Substance Abuse
DrugHelp.Care
Professors Patricia Stoddard-Dare and Miyuki Fukushima Tedor developed drughelp.care in the fall of 2018 to improve access to drug treatment services, reduce wait times, and better ensure that substance users get the help they need immediately. The app allows agencies to log the services they provide and update their available treatment slots and wait time on a daily basis. The app essentially offers a centralized hub for the recovery community to share information on treatment options and allows anyone to instantaneously identify local treatment facilities that have availability at any given moment in time.
The goal of this free web app is to improve efficiency in service delivery within substance abuse treatment community.
Currently close to 60 substance abuse treatment agencies in and around Cuyahoga County have registered over 300 unique services to drughelp.care and are updating daily the availability and wait time of assessment, outpatient, intensive outpatient, partial hospitalization, clinically managed residential, medically monitored inpatient, and sober living programs. For each of these services, agencies provided detailed information on evidence-based interventions, medically assisted treatment, dual diagnosis care specialties, accepted form of payment/insurance, eligibility criteria, focusses and accommodations, and additional services. The website is fully searchable, allowing treatment providers, first responders, or individuals seeking treatment to find available services that match their needs at the click of a button.
Faculty Affiliates and Research Partners
Contact the co-creator and principal investigator, Miyuki Fukushima Tedor, for any inquiry on this project at m.fukushima@csuohio.edu.
The project has been supported by a team of CSU faculty and stuff, including Patricia Stoddard-Dare (co-creator, Social Work), Wenbing Zhao (Engineering), Anne. H Berry (Graphic Design), Bill Kosteas (Economics), and 14 CSU students.
Community Partners
- ADAMSH Board, Cuyahoga County
- St. Vincent Charity Hospital
- Cuyahoga County Board of Health
- Cuyahoga County Opiate Taskforce
- United Way 211 of Cleveland
Funding
Totaling $232,707 received as of 2019:
$190,338 (year one, Tedor as PI) from a $13.2 million 3-year grant ($4,411,596 year one) awarded by the Cuyahoga County Board of Health (2019). Data to Action: Linkage to Care Center for Disease Control, funded
$4,969 (2019, Tedor as PI). Faculty Scholarship Initiative, Evaluation of drughelp.care, funded
$4,400 (2019, Stoddard-Dare as PI). Faculty Scholarship Initiative, Phase two of drughelp.care: Development and testing of a layperson user interface and educational messages focused on medication assisted treatment, funded.
$20,000 (2018, Tedor as PI). Woodruff Foundation, Development of a Mobile App/Web Service for Matching Drug Addiction Treatment Services, funded.
$8,000 (2017, Tedor as PI). Faculty Research and Development Grant-IoT, Development of a Mobile App/Web Service for Matching Drug Addiction Treatment Services, funded.
$5,000 (2017, Tedor as PI). Center for Behavioral Health Research Pilot Grant, Development of a Mobile App/Web Service for Matching Drug Addiction Treatment Services, funded.
Media
Community Presentations
- Data Days CLE
- IOT Collaborative
- ADAMHs Board Community Meetings
- Cuyahoga County Opiate Taskforce
- Safe Passages Stakeholders Meetings
- CareSource
- MHAC
- Center for Health Affairs Northeast Ohio Hospital Opioid Consortium
- Miracles of Recovery breakfast
- Stark County Opiate Taskforce
- Families Impacted by Addiction conference
- An interprofessional learning opportunity regarding pain and the opioid epidemic (for 350 OT, PT, Nursing, Speech, Pharmacy, Medicine and Social Work students)
Other presentations
Stoddard-Dare, P. (2019). Cuyahoga County Addiction and Mental Health Board, Roads to Recovery Conference, “Learn to use the drughelp.care app,” October 21, 2019, Cleveland, Ohio.
Publications
Hiriyanna, S., Tedor, M., Stoddard-Dare, P. & Zhao, W. (2018). Design and Development of Web-Based System for Matching a Drug Addiction Treatment Service with Substance Users, Applied System Innovation, 1(47), 1-15. DOI: 10.3390/asi1040047
Stoddard-Dare, P. DeBoth, K., Wedland, M., Suder, R., Dugan, Bowen, Neideritter, and Tedor, M. An interprofessional learning opportunity regarding pain and the opioid epidemic, Advances in Social Work Practice. (under review)
Goals, future direction
The drughelp.care team is currently working on the second version of the web app targeted for use by the general public, which will significantly improve the search functionality and will have educational messages. Dr. Tedor plans to secure the second- and third-year funding from the CDC, and the team plans to complete the project within the next 3 years.
