Gwen Lapham, PhD, MPH, MSW, 2013年加入凯撒永久华盛顿健康世界杯下注网站所(KPWHRI),担任成瘾健康服务世界杯下注网站员. Since then, 她利用之前的社会工作和卫生服务培训,对不健康物质使用的循证初级保健进行了有影响力的世界杯下注网站, including alcohol, cannabis, and opioids. 她最近开始在了解初级保健患者使用大麻方面取得进展, including medical use and use among prenatal women.
Dr. Lapham recently completed the CATALyST K12 Washington Learning Health System Program 由医疗保健世界杯下注网站与质量局和以患者为中心的结果世界杯下注网站所资助. In the program, 她与凯撒永久医疗机构华盛顿医疗系统的领导者以及KPWHRI合作 Center for Accelerating Care Transformation 通过制定和测试一项标准,解决儿童和青少年行为保健质量方面的差距 integrated approach to adolescent mental health. 她希望这项工作能够为有效实施青少年心理健康纳入初级保健提供新的证据.
她也是初级保健阿片类药物使用障碍治疗的共同世界杯下注网站者, or PROUD trial, 护理管理在初级保健中治疗阿片类药物使用障碍的实用实施试验, 以及国家药物滥用临床试验网络世界杯下注网站所的卫生系统节点. Dr. Lapham’s research projects specific to cannabis include:
Prior to working at KPWHRI, Dr. Lapham专注于西雅图退伍军人健康管理局医疗机构预防性酒精干预的定性和定量评估.
Implementation research; quality measurement
Screening and brief intervention; mental health quality measurement
Prevention and treatment
SPARC试验成功地将行为卫生保健纳入初级保健. On our website, you can access tools for behavioral health integration, as well as frequently asked questions and publications.
Yarborough BJH, Stumbo SP, Schneider JL, Ahmedani BK, Daida YG, Hooker SA, Negriff S, Rossom RC, Lapham G. 阿片类药物剂量减少对患者报告的心理健康和自杀相关行为的影响以及与患者在减量决策中的选择的关系. LID - S1526-5900(23)00614-4 [pii] LID - 10.1016/j.jpain.2023.11.002 [doi] J Pain. 2023 Nov 10:S1526-5900(23)00614-4. doi: 10.1016/j.jpain.2023.11.002 [Epub ahead of print] PubMed
Ford MA, Lapham GT, Matson TE, Luce C, Oliver MM, Binswanger IA. 比较初级保健患者因疼痛使用大麻与因其他原因使用大麻的情况. J Am Board Fam Med. 2023 Oct 31:jabfm.2023.230163R1. doi: 10.3122/jabfm.2023.230163R1. [Epub ahead of print]. PubMed
Wartko PD, Bobb JF, Boudreau DM, Matthews AG, McCormack J, Lee AK, Qiu H, Yu O, Hyun N, Idu AE, Campbell CI, Saxon AJ, Liu DS, Altschuler A, Samet JH, Labelle CT, Zare-Mehrjerdi M, Stotts AL, Braciszewski JM, Murphy MT, Dryden D, Arnsten JH, Cunningham CO, Horigian VE, Szapocznik J, Glass JE, Caldeiro RM, Phillips RC, Shea M, Bart G, Schwartz RP, McNeely J, Liebschutz JM, Tsui JI, Merrill JO, Lapham GT, Addis M, Bradley KA; PROUD Trial Collaborators; Ghiroli MM, Hamilton LK, Hu Y, LaHue JS, Loree AM, Murphy SM, Northrup TF, Shmueli-Blumberg D, Silva AJ, Weinstein ZM, Wong MT, Burganowski RP. 阿片类药物使用障碍治疗的护理管理:PROUD集群随机临床试验. JAMA Intern Med. 2023 Oct 30:e235701. doi: 10.1001/jamainternmed.2023.5701. [Epub ahead of print]. PubMed
Matson TE, Williams EC, Lapham GT, Oliver M, Hallgren KA, Bradley KA. 大麻使用障碍症状严重程度与临床记录诊断可能性之间的关系. Drug Alcohol Depend.. 2023 Oct 1:251:110946. doi: 10.1016/j.drugalcdep.2023.110946. Epub 2023 Aug 23. PubMed
Lapham GT, Matson TE, Bobb JF, Luce C, Oliver MM, Hamilton LK, Bradley KA. 在娱乐性大麻使用合法的美国一个州,成年人中大麻使用障碍的流行程度和使用原因. JAMA Netw Open. 2023 Aug 1;6(8):e2328934. doi: 10.1001/jamanetworkopen.2023.28934. PubMed
McClure EA, Hamilton L, Schauer GL, Matson TE, Lapham GT. 在合法获得大麻的州,初级保健患者中大麻和尼古丁的共同使用. Addict Behav. 2023;140:107621. doi: 10.1016/j.addbeh.2023.107621. Epub 2023 Jan 20. PubMed
Matson TE, Hallgren KA, Lapham GT, Oliver M, Wang X, Williams EC, Bradley KA. 物质使用症状检查表的心理测量性能,以帮助临床医生评估初级保健中的物质使用障碍. JAMA Netw Open. 2023;6(5):e2316283. doi: 10.1001/jamanetworkopen.2023.16283. PubMed
Lee AK, Bobb JF, Richards JE, Achtmeyer CE, Ludman E, Oliver M, Caldeiro RM, Parrish R, Lozano PM, Lapham GT, Williams EC, Glass JE, Bradley KA. 将酒精相关预防和治疗纳入初级保健:一项集群随机实施试验. JAMA Intern Med. 2023 Apr 1;183(4):e227083. doi: 10.1001/jamainternmed.2022.7083. PubMed
Kiel L, Hsu C, Wartko PD, Albertson-Junkans L, Ewing J, Lapham GT. 从妇女从事产前和产后大麻使用在美国的观点.S. State with legal non-medical use. Prev Med Rep. 2022 Nov 29;31:102075. doi: 10.1016/j.pmedr.2022.102075. eCollection 2023. PubMed
Matson TE, Lapham GT, Bobb JF, Oliver M, Hallgren KA, Williams EC, Bradley KA. 大麻单项筛查(SIS-C)在常规护理中用于大麻使用障碍筛查的有效性. JAMA Netw Open. 2022 Nov 1;5(11):e2239772. doi: 10.1001/jamanetworkopen.2022.39772. PubMed
Five years and 8 scholars later, KPWHRI庆祝CATALyST培训项目对早期职业科学家的影响.
KPWHRI世界杯下注网站人员领导的一项试验发现,增加护士护理经理可以帮助更多的人获得所需的治疗.
新的世界杯下注网站结果表明,医用大麻的使用与中度至重度大麻使用障碍的风险较低有关.
CNN, Aug. 29, 2023