يعرض 1 - 3 نتائج من 3 نتيجة بحث عن '"Aaron T. Berger"', وقت الاستعلام: 1.33s تنقيح النتائج
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    دورية أكاديمية

    المصدر: Drug and Alcohol Dependence Reports, Vol 11, Iss , Pp 100224- (2024)

    الوصف: Substance use disorder (SUD) remains one of the most persistent public health challenges across the nation and in Minnesota. One intervention to help people with SUD is peer recovery services (PRS). PRS is a form on non-clinical support where trained individuals who are more established in recovery come alongside people currently in the recovery journey and provide guidance in the treatment process, help in accessing resources, and offer an empathetic ear. In combination with other services in the continuum of care, PRS seeks to reduce harm from disordered use. In 2018, Minnesota made PRS for SUD a Medicaid reimbursable service. While prior literature demonstrates promising effects of PRS for SUD, especially in treatment retention and participant experience, most studies evaluated PRS in limited settings, rather than in a large-scale implementation. Our retrospective, matched-cohort study used administrative data to estimate the impact of initiating Medicaid-reimbursable PRS for SUD on treatment, overdose, and mortality. Our results align, in some dimensions, with prior literature evaluating smaller-scale programs with positive impacts on treatment completion. We also find, however, that PRS at scale did not produce other positive outcomes that past studies have documented, particularly around overdose and inpatient treatment. This suggests that PRS follows a common challenge of implementing promising ideas at scale.

    وصف الملف: electronic resource

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    الوصف: Sleep disturbance and insufficiency are associated with physical and mental health problems in school-aged adolescent children. Early start times (before 8:30 a.m.) restrict sleep for adolescents at over 80% of US middle and high schools. Delaying school start times could be an effective population-level strategy to promote adolescent health and well-being. We review the evidence for the effect of school start time on adolescent sleep, academic achievement and truancy, and mental and physical health. Consistent evidence shows that adolescents at later-starting schools sleep longer than those at earlier-starting schools. Limited evidence suggests that students at later-starting schools may learn more, attend school more regularly, have fewer mental health problems, and are less prone to unintentional injury. We conclude by discussing the trade-offs school districts weigh when considering scheduling changes, and the need for school start time research to improve study design and expand the scope of outcomes.