Richard A Rawson
Biographic Data
| ID | 152995 |
|---|---|
| NAME | Richard A Rawson |
| GIVEN NAMES | Richard A |
| FAMILY NAME | Rawson |
| SIGNATURE | RAWSON R A |
| AFFILIATIONS | University of California, Los Angeles |
| ORCID | 0000-0003-1180-3119 |
| VERIFIED | Yes |
| TOTAL WORKS | 35 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 35 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2014 |
| H-INDEX | 1 |
Peace building through a substance use conference structured on peace psychology principles
In 2005, researchers and policymakers gathered in Istanbul, Turkey for a conference, Delivery Systems for Substance Abuse Treatment, to address the internationally shared problem of substance use disorders. The conference included participants from the United States, Israel, and neighboring Middle Eastern countries and territories and was structured to create conditions that behavioral scientists have identified as key factors in facilitating suc…
More Alike than Different
Asian Americans and Pacific Islanders (AAPIs) are often portrayed as a healthy group with minor substance use problems. Using data from two studies of patients treated in 44 community-based substance use treatment sites located in three states, 298 AAPIs and a matched comparison group of 298 non-AAPI patients were compared on demographic characteristics, treatment experiences, and 1-year outcomes. At treatment entry, more AAPIs reported recent dr…
Integrating Substance Use Disorder Services with Primary Care
Integrating substance use disorder (SUD) services with primary care (PC) can improve access to SUD services for the 20.9 million Americans who need SUD treatment but do not receive it, and help prevent the onset of SUDs among the 68 million Americans who use psychoactive substances in a risky manner. We lay out the reasons for integrating SUD and PC services and then explore the models used and the experiences of providers as they have begun SUD/…
Perceptions of Mental Health and Substance Use Disorder Services Integration Among the Workforce in Primary Care Settings
It is important to understand the perceptions of staff members who will be implementing the expected integration of mental health and substance use services into primary care. Surveys were administered to mental health/substance use disorder (MH/SUD) staff, support staff (SS), and primary care providers (PCPs) from three organizations (seven sites) that were participating in an initiative to promote the integration of MH/SUD services into primary…
Utilization, Measurement, and Funding of Recovery Supports and Services
An environmental survey was conducted regarding substance abuse recovery supports and services (RSS) delivered across California, where these services are offered, and by whom. Inquiries were made regarding RSS measurement efforts, funding mechanisms, and technical assistance needs. A survey was disseminated to all 57 administrators of county alcohol and other drug or behavioral departments. Results indicate that 62% (23 of 37) of responding coun…
Process-of-Care Measures as Predictors of Client Outcome Among a Methamphetamine-Dependent Sample at 12- and 36-Month Follow-ups
This study examines the utility of several process-of-care performance measures (initiation, engagement, retention, and monitoring of drug use during treatment) as predictors of methamphetamine (MA) use outcomes at 12- and 36-month follow-ups. MA-dependent individuals (n = 871) participated in a randomized, controlled trial of outpatient psychosocial treatment from 1999-2002 and completed 12- and 36-month follow-up interviews. This sample include…
Inside the Black Box
The adoption of performance-based management has been under consideration by addiction treatment funding agencies, and, recently, many state and county agencies have developed performance-based measurement/management systems in an attempt to improve their treatment system. This article describes one such effort in Los Angeles County, California. The Performance-Based Pilot Project linked treatment encounters (counseling sessions, drug testing, ca…
Screening, Brief Intervention, and Referral to Treatment (SBIRT) Initiatives in California
It is estimated that most substance users are not substance-dependent, yet they misuse alcohol and/or other drugs on a regular basis and are at risk in terms of health and further dependency. Screening, brief intervention, and referral to treatment (SBIRT) is an intervention model that identifies at-risk substance users and then provides them a patient-centered intervention. A review of selected SBIRT initiatives in California revealed a number o…
Improving the Accountability of California's Public Substance Abuse Treatment System through the Implementation of Performance Models
