High potency cannabis policy legislative report

Explore and suggest policy solutions in response to the public health challenges of high tetrahydrocannabinol potency cannabis. ADAI will host stakeholder sessions to gain perspectives, seek common ground, evaluate, and assess potential policy solutions culminating in a final recommendation report.

Improving opioid use disorder treatment using contingency management via mHealth

Deaths related to the opioid overdose epidemic remain at an all-time high across the country despite significant efforts to reduce them. There is a pressing need to support medication treatment for opioid use disorder (OUD) to help people stay in treatment and reduce the risk of overdose death and other serious health consequences of untreated addiction. Smartphone-based apps can facilitate the delivery of an evidence-based approach called contingency management that incentivizes use of medications for OUD, reduces use of non-prescribed opioids and improves retention in OUD treatment.

This study will leverage a commercially available smartphone app that can bring this much-needed behavioral support to patients receiving OUD treatment in a primary care clinic and in a specialty OUD treatment clinic. The approach offers a potentially non-labor intensive, cost-effective and highly scalable means of delivering OUD care.

Global Mental Health Databank (MindKind)

The goal of this study is to learn how best to design a databank – a pool of data – about emotional health experiences from youth from around the world. The University of Washington is partnering with Sage Bionetworks to develop a user-friendly data platform for mental health interventions for youth. The overall scope of this project is to recruit 1,500 youth in South Africa, India, and the UK (each) to engage in a mental health intervention and both share their data and help co-design a user-friendly database for lay people, researchers and other key stakeholders. The University of Washington will provide global mental health expertise to Sage’s team to guide design, implementation, and interpretation of data collected.

Communication and Recovery Enhancement (CARE) clinical trial

This study aims to refine and test a brief intervention (CARE) that aims to promote recovery in recent sexual assault survivors. CARE is delivered to supporters of sexual assault survivors (e.g., friends, family members, romantic partners), with or without the survivor present. It aims to encourage conversations about the assault and decrease negative reactions by the supporter. In stage 1 of this study, we will conduct feedback sessions with 8-10 dyads of survivors and their supporters to finalize the intervention materials. In stage 2, we will conduct a pilot clinical trial of CARE with 60 dyads, who will be randomized to dyadic intervention, supporter-only intervention, or waitlist control.

Project THRIVE pilot

This study involved developing and preliminarily testing a new app to prevent PTSD and alcohol misuse following recent sexual assault.

Understanding mental health problems and health risk behaviors among LGBT Veterans

LGBT Veterans have faced a long history of stigma, discrimination, and exclusionary policies that were intended to exclude them from military service. Despite recent shifts in policy and increased staff trainings, existing evidence suggests that this group is at high risk for health disparities, particularly with respect to mental health and health risk behaviors. While informative, the research to date has been limited in several respects: cross-sectional designs, collapsing LGBT subgroups, severe lack of data on some subgroups, problems with identifying a comparison group, and lack of data on risk and protective factors and care experiences. This prospective cohort study will fill these gaps, recruiting and conducting surveys online with 1,600 Veterans to identify health disparities, test a conceptual model of prospective risk and protective factors, and assess VA utilization, barriers to care, and treatment preferences. Data from this study will inform future intervention efforts to achieve health equity for LGBT Veterans.