David Smelson
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View article: Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial
Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial Open
Background The US Veterans Affairs mental health residential rehabilitation treatment programs (MH RRTPs) provide residential care for veterans experiencing homelessness. However, those with co-occurring mental health and substance use dis…
View article: Wildlife and wellbeing: Wildlife immersion experiences in veterans with PTSD
Wildlife and wellbeing: Wildlife immersion experiences in veterans with PTSD Open
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…
View article: Artificial intelligence conversational agents in mental health: Patients see potential, but prefer humans in the loop
Artificial intelligence conversational agents in mental health: Patients see potential, but prefer humans in the loop Open
Background Digital mental health interventions, such as artificial intelligence (AI) conversational agents, hold promise for improving access to care by innovating therapy and supporting delivery. However, little research exists on patient…
View article: Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial (Preprint)
Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial (Preprint) Open
BACKGROUND The US Veterans Affairs mental health residential rehabilitation treatment programs (MH RRTPs) provide residential care for veterans experiencing homelessness. However, those with co-occurring mental health and substance use di…
View article: Developing a Wearable Sensor-Based Digital Biomarker of Opioid Dependence
Developing a Wearable Sensor-Based Digital Biomarker of Opioid Dependence Open
BACKGROUND: Repeated opioid exposure leads to a variety of physiologic adaptations that develop at different rates and may foreshadow risk of opioid-use disorder (OUD), including dependence and withdrawal. Digital pharmacovigilance strateg…
View article: Influences of the criminal justice system on use of medications for opioid use disorder: a qualitative study
Influences of the criminal justice system on use of medications for opioid use disorder: a qualitative study Open
Background Legal-involved veterans with opioid use disorder (OUD) have lower receipt of medications for opioid use disorder (MOUD) than other veterans served at the Veterans Health Administration (VHA). This qualitative study examined the …
View article: The feasibility of wildlife immersion experiences for Veterans with PTSD
The feasibility of wildlife immersion experiences for Veterans with PTSD Open
Introduction Animal-assisted interventions (AAI) offer potential physical and psychological health benefits that may assist Veterans with post-traumatic stress disorder. However, more feasibility studies are needed regarding intervention d…
View article: For whom are treatments for criminal recidivism effective? Moderator effects from a randomized controlled trial of justice-involved veterans.
For whom are treatments for criminal recidivism effective? Moderator effects from a randomized controlled trial of justice-involved veterans. Open
For veterans in behavioral health treatment with recent criminal histories and high in psychopathic traits, MRT may be effective for reducing risk for criminal recidivism. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
View article: The Impact of Fidelity on Behavioral Health Outcomes Among Individuals Experiencing Chronic Homelessness and Co-Occurring Disorders
The Impact of Fidelity on Behavioral Health Outcomes Among Individuals Experiencing Chronic Homelessness and Co-Occurring Disorders Open
Background: People with co-occurring substance use and mental health disorders who experience chronic homelessness often have difficulty engaging in both treatment and support services. Maintaining Independence and Sobriety through Systems…
View article: Criminogenic Needs and Legal Problem Severity Among Legal System Involved Veterans
Criminogenic Needs and Legal Problem Severity Among Legal System Involved Veterans Open
Background Many veterans seeking behavioral health services have history of criminal–legal involvement. Research on criminogenic needs of legal system involved veterans is burgeoning. However, most research has relied on cross-sectional ex…
View article: Reentry Service Engagement Among a Reentry Population with Co-occurring Mental Health and Opioid Use Disorders in Massachusetts Jails
Reentry Service Engagement Among a Reentry Population with Co-occurring Mental Health and Opioid Use Disorders in Massachusetts Jails Open
Aim: Co-occurring opioid use and mental health disorders (COD) are common among people with criminal legal involvement. Reentry is a vulnerable period with low treatment engagement, often resulting in relapse, reincarceration, and overdose…
View article: Disentangling the relationship between posttraumatic stress disorder, criminogenic risk, and criminal history among veterans.
Disentangling the relationship between posttraumatic stress disorder, criminogenic risk, and criminal history among veterans. Open
The findings suggest that veterans with probable PTSD may score higher on a number of criminogenic needs that are known to be drivers of recidivism. An approach that integrates trauma-informed and risk-need-responsivity principles to addre…
View article: The Effectiveness of a Telephone Smoking Cessation Program in Mental Health Clinic Patients by Level of Mental Well-Being and Functioning: A Secondary Data Analysis of a Randomized Clinical Trial
The Effectiveness of a Telephone Smoking Cessation Program in Mental Health Clinic Patients by Level of Mental Well-Being and Functioning: A Secondary Data Analysis of a Randomized Clinical Trial Open
Background Few studies have examined the effectiveness of telephone smoking cessation interventions by severity of behavioral health symptoms. Using data from a telephone counseling study, we examined whether abstinence rates varied by lev…
View article: Digital biomarker applications across the spectrum of opioid use disorder
Digital biomarker applications across the spectrum of opioid use disorder Open
Opioid use disorder (OUD) is one of the most pressing public health problems of the past decade, with over eighty thousand overdose related deaths in 2021 alone. Digital technologies to measure and respond to disease states encompass both …
View article: A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial
A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial Open
Objectives Patients with opioid use disorder (OUD) are increasingly being hospitalized for acute medical illnesses. Despite initiation of medications for OUD (MOUDs), many discontinue treatment after discharge. To evaluate whether a psycho…
View article: Rapidly Adapting a Multicomponent Treatment for Persons Experiencing Chronic Homelessness with Comorbid Substance Use and Mental Health Disorders During the Coronavirus Disease 2019 Pandemic
Rapidly Adapting a Multicomponent Treatment for Persons Experiencing Chronic Homelessness with Comorbid Substance Use and Mental Health Disorders During the Coronavirus Disease 2019 Pandemic Open
Background: People with co-occurring substance use and mental health disorders (COD) who experience chronic homelessness often have difficulty engaging in treatment and support services. During the Coronavirus Disease 2019 (COVID-19) pande…
View article: Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol
Identifying strategies to advance equitable implementation of co-occurring mental health and substance use disorder treatment in drug treatment courts: A study protocol Open
Introduction: Behavioral health treatment disparities by race and ethnicity are well documented across the criminal legal system. Despite criminal legal settings such as drug treatment courts (DTCs) increasingly adopting evidence-based pro…
View article: Perceptions on wearable sensor-based interventions for monitoring of opioid therapy: A qualitative study
Perceptions on wearable sensor-based interventions for monitoring of opioid therapy: A qualitative study Open
Prescription opioid use is a risk factor for the development of opioid use disorder. Digital solutions, including wearable sensors, represent a promising opportunity for health monitoring, risk stratification and harm reduction in this tre…
View article: Pilot examination of stress, heart rate variability, and alcohol craving and use among female veterans
Pilot examination of stress, heart rate variability, and alcohol craving and use among female veterans Open
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…
View article: Re-entry Needs Among a Population with Co-occurring Opioid Use and Mental Health Disorders in Massachusetts, USA Jails: Part of a National Plan to Address the Opioid Epidemic
Re-entry Needs Among a Population with Co-occurring Opioid Use and Mental Health Disorders in Massachusetts, USA Jails: Part of a National Plan to Address the Opioid Epidemic Open
Introduction. Studies show that the release from jail is a vulnerable transition for individuals with opioid use disorder re-entering their communities. Less is known about individuals with co-occurring mental health and opioid use disorde…