Peter D Friedmann
Dados Biográficos
| ID | 1563742 |
|---|---|
| NOME | Peter D Friedmann |
| PRENOMES | Peter D |
| SOBRENOME | Friedmann |
| ASSINATURA | FRIEDMANN P D |
| AFILIAÇÕES | University of Massachusetts Chan Medical School |
| ORCID | 0000-0003-3585-3604 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAÇÕES | 29 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Correlates of Rural Naloxone Possession Among People Who Use Drugs
Patterns of Felt Stigma Among Rural-Dwelling People Who Use Drugs
BACKGROUND: Stigma is a barrier to help-seeking in rural-dwelling people who use drugs. However, little is known about whether stigma is experienced in patterned ways, and what characteristics are associated with these patterns. METHODS: = 3048). We used three-step latent class analysis to classify participants by patterns of felt substance use stigma, then used multinomial logistic regression to explore demographic, health, and substance-related…
Associations of hepatitis C virus (HCV) antibody positivity with opioid, stimulant, and polysubstance injection among people who inject drugs (PWID) in rural U.S. communities
HCV antibody positivity, indicating prior exposure, was highest among those who had recently injected opioids, alone or with stimulants. Additional nucleic acid testing is necessary to confirm active infection. More research is needed to determine the underlying causes of HCV antibody positivity by injection use
Patient perspectives of jail based Moud treatment
Cost analysis of Moud implementation and sustainability in Massachusetts jails
BACKGROUND: In 2018 Massachusetts mandated that county jails offer all FDA-approved medications for opioid use disorder (MOUD) to incarcerated individuals with OUD. Estimating costs needed to implement and sustain an MOUD program are not clearly known in jail facilities. The objective of this study was to identify the type of MOUD model deployed by the jails serving as research sites for the Massachusetts JCOIN hub, determine which resources were…
Overdose education and naloxone distribution in jails
BACKGROUND: Opioid-related overdose is the leading cause of mortality among individuals recently released from incarceration in the U.S. Naloxone is an FDA-approved opioid antagonist medication designed to rapidly reverse opioid overdose. Despite evidence of its acceptability and effectiveness at reducing the risk of opioid overdose death after release from incarceration, only an estimated 25% of US jails provide naloxone upon release. This study…
Prevalence and correlates of multiple injections per injection episode among people who inject drugs in rural U.S. communities
Barriers to accessing medications for opioid use disorder among rural individuals
Access barriers vary by MOUD type for rural individuals with OUD. Compared to sublingual buprenorphine, methadone access was hindered more by transportation difficulties, while injectable long-acting buprenorphine was hindered more by affordability and finding a doctor or program. These barriers highlight the need to de-regulate and expand locations for methadone access and prescribing, and to improve affordability and prescriber uptake of newer …
Home‐based family recovery supports
Support for families affected by substance use disorders (SUDs) remains challenging, particularly during the postpartum period. The objective of this study was to assess the introduction of an evidence‐based parenting intervention, Mothering from the Inside Out (MIO), into the early intervention (EI) home visiting setting. We conducted a mixed methods pilot study in the United States to assess the training and delivery of MIO within EI. MIO train…
Medicaid Policy and Hepatitis C Treatment Among Rural People Who Use Drugs
BACKGROUND: Restrictive Medicaid policies regarding hepatitis C virus (HCV) treatment may exacerbate rural health care disparities for people who use drugs (PWUD). We assessed associations between Medicaid restrictions and HCV treatment among rural PWUD. METHODS: We compiled state-specific Medicaid treatment policies across 8 US rural sites in 10 states and merged these with participant survey data. We hypothesized that local restrictions regardi…
Barriers to opioid use disorder treatment among people who use drugs in the rural United States
“I've been to more of my friends’ funerals than I've been to my friends’ weddings”
PURPOSE: Overdose is a leading cause of death among people who use drugs (PWUDs), but policies to reduce fatal overdose have had mixed results. Summaries of naloxone access and Good Samaritan Laws (GSLs) in prior studies provide limited information about local context. Witnessing overdoses may also be an important consideration in providing services to PWUDs, as it contributes to post traumatic stress disorder (PTSD) symptoms, which complicate su…
I am not a junkie”
Diversion of medications to treat opioid use disorder
I would do anything but that”
We identified several patterns by which people who use drugs evaluate community members who sell sex. These included gendered and morally-charged forms of stigma, which may represent barriers to community acceptance and support among this subgroup
