Jacob Borodovsky, BA

PhD Student, Dartmouth Psychiatric Research Center

Buprenorphine; Opioid, Behavioral Health Technology; Co-Occurring Disorders

borodovsky smallJacob Borodovsky is currently a Health Policy and Clinical Practice PhD student at The Dartmouth Institute in the Geisel School of Medicine. He graduated from Tufts University with a B.A. in Clinical Psychology. Before coming to the Center for Technology and Behavioral Health he worked as a research coordinator for WestBridge Community Services and Cambridge Health Alliance in Boston. Jacob’s research is focused primarily on exploring the role that technological interventions can play in enhancing behavioral health and the treatment of Co-Occurring disorders. Jacob is particularly interested in developing technologically based models of buprenorphine treatment that may help increase rates of medication adherence and reduce diversion. He is currently conducting this research under the supervision of Dr. Lisa Marsch and Dr. Alan Budney. In his spare time he enjoys rock climbing.

Selected Publications:

Schuman-Olivier, Z., Weiss, R. D., Hoeppner, B. B., Borodovsky, J., & Albanese, M. J. (2014). Emerging adult age status predicts poor buprenorphine treatment retention. Journal of Substance Abuse Treatment, 47(3), 202-212. doi: 10.1016/j.jsat.2014.04.006

Schuman-Olivier, Z., Hoeppner, B. B., Weiss, R. D., Borodovsky, J., Shaffer, H. J., & Albanese, M. J. (2013). Benzodiazepine use during buprenorphine treatment for opioid dependence: Clinical and safety outcomes. Drug Alcohol Depend, 132(3), 580-586.

Schuman-Olivier, Z., Connery, H., Griffin, M. L., Wyatt, S. A., Wartenberg, A. A., Borodovsky, J., . . . Weiss, R. D. (2013). Clinician beliefs and attitudes about buprenorphine/naloxone diversion. Am J Addict, 22(6), 574-580. 

Integrating Evidence-Based Behavioral Health Technologies into Primary Care

Funding Source: Dartmouth SYNERGY Translational Program (Community-Based Research Core)

Project Period: July 2014-June 2016

Principal Investigator(s): Lisa Marsch, PhD; Sarah Lord, PhD; Bob Drake, MD, PhD

Other Project Staff:  Erin Corriveau, MD; Elliott Fisher, MD; Mark McGovern, PhD; Haiyi Xie, PhD; Ardis Olson, MD; Ben Crosier, PhD

Project Summary:

This project engages community and academic partners in understanding needs and priorities among rural community health care systems around shifting health care systems (e.g., in light of ACA) – with a particular focus on integrating behavioral health and medical care in rural settings.

Behavioral health problems (addictions and mental health disorders, such as depression) are highly prevalent, especially in poor and disenfranchised populations. The great majority of these people (over 90%) receive no treatment. Behavioral health problems also complicate diagnosis, treatment, and outcomes for many chronic conditions, such as diabetes, obesity, heart failure, and cancer.  A sufficient workforce to address these problems does not exist - especially in rural communities.

Incorporating new health technologies could be a cost-effective solution.  New technology tools could be used in primary care to improve access, self-care, and outcomes, and to reduce costs and health disparities.  Yet, successful implementation and sustainability of any new intervention process, including a technology-based care approach, is strengthened by attention to pre-implementation readiness of the primary care community agencies and constituent stakeholders to adopt a technology treatment innovation in their system of care. 

This two-year, 2-phased project includes mixed-methods formative research in year 1 to assess community priorities and readiness for technology-based behavioral health tools in primary care settings, followed by a demonstration implementation project of a technology-based behavioral health intervention within rural primary care settings in year 2. 

Public Health Relevance:

This work will inform strategies for optimizing implementation outcomes when embedding technology-based behavioral health tools in rural primary care settings, supported by appropriate training/technical assistance.    

Increasing HIV Testing in Urban Emergency Departments via Mobile Technology

Funding Source: National Institute on Drug Abuse (NIDA)

Project Period: 07/01/2014 – 06/30/2017

Principal Investigator: Ian David Aronson, PHD

Project Summary:

Our proposed intervention builds upon initial findings from a trial our research team conducted with patients who declined HIV testing. The brief intervention had a potent effect: a third accepted HIV testing post-intervention. While this preliminary study is highly encouraging, it revealed a number of other critical research questions. First, it remains unclear what intervention component most strongly contributed to patients’ decisions to test. Second, consistent with the literature, participants indicated that depicting a community member onscreen would increase the proportion of patients who test. Third, results suggest there is individual variation in the extent to which behavior is more strongly influenced by onscreen community members or experts (e.g. physicians). Therefore, the goal of the present study is to determine how we can refine mobile computer-based interventions to maximize HIV testing rates among patients who initially decline to test in the ED. The present study will use a pilot four-arm randomized controlled design. All participants will use mobile computers to complete a pre-test assessment. One arm will see video of a physician explaining the importance of HIV testing and modeling rapid testing (similar to the original video). The second arm will view video of a community member who explains testing importance and models testing. A third will have a choice of which of the two videos to watch. A fourth group (control) will not see any video. At the end of the computerized intervention (pre-test/video or pre-test only), onscreen text will ask patients if they would agree to an HIV test. Those who agree will be tested by ED staff. The trial will recruit patients (N=300) aged 18-64 in a high volume, urban hospital center. The study’s endpoint will be post-intervention HIV test rates. Our study will inform scalable interventions for underserved populations nationwide.

