Rapid assessment of nutrition services in Los Angeles substance use disorder treatment centers
Abstract
The objective of this study was to determine the prevalence of nutrition services and utilization of registered dietitian nutritionists at substance use disorder treatment centers in Los Angeles. This cross-sectional descriptive study utilized phone interviews with facilities within a 25-mile radius of the Los Angeles metropolitan area using the Substance Abuse and Mental Health Services Administration Treatment Services Locator to identify facilities that included a listing of substance abuse as primary focus of care (n = 128). Facilities were asked if they offered any kind of nutrition services, the type of services that were offered, and the credential of the professional providing the services. We compared facilities that offered a residential level of care to those offering outpatient services only. The Fisher's exact test was used to determine statistical significance. The study showed that only 39 sites (30.5%) offered any type of nutrition services on site, and the odds of a residential level of care offering nutrition services was 2.7 times higher than outpatient only facilities (p = 0.02). Of the 39 facilities offering nutrition services, only 8 (20.5%) utilized a registered dietitian nutritionist. Overall fewer than 7% of the facilities utilized the services of a dietitian. Recovery programs for substance use disorder should consider using a registered dietitian nutritionist as a member of the treatment team, which may contribute to better clinical outcomes.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In Los Angeles, nutrition services are offered at less than a third of SUD treatment centers.
“In Los Angeles, nutrition services are offered at less than a third of SUD treatment centers (198).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [198]
Authors from around the globe have suggested that nutrition interventions may be helpful in combating the opioid crisis.
“Meanwhile, authors from around the globe have suggested that nutrition interventions may be helpful in combating the opioid crisis (156, 198, 221).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [198]
Cites
Morbidity and Mortality Weekly Report
Hiv/aids, N. B. (2011) · Wilderness and Environmental Medicine · doi:10.1016/j.wem.2010.11.007 · Cited by 3,450 · see citing works
The clinical application of the biopsychosocial model
ENGEL, G. L. (1980) · American Journal of Psychiatry · doi:10.1176/ajp.137.5.535 · Cited by 3,345 · see citing works
A “components” model of addiction within a biopsychosocial framework
Griffiths, M. (2005) · Journal of Substance Use · doi:10.1080/14659890500114359 · Cited by 3,088 · see citing works
The nutrition transition: worldwide obesity dynamics and their determinants
Popkin, B. M., & Gordon-Larsen, P. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802804 · Cited by 1,538 · see citing works
Leclercq, S., Matamoros, S., Cani, P. D., Neyrinck, A. M., Jamar, F., Stärkel, P., Windey, K., Tremaroli, V., Bäckhed, F., Verbeke, K., et al. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1415174111 · Cited by 972 · see citing works
Predicting Response to Alcohol and Drug Abuse Treatments
McLellan, A. T. (1983) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.04390010030004 · Cited by 805 · see citing works
Colonic microbiome is altered in alcoholism
Mutlu, E. A., Gillevet, P. M., Rangwala, H., Sikaroodi, M., Naqvi, A., Engen, P. A., Kwasny, M., Lau, C. K., & Keshavarzian, A. (2012) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00380.2011 · Cited by 775 · see citing works
Myths about the treatment of addiction
O'Brien, C., & Thomas McLellan, A. (1996) · The Lancet · doi:10.1016/s0140-6736(96)90409-2 · Cited by 512 · see citing works
Chronic Disease Prevention and Health Promotion
Schmidt, H. (2016) · Public health ethics analysis · doi:10.1007/978-3-319-23847-0_5 · Cited by 445 · see citing works
Microbes and mental health: A review
Rieder, R., Wisniewski, P. J., Alderman, B. L., & Campbell, S. C. (2017) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2017.01.016 · Cited by 429 · see citing works
A New Measure of Substance Abuse Treatment Initial Studies of the Treatment Services Review
McLellan, A. T., Alterman, A. I., Cacciola, J., Metzger, D. S., & OʼBRIEN, C. P. (1992) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199202000-00007 · Cited by 421 · see citing works
Leclercq, S., Cani, P. D., Neyrinck, A. M., Stärkel, P., Jamar, F., Mikolajczak, M., Delzenne, N. M., & de Timary, P. (2012) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2012.04.001 · Cited by 310 · see citing works
Mclellan, A., Woody, G. E., Metzger, D. S., McKay, J. R., Durell, J., Alterman, A., & O'Brien, C. (1996) · Milbank Quarterly · doi:10.2307/3350433 · Cited by 258 · see citing works
Methamphetamine: Effects on the brain, gut and immune system
Prakash, M. D., Tangalakis, K., Antonipillai, J., Stojanovska, L., Nurgali, K., & Apostolopoulos, V. (2017) · Pharmacological Research · doi:10.1016/j.phrs.2017.03.009 · Cited by 220 · see citing works
Did the Food Environment Cause the Obesity Epidemic?
