Health and economic consequences of substance abuse. Substance use is a significant public health issue in the U.S. Over 57.8 million Americans aged 12 or older binge drink and 19.9 million individuals aged 12 or older use illicit drugs. Nearly one-fourth of Americans smoke cigarettes, and cigarette smoking remains the leading preventable cause of morbidity and mortality in the U.S(2) Over 22.3 million Americans meet criteria for a SUD Substance use among youth also remains a major public health problem. According to the schoolbased. Monitoring the Future study , almost half (47%) of all 12 graders have tried an illicit drug in their lifetime. Cannabis is the most prevalent illicit psychoactive substance used by adolescents in the U.S.(2) with 43% of 12th graders reporting marijuana use. Additionally, 72% of youth in this age group have used alcohol, and over 55% have been drunk. Approximately 45% of this group has used cigarettes. Further, rates of nonmedical use of prescripfion opioids among youth have markedly increased in the recent past (e.g., 1 in ten 12th graders report non-medical use of Vicodin in the past year)(3). Substance use results in numerous, significant social, medical, psychological, and economic consequences and is associated with marked productivity losses, criminality, and health care costs, including illness and infectious diseases, such as HIV and hepatifis. Approximately one in five deaths in the U.S. (more than one-half million persons each year) is a result of substance use(4). Recent esfimates indicate that the cost of SUDs in the U.S. is over one-half trillion dollars(5).

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Naslund, John A; Aschbrenner, Kelly A; Araya, Ricardo et al. (2017) Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature. Lancet Psychiatry 4:486-500
Aronson, Ian David; Bennett, Alexander; Marsch, Lisa A et al. (2017) Mobile Technology to Increase HIV/HCV Testing and Overdose Prevention/Response among People Who Inject Drugs. Front Public Health 5:217
Beckham, Jean C; Adkisson, Kelsie A; Hertzberg, Jeffrey et al. (2017) Mobile contingency management as an adjunctive treatment for co-morbid cannabis use disorder and cigarette smoking. Addict Behav 79:86-92
Ferron, Joelle C; Brunette, Mary F; Geiger, Pamela et al. (2017) Mobile Phone Apps for Smoking Cessation: Quality and Usability Among Smokers With Psychosis. JMIR Hum Factors 4:e7
Naslund, John A; Aschbrenner, Kelly A; Pratt, Sarah I et al. (2017) Association Between Cardiovascular Risk and Depressive Symptoms Among People With Serious Mental Illness. J Nerv Ment Dis 205:634-640
Naslund, John A; Aschbrenner, Kelly A; Scherer, Emily A et al. (2017) Health Promotion for Young Adults With Serious Mental Illness. Psychiatr Serv 68:137-143
Naslund, John A; Aschbrenner, Kelly A; McHugo, Gregory J et al. (2017) Exploring opportunities to support mental health care using social media: A survey of social media users with mental illness. Early Interv Psychiatry :
Jarvis, Brantley P; Dallery, Jesse (2017) Internet-based self-tailored deposit contracts to promote smoking reduction and abstinence. J Appl Behav Anal 50:189-205
Naslund, John A; Kim, Sunny Jung; Aschbrenner, Kelly A et al. (2017) Systematic review of social media interventions for smoking cessation. Addict Behav 73:81-93
Acosta, Michelle C; Possemato, Kyle; Maisto, Stephen A et al. (2017) Web-Delivered CBT Reduces Heavy Drinking in OEF-OIF Veterans in Primary Care With Symptomatic Substance Use and PTSD. Behav Ther 48:262-276

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