Public Health Relevance:

When hospital emergency departments (EDs) offer routine HIV testing to reach substance users and other high-risk patients, those who could benefit most frequently decline. Thus, an important health priority remains not only offering HIV testing to more patients, but developing strategies to increase test rates by working with patients who are reluctant to learn their HIV status. The proposed research will develop and evaluate the acceptability, feasibility, and preliminary efficacy of a mobile computer-based video intervention designed to increase HIV test rates among vulnerable patients in EDs and other high volume clinical settings nationwide.

May 9, 2014

Emerging Communications Technologies to Advance Prevention and Recovery

10th Annual Dartmouth Symposium on Substance Use 

Mary Brunette, MD – Associate Professor of Psychiatry, Geisel School of Medicine, Hanover, NH; Medical Director, Bureau of Behavioral Health, Department of Health and Human Services, Concord, NH

Andrew Campbell, PhD – Professor of Computer Science, Dartmouth College, Hanover, NH

Lynn Fiellin, MD – Associate Professor of Medicine, Yale University, New Haven, CT

Sarah Lord, PhD – Assistant Professor of Psychiatry and Pediatrics, Geisel School of Medicine, Hanover, NH; Director, Dissemination and Implementation Core, Center for Technology and Behavioral Health, Lebanon, NH

Lisa Marsch, PhD – Associate Professor of Psychiatry Geisel School of Medicine, Hanover, NH; Director, Center for Technology and Behavioral Health, Lebanon, NH; Director, Dartmouth Psychiatric Research Center, Lebanon, NH

Rachel Brian, MPH – Project Coordinator, Geisel School of Medicine, Hanover, NH

About the Conference:

Only a small percentage of persons with substance use disorders- or at risk for developing them- get the care they need. Communications technologies such as internet, smart phones, and interactive video games offer huge opportunities to expand prevention and treatment of substance use disorders and other mental health challenges. This symposium presents innovative initiatives that usetechnology to engage patients in addressing diverse substances challenges and phases of use - from tobacco to opioids to alcohol and across the spectrum of use from prevention to treatment to support of recovery. Speakers emphasize practical strategies for implementing use of technologies in clinical practice and attendees are given opportunities to try out many of the technology programs presented.

April 4, 2014

Implementation strategies and outcomes: advancing the science

Enola K. Proctor, PhD
Shanti K. Khinduka Distinguished Professor of Social Work
Associate Dean for Faculty
George Warren Brown School of Social Work
Washington University, in St. Louis, MO

About the Presentation:

How do we move evidence-based practices into real-world care, and how do we sustain them once they are adopted?  How do we capture the challenges and successes in implementation?  What are some of the cutting edge research questions in implementation science? What are the methodological advances and challenges in implementation science? These issues will be the focus of Dr. Proctor’s talk.

About the Presenter:

Dr. Enola Proctor is the Shanti K. Khinduka Distinguished Professor of Social Work and Associate Dean for Faculty at the George Warren Brown School of Social Work, Washington University, in St. Louis, MO.

Her teaching and research are motivated by the question, how do we ensure that people receive the very best possible care?  She has studied this question in a variety of social work, public health, and health care settings, ranging from hospitals to community agencies.  Her most current work focuses on how organizations and individual providers can adopt and deliver evidence based programs and interventions. Her research has been funded by the NIMH, the NIA, and AHRQ.  She directs the Implementation Research Institute, an NIMH supported training program in implementation science. She also leads the Center for Dissemination and Implementation for the Washington University Institute for Public Health, the Dissemination and Implementation Research Core for Washington University’s CTSA program, and dissemination and implementation research cores for research centers in the areas of cancer and diabetes.   She also directs the Center for Mental Health Services Research at Washington University, launched and supported for 20 years with NIMH support. 

Her books include Dissemination and Implementation Research in Health: Translating Science to Practice, published in 2012 with Oxford University Press.  She was a member of the National Advisory Council for the National Institute of Mental Health, and served as Editor in Chief for Social Work Research.  She has received a number of awards, including the Lifetime Achievement Award from the Society for Social Work and Research (2002); the Knee-Wittman Award for lifetime Achievement in Health and Mental Health Practice (2011) from the National Association of Social Workers; and the Mental Health Professional of the Year award from the St. Louis Alliance for the Mentally Ill (1997).  She has received several teaching and mentoring awards and Washington University’s highest faculty honor, the Compton Award (2009).  In 2010, she was elected to the inaugural class of the American Academy of Social Work and Social Welfare and its Board of Directors (2010-11).