Hall, K. D. (2018) · Obesity · doi:10.1002/oby.22073 · Cited by 220 · see citing works
Supplemental social services improve outcomes in public addiction treatment
McLellan, A. T., Hagan, T. A., Levine, M., Gould, F., Meyers, K., Bencivengo, M., & Durell, J. (1998) · Addiction · doi:10.1046/j.1360-0443.1998.931014895.x · Cited by 211 · see citing works
National Survey of Substance Abuse Treatment Services (N-SSATS), 2000
United States Department Of Health And Human Services. Substance Abuse And Mental Health Services Administration. Office Of Applied Studies (2002) · ICPSR Data Holdings · doi:10.3886/icpsr03436.v4 · Cited by 211 · see citing works
Is Treatment for Substance Abuse Effective?
McLellan, A. T. (1982) · JAMA · doi:10.1001/jama.1982.03320350027022 · Cited by 197 · see citing works
Increases in heroin overdose deaths - 28 States, 2010 to 2012.
Rudd, R. A., Paulozzi, L. J., Bauer, M., Burleson, R. W., Carlson, R. E., Dao, D., Davis, J. W., Dudek, J., Eichler, B. A., Fernandes, J. C., et al. (2014) · PubMed Central · Cited by 190 · see citing works
Reward processing in obesity, substance addiction and non‐substance addiction
García‐García, I., Horstmann, A., Jurado, M. Á., Garolera, M., Chaudhry, S. J., Margulies, D. S., Villringer, A., & Neumann, J. (2014) · Obesity Reviews · doi:10.1111/obr.12221 · Cited by 180 · see citing works
Evidence of preference for a high-concentration sucrose solution in alcoholic men
Kampov‐Polevoy, A. B., Garbutt, J. C., & Janowsky, D. S. (1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.2.269 · Cited by 179 · see citing works
Nutritional assessment of drug addicts.
Santolaria-Fernández, F., Gómez-Sirvent, J., González-Reimers, C., Batista-Lopez, J., Jorge-Hernández, J., Rodríguez-Moreno, F., Martínez-Riera, A., & Hernández-Garcia, M. (1995) · Drug and Alcohol Dependence · doi:10.1016/0376-8716(94)01088-3 · Cited by 173 · see citing works
Food, eating, and weight concerns of men in recovery from substance addiction
Cowan, J., & Devine, C. (2008) · Appetite · doi:10.1016/j.appet.2007.05.006 · Cited by 133 · see citing works
ROSS, L. J., Wilson, M., Banks, M., Rezannah, F., & Daglish, M. R. C. (2012) · Nutrition · doi:10.1016/j.nut.2011.11.003 · Cited by 130 · see citing works
Islam, S. K. N., Hossain, K. J., Ahmed, A., & Ahsan, M. (2002) · British Journal Of Nutrition · doi:10.1079/bjn2002702 · Cited by 125 · see citing works
Volpe, G. E., Ward, H., Mwamburi, M., Dinh, D. M., Bhalchandra, S., WANKE, C. A., & Kane, A. V. (2014) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2014.75.347 · Cited by 116 · see citing works
Neale, J., Nettleton, S., Pickering, L., & Fischer, J. (2012) · Addiction · doi:10.1111/j.1360-0443.2011.03660.x · Cited by 110 · see citing works
Food addiction and substance addiction in women: Common clinical characteristics
Hardy, R., Fani, N., Jovanovic, T., & Michopoulos, V. (2018) · Appetite · doi:10.1016/j.appet.2017.09.026 · Cited by 104 · see citing works
Meta‐analysis on drugs in people with eating disorders
Elvira, A. C., Krug, I., Davis, K., López, C., Fernández‐Aranda, F., & Treasure, J. L. (2009) · European Eating Disorders Review · doi:10.1002/erv.936 · Cited by 100 · see citing works
Mies, G. W., Treur, J. L., Larsen, J. K., Halberstadt, J., Pasman, J. A., & Vink, J. M. (2017) · Appetite · doi:10.1016/j.appet.2017.08.002 · Cited by 99 · see citing works
Pathways in gut-brain communication: Evidence for distinct gut-to-brain and brain-to-gut syndromes
Keightley, P., Koloski, N. A., & Talley, N. J. (2015) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867415569801 · Cited by 97 · see citing works
Eating Disorders, Addictions and Substance Use Disorders
Brewerton, T. D., & Baker Dennis, A. (2014) · Springer eBooks · doi:10.1007/978-3-642-45378-6 · Cited by 87 · see citing works
The role of the gut–brain axis in alcohol use disorders
Gorky, J. M., & Schwaber, J. S. (2015) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2015.06.013 · Cited by 79 · see citing works
The microbiota, the gut and the brain in eating and alcohol use disorders: A ‘Ménage à Trois’?
