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  1. Article ; Online: Reported Risky Alcohol Use Among US Adults Prescribed 3 Classes of Chronic Alcohol-Interactive Medications.

    Bernstein, Eden Y / Baggett, Travis P / Anderson, Timothy S

    JAMA

    2024  Volume 330, Issue 15, Page(s) 1488–1490

    MeSH term(s) Alcohol Drinking/epidemiology ; Drug Interactions ; Risk-Taking ; Health Risk Behaviors ; Humans ; Adult ; United States/epidemiology ; Alcohol Deterrents/classification ; Alcohol Deterrents/pharmacology ; Alcohol Deterrents/therapeutic use ; Chronic Disease
    Chemical Substances Alcohol Deterrents
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2023.16641
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  2. Article ; Online: COVID-19 and homelessness: when crises intersect.

    Baggett, Travis P / Gaeta, Jessie M

    The Lancet. Public health

    2021  Volume 6, Issue 4, Page(s) e193–e194

    MeSH term(s) COVID-19 ; Cross-Sectional Studies ; France ; Homeless Persons ; Humans ; Paris ; Risk Factors ; SARS-CoV-2 ; Seroepidemiologic Studies
    Language English
    Publishing date 2021-02-06
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 2468-2667
    ISSN (online) 2468-2667
    DOI 10.1016/S2468-2667(21)00022-0
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  3. Article ; Online: Outcomes After Initiation of Medications for Alcohol Use Disorder at Hospital Discharge.

    Bernstein, Eden Y / Baggett, Travis P / Trivedi, Shrunjal / Herzig, Shoshana J / Anderson, Timothy S

    JAMA network open

    2024  Volume 7, Issue 3, Page(s) e243387

    Abstract: Importance: US Food and Drug Administration-approved medications for alcohol use disorder (MAUD) are significantly underused. Hospitalizations may provide an unmet opportunity to initiate MAUD, but few studies have examined clinical outcomes of patients ...

    Abstract Importance: US Food and Drug Administration-approved medications for alcohol use disorder (MAUD) are significantly underused. Hospitalizations may provide an unmet opportunity to initiate MAUD, but few studies have examined clinical outcomes of patients who initiate these medications at hospital discharge.
    Objective: To investigate the association between discharge MAUD initiation and 30-day posthospitalization outcomes.
    Design, setting, and participants: This cohort study was conducted among patients with Medicare Part D who had alcohol-related hospitalizations in 2016. Data were analyzed from October 2022 to December 2023.
    Exposures: Discharge MAUD initiation was defined as oral naltrexone, acamprosate, or disulfiram pharmacy fills within 2 days of discharge.
    Main outcomes: The primary outcome was a composite of all-cause mortality or return to hospital (emergency department visits and hospital readmissions) within 30 days of discharge. Secondary outcomes included these components separately, return to hospital for alcohol-related diagnoses, and primary care or mental health follow-up within 30 days of discharge. Propensity score 3:1 matching and modified Poisson regressions were used to compare outcomes between patients who received and did not receive discharge MAUD.
    Results: There were 6794 unique individuals representing 9834 alcohol-related hospitalizations (median [IQR] age, 54 [46-62] years; 3205 hospitalizations among females [32.6%]; 1754 hospitalizations among Black [17.8%], 712 hospitalizations among Hispanic [7.2%], and 7060 hospitalizations among White [71.8%] patients). Of these, 192 hospitalizations (2.0%) involved discharge MAUD initiation. After propensity matching, discharge MAUD initiation was associated with a 42% decreased incidence of the primary outcome (incident rate ratio, 0.58 [95% CI, 0.45 to 0.76]; absolute risk difference, -0.18 [95% CI, -0.26 to -0.11]). These findings were consistent among secondary outcomes (eg, incident rate ratio for all-cause return to hospital, 0.56 [95% CI, 0.43 to 0.73]) except for mortality, which was rare in both groups (incident rate ratio, 3.00 [95% CI, 0.42 to 21.22]). Discharge MAUD initiation was associated with a 51% decreased incidence of alcohol-related return to hospital (incident rate ratio, 0.49 [95% CI, 0.34 to 0.71]; absolute risk difference, -0.15 [95% CI, -0.22 to -0.09]).
    Conclusion and relevance: In this cohort study, discharge initiation of MAUD after alcohol-related hospitalization was associated with a large absolute reduction in return to hospital within 30 days. These findings support efforts to increase uptake of MAUD initiation at hospital discharge.
    MeSH term(s) Female ; Humans ; Aged ; United States/epidemiology ; Middle Aged ; Patient Discharge ; Alcoholism/drug therapy ; Alcoholism/epidemiology ; Cohort Studies ; Medicare ; Hospitals
    Language English
    Publishing date 2024-03-04
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2024.3387
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  4. Article ; Online: Annals On Being a Doctor Story Slam--Amazing Grace.

