The primary aim of the Substance Use Research & Evaluation (SURE) unit is to support the development of novel policies and treatment interventions designed to mitigate the negative public health, social and economic impacts of substance use on affected individuals, families, and communities. The SURE team provides technical assistance, research and evaluation services to federal and state agencies, health systems and practices, as well as community partners to inform the design, implementation and refinement of evidence-based harm reduction, treatment and recovery services with a particular focus on identifying solutions to address the unique challenges faced by rural communities. The work of the SURE unit focuses on expanding access to as well as improving the quality and effectiveness of services for people with unhealthy substance use or use disorders. The SURE team is committed to working with our partners to identify effective real-world solutions to the complex issues faced by individuals, families, and communities impacted by substance use.

For more information, please contact Dr. Lindsey Smith at m.lindsey.smith@maine.edu.

Visit our website at https://www.suremaine.org

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Submissions from 2022

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Time to Ask Program at Greater Portland Health [Infographic], Evelyn Ali BS and Mary Lindsey Smith PhD

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Alcohol Use Disorder in the Primary Care Setting: Best Practices for Rural Communities, Christine Chasek PhD; John Brooklyn MD; Mary Lindsey Smith PhD; and Denise O'Connell MSW, LCSW, CCM, CCP

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R.A.C.E. to Recovery Year 1 Evaluation Summary Report, Katie Rosingana BA, Evelyn Ali BS, Tyler Egeland BA, and Mary Lindsey Smith PhD

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HOUSE: Homeless Opioid User Service Engagement Program. Year 1 Report, Mary Lindsey Smith PhD; Katharine Knight MPH; Tyler Egeland BA; Mark Richards BS; and Karen Pearson MLIS, MA

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SUPPORT for ME Needs Assessment Summary., Mary Lindsey Smith PhD; Katie Rosingana BA; Evelyn Ali BS; Karen Pearson MLIS, MA; Mark Richards BS; Katharine Knight MPH; Tyler Egeland BA; and Olivia Dooley MPA

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Maine Baseline Needs Assessment: First Responders Data Brief, University of Southern Maine, Cutler Institute and University of Vermont Center on Rural Addiction

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Maine Baseline Needs Assessment: Rural Practitioners and Stakeholders Data Brief, University of Southern Maine, Cutler Institute and University of Vermont Center on Rural Addiction

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Maine Baseline Needs Assessment: Opioid Use Disorder Treatment Barriers and Beliefs Data Brief, University of Southern Maine, Cutler Institute and University of Vermont, Center on Rural Addiction

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Maine Baseline Needs Assessment: Rural Practitioners and Stakeholders [Full Report], University of Vermont Center on Rural Addiction

Submissions from 2021

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SUPPORT for ME: Substance Use Disorder Prevalence and Treatment Capacity Assessment, Rachel T. Gallo MPH, Katharine Knight MPH, and Mary Lindsey Smith PhD

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Opioid use disorder treatment in rural settings: The primary care perspective., Valerie S Harder PhD; Andrea C Villanti PhD; Sarah H Heil PhD; Mary Lindsey Smith PhD; Diann E Gaalema PhD; Marjorie C Meyer MD; Nathaniel H Schafrick MS, MPH; and Stacey C Sigmon PhD

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SUPPORT for ME: Key Stakeholder Interview Summary, Katie Rosingana BA; Mary Lindsey Smith PhD; Karen Pearson MLIS, MA; Evelyn Ali BS; Tyler Egeland BA; and Mark Richards BS

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Downeast Maine MAT Expansion Project: Year 3 Final Data Summary, Mary Lindsey Smith PhD, Evelyn Ali BS, Katharine Knight MPH, and Tyler Egeland BA

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SUPPORT for ME: Provider Focus Group Summary, Mary Lindsey Smith PhD; Katie Rosingana BA; Evelyn Ali BS; Tyler Egeland BA; Karen Pearson MLIS, MA; and Mark Richards BS

Submissions from 2020

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Lincoln County Community Paramedicine Data Collection Initiative [Infographic], Evelyn Ali BS; Katie Rosingana BA; and Karen Pearson MLIS, MA

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Measurement of Economic Security and Opportunity for Maine Families: Dashboard, Data Innovation Project

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Rural Practitioners’ Perceptions of Substance Use Disorders and Treatment during COVID-19, Valerie S. Harder PhD, MHS; Caitlin McCluskey; Mary Lindsey Smith PhD; Jeanne Ryer; Janet Thomas; Stacey Sigmon; Sarah Heil; and Andrea Villanti

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Lincoln County Community Paramedicine Data Collection Initiative, Katie Rosingana BA; Evelyn Ali BS; and Karen Pearson MLIS, MA

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Downeast Maine MAT Expansion Project: Year 2 Data Summary, Mary Lindsey Smith PhD, Evelyn Ali BS, and Tyler Egeland BA

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Project Support You: Addressing the Opioid Epidemic through Community Collaboration and Education. Tri-County Mental Health [Infographic], Mary Lindsey Smith PhD, Evelyn Ali BS, Rachel M. Gallo MPH, and Tyler Egeland BA