Temko, J. E., Bouhlal, S., Farokhnia, M., Lee, M. R., Cryan, J. F., & Leggio, L. (2017) · Alcohol and Alcoholism · doi:10.1093/alcalc/agx024 · Cited by 76 · see citing works
Cowan, J. A., & Devine, C. M. (2013) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2011.10.011 · Cited by 75 · see citing works
Emerging therapies for patients with symptoms of opioid-induced bowel dysfunction
Leppert, W. (2015) · Drug Design Development and Therapy · doi:10.2147/dddt.s32684 · Cited by 72 · see citing works
High sugar consumption and poor nutrient intake among drug addicts in Oslo, Norway
Sæland, M., Haugen, M. A., Eriksen, F.-L., Wandel, M., Smehaugen, A., Bøhmer, T., & Oshaug, A. (2010) · British Journal Of Nutrition · doi:10.1017/s0007114510003971 · Cited by 72 · see citing works
Cowan, J. A., & Devine, C. M. (2012) · Public Health Nutrition · doi:10.1017/s1368980012000572 · Cited by 70 · see citing works
Nutrition education is positively associated with substance abuse treatment program outcomes
Grant, L. P., Haughton, B., & Sachan, D. S. (2004) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2004.01.008 · Cited by 70 · see citing works
Eating Disorders and Substance Abuse in Canadian Men and Women: A National Study
Gadalla, T. M., & Piran, N. (2007) · Eating Disorders · doi:10.1080/10640260701323458 · Cited by 62 · see citing works
Warren, C. S., Lindsay, A. R., White, E. K., Claudat, K., & Velasquez, S. C. (2013) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2012.08.222 · Cited by 56 · see citing works
Drug Withdrawal and Hyperphagia: Lessons from Tobacco and Other Drugs
Edge, P. J., & Gold, M. S. (2011) · Current Pharmaceutical Design · doi:10.2174/138161211795656738 · Cited by 43 · see citing works
Targeting the ecology within: The role of the gut–brain axis and human microbiota in drug addiction
Skosnik, P. D., & Cortes-Briones, J. (2016) · Medical Hypotheses · doi:10.1016/j.mehy.2016.05.021 · Cited by 40 · see citing works
Emerson, M. H., Glovsky, E., Amaro, H. D. L. A., & Nieves, R. (2009) · Substance Use & Misuse · doi:10.1080/10826080802494750 · Cited by 33 · see citing works
Effectiveness of a voluntary nutrition education workshop in a state prison
Curd, P., Ohlmann, K., & Bush, H. (2013) · Journal of Correctional Health Care · doi:10.1177/1078345812474645 · Cited by 31 · see citing works
Lindsay, A. R., Warren, C. S., Velasquez, S. C., & Lu, M. (2012) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.10.027 · Cited by 29 · see citing works
Glasner, S. V., Mooney, L. J., Marinelli‐Casey, P., Hillhouse, M. P., Ang, A., Rawson, R. A., & Proje, T. M. T. (2011) · Eating Disorders · doi:10.1080/10640266.2011.566149 · Cited by 28 · see citing works
Treatment dropout in drug-addicted women: Are eating disorders implicated?
