David Smelson
Datos Biográficos
| ID | 2173755 |
|---|---|
| NOMBRE | David Smelson |
| NOMBRES | David |
| APELLIDO | Smelson |
| FIRMA | SMELSON D |
| AFILIACIONES | University of Massachusetts Chan Medical School |
| ORCID | 0000-0001-9161-9818 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 31 |
| TOTAL DE CITAS | 13 |
| TOTAL COMO AUTOR | 31 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2008 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Criminogenic risk and suicidality among justice-involved homeless veterans with comorbid mental health and substance use disorders
This study was preregistered at https://ClinicalTrials.gov with registration number NCT04523337
Personal Health Goals in Homeless-Experienced Veterans
OBJECTIVE: To advance patient-centered care for high-need homeless-experienced patients, we identified the rates of various personal health goals, the broader domains that underlie these goals, and associations between these domains and the health-related needs of this population. METHOD: The sample consisted of 176 veterans from 3 VA Medical Centers who were enrolled in primary care, on VA's Homeless Registry, and high utilizers of acute care. A…
Predictors of Engagement in a Multicomponent Community-Based Intervention Alongside Drug Treatment Court for People with Co-Occurring Mental Health and Substance Use Disorders and Criminal-Legal Invol…
Wildlife and wellbeing
Animal-assisted interventions (AAI) involve interactions between humans and other species aimed at improving human psychological and/or physical health. Post-traumatic stress disorder (PTSD) is a condition in which AAI may be helpful. Most AAI research has been conducted with domestic animals. Few studies have been conducted with wildlife. This study used a modified crossover design to evaluate the feasibility and human response to a nature/wildl…
Receipt of medications for opioid use disorders among veterans by race/ethnicity and legal involvement
Artificial intelligence conversational agents in mental health
AI conversational agents were perceived as useful and beneficial for increasing access to care, but concerns about AI's empathy, capabilities, safety, and human involvement in mental healthcare were prevalent. Future implementation and integration of AI conversational agents should consider patient perspectives to enhance their acceptability and effectiveness
Strategies for recruiting participants underrepresented in clinical research
Treatment Response in a Co-Occurring Disorders Intervention for Adult Drug Treatment Court
Multicomponent Co-Occurring Disorders Treatment and Wraparound Services for Individuals Experiencing Chronic Homelessness
Examining Perceived Coercion in Drug Treatment Courts
While perceptions of voluntary consent have been studied among participants in Mental Health Courts (MHC), little is known about coercion among participants in Drug Treatment Courts (DTC), the most common type of specialty court. The purpose of the present study was to examine perceptions of coercion at enrollment among participants (N = 85) in two Massachusetts DTCs. Results indicated that, on average, participants reported low levels of perceiv…
Community reentry
Disentangling the relationship between posttraumatic stress disorder, criminogenic risk, and criminal history among veterans
OBJECTIVE: Posttraumatic stress disorder (PTSD) is positively associated with involvement in the criminal justice system among veterans. Research that examines whether this association is confounded by risk factors ("criminogenic needs") from the risk-need-responsivity model of correctional rehabilitation can inform risk management with this population. HYPOTHESES: We hypothesized that (a) veterans with probable PTSD would score higher on all cri…
The effectiveness of a telephone smoking cessation program in mental health clinic patients by level of mental well-being and functioning
gov NCT00724308
Pilot examination of stress, heart rate variability, and alcohol craving and use among female veterans
Rates of alcohol use disorder (AUD) are increasing among civilian and veteran populations of women in the United States, and stress pathophysiology (i.e., abnormal acute and long-term change in physiological responses to stress) is central to the maintenance of alcohol misuse within this population. Heart rate variability (HRV) is one measure of stress regulation that may help to explain the association of stress with alcohol misuse among women. …
Staff and Veteran Perspectives on Residential Treatment Programs’ Responses to Covid-19
Healthcare must rapidly and systematically learn from earlier COVID-19 responses to prepare for future crises. This is critical for VA's Mental Health Residential Rehabilitation and Treatment Programs (RRTPs), offering 24/7 care to Veterans for behavioral health and/or homelessness. We adapted the World Health Organization's After Action Review (AAR) to conduct semi-structured small-group discussions with staff from two RRTPs and Veterans who rec…
Risk–need–responsivity and its application in behavioral health settings
The risk–need–responsivity (RNR) model suggests several key practices for justice‐involved populations under correctional supervision. Behavioral health treatment planning aligned with RNR principles for offender populations with co‐occurring mental health and substance use disorders (CODs) could be one method for integrating RNR into clinical care. To explore a unique approach to working with behavioral health and RNR principles, the authors imp…
