Registered Dietitian Nutritionists in Substance Use Disorder Treatment Centers

Wiss, David A.; Schellenberger, Maria; Prelip, Michael

doi:10.1016/j.jand.2017.08.113

Cited by 11 publications

(10 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A longer duration of monitoring following the nutritional intervention may have been necessary to detect any long-term preventive effects on weight gain. Overall, implementing nutritional assessments and interventions within OUD treatments may be a promising future direction of non-pharmacological treatment strategies (Jeynes & Gibson, 2017; Wiss, Schellenberger, & Prelip, 2017; Wiss & Waterhous, 2014).…”

Section: Resultsmentioning

confidence: 99%

Double jeopardy: a review of weight gain and weight management strategies for psychotropic medication prescribing during methadone maintenance treatment

Schlienz

Huhn

Speed

et al. 2018

International Review of Psychiatry

View full text Add to dashboard Cite

Methadone maintenance treatment (MMT) is an important treatment tool for the opioid epidemic. One challenge is that many persons who present for MMT also have co-occurring psychiatric disorders. Individually, both methadone and psychiatric medications carry risk of weight gain. Therefore, concurrent prescribing of methadone and psychiatric medications places dual diagnosis patients at even greater risk. As a parallel obesity epidemic grows, results from clinical trials assessing weight gain and weight management strategies among MMT and psychiatric patients can both inform and guide clinical practice. Here, we review findings from a literature search for recent clinical trials that focused on weight gain and weight management strategies during MMT with concurrent psychotropic medication use. While several studies have documented weight gain during MMT and psychotropic medication treatment, we failed to identify recent work that explored concurrent prescribing. Most weight management strategies involved the use of additional medications and available data suggests that MMT and concurrent use of psychotropic medications increases the risk for obesity. More robust research is needed on weight gain and potential mitigation strategies when these treatment modalities are jointly utilized. Clarification of underlying biological mechanisms and development of non-pharmacological interventions merit further consideration.

show abstract

Section: Resultsmentioning

confidence: 99%

Double jeopardy: a review of weight gain and weight management strategies for psychotropic medication prescribing during methadone maintenance treatment

Schlienz

Huhn

Speed

et al. 2018

International Review of Psychiatry

View full text Add to dashboard Cite

show abstract

“…Taken together, FI may partially explain the impact of drug use on depression, with a cumulative impact over the life course. Intervening on FI through targeted nutrition interventions including life skills such as grocery shopping and cooking (74,75) might have potential to alleviate depressive symptoms among those dependent on drugs, which should be investigated in prospective cohorts.…”

Section: Discussionmentioning

confidence: 99%

Food insecurity partially mediates the association between drug use and depressive symptoms among men who have sex with men in Los Angeles, California

Wiss¹,

Javanbakht

et al. 2021

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To understand the relationship between drug use, food insecurity (FI), and mental health among men who have sex with men (MSM). Design: Cohort study (2014-2019) with at least one follow-up. Setting: Visits at 6-month intervals included self-assessment for FI and depressive symptoms. Urine testing results confirmed drug use. Factors associated with FI were assessed using multiple logistic regression with random effects for repeated measures. General structural equation modeling tested whether FI mediates the relationship between drug use and depressive symptoms. Participants: Data were from HIV-positive and high-risk HIV negative MSM in Los Angeles, CA (n=431; 1,192 visits). Results: At baseline, FI was reported by 50.8% of participants, depressive symptoms in 36.7%, and 52.7% of urine screening tests were positive for drugs (i.e., marijuana, opioids, methamphetamine, cocaine, ecstasy). A positive drug test was associated with a 96% increase in the odds of being food insecure (95% CI: 1.26-3.07). Compared to those with high food security, individuals with very low food security have a nearly 7-fold increase in the odds of reporting depressive symptoms (95% CI: 3.71-11.92). Findings showed 14.9% of the association between drug use (exposure) and depressive symptoms (outcome) can be explained by FI (mediator). Conclusion: The prevalence of FI among this cohort of HIV-positive and high-risk HIV-negative MSM was high; the association between drug use and depressive symptoms was partially mediated by FI. Findings suggest that enhancing access to food and nutrition may improve mood in the context of drug use, especially among MSM at risk for HIV-transmission.

show abstract

“…It does appear that the job of conducting nutrition education groups would be best filled by an RDN, but unless insurance covers dietitian services in SUD settings, it is unreasonable to expect SUD facilities to have such capacity. A recent article describing the potential role of the RDN in treatment settings has been published (45) . The current study highlights barriers to implementation of nutrition education that may be useful for future intervention studies, where clearly more data are needed.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have suggested that individualised nutrition interventions may improve opioid treatment outcomes (44) , yet the role of nutrition in SUD recovery remains understudied. Topics for educational groups in treatment settings have been proposed (45) , and it has been shown that hands-on nutrition and culinary interventions can be done in small residential settings where there are financial constraints (31,46) . Considering the growing interest in developing nutrition-related programming for SUD, more research about programme design and implementation is warranted.…”

Section: Substance Use Disorder Addiction Treatmentmentioning

confidence: 99%

Staff-perceived barriers to nutrition intervention in substance use disorder treatment

Wiss

Russell

Prelip

2020

Public Health Nutr.

View full text Add to dashboard Cite

Objective: While organisational change in substance use disorder (SUD) treatment has been extensively studied, there is no research describing facility-wide changes related to nutrition interventions. This study evaluates staff-perceived barriers to change before and after a wellness initiative. Design: A pre-intervention questionnaire was administered to participating staff prior to facility-wide changes (n 40). The questions were designed to assess barriers across five domains: (1) provision of nutrition-related treatment; (2) implementation of nutrition education; (3) screening, detecting and monitoring (nutrition behaviours); (4) facility-wide collaboration and (5) menu changes and client satisfaction. A five-point Likert scale was used to indicate the extent to which staff anticipate difficulty or ease in implementing facility-wide nutrition changes, perceived as organisational barriers. Follow-up questionnaires were identical to the pre-test except that it examined barriers experienced, rather than anticipated (n 50). Setting: A multisite SUD treatment centre in Northern California which began implementing nutrition programming changes in order to improve care. Participants: Staff members who consented to participate. Results: From pre to post, we observed significant decreases in perceived barriers related to the provision of nutrition-related treatment (P = 0·019), facility-wide collaboration (P = 0·036), menu changes and client satisfaction (P = 0·024). Implementation of nutrition education and the domain of screening, detecting and monitoring did not reach statistical significance. Conclusions: Our results show that staff training, food service changes, the use of targeted curriculum for nutrition groups and the encouragement of discussing self-care in individual counselling sessions can lead to positive shifts about nutrition-related organisational change among staff.

show abstract

Registered Dietitian Nutritionists in Substance Use Disorder Treatment Centers

Cited by 11 publications

References 67 publications

Double jeopardy: a review of weight gain and weight management strategies for psychotropic medication prescribing during methadone maintenance treatment

Double jeopardy: a review of weight gain and weight management strategies for psychotropic medication prescribing during methadone maintenance treatment

Food insecurity partially mediates the association between drug use and depressive symptoms among men who have sex with men in Los Angeles, California

Staff-perceived barriers to nutrition intervention in substance use disorder treatment

Contact Info

Product

Resources

About