Parental substance use and home visiting programs
Jail-based reentry programming to support continued treatment with medications for opioid use disorder
Medication for opioid use disorder treatment continuity post-release from jail
Impact of Medicaid Restrictions on Availability of Buprenorphine in Addiction Treatment Programs
Objectives. To examine how utilization restrictions on state Medicaid benefits for buprenorphine are related to addiction treatment programs’ decision to offer the drug. Methods. We used data from 2 waves of the National Drug Abuse Treatment System Survey conducted in 2014 and 2017 in the United States to assess the relationship of utilization restrictions to buprenorphine availability. Results. The proportion of programs offering buprenorphine w…
Changes in State Technical Assistance Priorities and Block Grant Funds for Addiction After ACA Implementation
Objectives. To assess states’ provision of technical assistance and allocation of block grants for treatment, prevention, and outreach after the expansion of health insurance coverage for addiction treatment in the United States under the Affordable Care Act (ACA). Methods. We used 2 waves of survey data collected from Single State Agencies in 2014 and 2017 as part of the National Drug Abuse Treatment System Survey. Results. The percentage of sta…
A Thousand Cuts
Soares, William E. III MD, MS; Knowles, Kenneth J. II MD; Friedmann, Peter D. MD, MPH Author Information
Personal Control Over Decisions to Participate in Research by Persons With Histories of Both Substance Use Disorders and Criminal Justice Supervision
Individuals must feel free to exert personal control over decisions regarding research participation. We present an examination of participants' perceived personal control over, as well as reported pressures and threats from others, influencing their decision to join a study assessing the effectiveness of extended-release naltrexone in preventing opioid dependence relapse. Most participants endorsed a strong sense of control over the decision; fe…
The Affordable Care Act Transformation of Substance Use Disorder Treatment
The authors reflect on changes involving substance use disorder (SUD) treatment under the U.S. Patient Protection and Affordable Care Act (ACA), and it mentions American President Barack Obama's public health legacy, as well as the potential impact that the ACA will have on an opioid epidemic in the country. Medications for opioid use disorder patients are examined, along with health insurance coverage for SUD treatment services and the U.S. 2008…
Linkages Between Patient-centered Medical Homes and Addiction Treatment Organizations
BACKGROUND: To meet their aims of providing comprehensive and coordinated care, patient-centered medical homes (PCMHs) need to coordinate services for individuals with substance use disorders. Yet, the 14,000 addiction treatment (AT) organizations across the United States that provide services for more than 1 million individuals daily are generally ill-prepared to work with PCMHs (eg, AT organizations often lack electronic health records). OBJECT…
A cluster randomized trial of an organizational linkage intervention for offenders with substance use disorders
BACKGROUND: Substance use disorders are highly prevalent in community correctional populations, yet these settings frequently are ill-equipped to identify and refer offenders to community-based treatment services. In particular, community corrections staff are often opposed to the use of medication in addiction treatment because of inadequate knowledge, resources, and organizational structures to facilitate client linkages to evidence-based servi…
Applying the Chronic Care Model to Homeless Veterans
Objectives. We compared a population-tailored approach to primary care for homeless veterans with a usual care approach. Methods. We conducted a retrospective prolective cohort study of homeless veterans enrolled in a population-tailored primary care clinic matched to a historical sample in general internal medicine clinics. Overall, 177 patients were enrolled: 79 in the Homeless-Oriented Primary Care Clinic and 98 in general internal medicine pr…
Parental substance use and home visiting programs
Patient Satisfaction and Sustained Outcomes of Drug Abuse Treatment
The authors investigated the relationship between patients' self-rated satisfaction with treatment services during and shortly after treatment with their drug use outcomes at one year follow-up, using a US national panel survey of patients in 62 methadone, outpatient, short-term residential, and long-term residential programs. A favorable evaluation of treatment near the time of discharge had a significant positive relationship with drug use impr…
Impact of Medicaid Restrictions on Availability of Buprenorphine in Addiction Treatment Programs
Objectives. To examine how utilization restrictions on state Medicaid benefits for buprenorphine are related to addiction treatment programs’ decision to offer the drug. Methods. We used data from 2 waves of the National Drug Abuse Treatment System Survey conducted in 2014 and 2017 in the United States to assess the relationship of utilization restrictions to buprenorphine availability. Results. The proportion of programs offering buprenorphine w…