Improving the care for individuals with substance use disorders is a national health policy priority. Like other parts of the health care system, the addiction field is under pressure for higher accountability-more efficient use of treatment resources, the delivery of quality services, and the production of positive client outcomes. This introductory article highlights the importance of the collection of articles being published in this special i…
I've been Niatxed”
Process improvement strategies provide industries with a method for improving outcomes and performance at a low cost and with minimal training. In Los Angeles County, two process improvement projects were implemented as a way to improve access to, and engagement and retention in, alcohol and other drug abuse treatment. A qualitative evaluation was completed after the Phase II pilot project to assess how the providers felt about the project, what …
Performance Improvement in Addiction Treatment
This article examines performance data improvement efforts among alcohol and other drug (AOD) county and program stakeholders within California's publicly-funded treatment system. County AOD system administrators from approximately two-thirds of California counties (N=37) and a random sample of treatment program managers (N=63) were surveyed about practices and priorities related to using performance data to improve service delivery. Survey resul…
The Substance Abuse Treatment Workforce of South Africa
The purpose of this paper is to describe characteristics of substance abuse treatment counselors in the Republic of South Africa, including demographics, education, training, and job duties. Counselors recruited from 24 treatment centers completed a survey after signing informed consent. Counselors were primarily female (75%), racially diverse (36.4% White, 30.8% Black, 18.9% Coloured, 12.6% Indian or Asian, and 1.4% Cape Malay), and were 38 year…
Immigrants from Russia, Ukraine and the Caucasus Region
Characteristics of Clients With Substance Abuse Disorders in a Private Hospital in Cairo, Egypt
Identifying common characteristics of treatment clients helps to better design assessment, treatment, and rehabilitation strategies. For 2 years, adult inpatient clients admitted to a private Egyptian hospital were systematically assessed for substance abuse (N = 324). The clients were 91.4% male and 91.9% Muslim. Families supported 48.9% of the clients. Only 19.2% of the men and one woman were married. Cannabis (93.4%), alcohol (89.7%), psychotr…
Another Way of Talking About Substance Abuse
This article provides experiential evidence on the transportability of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) screening tool and brief intervention in a mental health clinic. There is very little published information on implementing screening and brief intervention (SBI) in a mental health setting. Moreover, few SBI projects have reported on clinicians' experiences using the ASSIST. The article documents a succes…
Childhood Adverse Events and Health Outcomes Among Methamphetamine-Dependent Men and Women
Childhood Adverse Events and Methamphetamine Use Among Men and Women
Women report extensive histories of childhood abuse, often leading to addiction. Studies assessing the same effects for men are lacking. This study describes childhood adverse events (CAEs) among methamphetamine (MA)-dependent men and women and assesses the relationship of CAEs to the onset and severity of dependence. Baseline and three-year interview data were collected for 236 men and 351 women. Dependent variables included onset of MA and seve…
Criminal Justice Treatment Admissions for Methamphetamine Use in California
Methamphetamine (MA) use is considered as one of the nation's most pressing drug problems. In California, MA use has outstripped all other drugs in epidemiological extent, law enforcement activities, and treatment services demand. An opportunity for further study of MA use and its treatment emerged from a change in offender sentencing options introduced by California's Substance Abuse and Crime Prevention Act of 2000 (SACPA). Results indicate tha…
The Rise in Treatment Admissions for Methamphetamine Use in Los Angeles County from 2001 through 2005
Drug use trends for people entering county-funded treatment programs from 2001 through 2005 were investigated. The sample was drawn from outpatient counseling, residential treatment, and daycare habilitative programs. Findings center on the rising number of admissions to treatment programs for primary methamphetamine (MA) use, with a focus on participant gender, age, and race/ethnicity. Additional participant characteristics, such as referral sou…
Diffusion of Substance Abuse Treatment
The availability of buprenorphine promises to return the treatment of heroin addiction to mainstream medicine in the United States for the first time in nearly a century. This new treatment also provides an opportunity to reflect on the introduction of methadone and LAAM and their subsequent successes and failures in clinical implementation. The three articles that follow in this issue highlight the potential pharmacological, clinical, and logist…
