
Pilot Clinical Trial of Computer-based Motivational Intervention - 1
Substance-Related DisordersPilot trial of computer-based motivational intervention. Hypothesis: The brief computer-delivered intervention would result in higher motivation to change at follow-up.

Novel Medications for Opiate Detoxification - 4
Opioid-Related DisordersSubstance-Related DisordersThe purpose of this study is to evaluate novel medications for opiate detoxification.

Buprenorphine Maintenance Dose Schedule and Treatment Setting - 1
Opioid-Related DisordersSubstance-Related DisordersThe purpose of this study is to assess optimal dosage of buprenorphine on a thrice weekly schedule in a pilot clinical trial.

Study of a Transdiagnostic, Emotion-focused Group Intervention for Young Adults With Substance Use...
Substance Use DisordersDepression4 moreThe overall aim of this pilot study is to conduct a preliminary trial to evaluate the acceptability and feasibility of adding a transdiagnostic, emotion-focused group intervention (the Unified Protocol, UP) to treatment as usual (TAU) in a comprehensive outpatient program for adolescents and young adults with substance use disorders and emotional distress. Only patients seeking services or engaged in care at an existing outpatient program at MGH (the Addiction Recovery Management Service) are eligible for participation.

Feasibility of Providing Computerized CBT in the Black Church
Substance AbuseThe investigator will conduct a pilot study evaluating the feasibility and acceptability of providing a computer-based program (CBT4CBT), used for the treatment of substance use disorders, in a church setting.

Naloxone Nasal Spray Compared With Naloxone Injection for Opioid Overdoses Outside the Hospital...
OverdoseDrug AbuseThis trial will compare the clinical response to intramuscular and intranasal naloxone in pre-hospital opioid overdoses. Objective of the study is to measure and evaluate clinical response (return of spontaneous respiration within 10 minutes of naloxone administration) to a new nasal naloxone formulation in real opioid overdoses in the pre-hospital environment. The aim is to demonstrate that intranasal administration of naloxone is not clinically inferior to intramuscular administration, which is now standard treatment of care.

Efficacy of Drug and Risk Behavior Counseling Intervention Among Injecting Drug Users at Opioid...
Substance Use DisordersBehavior drug and risk reduction counseling (BDRC), a structured, non-intense, cognitive-behavioral approach intervention designed to increase methadone maintenance treatment retention and reduce drug use and related risk behaviors among IDUs.

Cannabidiol Use to Reduce Cravings in Individuals With Opioid Use Disorder on Buprenorphine
Opioid-use DisorderThe purpose of this week-long study is to determine the impact of cannabidiol on cue-induced cravings among individuals with opioid use disorder who are stable on sublingual buprenorphine treatment.

Ketamine for the Treatment of Opioid Use Disorder and Depression
DepressionOpioid-use Disorder1 moreThe purpose of the study is to examine whether an investigational medication called ketamine is able to improve treatment outcomes for concurrent opioid addiction and depression when used in conjunction with buprenorphine treatment. Study medications will be delivered twice per week for four weeks. If you are eligible and you decide to enroll in the study, your participation will last approximately 8 weeks, or 2 months.

Neurofeedback in Individuals With Substance Use Disorders
Opioid-Related DisordersThe aim of this study is to train individuals with opioid use disorder to control their brain activity in a way that has been associated with their symptoms. Participants in the experimental group will be given direct feedback regarding their brain activity while they are undergoing functional magnetic resonance imaging (fMRI) scanning, and will try to learn to control their brain activity during these feedback sessions. A separate group of participants will be given a control form of feedback that we do not believe can have clinical benefits. Our primary hypothesis is that the neurofeedback training will reduce opioid use and clinical features of opioid use disorder more than the control feedback.