Research Topics
| P D FriedmannSummaryAffiliation: Rhode Island Hospital Country: USA Publications
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Publications
Just call it "treatment"Peter D Friedmann
Warren Alpert Medical School, Brown University, Providence, RI, USA
Addict Sci Clin Pract 7:10. 2012..The time has come to call pharmacotherapy for such patients just "treatment". An explicit acknowledgment that medication is an essential first-line component in the successful management of opioid dependence...- Collaborative behavioral management among parolees: drug use, crime and re-arrest in the Step'n Out randomized trialPeter D Friedmann
Department of Veterans Affairs Medical Center, Providence, RI, USA
Addiction 107:1099-108. 2012..To determine whether collaborative behavioral management (CBM) reduces substance use, crime and re-arrest among drug-involved parolees... - Medication-assisted treatment in criminal justice agencies affiliated with the criminal justice-drug abuse treatment studies (CJ-DATS): availability, barriers, and intentionsPeter D Friedmann
Division of General Internal Medicine, RhodeIsland Hospital, Providence, RI 02903, USA
Subst Abus 33:9-18. 2012..The CJ-DATS collaborative MAT implementation study to address inadequate knowledge, attitudes, and linkage will be described... - Working Inside for Smoking Elimination (Project W.I.S.E.) study design and rationale to prevent return to smoking after release from a smoke free prisonJennifer G Clarke
Brown University Center for Primary Care and Prevention, Pawtucket, USA
BMC Public Health 11:767. 2011..However, relapse to smoking is common upon release from prison, approaching 90% within a few weeks. No evidence based treatments currently exist to assist individuals to remain abstinent after a period of prolonged, forced abstinence... 
Cigarette smoking cessation services in outpatient substance abuse treatment programs in the United StatesPeter D Friedmann
Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, Providence, RI, USA
J Subst Abuse Treat 34:165-72. 2008..The objective of this study was to estimate the prevalence and determinants of cigarette smoking cessation treatment in U.S. outpatient substance abuse treatment (OSAT) units...- Evidence-based treatment practices for drug-involved adults in the criminal justice systemPeter D Friedmann
Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, Providence, RI, USA
J Subst Abuse Treat 32:267-77. 2007..The aim of this study was to estimate the extent and organizational correlates of evidence-based practices (EBPs) in correctional facilities and community-based substance abuse treatment programs that manage drug-involved adult offenders... - Effect of primary medical care on addiction and medical severity in substance abuse treatment programsPeter D Friedmann
Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence 02903, USA
J Gen Intern Med 18:1-8. 2003..To examine whether the availability of primary medical care on-site at addiction treatment programs or off-site by referral improves patients' addiction severity and medical outcomes, compared to programs that offer no primary care... - Trends in comprehensive service availability in outpatient drug abuse treatmentPeter D Friedmann
Department of General Internal Medicine, Rhode Island Hospital, Providence, RI 20903, USA
J Subst Abuse Treat 24:81-8. 2003..These findings highlight the continuing need to monitor access to comprehensive services and other quality markers in addiction treatment over time... - Treatment of sleep disturbance in alcohol recovery: a national survey of addiction medicine physiciansPeter D Friedmann
Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence, RI 02903, USA
J Addict Dis 22:91-103. 2003..Although the treatment of disordered sleep among alcoholic patients in early recovery may have merit to prevent relapse, controlled studies of these sleep agents are needed... - Community referral sources and entry of treatment-naive clients into outpatient addiction treatmentPeter D Friedmann
Division of General Internal Medicine, Department of Medicine, Brown Medical School and Rhode Island Hospital, Providence, Rhode Island 02903, USA
Am J Drug Alcohol Abuse 29:105-15. 2003..These results highlight the role of coercive community institutions in treatment outreach efforts to persons in earlier phases of the "addiction career.".. - Duration of nonmethadone outpatient treatment: results from a national surveyPeter D Friedmann
Providence Veterans Affairs Medical Center, Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence, RI 02903, USA
Subst Abus 27:47-53. 2006..This study examined organizational trends from 1990 to 2000 and unit characteristics associated with the duration of nonmethadone outpatient addiction treatment... - Training primary care clinicians in maintenance care for moderated alcohol usePeter D Friedmann
Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, Providence, RI, USA
J Gen Intern Med 21:1269-75. 2006..To evaluate whether training primary care clinicians in maintenance care for patients who have changed their drinking influences practice behavior... - Do mechanisms that link addiction treatment patients to primary care influence subsequent utilization of emergency and hospital care?Peter D Friedmann
Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, and Department of Medicine, Brown University School of Medicine, Providence, Rhode Island 02903, USA
Med Care 44:8-15. 2006.... - The effect of matching comprehensive services to patients' needs on drug use improvement in addiction treatmentPeter D Friedmann
Division of General Internal Medicine, Departments of Medicine and Community Health, Brown University School of Medicine and Rhode Island Hospital, Providence, RI 02903, USA
Addiction 99:962-72. 2004..Percentage of needs matched' indicates the proportion of five service domains (medical, mental health, family, vocational and housing) so matched... - Linkage to medical services in the Drug Abuse Treatment Outcome StudyP D Friedmann
Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence, 02903, USA
Med Care 39:284-95. 2001..However, little is known about the ability of organizational linkage mechanisms to facilitate the delivery of medical care to this population... - Trazodone for sleep disturbance after alcohol detoxification: a double-blind, placebo-controlled trialPeter D Friedmann
Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, Providence, Rhode Island, USA
Alcohol Clin Exp Res 32:1652-60. 2008..Trazodone is a commonly prescribed off-label for sleep disturbance in alcohol-dependent patients, but its safety and efficacy for this indication is unknown... - Designated case managers as facilitators of medical and psychosocial service delivery in addiction treatment programsPeter D Friedmann
Brown Medical School, Division of General Internal Medicine, Department of Medicine, Rhode Island Hospital, 593 Eddy St, Providence, RI 02903, USA
J Behav Health Serv Res 31:86-97. 2004..These findings do not support the common practice of designating case management staff as a means to facilitate comprehensive services delivery in addiction treatment programs... - Screening and intervention for illicit drug abuse: a national survey of primary care physicians and psychiatristsP D Friedmann
Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, 593 Eddy St, Providence, RI 02906
Arch Intern Med 161:248-51. 2001..Illicit drug abuse causes much morbidity and mortality, yet little is known about physicians' screening and intervention practices regarding illicit drug abuse... - Validation of the screening strategy in the NIAAA "Physicians' Guide to Helping Patients with Alcohol Problems"P D Friedmann
Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA
J Stud Alcohol 62:234-8. 2001..quot;.. - Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatristsP D Friedmann
Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence, RI 02906, USA
J Gen Intern Med 15:84-91. 2000..To describe adult primary care physicians' and psychiatrists' approach to alcohol screening and treatment, and to identify correlates of more optimal practices... - Transportation and retention in outpatient drug abuse treatment programsP D Friedmann
Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence, RI 02903, USA
J Subst Abuse Treat 21:97-103. 2001..Future research should validate whether car, van, or contracted transportation services improve retention and other treatment outcomes in outpatient drug abuse treatment... 
Top manager effects on buprenorphine adoption in outpatient substance abuse treatment programsPeter D Friedmann
Center on Systems, Outcomes and Quality in Chronic Disease and Rehabilitation SOQCR, Research Service, Providence Veterans Affairs Medical Center and Alpert Medical School of Brown University, Providence, RI, USA
J Behav Health Serv Res 37:322-37. 2010..Future work should examine whether leadership development for community addiction programs might speed up the diffusion of buprenorphine and other innovative, evidence-based practices...- Violent and disruptive behavior among drug-involved prisoners: relationship with psychiatric symptomsPeter D Friedmann
Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans AffairsMedical Center, Providence, RI, USA
Behav Sci Law 26:389-401. 2008.... - The effect of alcohol abuse on the health status of older adults seen in the emergency departmentP D Friedmann
Department of Medicine, Pritzker School of Medicine, University of Chicago, Illinois, USA
Am J Drug Alcohol Abuse 25:529-42. 1999..To examine the effect of alcohol abuse on the subsequent health status of elderly patients seen in an emergency department (ED)... - Older patients' health-related quality of life around an episode of emergency illnessM H Chin
Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL 60637, USA
Ann Emerg Med 34:595-603. 1999..We sought to describe older patients' health-related quality of life during a 4-month period surrounding a visit to the emergency department and to identify factors associated with less recovery... - Organizational correlates of access to primary care and mental health services in drug abuse treatment unitsP D Friedmann
Department of Medicine, Pritzker School of Medicine, University of Chicago, IL 60637, USA
J Subst Abuse Treat 16:71-80. 1999..Changes in the treatment system that weaken or eliminate public programs, over-burden staff, de-emphasize quality standards or lessen methadone availability may erode recovering clients' tenuous access to these services... - HIV prevention services in correctional drug treatment programs: do they change risk behaviors?Rebecca A Ballard Lubelczyk
Department of Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence, USA
AIDS Educ Prev 14:117-25. 2002..This analysis suggests that HIV prevention services are beneficial in reducing risk behavior among incarcerated individuals whose discharge is expected in the near future... - Predictors of follow-up health status in the Drug Abuse Treatment Outcome Study (DATOS)Peter D Friedmann
Department of Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA
Drug Alcohol Depend 69:243-51. 2003..Future research should examine whether early identification and treatment of physical and mental health problems among patients in addiction treatment programs might remediate their adverse effects on long-term health status outcomes... - Gender differences in comorbid disorders among offenders in prison substance abuse treatment programsCaron Zlotnick
Brown University, Butler Hospital, Providence, RI 02906, USA
Behav Sci Law 26:403-12. 2008..The study concluded that women offenders newly admitted to a prison substance abuse program present with a greater psychiatric vulnerability and a different pattern of psychiatric comorbidity than their male counterparts... - Management of adults recovering from alcohol or other drug problems: relapse prevention in primary careP D Friedmann
Department of Medicine, Pritzker School of Medicine, University of Chicago, Ill 60637, USA
JAMA 279:1227-31. 1998.... - Social relationships and intravenous drug use among methadone maintenance patientsA Gogineni
Department of General Internal Medicine, 593 Eddy St, Rhode Island Hospital, Brown University School of Medicine, Providence, RI 02903, USA
Drug Alcohol Depend 64:47-53. 2001..These findings suggest that personal relationships strongly influence continued injection drug use and that methadone programs should help patients develop social networks of non-users... - Slowing the revolving door: stabilization programs reduce homeless persons' substance use after detoxificationStefan G Kertesz
Divisions of Preventive Medicine and General Internal Medicine, Department of Medicine, University of Alabama at Birmingham, 1530 3rd Avenue South, MT608, Birmingham, AL 35294 4410, USA
J Subst Abuse Treat 24:197-207. 2003..This treatment modality may slow the "revolving door" phenomenon of relapse after detoxification among homeless persons... - Utilization of preventive health services by HIV-seronegative injection drug usersKelly A McGarry
Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
J Addict Dis 21:93-102. 2002..Given the burden of disease among IDUs, our findings suggest the need for a distinct set of testing and vaccination guidelines for the HIV-seronegative IDU population... - A brief intervention for hazardous drinkers in a needle exchange programMichael D Stein
Brown University School of Medicine, Providence, RI 02912, USA
J Subst Abuse Treat 22:23-31. 2002..Results from this study demonstrate that MI reduces drug-related HIV risk behaviors among active IDUs. As a brief intervention, MI may be a useful adjunct to existing services intended to reduce harm... - Attributions of responsibility for addiction: the effects of gender and type of substanceChristina Hatgis
Division of General Internal Medicine Research, Substance Abuse Research Unit, Rhode Island Hospital, and Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island02903, USA
Subst Use Misuse 43:700-8. 2008..Authors discuss implications, study limitations, and future research... - Barriers to screening for domestic violenceLorrie Elliott
Section of General Internal Medicine, Department of Medicine, University of Chicago Medical Center, 5841 S Maryland Ave, MC 3051, Chicago, IL 60637, USA
J Gen Intern Med 17:112-6. 2002..Domestic violence has an estimated 30% lifetime prevalence among women, yet physicians detect as few as 1 in 20 victims of abuse... - Antidepressant treatment does not improve buprenorphine retention among opioid-dependent personsMichael D Stein
