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Systematic evaluation and redesign of a substance use disorder treatment program resulted in elimination of wait times, same-day treatment, and increased pharmacotherapy for patients with alcohol and opioid use disorders., Competing Interests: Author disclosures The authors report no actual or potential conflicts of interest with regard to this article.

An accelerated dosing program for hepatitis A and B vaccination among veterans receiving treatment for addictive disorders was successfully implemented, although many veterans with hepatitis C did not complete the immunization series., Competing Interests: Author disclosures The authors report no actual or potential conflicts of interest with regard to this article.

Objective: The factor structure of the Eating Disorder Inventory (EDI) has not been thoroughly tested in Hispanic populations, yet researchers commonly use this instrument in Hispanic samples. Thus, it is important to establish the validity of the EDI in Hispanic populations. This article investigated measurement invariance of the EDI's three eating- and weight-related (eat/wt) scales because they are the most frequently used and are often used in isolation. These scales include Drive for Thinness, Bulimia, and Body Dissatisfaction., Method: Female undergraduates were recruited for a study on body image. The final sample (N = 688) included participants categorized as Hispanic (N = 385) or Caucasian (N = 303). They completed the EDI-3 and a measure of acculturation., Results: Measurement invariance analyses of the EDI-3 in Caucasian and Hispanic samples were conducted. The configural model provided an acceptable fit, providing support for the three-factor structure of the eat/wt scales in both the Caucasian and the Hispanic sample. However, weak invariance of the three-factor structure was not supported. When measurement invariance analyses were conducted on the three eat/wt scales separately, Drive for Thinness was the only scale to demonstrate measurement invariance., Discussion: The theoretical three-factor structure of the EDI eat/wt scales was supported in both ethnic groups. Furthermore, the Drive for Thinness scale can readily be used to make group comparisons across nonclinical samples of Caucasian and Hispanic women, but researchers should be cautious when using the other two eat/wt scales to make comparisons across these two groups., (© 2014 Wiley Periodicals, Inc.)

Military personnel and veterans smoke at higher rates than the general population, compromising physical performance readiness and health (Committee on Smoking Cessation in Military and Veteran Populations & Institute of Medicine, 2009). While efforts are being made within both the Department of Defense and the Veterans' Administration (VA) hospitals to prevent onset, change the smoking culture, and promote smoking cessation; smoking rates are increasing among combat deployed service members, and smoking rates are particularly high among veterans with mental health and other substance use disorders (McFall, 2006). Recent research supports making smoking cessation widely available and integrated with other forms of care (Gierisch et al., 2012; McFall et al., 2010). This paper describes the efforts of one VA substance use disorder (SUD) treatment program to integrate smoking cessation in routine care, including assessment of tobacco use and motivation and intention to quit via the proposed Nic-BAM assessment. Our team was 100% successful in incorporating the Nic-BAM into our regular assessment of treatment program participants. This suggests that staff members are amenable to assessing for tobacco addiction alongside other substance addictions. Although smoking did not decrease according to the Nic-BAM, an increase in the use of nicotine-replacement products suggests that participants are willing to initiate a quit attempt during SUD treatment. The availability of new evidence-based approaches for integration of tobacco cessation with mental health and SUD treatment may help to enhance programmatic efforts. Environmental changes are needed to fully incorporate tobacco recovery into SUD programming, and additional resources may include peer support specialists., (© 2013.)

The problem of waiting list attrition in addiction treatment programs is widespread, and homeless and marginally housed individuals are particularly susceptible. This naturalistic, retrospective study describes an intervention (Transitional Supportive Housing and Case Management) that effectively promoted treatment admission for this high-risk group above and beyond that which could be explained by certain pretreatment factors. The clinical records of 211 military veterans referred to intensive outpatient addiction treatment were reviewed for factors related to treatment program admission, including 3 interventions designed to prevent waiting list attrition. Chi-square tests evaluated univariate predictors of treatment entry, and a hierarchical binary logistic regression evaluated several variables simultaneously. Results showed that fewer than 50% of wait-listed patients achieved treatment admission. Univariate predictors of treatment entry were not having a current partner, having a legal problem, and having had past substance use disorder treatment. The logistic regression showed that patients who received the intervention were 4.5 times more likely to enter the treatment program, and individuals with a current legal problem were 2.5 times more likely to enter treatment. Participation in a weekly support group and/or contact with a psychiatric nurse practitioner did not increase the likelihood of program admission. It may be possible to enhance treatment entry for the homeless and marginally housed by providing case management and housing services. Future research is needed to determine how the individual-level factors predicting treatment entry in this study can be used to tailor other interventions to further address the problem of waiting list attrition., (PsycINFO Database Record (c) 2013 APA, all rights reserved.)

To determine whether the EAT-26 functions similarly in Caucasian and Hispanic samples, the current study investigated the factor structure of the Eating Attitudes Test (EAT-26) in 235 undergraduate Caucasian (53.6%) and Hispanic (46.4%) women, and tested for measurement invariance across the two samples. A Confirmatory Factor Analysis (CFA) of the original 3-factor structure of the EAT resulted in a poor fit in both the Caucasian and Hispanic samples. We then performed a CFA using a previously discovered 4-factor, 16-item structure. This abbreviated measure was a good fit in both the Caucasian and Hispanic samples, and the model was invariant across all dimensions tested. The 16-item EAT is a better-fitting measure in Caucasian and Hispanic women than the commonly used EAT-26. This replicates an earlier finding and generalizes those conclusions to a Hispanic sample., (Copyright © 2011 Elsevier Ltd. All rights reserved.)