Addiction Pharmacotherapy 2000
There are many indicators that substance abuse research and treatment are going to become better integrated. Hopefully, this development will produce new treatment options and will improve access and effectiveness of care. Among the most significant factors in this period of change are the advances in addiction pharmacotherapy. For the treatment of alcoholism, disulfiram has been joined by naltrexone, and soon acamprosate will be added to the lis…
A Comparison of Injecting and Noninjecting Methamphetamine Users
The injection of illicit drugs exposes the user to a variety of risks that are not associated with other routes of administration. Information regarding differences between injecting and noninjecting methamphetamine (MA) users is provided. The population studied included MA dependent men and women (n = 427) from the Matrix Institute on Addictions in San Bernardino County, California. The sample was divided into two groups according to their injec…
The Matrix Model of Outpatient Stimulant Abuse Treatment
The Matrix model was originally developed in response to the cocaine epidemic of the 1980s. The program consists of relapse prevention groups, education groups, social support groups, individual counseling, and urine and breath testing delivered in a structured manner over a 16-week period. The treatment is a directive, nonconfrontational approach which focuses on current issues and behavior change. Several evaluations of the model have supported…
The CSAT Methamphetamine Treatment Project
(2000). The CSAT Methamphetamine Treatment Project: What Are We Trying to Accomplish? Journal of Psychoactive Drugs: Vol. 32, The CSAT Methamphetamine Treatment Project: Moving Research Into the “Real World”, pp. 209-210
Moving Research into Community Settings in the CSAT Methamphetamine Treatment Project
The CSAT Methamphetamine Treatment Project (MTP) has been established to conduct a ground-breaking exercise in bringing research into a closer relationship with community-based treatment service organizations. In this article, some of the opportunities and challenges faced by the MTP coordinating center as it has attempted to bring research into community treatment organizations are described. Initially, there has been an active, energetic effort…
Another Way of Talking About Substance Abuse
This article provides experiential evidence on the transportability of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) screening tool and brief intervention in a mental health clinic. There is very little published information on implementing screening and brief intervention (SBI) in a mental health setting. Moreover, few SBI projects have reported on clinicians' experiences using the ASSIST. The article documents a succes…
Neurobehavioral Treatment for Cocaine Dependency
Relapse prevention techniques have recently been incorporated into some nonpharmacologic models of chemical dependency treatment. The neurobehavioral model of cocaine dependency treatment establishes a clear timetable for recovery from cocaine dependency and focuses on four distinct areas of functioning. Strategies for addressing these areas of functioning include the use of relapse prevention methods and individual therapy procedures, family sys…
Drug Abuse and Identity in Mexican Americans
This review proposes the construct of drug use identity and presents a 4-stage model that features this construct. This 4-stage modelproposes that drug use identity, a latentfactor, undergoes a progressive transformation from identity as a casual user during the initiation stage (Stage 1), to identity as a drug addict at the treatment entiy stage (Stage 2), to identity as a recovering addict at the late treatment stage (Stage 3). At the posttreat…
Opioid Addiction Treatment Modalities and Some Guidelines to Their Optimal Use
Opioid addiction treatment consists of a broad range of treatment modalities, with each playing a valuable role within the overall network of treatment alternatives. Therapeutic communities are often the treatment of choice for addicts who are under legal contingencies and amenable to a rigorous process of life-style change. Methadone maintenance offers the most widely available treatment and is a modality that is compatible with the needs of man…
Substitution Pharmacotherapies for Opioid Addiction
The efficacy and cost-effectiveness of opioid substitution therapy for the treatment of opioid addiction has been well documented within the methadone maintenance model for over thirty years. However, methadone does not meet the specific treatment needs of all opioid-dependent persons who might benefit from substitution therapy; consequently, a significant proportion of heroin addicts remain untreated. The recent approval of l-alpha-acetylmethado…
Cocaine Abuse Among Methadone Maintenance Patients