    Baggett, Travis P

    Annals of internal medicine

    2016  Volume 164, Issue 2, Page(s) SS3

    MeSH term(s) Empathy ; Homeless Persons/psychology ; Humans ; Male ; Mentally Ill Persons/psychology ; Middle Aged ; Narration ; Physician-Patient Relations ; Physicians, Primary Care/psychology
    Language English
    Publishing date 2016-01-19
    Publishing country United States
    Document type Journal Article ; Personal Narratives ; Webcasts
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/V15-0014
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  5. Article ; Online: Pharmacologic Treatment Initiation Among Medicare Beneficiaries Hospitalized With Alcohol Use Disorder.

    Bernstein, Eden Y / Baggett, Travis P / Trivedi, Shrunjal / Herzig, Shoshana J / Anderson, Timothy S

    Annals of internal medicine

    2023  Volume 176, Issue 8, Page(s) 1137–1139

    MeSH term(s) Aged ; Humans ; Alcohol Drinking/adverse effects ; Alcoholism/drug therapy ; Hospitalization ; Medicare ; Retrospective Studies ; United States ; Male ; Female ; Adolescent ; Adult ; Middle Aged
    Language English
    Publishing date 2023-06-27
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M23-0641
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  6. Article ; Online: "I'm on the Right Path": Exploring 1-Month Retention in a Homeless-Tailored Outpatient-Based Opioid Treatment Program.

    Fine, Danielle R / Critchley, Natalia / Hart, Katherine / Joyce, Andrea / Sporn, Nora / Gaeta, Jessie / Wright, Joe / Baggett, Travis P / Kruse, Gina

    Substance use & addiction journal

    2024  Volume 45, Issue 2, Page(s) 268–277

    Abstract: Background: Homeless-tailored office-based opioid treatment (OBOT) programs have been developed to address the ongoing opioid overdose crisis, which disproportionately affects people experiencing homelessness. The objective of this study was to evaluate ...

