Joseph R. Guydish, Ph.D., M.P.H.
Professor
University of California, San Francisco
Phone: (415) 475-0954
Fax: (415) 476-0705
E-mail: Joseph.Guydish@ucsf.edu
Our research has focused on the needs of indigent persons who have substance abuse problems. In this context we have investigated HIV prevention, drug abuse treatment outcomes, changes in national policy, and efforts to improve drug abuse treatment systems. In 1986, we began investigating needle exchange programs as a HIV preveention strategy, and have continued this line of research into recent years. In a subsequent project, we broadened our work beyond HIV prevention strategy, and have continued this line of research into recent years. In a subsequent project, we broadened our work beyond HIV prevention to treatment effectivenss research, investigating outcomes of day treatment in comparison with residential treatment. Later randomized trials investigated a probation case management intervention for drug-involved women offenders and a manualized group intervention for methamphetamine users. In collaboration with Dr. Sorensen, I co-lead a regional node of the National Institute on Drug Abuse (NIDA) Clinical Trials Network, which is designed to test treatments in multi-site effectiveness trials.
Working with county programs and agencies, we have also had opportunity to study changes in treatment systems. The first of these created a centralized intake and referral system for clients seeking ulicly-funded drug abuse treatment. The second was designed to improve accesss to community services for drug-involved women offenders, and the third investigated the impact of 1997 changes in SSI elgibility requirements that ended drug and alcohol abuse as a disability category.
In recent years, we have studied systems change more directly, investigating how promising interventions are adopted into clinical practice. As a component of Dr. Sharon Hall's NIH/NIDA P50 Center grant, we are conducting an observational study on how treament programs change clincial practices related to nicotine dependence. In our most recent NIH/NIDA award we are implementing and testing a model of organizational change, related to nicotine dependence services, using a manualized intervention and a multi-site quasi experimental design. These projects have brought our work into the national context, where state and local departments of public health are grappling with the probelm of access, the utilization, and the cost of substance abuse treatment.
Selected Publications
Sorensen, J.L., Andrews, S., Delucchi, D.L., Greenberg, B., Guydish, J., Masson, C.L., Shopshire, M. (2009) Methadone patients in the therapeutic community; A test of equivalency. Drug and Alcohol Dependence, 100(1) 100-109. PMID: 19013724
Chun. J., Guydish, J., Silber, E., & Gleghorn, A. (2008). Drug treatment outcomes for persons on waiting lists. American Journal of Drug and Alcohol Abuse, 34, 526-533. PMID: 18618338.
Guydish, J., Chan M., Bostrom, A., Davis, T., Marsh, C. & Jessup, M. (prepublished online July 3, 2008) A randomized trial of probation case management for drug-ivolved women offenders. Crime & Delinquency. DOI: 10.1177/0011128708318944
Guydish, J., Passalacqua, E., Tajima, J. & Manser, S.T. (2007). Staff smoking and other barriers to nicotine dependence intervention in addiction treatment settings; A review. Journal of Psychoactive Drugs, 39, 423-433. PMID: 18303699
Guydish, J., Tajima, B., Turcotte Manser, S. & Jessup, M. (2007). Strategies to encourage adoption in multi-site clinical trials. Journal of Substance Abuse Treatment, 32, 177-188. PMID: 17306726.
