Robert R. Heimer

Crack/cocaine use to manage xylazine exposure in fentanyl in Connecticut: findings from a convergent mixed methods study

Katherine Hill, Emma T Biegacki, Gabrielle Bogut, Elizabeth Znamierowski et autres

BACKGROUND: In the context of the fourth wave of the opioid overdose crisis, defined by fentanyl and stimulant co-use, we aimed to explore if there might be a relationship between exposure to xylazine in the fentanyl supply and patterns of crack/cocaine use. …

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Zeroing in on xylazine - a mixed methods study to explore correlates of reported xylazine use and educational gaps among people who use drugs

Katherine Hill, Rebecca Minahan-Rowley, Emma Biegacki, Robert R. Heimer et autres

BACKGROUND: Xylazine prevalence has surged in the unregulated fentanyl supply across the United States. In efforts to inform education initiatives for people who use drugs, this study aimed to identify factors associated with reported xylazine use and knowledge gaps. METHODS: This Connecticut-based …

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Travel Time to Methadone Treatment Via Personal Vehicle vs Public Transit

Benjamin A. Howell, Junghwan Kim, Thomas A. Thornhill IV, Jinhyung Lee et autres

Importance: The requirement for in-person, often daily, attendance at opioid treatment programs (OTPs) makes travel times a barrier to methadone treatment. Research on methadone accessibility has primarily focused on travel via personal vehicle, and there is uncertainty about public transit travel time …

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Increasing timely access to evidence-based treatment for opioid use disorder using novel digital health and system dynamics modelling approaches: a study protocol

Turner Canty, Nasim S. Sabounchi, Robert R. Heimer, Michael V. Pantalon et autres

Introduction Despite the continued burden of opioid overdose in communities in the USA, effective treatments for opioid use disorder (OUD), such as medication for opioid use disorder (MOUD), remain underused. Motivational interviewing techniques and linkage to MOUD via digital health are innovative …

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Self-Reported Readiness-to-Change Alcohol Use in Emergency Department Patients With Alcohol Use Disorder Is Associated With Linkage to Treatment

Caitlin R. Ryus, Gail D’Onofrio, Turner Canty, Michael V. Pantalon et autres

Alcohol, the most commonly used drug in the United States, accounts for nearly 2% of emergency department (ED) visits.1 EDs are a unique intervention point as people with alcohol use disorder often use the ED as their source of care. The Brief …

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Allocative efficiency analysis of strategies to reduce overdose deaths among people with opioid use disorder and history of incarceration in Connecticut

Joy D. Scheidell, Jillian M. Frechette, Tarlise Townsend, Qinlian Zhou et autres

BACKGROUND: While Connecticut has successfully slowed overdose death (ODD) rates, additional progress is necessary. We examined policies that allocate resources with maximal efficiency to reduce ODDs. METHODS: We developed a mechanistic simulation of overdose policies, including medications for opioid use disorder (OUD) …

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Rural providers’ attitudes toward integrating harm reduction strategies and PrEP prescribing into rural primary care settings in the US. Southeast and Midwest

Phillip L. Marotta, Miryam Biaid, Robert R. Heimer, Debbie L. Humphries et autres

BACKGROUND: People with opioid use disorders (OUD) living in the South and Midwest are under-prescribed pre-exposure prophylaxis (PrEP) despite an increasing number of providers writing PrEP prescriptions in other regions of the United States. Greater research is needed into attitudes toward integrating …

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“Everybody’s Liking It”—Intentional Use of Xylazine in Fentanyl Among People Who Use Drugs

Katherine Hill, Robert R. Heimer, Kimberly L. Sue

Background: Xylazine, a veterinary tranquilizer, is increasingly found in the unregulated fentanyl supply. Researchers and public health officials have generally characterized this substance as an unwanted adulterant, associated with outcomes such as extreme sedation and necrotic wounds. However, some literature suggests a …

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Community-Originated Research to Identify Access Gaps in Over-the-Counter Naloxone Availability in Connecticut Pharmacies

Katherine Hill, Peter Canning, Zoey Canning, Liz Evans et autres

BACKGROUND: Naloxone, a life-saving medication that reverses opioid overdoses, was available in the United States only by prescription until March 2023, when the federal government approved nasal-spray formulations for over the counter sales to expand access. We assessed the availability of naloxone …

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Receipt of addiction treatment after nonfatal opioid overdose and risk of subsequent overdose: A retrospective cohort study

Benjamin A. Howell, Anne C. Black, Hsiu‐Ju Lin, Mark A. Liberatore et autres

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13 Piloting a novel community-engaged bloodborne infection and drug supply surveillance system to improve harm reduction services for people who inject drugs in Kentucky

Hilary L. Surratt, Kristen A. McLaurin, Abby Burton, Anna L. Smith et autres

Objectives/Goals: Kentucky (KY) is a high priority ending the HIV epidemic state, with high rates of new HIV diagnoses tied to injection drug use. The overall goal of this pilot is to launch sentinel surveillance of bloodborne infections and drug compounds among …

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Spatial associations between alcohol detection in opioid overdose deaths and alcohol outlets

Adam Viera, Robert R. Heimer, Lauretta E. Grau

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