Bonfà, F., Cabrini, S., Avanzi, M., Bettinardi, O., Spotti, R., & Uber, E. (2008) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/bf03327607 · Cited by 25 · see citing works
The effects of educational intervention on nutritional behaviour in alcohol-dependent patients
Barbadoro, P., Ponzio, E., Pertosa, M. E., Aliotta, F., D'Errico, M. M., Prospero, E., & Minelli, A. (2011) · Alcohol and Alcoholism · doi:10.1093/alcalc/agq075 · Cited by 23 · see citing works
Alves, D. A., Costa, A. F., Custódio, D., Natário, L., Lebres, V. A. F., & Andrade, F. (2011) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · Cited by 23 · see citing works
(1990) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)01747-8 · Cited by 23 · see citing works
Recent Advances in Endocrinology
Fernandez, O. (1970) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1970.tb84593.x · Cited by 23 · see citing works
Dennis, A. B., Pryor, T. L., & Brewerton, T. D. (2014) · Springer eBooks · doi:10.1007/978-3-642-45378-6_21 · Cited by 22 · see citing works
Weight Gain During Substance Abuse Treatment
Hodgkins, C. C., Frost-Pineda, K., & Gold, M. S. (2007) · Journal of Addictive Diseases · doi:10.1300/j069v26s01_05 · Cited by 20 · see citing works
Registered dietitian nutritionists in substance use disorder treatment centers
Wiss, D. A., Schellenberger, M., & Prelip, M. L. (2018) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2017.08.113 · Cited by 14 · see citing works
Self-citationHo, V., Arbour, S., & Hambley, J. (2011) · Journal of Addictions Nursing · doi:10.3109/10884602.2011.585721 · Cited by 6 · see citing works
Moore, K., Gray, V., Wiss, D., & Parker, E. (2016) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2016.06.058 · Cited by 6 · see citing works
Self-citationDrug addiction and diabetes: South Asian action.
Balhara, Y. P. S., & Kalra, S. (2017) · PubMed · Cited by 4 · see citing works
Comorbidity of Eating Disorders and Substance-Related Disorders
Bulik, C. M., Slof, M. C. T., & Sullivan, P. F. (2004) · CRC Press eBooks · doi:10.3109/9780203017616-16 · Cited by 3 · see citing works
Nutrition services for alcohol/substance abuse clients
Pelican, S., Batchelor, B., Belshaw, J., Osborn, W., Pearce, J., Przekurat, C., Schumacher, P., & Strauss, K. F. (1994) · Journal of the American Dietetic Association · doi:10.1016/0002-8223(94)92356-6 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Nutritional implications of opioid use disorder: A guide for drug treatment providers
Chavez, M. N., & Rigg, K. K. (2020) · Psychology of Addictive Behaviors · doi:10.1037/adb0000575 · Cited by 38 · see citing works
A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health
Wiss, D. A. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00193 · Cited by 41 · see citing works
Self-citationThe Role of Nutrition in Addiction Recovery
Wiss, D. A. (2019) · The Assessment and Treatment of Addiction · doi:10.1016/b978-0-323-54856-4.00002-x · Cited by 20 · see citing works
Self-citation
- Authors
- Wiss, D. A., Schellenberger, M., & Prelip, M. L.
- Affiliations
- University of California, Los Angeles (US)
- University of Southern California (US)
- Corresponding author
- Wiss, David A.
- ORCID
- Wiss, David A.
- Venue
- Journal of Community Health
- Published
- 2018-07-20
- Volume
- 44
- Issue
- 1
- Pages
- 88-94
- ISSN
- 0094-5145 (ISSN-L)
- 1573-3610
- OpenAlex
- W2883719914
- Cited by
- 25
- References
- 60
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 2 · 2022: 5 · 2021: 1 · 2020: 5 · 2019: 1 · 2018: 1
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Community Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- nutrition services, registered dietitians, addiction treatment centers, residential treatment, outpatient care, therapeutic team, recovery programs, Los Angeles
- MeSH terms
- Ambulatory Care, Cross-Sectional Studies, Female, Health Services Accessibility, Humans, Male, Nutritional Status, Los Angeles, Substance Abuse Treatment Centers, Substance-Related Disorders, Nutritionists
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review