In Search of Dynamic Risk Factors to Reduce Opioid Cravings
This research area comprises several related projects which seek to harness the benefits of technology to develop a mobile app for individuals in opioid treatment. The app would provide person-specific risk factor patterns of individuals seeking to reduce their opioid use. These patterns can afford treatment providers real-time feedback to more effectively address clients’ cravings and possible relapses. In an effort to improve the effectiveness of opioid treatment, this project seeks to (1) develop a cellphone application (CuTrak) and automated statistical algorithms to identify person-specific risk factor patterns for increased craving and sobriety lapses in the daily lives of opioid use disorder patients who are completing an outpatient treatment program, and (2) to evaluate the clinical utility of monitoring and employing the pattern-detection algorithm to inform treatment care providers of their patients’ status on opioid treatment outcomes.
Faculty Affiliates and Research Partners
Ilya Yaroslavsky, Sandra Hurtado-Rua, Wenbing Zhao, & Cathleen A. Lewandowski
Research Partners: Julia Phillips, and CSU Students
Primary Community Partners
St. Vincent Charity Medical Center
Ravenwood Health
Funding
Totaling $257,819 received as of 2020:
$252,819, Ohio Department of Higher Education Third Frontier (2020) “CuTrak: Development of a cell phone application to monitor cravings and sobriety lapses among opioid use disorder patients.”
$5,000, In Search of Dynamic Risk Factor Patterns for Opioid Use and Cravings: An Experience Sampling and Intervention Study” (2017-2018). Center for Behavioral Health Research Pilot Grant.
Media
Presentations
*Presentation authored/co-authored by student mentee
- *Dunn, C., Scamaldo, K., Sisk, S., Hostetler, S., & Yaroslavsky, I. (2019, April). Maladaptive and substance use emotion regulation predicting problematic substance use. Paper presented at the 91st annual meeting of the Midwestern Psychological Association, Chicago, IL.
- *Sisk, S., Scamaldo, K., Bolla, P., Hostetler, S., & Yaroslavsky, I. (2019, April). Depression severity and instructed emotion regulation outcomes in depressed adults. Paper presented at the 91st annual meeting of the Midwestern Psychological Association, Chicago, IL.
- *Bolla, P., Scamaldo, K., Oravec, K., Hostetler, S. & Yaroslavsky, I. (2018, November). Trait Rumination and Substance Use independently predict Depressive Symptoms. Poster presented at the 52nd annual convention of the Association for Behavioral Cognitive Therapies, Washington, DC.
Future Goals & Directions
The CBHS research team is continuing to conduct a series of focus groups with outpatient clients in treatment for opioid use problems and their clinicians to inform CuTrak’s development and the parameters of our approach to opioid risk detection. Pilot data is being used to develop and test CuTrak with funding from the Ohio Department of Higher Education Third Frontier Research project.
Needs Assessment for Substance Abuse and Mental Health Treatment
Professors Cathleen Lewandowski and Miyuki Fukushima Tedor with Patricia Stoddard-Dare, Ilya Yaroslavsky, and Sandra Hurtado-Rua completed a needs assessment for substance abuse and mental health services in Cuyahoga County, Ohio. The needs assessment was commissioned by the Cuyahoga County Alcohol, Drug and Mental Health Services Board of Cuyahoga County (ADAMHS Board) as part of the agency’s strategic planning to identify the greatest need for services and for purposes of planning, funding, evaluating and advocacy. The Needs Assessment, conducted in 2020, evaluated current mental health and substance use disorder treatment and recovery support services, identified gaps in services, and proposed recommendations for change at many levels in the Cuyahoga County system of care.
Faculty Affiliates and Research Partners
Contact Co-Principal Investigators, Cathleen Lewandowski c.lewandowski@csuohio.edu, or Miyuki Fukushima Tedor, m.fukushima@csuohio.edu for any inquiry on this project.
Community Partner
ADAMHS Board Cuyahoga County
Funding
60,050.00, ADAMHS Board of Cuyahoga County
Community Presentation
ADAMHS Board Presentation, May 15, 2020
Publication
Lewandowski, C. A. & Tedor, M. F. 2020., prepared for Alcohol, Drug Addiction, and Mental Health Services Board of Cuyahoga County, May 15, 2020, Center for Behavioral Health Sciences, Cleveland State University.
Further Direction
Dr. Lewandowski and Dr. Tedor, along with other faculty affiliates, plan to conduct similar needs assessment studies in other counties. Findings from the study are being used to inform the need for services in the area of substance abuse and mental health, and to provide background data for grant proposal