Cocaine abuse among patients in methadone maintenance treatment has substantially increased in the past decade. No standard treatment approaches exist to address this problem. Empirical evidence has been collected on the effectiveness of several categories of techniques for treating this problem, including pharmacotherapies, behavioral methods (contingency management and relapse prevention), and methadone dose adjustment. Data on the effectivenes…
Reasons for Discharge from Methadone Maintenance for Addicts at High Risk of HIV Infection or Transmission
This article reports on a methadone maintenance program that had the goal of retaining in treatment heroin addicts at high risk of HIV infection and/or transmission. Subjects were recruited from four-high-risk target groups and randomly assigned to either an enhanced or standard methadone maintenance group. The analysis examined predictors of any type of discharge, negative discharge, and circumstantial discharge. Discharge for any reason was mor…
History of Sexual Assault and the Treatment of Substance Abuse Disorders
A treatment outcome study of adult patients treated for substance abuse disorders was conducted in which 80% of the participants were successfully contacted for follow-up six months post discharge. Analyses focused on baseline and outcome comparisons of patients with histories of sexual assault and patients with no history of sexual assault. The prevalence of assault in the sample was 15%. Baseline measures indicated that patients in the assaulte…
Substance Abuse Treatment for “Hazardous Users”
A six-session cognitive behavioral protocol has been developed for substance abusers who meet the description "hazardous users." This category includes individuals evidencing mild to moderate use of alcohol or other drugs, whose lifestyles are minimally disrupted, or who are displaying signs of problem use or abuse, but are unwilling to enter intensive treatment. The treatment model is nonconfrontational and is designed to motivate the individual…
Addiction Pharmacotherapy 2000
There are many indicators that substance abuse research and treatment are going to become better integrated. Hopefully, this development will produce new treatment options and will improve access and effectiveness of care. Among the most significant factors in this period of change are the advances in addiction pharmacotherapy. For the treatment of alcoholism, disulfiram has been joined by naltrexone, and soon acamprosate will be added to the lis…
A Comparison of Injecting and Noninjecting Methamphetamine Users
The injection of illicit drugs exposes the user to a variety of risks that are not associated with other routes of administration. Information regarding differences between injecting and noninjecting methamphetamine (MA) users is provided. The population studied included MA dependent men and women (n = 427) from the Matrix Institute on Addictions in San Bernardino County, California. The sample was divided into two groups according to their injec…
The Matrix Model of Outpatient Stimulant Abuse Treatment
The Matrix model was originally developed in response to the cocaine epidemic of the 1980s. The program consists of relapse prevention groups, education groups, social support groups, individual counseling, and urine and breath testing delivered in a structured manner over a 16-week period. The treatment is a directive, nonconfrontational approach which focuses on current issues and behavior change. Several evaluations of the model have supported…
The CSAT Methamphetamine Treatment Project
(2000). The CSAT Methamphetamine Treatment Project: What Are We Trying to Accomplish? Journal of Psychoactive Drugs: Vol. 32, The CSAT Methamphetamine Treatment Project: Moving Research Into the “Real World”, pp. 209-210
Moving Research into Community Settings in the CSAT Methamphetamine Treatment Project
The CSAT Methamphetamine Treatment Project (MTP) has been established to conduct a ground-breaking exercise in bringing research into a closer relationship with community-based treatment service organizations. In this article, some of the opportunities and challenges faced by the MTP coordinating center as it has attempted to bring research into community treatment organizations are described. Initially, there has been an active, energetic effort…
The CSAT Methamphetamine Treatment Program
The Methamphetamine Treatment Program (MTP), funded by the Center for Substance Abuse Treatment, has the objectives of implementing the Matrix outpatient model and evaluating that model in comparison to the existing community "treatments as usual." Seven organizations in three western states (California, Montana, and Hawaii) were selected to participate in this randomized, controlled, multisite project in what constitutes the largest trial to dat…
Methamphetamine and Cocaine Users
