Dr. Jane Liebschutz is an academic physician in general internal medicine/primary care with experience studying health effects of interpersonal violence using both qualitative and quantitative methods. She seeks a K23 award to become a leader in the development of treatment approaches for persons with co-occurring substance use disorders (SUD) and post-traumatic stress disorder (PTSD) in the primary care setting. To advance her goals, she will also focus on chronic non-cancer pain, a condition both associated with SUD and PTSD and a common clinical presentation of patients with these conditions in the primary care setting. As part of her K23 award, she will conduct a cross-sectional study of primary care patients with chronic non- cancer pain to describe the prevalence of co-occurring SUD and PTSD and treatment needs.
(AIM 1) Using qualitative research methods, she will conduct a focus group study of primary care physicians to explore preferences for primary care based interventions for patients with co-occurring SUD, PTSD and chronic pain.
(AIM 2). She will utilize information gathered in these two projects in conjunction with established behavioral therapies for patients with SUD and PTSD to develop a multi-disciplinary behavioral intervention for co- occurring SUD, PTSD and chronic pain for the primary care setting.
(AIM 3) Career development activities for this award include mentoring by individuals with extensive research experience in addiction, dual diagnosis and PTSD, directed readings, graduate level coursework, immersion in specialty settings (PTSD training center, substance abuse treatment program, pain rehabilitation program), attendance at specialty conferences, and the research itself. Completion of the proposed work will prepare Dr. Liebschutz to independently investigate the treatment of co-occurring substance use disorder and PTSD in the primary care setting.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
3K23DA016665-03S2
Application #
7435080
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Kahana, Shoshana Y
Project Start
2004-07-25
Project End
2009-06-30
Budget Start
2006-07-01
Budget End
2007-06-30
Support Year
3
Fiscal Year
2007
Total Cost
$16,200
Indirect Cost
Name
Boston Medical Center
Department
Type
DUNS #
005492160
City
Boston
State
MA
Country
United States
Zip Code
02118
McCall-Hosenfeld, Jennifer S; Winter, Michael; Heeren, Timothy et al. (2014) The association of interpersonal trauma with somatic symptom severity in a primary care population with chronic pain: exploring the role of gender and the mental health sequelae of trauma. J Psychosom Res 77:196-204
Meltzer, Ellen C; Rybin, Dennis; Meshesha, Lidia Z et al. (2012) Aberrant drug-related behaviors: unsystematic documentation does not identify prescription drug use disorder. Pain Med 13:1436-43
Meltzer, Ellen C; Averbuch, Tali; Samet, Jeffrey H et al. (2012) Discrepancy in diagnosis and treatment of post-traumatic stress disorder (PTSD): treatment for the wrong reason. J Behav Health Serv Res 39:190-201
Meltzer, Ellen C; Rybin, Denis; Saitz, Richard et al. (2011) Identifying prescription opioid use disorder in primary care: diagnostic characteristics of the Current Opioid Misuse Measure (COMM). Pain 152:397-402
Taft, Casey; Schwartz, Sonia; Liebschutz, Jane M (2010) Intimate partner aggression perpetration in primary care chronic pain patients. Violence Vict 25:649-61
Schwartz, Sonia; Hoyte, Joel; James, Thea et al. (2010) Challenges to Engaging Black Male Victims of Community Violence in Healthcare Research: Lessons Learned From Two Studies. Psychol Trauma 2:54-62
Liebschutz, Jane; Schwartz, Sonia; Hoyte, Joel et al. (2010) A chasm between injury and care: experiences of black male victims of violence. J Trauma 69:1372-8
Liebschutz, Jane M; Saitz, Richard; Weiss, Roger D et al. (2010) Clinical factors associated with prescription drug use disorder in urban primary care patients with chronic pain. J Pain 11:1047-55
McCall-Hosenfeld, Jennifer S; Liebschutz, Jane M; Spiro, Avron et al. (2009) Sexual assault in the military and its impact on sexual satisfaction in women veterans: a proposed model. J Womens Health (Larchmt) 18:901-9
McCall-Hosenfeld, Jennifer S; Freund, Karen M; Liebschutz, Jane M (2009) Factors associated with sexual assault and time to presentation. Prev Med 48:593-5

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