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Recovery and Opioid Addiction Resources (ROAR): Summary of Kennebec Behavioral Health Focus Group, Mary Lindsey Smith PhD, Evelyn Ali BS, Katie Rosingana BA, Mark Richards BS, Rachel M. Gallo MPH, and Tyler Egeland BA

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MAT Program Patient Satisfaction Survey: MeHAF Addiction Care Grant Year 3, Mary Lindsey Smith PhD, Rachel M. Gallo MPH, and Evelyn Ali BS

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York Hospital Recovery Center's Medication-Assisted Treatment Program. MeHAF Addiction Care Grant Year 3, Mary Lindsey Smith PhD, Rachel M. Gallo MPH, and Olivia Dooley MPA

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Expanding Low Barrier Access to Medication Assisted Treatment: Issue Brief, Mary Lindsey Smith PhD, Frances Jimenez BA, and Katie Rosingana BA

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Healthy Acadia MeHAF Addiction Care Program. Year Three Summary, Mary Lindsey Smith PhD, Katie Rosingana BA, Evelyn Ali BS, Rachel M. Gallo MPH, and Tyler Egeland BA

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Health Access Network: MeHAF Addiction Care Program, Mary Lindsey Smith PhD, Katie Rosingana BA, Rachel M. Gallo MPH, and Evelyn Ali BS

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Interim Evaluation Report by the Independent Evaluator for the New Hampshire Delivery System Reform Incentive Payment (DSRIP) Program, Mary Lindsey Smith PhD; Deborah Thayer MBA; Katie Rosingana BA; Catherine McGuire BS; Rachel M. Gallo MPH; Evelyn Ali BS; Olivia Dooley MPA; Carolyn Gray MPH; Tom Merrill MA; Karen Pearson MLIS, MA; and Mark Richards BS

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Evaluation of Maine DOC's Medication-Assisted Treatment Pilot Program, M. Lindsey Smith PhD, George Shaler MPH, Olivia Dooley MPA, and Evelyn Ali BS

Submissions from 2019

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Building Capacity for Medication-Assisted Treatment (MAT) through MeHAF's Addiction Care Program. [Infographic], Rachel M. Gallo MPH

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Challenges and Strategies to Expanding MAT within Primary Care: Provider Perspectives. Issue Brief, Rachel M. Gallo MPH, Mary Lindsey Smith PhD, and Katie Rosingana BA

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Downeast Maine MAT Expansion Project: Year 1 Data Summary, Mary Lindsey Smith PhD, Olivia Dooley MPA, and Evelyn Ali BS

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Expanding Access to Medication-Assisted Treatment (MAT) through Primary Care Practices: Findings from the Maine Health Access Foundation's Addiction Care Program (Years One and Two), Mary Lindsey Smith PhD, Rachel M. Gallo MPH, Katie Rosingana BA, Mark Richards BS, and Frances Jimenez BS

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Addressing Unhealthy Alcohol Use in Maine: A Programmatic Evaluation of the Time to Ask Pilot Project: A Blended Learning Education Program Addressing Unhealthy Alcohol Use for Interprofessional Teams in Primary Care, Mary Lindsey Smith PhD, Frances Jimenez BA, Katie Rosingana BA, and Mark F. Richards BS

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Addressing the Treatment and Recovery Support Needs of Individuals with Opioid Use Disorder: Patient Perspectives, Mary Lindsey Smith PhD, Katie Rosingana BA, Rachel M. Gallo MPH, Frances Jimenez BA, and Mark Richards BA

Submissions from 2018

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Empowering Community Based Organizations to Utilize Data for Program Monitoring and Evaluation, Rachel M. Gallo MPH and Elora Way

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Grantee Organization Spotlight: Tri-County Mental Health Services. MeHAF's Addition Care Program, Mary Lindsey Smith PhD, Katie Rosingana BA, and Rachel M. Gallo MPH

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Expanding Access to MAT through Primary Care Practices, Mary Lindsey Smith PhD, Katie Rosingana BA, and E Haram

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Maine Health Access Foundation Addiction Care Program: Interim Evaluation Report, Mary Lindsey Smith PhD, Katie Rosingana BA, Frances Jimenez BA, Rachel M. Gallo MPH, and Mark Richards BS

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Linking a Community: Bringing People Together for Comprehensive MAT, Mary Lindsey Smith PhD, Katie Rosingana BA, Mark Richards BS, and Frances Jimenez BA

Books from 2017

Catastrophic Consequences: The Link Between Rural Opioid Use and HIV/AIDS, Jennifer Lenardson MHS and Mary Lindsey Smith PhD, MSW

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Qualitative assessment of substance use and mental health services and needs in Lincoln County Maine, Mary Lindsey Smith PhD, Martha Elbaum Williamson MPA, Mark Richards BS, and Jennifer Pratt BA

Submissions from 2016

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Long-Term Care and Alcohol Use, Nicholas Castle, Mary Lindsey Smith PhD, and David G. Wolf

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Clinician and Practice Attitudes towards Integrating Alcohol Screening and Brief Intervention into Primary Care Practices in Maine, Mary Lindsey Smith PhD, Rachel M. Gallo MPH, and Katie Rosingana BA

