Kyoto University · Medicine
Professor Ethan Sahker's research lab focuses on improving substance use disorder (SUD) care through health services research, with a strong emphasis on treatment access, screening effectiveness, and outcomes across diverse populations—particularly older adults and young adults in higher education settings. The lab investigates disparities in treatment utilization, evaluates the reliability of screening tools like AUDIT, and explores patient-centered approaches to enhance engagement and retention in care. Research is grounded in real-world data from state treatment systems, aiming to inform policy and clinical practice.
Figures are computed from collected data and may differ slightly.
We present an updated SUD treatment gap evaluation, and identify access and screening characteristics associated with SUD treatment receipt. Policymakers, clinicians, and researchers must continue improving access and identification of those in need of care.
Treatment providers seem to have greater results retaining students in shorter periods. Suggestions for higher education treatment engagement are discussed.
Objectives To compare substance use treatment differences of individuals aged 65 and older with that of those younger than 65 by analyzing smaller age groupings. Design A retrospective analysis using K ruskal– W allis chi‐square and chi‐square tests of association. Covariates were entered into an adjusted logistic regression to predict successful treatment completion. Setting Iowa substance use disorder treatment centers. Participants Individuals aged 30 to 96 admitted to substance use treatment
While a minority may be satisfied with the best currently available antidepressants, more effective and/or less burdensome medications are needed, with more attention given to patient perspectives.
The present findings contribute to the literature by demonstrating that the AUDIT changes are moderately dependable from Visit 1 to Visit 2 while taking into account patient drinking behavior variability. It is important to know the stability of the AUDIT for continued use in Screening, Brief Intervention, and Referral to Treatment programming.
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