The Affordable Care Act Transformation of Substance Use Disorder Treatment
The authors reflect on changes involving substance use disorder (SUD) treatment under the U.S. Patient Protection and Affordable Care Act (ACA), and it mentions American President Barack Obama's public health legacy, as well as the potential impact that the ACA will have on an opioid epidemic in the country. Medications for opioid use disorder patients are examined, along with health insurance coverage for SUD treatment services and the U.S. 2008…
Personal Control Over Decisions to Participate in Research by Persons With Histories of Both Substance Use Disorders and Criminal Justice Supervision
Individuals must feel free to exert personal control over decisions regarding research participation. We present an examination of participants' perceived personal control over, as well as reported pressures and threats from others, influencing their decision to join a study assessing the effectiveness of extended-release naltrexone in preventing opioid dependence relapse. Most participants endorsed a strong sense of control over the decision; fe…
Barriers to opioid use disorder treatment among people who use drugs in the rural United States
Linkage to Medical Services in the Drug Abuse Treatment Outcome Study
BACKGROUND: An episode of substance abuse treatment is an opportunity to link substance-abusing patients to medical care at a time when management of medical problems might stabilize recovery and long-term health. However, little is known about the ability of organizational linkage mechanisms to facilitate the delivery of medical care to this population. OBJECTIVES: The goal of this study was to examine whether organizational linkage mechanisms f…
Classification and regression tree analysis in public health
BACKGROUND: Audience segmentation strategies are of increasing interest to public health professionals who wish to identify easily defined, mutually exclusive population subgroups whose members share similar characteristics that help determine participation in a health-related behavior as a basis for targeted interventions. Classification and regression tree (C&RT) analysis is a nonparametric decision tree methodology that has the ability to effi…
Variations in Influenza Vaccination Among the Elderly
Influenza vaccination varies greatly according to preventive medical care use and race/ethnicity, factors that are amenable to targeted outreach efforts
Do Mechanisms that Link Addiction Treatment Patients to Primary Care Influence Subsequent Utilization of Emergency and Hospital Care
BACKGROUND: Patients with drug use disorders are heavy users of emergency department (ED) and inpatient hospital care. This study examines whether formal mechanisms to link addiction treatment patients to primary medical care, either directly on site or by off-site referral-when compared with an absence of said mechanisms-might reduce these patients' use of ED and hospital services after substance abuse treatment. METHODS: We used longitudinal da…
HCV in Incarcerated Populations
While studies have explored the prevalence and correlates for hepatitis C (HCV) infection in substance-using and incarcerated populations these studies have not examined the attributes of criminal histories for those with HCV infection. This study examines the HCV infection rate as it relates to criminal risk factors using baseline data from a randomized trial of re-entering offenders and examines how these risk factors vary by gender. The HCV-po…
Patient Satisfaction and Sustained Outcomes of Drug Abuse Treatment
The authors investigated the relationship between patients' self-rated satisfaction with treatment services during and shortly after treatment with their drug use outcomes at one year follow-up, using a US national panel survey of patients in 62 methadone, outpatient, short-term residential, and long-term residential programs. A favorable evaluation of treatment near the time of discharge had a significant positive relationship with drug use impr…
Applying the Chronic Care Model to Homeless Veterans
Objectives. We compared a population-tailored approach to primary care for homeless veterans with a usual care approach. Methods. We conducted a retrospective prolective cohort study of homeless veterans enrolled in a population-tailored primary care clinic matched to a historical sample in general internal medicine clinics. Overall, 177 patients were enrolled: 79 in the Homeless-Oriented Primary Care Clinic and 98 in general internal medicine pr…
Parole Officer–parolee Relationships and HIV Risk Behaviors during Community Supervision
Understanding the drug treatment community's ambivalence towards tobacco use and treatment
A cluster randomized trial of an organizational linkage intervention for offenders with substance use disorders
