in college regularly use substances, and 54.9% used substances in the last month (Substance Abuse and Mental Health Services Administration, 2018). This population is more susceptible to use than those not enrolled due to the risk factors they experience.…

Adolescent substance use is a top national public health concern with approximately 50% of youth having tried an illicit substance by the end of high school. The transition to high school is a critical point for substance use initiation. Despite this fact, there is relatively limited research looking at factors that can protect students from…

BACKGROUND: Adverse childhood experiences (ACEs) cluster within children. In addition to standardized ACE measures, there exist "ACE-related" measures that are either directly or indirectly related to the standardized ACE constructs. This study aimed to identify ACE-related latent classes of adolescents and describe past-month substance…

Background: Not much is known about funding for and implementation of Person-centered, long-term services -- referred to as "recovery services." Methods: SAMSHA funding archives from 2004-2020 were analyzed using Latent Class Analysis (LCA). Results: All 50 states (plus DC and Guam) received about 482 recovery-based grants from 2004-2020…

This study interviewed adolescents about their exposure to and perceptions of substance-related social media content and substance use prevention messages. Participants (analytic sample N = 30, age 14-18 years, in CA, USA, 40% male) were recruited from Instagram and Facebook for online semi-structured interviews. An interview transcript coding…

Substance use disorders (SUDs) are highly stigmatized health conditions, exhibiting significant disparities in prevalence at the intersection of multiple marginalized identities (Eisenberg et al., 2022; Jones et al., 2021; Wakeman & Rich, 2018). This pervasive stigmatization represents a profound social injustice and public health crisis,…

Background: Adverse childhood experiences (ACEs) are associated with behavioral health challenges and high school dropout, and behavioral health is associated with high school dropout. Less is known about the role of behavioral health challenges in the relationship between ACEs and high school dropout. Methods: Using data from the Panel Study of…

Parents' alcohol use may influence adolescent substance use and substance use intentions. Prior research has linked adolescents' emotion reactivity with parental drinking behaviors and adolescent substance use. The present study investigated whether sub-clinical maternal alcohol use relates to adolescent neural emotion reactivity and substance use…

Background: Suicide is a leading cause of death for adolescents, and school connectedness is a potential, modifiable protective factor for suicide. We sought to examine if school connectedness protected against suicide among high school students and if potential moderators affected the relationship between school connectedness and suicide.…

This study describes the views and experiences of autistic youth about alcohol, including reasons for use and nonuse. We conducted 40 semi-structured interviews with autistic youth aged 16-20 years old. Of these, 20 had consumed alcohol in the past year. We used an inductive content-based analysis approach. Youth were deliberate about their…

Our study examined co-occurring substance use and major depressive disorders among justice-involved adolescents to inform behavioral health services planning within U.S. criminal justice systems. We used data from the 2015-2017 administrations of the National Survey on Drug Use and Health (NSDUH), an annual survey of non-institutionalized U.S.…

Women living with human immunodeficiency virus (HIV) who use alcohol are at a heightened risk of disengagement in HIV care. A mixed-methods substudy was embedded in an implementation science trial to assess perceived satisfaction and acceptability of the Women's Health CoOp (WHC), a gender-focused, alcohol and harmful substance use, HIV…