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Addressing Unhealthy Alcohol Use in Maine: Provider and Practice Attitudes towards Integrating Alcohol Screening and Brief Intervention within Rural Primary Care Practices, Mary Lindsey Smith PhD, Jennifer Pratt AA, Rachel M. Gallo MPH, Katie Rosingana BA, J Keller, and Mark Richards BS

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Time to Ask: An Alcohol Education Pilot for Healthcare Professionals. Clinical Needs Assessment, Mary Lindsey Smith PhD, Martha Elbaum Williamson MPA, Jennifer Pratt BA, Rachel M. Gallo MPH, Katie Rosingana BA, Jacey Keller MPH, and Mark Richards BS

Submissions from 2015

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Application of Strength, Weakness, Opportunity and Threat (SWOT) Analysis for the Prioritization of Community Health Program Objectives, Albert J. Romanosky MD, PhD; Kimberly Eshleman MPH; and Rachel M. Gallo MPH

Submissions from 2014

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Optimizing the Use of Chief Complaint & Diagnosis for Operational Decision Making: An EMR Case Study of the 2010 Haiti Earthquake, Alexandra T. Bambrick, Dina B. Passman, and Rachel M. Gallo MPH

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Early Lessons Learned in Implementing MaineCare Health Homes, Kimberley S. Fox MPA, Carolyn E. Gray MPH, and Katherine Rosingana

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MaineCare Health Homes Enrollment in the First Year of Implementation, Kimberley S. Fox MPA, Carolyn E. Gray MPH, and Katherine Rosingana

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MaineCare Stage A Health Homes Year 1 Report: Implementation Findings and Baseline Analysis, Kimberley S. Fox MPA, Carolyn E. Gray MPH, Katherine Rosingana, and Deborah A. Thayer MBA

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Fact Sheet #1: How Family-Centered is MaineCare?, Jean A. Talbot PhD; Mary Lindsey Smith PhD, MSW; and Kimberley S. Fox MPA

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Fact Sheet #2: How Do MaineCare Providers Perform on Childhood Screening and Prevention?, Jean A. Talbot PhD; Mary Lindsey Smith PhD, MSW; and Kimberley S. Fox MPA

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Fact Sheet #3: How Do Parents Rate Dental Services for Children in MaineCare?, Jean A. Talbot PhD; Mary Lindsey Smith PhD, MSW; and Kimberley S. Fox MPA

Submissions from 2012

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Alcohol Misuse and Abuse in Assisted Living, Nicholas G. Castle, Laura M. Wagner, Jamie C. Ferguson, Mary Lindsey Smith PhD, and Steven M. Handler

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Personal Experiences with MaineCare Services from People Who Use Elder and Adults with Disabilities Waiver and Private Duty Nursing/Personal Care Services., Julie T. Fralich MBA, Katherine Rosingana, Mark Richards BS, Louise Olsen, Vanessa Bell, and Jennifer Pratt

Submissions from 2011

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Using Photovoice to Identify Service Needs of Older African American Methadone Clients, Daniel Rosen, Sara Goodkind, and Mary Lindsey Smith PhD

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Characteristics of Community‐Dwelling Older Adults Associated with the Concurrent Use of Alcohol and Alcohol‐Interactive Medications, Mary Lindsey Smith PhD

Trajectories of concurrent alcohol and medication use among older adults, Mary Lindsey Smith PhD

Publications from 2010

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Summary Report of the MaineCare Listening Sessions, Anush Yousefian Hansen MS,MA; Katherine Rosingana; and Nadine Edris MSW

Submissions from 2009

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Just One More: An Examination of the Prevalence, Correlates, and Consequences of Concurrent Alcohol and Medication Use in Older Adults, Mary Lindsey Smith PhD

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Mistrust and self-isolation: barriers to social support for older adult methadone clients, Mary Lindsey Smith PhD and Daniel Rosen

Submissions from 2008

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The prevalence of mental and physical health disorders among older methadone patients, D Rosen, Mary Lindsey Smith PhD, and C F. Reynolds

Submissions from 2002

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Understanding the Nexus: Domestic Violence and Substance Abuse among the Arrestee Population in Albuquerque, Sandra Woerle, Paul Guerin PhD, and Mary Lindsey Smith PhD

Submissions from 2001

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Final Report: Process Evaluation of the Second Judicial District Juvenile Drug Court in Albuquerque, New Mexico, Paul Guerin PhD, Robert Hyde MA, Laurel Carrier MA, Nell Damon MA, Mary Lindsey Smith PhD, and Billy Ulibarri

Evaluation of the Second Judicial District Court Bernalillo County Juvenile Drug Court: Quasi‐Experimental Outcome Study Using Historical Information, Paul Guerin PhD, Robert Hyde MA, and Mary Lindsey Smith PhD

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Evaluation of the Thirteenth Judicial District Court Sandoval County Juvenile Drug Court: Quasi‐Experimental Outcome Study Using Historical Information, Paul Guerin PhD, Robert Hyde MA, and Mary Lindsey Smith PhD