How can we best treat the problems of substance abuse? How do we evaluate the effectiveness of services? How should a public health system organize its treatment and prevention services for addiction? How can substance abuse problems be treated in concert with the many medical problems that are encountered in a public hospital?
The UCSF Department of Psychiatry at Zuckerberg San Francisco General Hospital and Trauma Center has an array of nationally prominent research projects addressing problems like these. Under the rubric of “treatment and services research” our faculty and students are addressing a range of issues, from laboratory studies of the interactions between medications for treatment of HIV/AIDS and treatment of addictions, to clinical trials of a variety of behavioral and structural interventions that may make substantial improvements in the effectiveness of care, and extending out to organizing new services for substance users with co-occurring diseases. Treatment settings include stand-alone addiction clinics, HIV and hepatitis programs, emergency rooms, residential treatment communities, and mental health settings. Current studies also assess barriers to implementing evidence-based practices in minority-oriented treatment programs and among under-served populations.