Brown University, Butler Hospital, General Medicine Research, Providence, RI 02906, USA
J Subst Abuse Treat 39:157-66. 2010..Clinicians should determine the need for antidepressant treatment later in buprenorphine care... - Receipt of disability payments by substance users: mental and physical health correlatesMichael D Stein
Department of Medicine, Brown University School of Medicine, Providence, Rhode Island, USA
Am J Addict 15:160-5. 2006..Longitudinal studies of disability status and its effects on the lives of substance users are warranted... - Accessibility of addiction treatment: results from a national survey of outpatient substance abuse treatment organizationsPeter D Friedmann
Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
Health Serv Res 38:887-903. 2003..4 to 4.3). CONCLUSIONS: Although the provision of timely addiction treatment appears to have increased throughout the 1990s, accessibility problems persist in programs that care for indigent patients and in methadone maintenance programs... - Buprenorphine retention in primary careMichael D Stein
Division of General Internal Medicine, Rhode Island Hospital, Providence, RI 02903, USA
J Gen Intern Med 20:1038-41. 2005..This study assesses the rate and predictors of treatment retention for primary care patients with opioid dependence-prescribed buprenorphine, a long-acting partial opioid agonist... - Attitudes and practices regarding the use of methadone in US state and federal prisonsJosiah D Rich
The Miriam Hospital, Brown Medical School, 164 Summit Avenue, Providence, RI 02906, USA
J Urban Health 82:411-9. 2005.... - Disturbed sleep and its relationship to alcohol useMichael D Stein
Brown Medical School, Division of General Internal Medicine, Rhode Island Hospital, Providence, RI 02903, USA
Subst Abus 26:1-13. 2005..Future studies of this relationship should employ prospective designs with standardized, validated measures of both sleep and alcohol use. Rigorous treatment studies for chronic insomnia in alcohol dependent patients are also needed... - The impact of smoking cessation on drug abuse treatment outcomeStephenie C Lemon
Division of General Internal Medicine, Department of Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA
Addict Behav 28:1323-31. 2003..04). Despite drug abuse treatment programs' hesitance to encourage smokers to quit, smoking cessation does not negatively impact drug use outcomes... - Three brief alcohol screens for detecting hazardous drinking in incarcerated womenCeleste M Caviness
Butler Hospital, 345 Blackstone Blvd, Providence, Rhode Island 02906, USA
J Stud Alcohol Drugs 70:50-4. 2009..This study examines abbreviated versions of the Alcohol Use Disorders Identification Test (AUDIT) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA) heavy episodic drinking criterion in a sample of female detainees... - Perceived addiction treatment needs among alcohol using injection drug usersAnthony Charuvastra
Brown University School of Medicine, Providence, RI, USA
J Addict Dis 21:93-107. 2002..Because perceived need predicts treatment entry, changing alcohol treatment perceptions in IDUs promises the potential of significant long-term public health benefits... - Early revisit, hospitalization, or death among older persons discharged from the EDP D Friedmann
Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine, Providence, RI, USA
Am J Emerg Med 19:125-9. 2001..Future research should examine whether addressing these issues among the elderly population will lessen ED return visits, hospitalization, and mortality... - Alcohol use and sexual risk taking among hazardously drinking drug injectors who attend needle exchangeM D Stein
Brown University School of Medicine, Providence, Rhode Island, USA
Alcohol Clin Exp Res 25:1487-93. 2001..To determine if sex-risk days are also alcohol use days for active injection drug users... - Professional satisfaction experienced when caring for substance-abusing patients: faculty and resident physician perspectivesRichard Saitz
Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, MA 02118 2393, USA
J Gen Intern Med 17:373-6. 2002..12) were associated with greater satisfaction. Professional satisfaction caring for patients with substance problems is lower than that for other illnesses. Addressing physician satisfaction may improve care for patients with addictions... - Should informed consent be required for laboratory testing for drugs of abuse in medical settings?Elizabeth A Warner
Department of Internal Medicine, Division of General Internal Medicine, University of South Florida, Tampa, Florida 33612, USA
Am J Med 115:54-8. 2003.... - Classification and regression tree analysis in public health: methodological review and comparison with logistic regressionStephenie C Lemon
Brown University School of Medicine, USA