    Abstract Background: Homeless-tailored office-based opioid treatment (OBOT) programs have been developed to address the ongoing opioid overdose crisis, which disproportionately affects people experiencing homelessness. The objective of this study was to evaluate the facilitators of and barriers to retention in a homeless-tailored OBOT program.
    Methods: We performed in-depth qualitative interviews with 24 homeless-experienced adults who newly enrolled in Boston Health Care for the Homeless Program's OBOT program from January 6, 2022 through January 5, 2023. We purposively sampled participants based on whether they were retained at 1 month (n = 12) or not (n = 12). We used an abductive analytic process, applying codes to the interview transcripts from an a priori analytic framework based on the Behavioral Model for Vulnerable Populations and supplementing with emergent codes as needed. We compared themes by participants' 1-month retention status to explore facilitators of and barriers to retention in OBOT care.
    Results: The average age was 41.9 years, 29.2% were female, 20.8% were Black, 58.3% were White, and 33.0% were Hispanic. Facilitators of retention common to many participants included the clinic experience, low-threshold model, clinic staff, and provision of comprehensive care. Among participants who were retained at 1-month, personal motivation, use of extended-release buprenorphine, and adequate buprenorphine efficacy were additional facilitators. Barriers to retention common to many participants included the clinic's surrounding environment, competing subsistence difficulties, and transportation difficulty. Among participants who were not retained at 1-month, opioid use severity, drug use in social networks, and inadequate buprenorphine efficacy represented additional barriers.
    Conclusions: We identified several common determinants of OBOT retention among our homeless-experienced participants as well as some facilitators and barriers that differed by 1-month retention status. These divergent factors represent potential points of intervention to promote retention in homeless-tailored OBOT programs.
    MeSH term(s) Adult ; Humans ; Female ; Male ; Analgesics, Opioid/therapeutic use ; Outpatients ; Opiate Substitution Treatment ; Buprenorphine ; Ill-Housed Persons
    Chemical Substances Analgesics, Opioid ; Buprenorphine (40D3SCR4GZ)
    Language English
    Publishing date 2024-01-07
    Publishing country United States
    Document type Journal Article
    ISSN 2976-7350
    ISSN (online) 2976-7350
    DOI 10.1177/29767342231218529
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  7. Article ; Online: COVID-19 and homelessness

    Travis P Baggett / Jessie M Gaeta

    The Lancet Public Health, Vol 6, Iss 4, Pp e193-e

    when crises intersect

    2021  Volume 194

    Keywords Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Mortality Trends Among Adults Experiencing Homelessness in Boston, Massachusetts From 2003 to 2018.

    Dickins, Kirsten A / Fine, Danielle R / Adams, Logan D / Horick, Nora K / Lewis, Elizabeth / Looby, Sara E / Baggett, Travis P

    JAMA internal medicine

    2023  Volume 183, Issue 5, Page(s) 488–490

    MeSH term(s) Adult ; Humans ; Boston ; Ill-Housed Persons ; Massachusetts
    Language English
    Publishing date 2023-03-13
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2699338-7
    ISSN 2168-6114 ; 2168-6106
    ISSN (online) 2168-6114
    ISSN 2168-6106
    DOI 10.1001/jamainternmed.2022.7011
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  9. Article ; Online: Health Care Utilization among Homeless-Experienced Adults Who Were Seen by a Mobile Addiction Health Clinic in Boston, Massachusetts: A Quasi-Experimental Study.

    Fine, Danielle R / Joyce, Andrea / Chang, Yuchiao / Lewis, Elizabeth / Weinstock, Karen / Wright, Joseph / Gaeta, Jessie / Song, Zirui / Baggett, Travis P

    Substance use & misuse

    2023  Volume 58, Issue 9, Page(s) 1115–1120

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) United States ; Adult ; Humans ; Female ; Male ; Boston/epidemiology ; Mobile Health Units ; Delivery of Health Care ; Patient Acceptance of Health Care ; Massachusetts ; Telemedicine ; Ill-Housed Persons ; Emergency Service, Hospital ; Retrospective Studies
    Language English
    Publishing date 2023-05-15
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 1310358-1
    ISSN 1532-2491 ; 1082-6084
    ISSN (online) 1532-2491
    ISSN 1082-6084
    DOI 10.1080/10826084.2023.2212279
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  10. Article ; Online: A piece of my mind. The proud paratrooper.

    Baggett, Travis P

    JAMA

    2013  Volume 309, Issue 20, Page(s) 2109–2110

    MeSH term(s) Aged ; Alcoholism ; Homeless Persons ; Humans ; Male ; Physician-Patient Relations ; Veterans/psychology ; Vietnam Conflict ; Volunteers
    Language English
    Publishing date 2013-05-22
    Publishing country United States
    Document type Journal Article ; Personal Narratives
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2013.3044
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