The use of methamphetamine and cocaine have both produced significant public health problems during the past two decades. Although these powerful psychostimulants have many common acute and chronic effects, there are some important differences in who uses these drugs and the consequences of their use. This article reports on two large cohorts of treatment-seeking cocaine and methamphetamine users who entered treatment at the same facility over th…
Diffusion of Substance Abuse Treatment
The availability of buprenorphine promises to return the treatment of heroin addiction to mainstream medicine in the United States for the first time in nearly a century. This new treatment also provides an opportunity to reflect on the introduction of methadone and LAAM and their subsequent successes and failures in clinical implementation. The three articles that follow in this issue highlight the potential pharmacological, clinical, and logist…
Criminal Justice Treatment Admissions for Methamphetamine Use in California
Methamphetamine (MA) use is considered as one of the nation's most pressing drug problems. In California, MA use has outstripped all other drugs in epidemiological extent, law enforcement activities, and treatment services demand. An opportunity for further study of MA use and its treatment emerged from a change in offender sentencing options introduced by California's Substance Abuse and Crime Prevention Act of 2000 (SACPA). Results indicate tha…
The Rise in Treatment Admissions for Methamphetamine Use in Los Angeles County from 2001 through 2005
Drug use trends for people entering county-funded treatment programs from 2001 through 2005 were investigated. The sample was drawn from outpatient counseling, residential treatment, and daycare habilitative programs. Findings center on the rising number of admissions to treatment programs for primary methamphetamine (MA) use, with a focus on participant gender, age, and race/ethnicity. Additional participant characteristics, such as referral sou…
Childhood Adverse Events and Health Outcomes Among Methamphetamine-Dependent Men and Women
Childhood Adverse Events and Methamphetamine Use Among Men and Women
Women report extensive histories of childhood abuse, often leading to addiction. Studies assessing the same effects for men are lacking. This study describes childhood adverse events (CAEs) among methamphetamine (MA)-dependent men and women and assesses the relationship of CAEs to the onset and severity of dependence. Baseline and three-year interview data were collected for 236 men and 351 women. Dependent variables included onset of MA and seve…
The Substance Abuse Treatment Workforce of South Africa
The purpose of this paper is to describe characteristics of substance abuse treatment counselors in the Republic of South Africa, including demographics, education, training, and job duties. Counselors recruited from 24 treatment centers completed a survey after signing informed consent. Counselors were primarily female (75%), racially diverse (36.4% White, 30.8% Black, 18.9% Coloured, 12.6% Indian or Asian, and 1.4% Cape Malay), and were 38 year…
Immigrants from Russia, Ukraine and the Caucasus Region
Characteristics of Clients With Substance Abuse Disorders in a Private Hospital in Cairo, Egypt
Identifying common characteristics of treatment clients helps to better design assessment, treatment, and rehabilitation strategies. For 2 years, adult inpatient clients admitted to a private Egyptian hospital were systematically assessed for substance abuse (N = 324). The clients were 91.4% male and 91.9% Muslim. Families supported 48.9% of the clients. Only 19.2% of the men and one woman were married. Cannabis (93.4%), alcohol (89.7%), psychotr…
Another Way of Talking About Substance Abuse
This article provides experiential evidence on the transportability of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) screening tool and brief intervention in a mental health clinic. There is very little published information on implementing screening and brief intervention (SBI) in a mental health setting. Moreover, few SBI projects have reported on clinicians' experiences using the ASSIST. The article documents a succes…
Inside the Black Box
The adoption of performance-based management has been under consideration by addiction treatment funding agencies, and, recently, many state and county agencies have developed performance-based measurement/management systems in an attempt to improve their treatment system. This article describes one such effort in Los Angeles County, California. The Performance-Based Pilot Project linked treatment encounters (counseling sessions, drug testing, ca…
Medicine (32 works) · Psychiatry (31 works) · Psychology (27 works) · Substance Abuse Treatment and Outcomes (24 works) · Substance abuse (17 works) · Addiction (13 works) · Opioid Use Disorder Treatment (12 works) · Political science (11 works) · Clinical Psychology (8 works) · Nursing (8 works)