Ann Behav Med 26:172-81. 2003..Classification and regression tree (C&RT) analysis is a nonparametric decision tree methodology that has the ability to efficiently segment populations into meaningful subgroups. However, it is not commonly used in public health... - Predictors of mortality within 90 days of cataract surgeryPaul B Greenberg
Section of Ophthalmology, VA Medical Center, Providence, Rhode Island 02908, USA
Ophthalmology 117:1894-9, 1899.e1. 2010..To identify predictors of mortality within 90 days of cataract surgery... - Patients' use of the Internet for medical informationJoseph A Diaz
Division of General Internal Medicine, Memorial Hospital of Rhode Island, Brown University School of Medicine, Pawtucket, RI 02860, USA
J Gen Intern Med 17:180-5. 2002.... - Preoperative hematocrit levels and postoperative outcomes in older patients undergoing noncardiac surgeryWen Chih Wu
Target Research Enhancement Program, Providence Veterans Affairs Medical Center and Department of Community Health, Providence, RI, USA
JAMA 297:2481-8. 2007..Despite nearly universal screening of patients for abnormal preoperative hematocrit levels, limited evidence demonstrates the adverse effects of preoperative anemia or polycythemia... - Provision of on-site medical care to patients with hepatitis C in drug treatment unitsZdravko P Vassilev
J Health Care Poor Underserved 15:663-71. 2004..Further research on the role of such factors could inform the development of effective models of care for patients with hepatitis C in drug treatment organizations... - Physician attitudes regarding the prescription of medical marijuanaAnthony Charuvastra
University of California at Los Angeles, USA
J Addict Dis 24:87-93. 2005..Physicians are, in general, less supportive than the general American public regarding the use of medical marijuana... - Does retention matter? Treatment duration and improvement in drug useZhiwei Zhang
NORC at the University of Chicago, Washington, DC 20036, USA
Addiction 98:673-84. 2003..This study examines whether there is a minimum threshold, continuous or non-linear relationship between the duration of addiction treatment and improvements in drug use... - Feasibility of gaining access to women in jail for health interventionsMegan R Hebert
Women Health 47:79-93. 2008..This study addressed the feasibility of recruiting detained women for eligibility for clinical research... - Optimizing opioid detoxification: rearranging deck chairs on the TitanicMichael D Stein
J Addict Dis 26:1-2. 2007 - Predictors of emergency medical services utilization by eldersManish N Shah
Robert Wood Johnson Clinical Scholars Program, University of Chicago, IL, USA
Acad Emerg Med 10:52-8. 2003..To the best of the authors' knowledge, no studies have identified patient characteristics associated with EMS use by elders. This study aimed to identify patient attributes associated with elder EMS users... - Laboratory testing for drug abuseElizabeth A Warner
Arch Pediatr Adolesc Med 160:854, author reply 854. 2006 - Patient satisfaction and sustained outcomes of drug abuse treatment- Zhiwei Zhang
University of Chicago, USA
J Health Psychol 13:388-400. 2008.... - Variations in influenza vaccination among the elderlyStephenie C Lemon
Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am J Health Behav 28:352-60. 2004..To identify unique, mutually exclusive population segments whose members share characteristics associated with likelihood of influenza vaccination...
Research Grants
- Treatment Study Using Depot Naltrexone(2/6)Rhode Island Protocol Treatment SitePeter D Friedmann; Fiscal Year: 2010..It will also help in the development of depot naltrexone as a new and distinctly different treatment for opioid addiction that will improve the lives of those citizens who suffer from this disease. ..
- Continuity of Care for Drug-Addicted Offenders in RIPeter Friedmann; Fiscal Year: 2007..abstract_text> ..
- Stabilize Addiction/Affect, Begin Inmates' Interferon for HCV of Liver (STAABIHL)Peter Friedmann; Fiscal Year: 2007..Such increased access to therapy would benefit public health and public safety. ..
- Continuity of Care for Drug-Addicted Offenders in RIPeter Friedmann; Fiscal Year: 2006....
- Trazodone for Sleep Disturbance - Early Alcohol RecoveryPeter Friedmann; Fiscal Year: 2004..Our extensive contacts with community agencies and substance abuse treatment facilities should enhance follow-up rates. ..
- LINKAGE TO HEALTH SERVICES IN DRUG ABUSE TREATMENTPeter Friedmann; Fiscal Year: 2002..This work will improve our understanding of linkage mechanisms and of problem-service matching, and quantify the extent to which medical and psychosocial services are important components of effective drug abuse treatment. ..
- Stabilize Addiction/Affect, Begin Inmates' Interferon for HCV of Liver (STAABIHL)Peter Friedmann; Fiscal Year: 2009..Such increased access to therapy would benefit public health and public safety. ..