Engaging vulnerable populations in drug treatment court
Homelessness and Veteran Status in Relation to Nonfatal and Fatal Opioid Overdose in Massachusetts
BACKGROUND: Compared with non-Veterans, Veterans are at higher risk of experiencing homelessness, which is associated with opioid overdose. OBJECTIVE: To understand how homelessness and Veteran status are related to risks of nonfatal and fatal opioid overdose in Massachusetts. DESIGN: A cross-sectional study. PARTICIPANTS: All residents aged 18 years and older during 2011-2015 in the Massachusetts Department of Public Health's Data Warehouse (Vet…
Trauma-related differences in socio-emotional functioning predict housing and employment outcomes in homeless veterans
Clients of VA-Housed Legal Clinics
Veterans often need civil legal services, yet little is known about veterans’ use and consequences of these services. This study examined veterans seeking legal services at VA-housed legal clinics. Baseline data from 61 clients of two VA-housed legal clinics were used to identify clients’ legal needs and psychosocial characteristics. Data collected from 49 (80%) of the same clients two months later were used to address clients’ improvement and sa…
Integrating a Co-occurring Disorders Intervention in a Rural Drug Treatment Court
Impact of Peer Specialist Services on Residential Stability and Behavioral Health Status Among Formerly Homeless Veterans With Cooccurring Mental Health and Substance Use Conditions
OBJECTIVES: This study tested the impacts of peer specialists on housing stability, substance abuse, and mental health status for previously homeless Veterans with cooccurring mental health issues and substance abuse. METHODS: Veterans living in the US Housing and Urban Development-Veterans Administration Supported Housing (HUD-VASH) program were randomized to peer specialist services that worked independently from HUD-VASH case managers (ie, not…
Embedding a Co-occurring Disorders Rehabilitation Intervention in Veterans Courts
Profiles of Clinical Need Among Homeless Individuals with Dual Diagnoses
Integrating a Co-occurring Disorders Intervention in Drug Courts
A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders
Integrating a Co-occurring Disorders Intervention in Drug Courts
Multicomponent Co-Occurring Disorders Treatment and Wraparound Services for Individuals Experiencing Chronic Homelessness
Embedding a Co-occurring Disorders Rehabilitation Intervention in Veterans Courts
Relationship between tobacco cessation and mental health outcomes in a tobacco cessation trial
Persons with mental health diagnoses use tobacco at alarming rates, yet misperceptions remain about the effect of quitting on mental health outcomes. This article examines the relationship between tobacco cessation and changes in severity of mental illness. Participants were N = 577 veterans with a history of mental health treatment enrolled in a tobacco cessation study. The effects of abstinence and time on Behavior and Symptom Identification Sc…
The Phenomenon of Drug Craving
The phenomenology of drug craving has become the focus of much research within addictive disorders because of the belief that desire plays a role in maintaining the addiction. Many of the studies have focused on the activation of neural pathways, particularly within the dopamine system in response to specific events or stimuli. While many of these studies have focused on a particular drug of choice, little has been done across addictive disorders…
Mental Illness and Substance Use Disorders among Women Veterans with Diabetes
A Brief Treatment Engagement Intervention for Individuals with Co-occurring Mental Illness and Substance Use Disorders
An Evaluation of Substance Abuse, Mental Health Disorders, and Gambling Correlations
Sex Differences in Mental Health and Substance Use Disorders and Treatment Entry Among Justice-involved Veterans in the Veterans Health Administration
BACKGROUND: Over half of veterans in the criminal justice system have mental health or substance use disorders. However, there is a critical lack of information about female veterans in the criminal justice system and how diagnosis prevalence and treatment entry differ by sex. OBJECTIVES: To document prevalence of mental health and substance use disorder diagnoses and treatment entry rates among female veterans compared with male veterans in the …
Integrating a Co-occurring Disorders Intervention in Drug Courts
Relationship between tobacco cessation and mental health outcomes in a tobacco cessation trial
Persons with mental health diagnoses use tobacco at alarming rates, yet misperceptions remain about the effect of quitting on mental health outcomes. This article examines the relationship between tobacco cessation and changes in severity of mental illness. Participants were N = 577 veterans with a history of mental health treatment enrolled in a tobacco cessation study. The effects of abstinence and time on Behavior and Symptom Identification Sc…
Profiles of Clinical Need Among Homeless Individuals with Dual Diagnoses
Clients of VA-Housed Legal Clinics
Veterans often need civil legal services, yet little is known about veterans’ use and consequences of these services. This study examined veterans seeking legal services at VA-housed legal clinics. Baseline data from 61 clients of two VA-housed legal clinics were used to identify clients’ legal needs and psychosocial characteristics. Data collected from 49 (80%) of the same clients two months later were used to address clients’ improvement and sa…
