Director, Trauma #Recovery Network • #Addiction researcher • Assoc Professor of Psychiatry @FIU med • Visiting Research Scholar @USouthFlorida • South Beach🌴
Has America's response to the overdose crisis been effective? No. But do the majority of addiction treatment centers at least offer life-saving medication for opioid use disorder? Also no.
Honored to give keynote plenary at the East Coast Symposium & talk about rewarding #recovery, particularly for ppl w/stimulant addiction, for which no other treatment—psychosocial or pharmacological—has as strong an evidence base as contingency management
https://t.co/EaHTcRKQSJ
Had a great time on the @SMARTRecovery podcast talking about rewarding #recovery, calling out stigma, need for academic—industry partnerships & the use of technology to overcome barriers
🎧 Listen here: https://t.co/5vHBd1LMWN
Contingency management for stimulant addiction is the most effective, evidence-based treatment you’ve never used & may help nudge the decisional balance in favor of #recovery
🔓Read new web article for @APA's Society for the Advancement of Psychotherapy: https://t.co/ZjKfSRepca
Study of new contingency management app (PROCare #Recovery) shows patients & providers both in favor of giving ppl small rewards ($1) for achieving goals via 'smart' debit card to block high-risk spending at bars, ATM, etc @krigg01@allentien
🔓full-text: https://t.co/4A0w4Q8l7C
JMIR Formative Res: Acceptability and #usability of a Reward-Based Mobile App for Opioid Treatment Settings: Mixed Methods Pilot Study https://t.co/lxaiZu3LBX
5 areas where more research is *not* needed to curb overdose crisis per @NIDAnews
1.Naloxone saves lives
2.Medications for opioid use disorder work
3.Contingency management is effective
4.Syringe services programs mitigate harm
5.Prevention interventions can have lasting impact
Had a wonderful meeting w/@OperationPAR staff in Clearwater today to discuss the launch of our new collaboration. Thanks for hosting us and for your partnership on this project that will support people in methadone tx and their families. @FOREfdn https://t.co/ccuDOvgpOM
Only 13% of Americans w/OUD receive medication treatment & there is wide state-level variability. Even the state w/lowest tx gap—where 46% receive meds—means > half still do not receive life-saving meds. @NoaKrawczyk
Iowa, 3%
Florida, 7%
CA, 7%
PA, 22%
Mass, 25%
MD, 42%
CT, 46%
Had a great time at the Rocky Mountain Symposium talking w/clinicians & those on the front-line of the overdose crisis. In lieu of a 🧵 — here's the first & last slide from my talk.
Study supports permanent expansion of #methadone take-homes. Fears of widespread misuse/diversion of methadone are unsubstantiated. Despite expanded access to take-homes during height of COVID, the # of methadone overdoses⬇️ even though all other opioid overdoses ⬆️ @JAMAPsych
Rewarding ppl—often w/money—for achieving their #recovery goals is not a new concept. Hundreds of studies support contingency management, but it's rarely used. Barriers/solutions are discussed in new Annals of Medicine article. @krigg01
🔓Read full-text: https://t.co/7pMQte95qN
Thriving Mind South Florida and AG Moody announce a $2.3 million grant for the establishment of the first Trauma Recovery Network in Florida to provide services for victims of violent crime and their families living in Miami-Dade and Monroe Counties. https://t.co/LDKIsG1Eor
Thriving Mind's Dr. Steven Proctor spoke to the Miami Times about our Trauma Recovery Network and how it helps victims of crime. https://t.co/Q6ekie9ITM
Over 107,000 ppl died last year of overdose. Sadly, same story, new year, but all hope is not lost. Per recent model from Stanford-Lancet Commission, the U.S. could save 300,000+ lives in the next 10 yrs by simply expanding access to #naloxone. @KeithNHumphreys
Quick chat this morning w/@WIODManny on his AM news talk show about the recent CDC data showing 100K+ overdose deaths last year & the need for compassion & treatment, not punishment & incarceration. @WIOD
https://t.co/3o9cFGviAy
12/A true bi-directional approach has the potential to shape & inform scientific research questions w/an eye towards real-world challenges to implementation, ultimately improving contingency management solutions.
Read open-access full-text article: https://t.co/7pMQte9Dgl
1/Despite decades of rigorous research studies showing considerable benefits for contingency management, a number of barriers (moral, ethical, legal, etc.) to widespread adoption persist; fortunately, many obstacles can be overcome. New paper in Annals of Medicine @tandfmedicine
11/Recognizing the value of Academic↔️Industry collaboration, @NIDAnews Small Business Technology Transfer (STTR) Program offers funding from $150K for Phase I up to $3M for Phase II to foster tech transfer between research universities & for-profit small business #startups.