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Steve Mathias

2 papers in the library · 2 citations · publishing 2020-2023

Papers

Identifying early intervention opportunities for illicit stimulant use: A cross-sectional study of factors associated with illicit stimulant use among young people accessing integrated youth services in British Columbia, Canada.

Journal of substance use and addiction treatment August 1, 2023 Sara Kreim, Kirsten Marchand, Emilie Mallia et al. 2 citations

Among 5,620 young people aged 12–24 accessing integrated youth services in British Columbia, 2.9% reported using cocaine or amphetamine in the past 30 days. Older age and identifying as a man (vs. woman) were linked to higher odds of use. Witnessing or experiencing violence and higher involvement in crime or violence also increased risk. Regular alcohol use, regular or social tobacco use, and lifetime use of hallucinogens or ecstasy/MDMA were additional risk factors. These findings can help identify young people who may need further screening and early intervention for stimulant use.

Case report: Successful induction of buprenorphine/naloxone using a microdosing schedule and assertive outreach

Addiction Science & Clinical Practice January 19, 2020 Jennifer Rozylo, Keren Mitchell, Mohammadali Nikoo et al.

A high-risk patient with opioid use disorder who had previously failed buprenorphine/naloxone induction due to withdrawal symptoms was successfully started on a therapeutic dose using a microdosing regimen combined with assertive outreach. The team gradually increased the dose without causing withdrawal, and the patient continued consistent medication use for four weeks, gradually reducing illicit substance use. The case suggests that microdosing can minimize barriers to buprenorphine/naloxone induction and supports the need for larger studies.