Integrating a Co-occurring Disorders Intervention in a Rural Drug Treatment Court
Impact of Peer Specialist Services on Residential Stability and Behavioral Health Status Among Formerly Homeless Veterans With Cooccurring Mental Health and Substance Use Conditions
OBJECTIVES: This study tested the impacts of peer specialists on housing stability, substance abuse, and mental health status for previously homeless Veterans with cooccurring mental health issues and substance abuse. METHODS: Veterans living in the US Housing and Urban Development-Veterans Administration Supported Housing (HUD-VASH) program were randomized to peer specialist services that worked independently from HUD-VASH case managers (ie, not…
Embedding a Co-occurring Disorders Rehabilitation Intervention in Veterans Courts
Risk–need–responsivity and its application in behavioral health settings
The risk–need–responsivity (RNR) model suggests several key practices for justice‐involved populations under correctional supervision. Behavioral health treatment planning aligned with RNR principles for offender populations with co‐occurring mental health and substance use disorders (CODs) could be one method for integrating RNR into clinical care. To explore a unique approach to working with behavioral health and RNR principles, the authors imp…
Engaging vulnerable populations in drug treatment court
Homelessness and Veteran Status in Relation to Nonfatal and Fatal Opioid Overdose in Massachusetts
BACKGROUND: Compared with non-Veterans, Veterans are at higher risk of experiencing homelessness, which is associated with opioid overdose. OBJECTIVE: To understand how homelessness and Veteran status are related to risks of nonfatal and fatal opioid overdose in Massachusetts. DESIGN: A cross-sectional study. PARTICIPANTS: All residents aged 18 years and older during 2011-2015 in the Massachusetts Department of Public Health's Data Warehouse (Vet…
Trauma-related differences in socio-emotional functioning predict housing and employment outcomes in homeless veterans
Pilot examination of stress, heart rate variability, and alcohol craving and use among female veterans
Rates of alcohol use disorder (AUD) are increasing among civilian and veteran populations of women in the United States, and stress pathophysiology (i.e., abnormal acute and long-term change in physiological responses to stress) is central to the maintenance of alcohol misuse within this population. Heart rate variability (HRV) is one measure of stress regulation that may help to explain the association of stress with alcohol misuse among women. …
Staff and Veteran Perspectives on Residential Treatment Programs’ Responses to Covid-19
Healthcare must rapidly and systematically learn from earlier COVID-19 responses to prepare for future crises. This is critical for VA's Mental Health Residential Rehabilitation and Treatment Programs (RRTPs), offering 24/7 care to Veterans for behavioral health and/or homelessness. We adapted the World Health Organization's After Action Review (AAR) to conduct semi-structured small-group discussions with staff from two RRTPs and Veterans who rec…
Examining Perceived Coercion in Drug Treatment Courts
While perceptions of voluntary consent have been studied among participants in Mental Health Courts (MHC), little is known about coercion among participants in Drug Treatment Courts (DTC), the most common type of specialty court. The purpose of the present study was to examine perceptions of coercion at enrollment among participants (N = 85) in two Massachusetts DTCs. Results indicated that, on average, participants reported low levels of perceiv…
Community reentry
Disentangling the relationship between posttraumatic stress disorder, criminogenic risk, and criminal history among veterans
OBJECTIVE: Posttraumatic stress disorder (PTSD) is positively associated with involvement in the criminal justice system among veterans. Research that examines whether this association is confounded by risk factors ("criminogenic needs") from the risk-need-responsivity model of correctional rehabilitation can inform risk management with this population. HYPOTHESES: We hypothesized that (a) veterans with probable PTSD would score higher on all cri…
The effectiveness of a telephone smoking cessation program in mental health clinic patients by level of mental well-being and functioning
gov NCT00724308
Multicomponent Co-Occurring Disorders Treatment and Wraparound Services for Individuals Experiencing Chronic Homelessness
Wildlife and wellbeing
Animal-assisted interventions (AAI) involve interactions between humans and other species aimed at improving human psychological and/or physical health. Post-traumatic stress disorder (PTSD) is a condition in which AAI may be helpful. Most AAI research has been conducted with domestic animals. Few studies have been conducted with wildlife. This study used a modified crossover design to evaluate the feasibility and human response to a nature/wildl…
Receipt of medications for opioid use disorders among veterans by race/ethnicity and legal involvement
Psychiatry (25 obras) · Medicine (24 obras) · Mental health (22 obras) · Psychology (17 obras) · Substance Abuse Treatment and Outcomes (14 obras) · Public health (10 obras) · Substance abuse (9 obras) · Internal Medicine (8 obras) · Homelessness and Social Issues (7 obras) · Intervention (counseling (7 obras)