BACKGROUND: Substance use disorders are highly prevalent in community correctional populations, yet these settings frequently are ill-equipped to identify and refer offenders to community-based treatment services. In particular, community corrections staff are often opposed to the use of medication in addiction treatment because of inadequate knowledge, resources, and organizational structures to facilitate client linkages to evidence-based servi…
The Affordable Care Act Transformation of Substance Use Disorder Treatment
The authors reflect on changes involving substance use disorder (SUD) treatment under the U.S. Patient Protection and Affordable Care Act (ACA), and it mentions American President Barack Obama's public health legacy, as well as the potential impact that the ACA will have on an opioid epidemic in the country. Medications for opioid use disorder patients are examined, along with health insurance coverage for SUD treatment services and the U.S. 2008…
Linkages Between Patient-centered Medical Homes and Addiction Treatment Organizations
BACKGROUND: To meet their aims of providing comprehensive and coordinated care, patient-centered medical homes (PCMHs) need to coordinate services for individuals with substance use disorders. Yet, the 14,000 addiction treatment (AT) organizations across the United States that provide services for more than 1 million individuals daily are generally ill-prepared to work with PCMHs (eg, AT organizations often lack electronic health records). OBJECT…
Personal Control Over Decisions to Participate in Research by Persons With Histories of Both Substance Use Disorders and Criminal Justice Supervision
Individuals must feel free to exert personal control over decisions regarding research participation. We present an examination of participants' perceived personal control over, as well as reported pressures and threats from others, influencing their decision to join a study assessing the effectiveness of extended-release naltrexone in preventing opioid dependence relapse. Most participants endorsed a strong sense of control over the decision; fe…
Impact of Medicaid Restrictions on Availability of Buprenorphine in Addiction Treatment Programs
Objectives. To examine how utilization restrictions on state Medicaid benefits for buprenorphine are related to addiction treatment programs’ decision to offer the drug. Methods. We used data from 2 waves of the National Drug Abuse Treatment System Survey conducted in 2014 and 2017 in the United States to assess the relationship of utilization restrictions to buprenorphine availability. Results. The proportion of programs offering buprenorphine w…
Changes in State Technical Assistance Priorities and Block Grant Funds for Addiction After ACA Implementation
Objectives. To assess states’ provision of technical assistance and allocation of block grants for treatment, prevention, and outreach after the expansion of health insurance coverage for addiction treatment in the United States under the Affordable Care Act (ACA). Methods. We used 2 waves of survey data collected from Single State Agencies in 2014 and 2017 as part of the National Drug Abuse Treatment System Survey. Results. The percentage of sta…
A Thousand Cuts
Soares, William E. III MD, MS; Knowles, Kenneth J. II MD; Friedmann, Peter D. MD, MPH Author Information
Jail-based reentry programming to support continued treatment with medications for opioid use disorder
Medication for opioid use disorder treatment continuity post-release from jail
“I've been to more of my friends’ funerals than I've been to my friends’ weddings”
PURPOSE: Overdose is a leading cause of death among people who use drugs (PWUDs), but policies to reduce fatal overdose have had mixed results. Summaries of naloxone access and Good Samaritan Laws (GSLs) in prior studies provide limited information about local context. Witnessing overdoses may also be an important consideration in providing services to PWUDs, as it contributes to post traumatic stress disorder (PTSD) symptoms, which complicate su…
I am not a junkie”
Diversion of medications to treat opioid use disorder
I would do anything but that”
We identified several patterns by which people who use drugs evaluate community members who sell sex. These included gendered and morally-charged forms of stigma, which may represent barriers to community acceptance and support among this subgroup
Parental substance use and home visiting programs
Medicaid Policy and Hepatitis C Treatment Among Rural People Who Use Drugs
BACKGROUND: Restrictive Medicaid policies regarding hepatitis C virus (HCV) treatment may exacerbate rural health care disparities for people who use drugs (PWUD). We assessed associations between Medicaid restrictions and HCV treatment among rural PWUD. METHODS: We compiled state-specific Medicaid treatment policies across 8 US rural sites in 10 states and merged these with participant survey data. We hypothesized that local restrictions regardi…
Barriers to opioid use disorder treatment among people who use drugs in the rural United States
Medicine (29 obras) · Psychiatry (22 obras) · Opioid Use Disorder Treatment (21 obras) · Substance Abuse Treatment and Outcomes (21 obras) · Psychology (17 obras) · HIV, Drug Use, Sexual Risk (16 obras) · Political science (14 obras) · Nursing (11 obras) · Sociology (11 obras) · Family medicine (10 obras)