Bradley Stein
@bradleydstein.bsky.social
Child psychiatrist/ health services/policy researcher at RAND, studying improving access, treatment, and outcomes for individuals with mental health and substance use disorders. Often found at youth soccer games and finding recipes to try in my smoker
The vast majority of users find this advice useful. But this varies by groups. Black respondents reported benefits less often than their White peers
November 11, 2025 at 2:43 PM
The vast majority of users find this advice useful. But this varies by groups. Black respondents reported benefits less often than their White peers
Teachers in these schools were significantly more likely to report students having to stop their medication—over 77% in majority-minority schools and 76% in schools with mostly low-income students.
October 13, 2025 at 12:36 PM
Teachers in these schools were significantly more likely to report students having to stop their medication—over 77% in majority-minority schools and 76% in schools with mostly low-income students.
Even 6+ years later, treatment rates remained higher than pre-expansion, showing sustained improvements—not just a one-time bump.
October 8, 2025 at 7:57 PM
Even 6+ years later, treatment rates remained higher than pre-expansion, showing sustained improvements—not just a one-time bump.
And most elementary schools stick to strict bans: over 81% only allow phones on campus if students keep them put away all day. By high school, policies get much looser—many let students use phones outside class or at teacher discretion.
October 7, 2025 at 1:10 AM
And most elementary schools stick to strict bans: over 81% only allow phones on campus if students keep them put away all day. By high school, policies get much looser—many let students use phones outside class or at teacher discretion.
Want all the numbers? Check out the NIDA and Foundation for Opioid Response Efforts supported study here:
journals.lww.com/journaladdic...
journals.lww.com/journaladdic...
September 30, 2025 at 2:10 PM
Want all the numbers? Check out the NIDA and Foundation for Opioid Response Efforts supported study here:
journals.lww.com/journaladdic...
journals.lww.com/journaladdic...
In states with the greatest Medicaid disenrollment, the changes were greatest: ending episodes rose +5.5%, and new starts fell nearly -4% after unwinding.
September 30, 2025 at 2:10 PM
In states with the greatest Medicaid disenrollment, the changes were greatest: ending episodes rose +5.5%, and new starts fell nearly -4% after unwinding.
States averaged a total of ~400 OTC units per million residents.
By comparison, pharmacies and community programs each distributed more than 15 times as many units/million over a similar period. OTC sales were higher in some states but still fell far short of pharmacy and community distribution.
By comparison, pharmacies and community programs each distributed more than 15 times as many units/million over a similar period. OTC sales were higher in some states but still fell far short of pharmacy and community distribution.
September 16, 2025 at 1:46 PM
States averaged a total of ~400 OTC units per million residents.
By comparison, pharmacies and community programs each distributed more than 15 times as many units/million over a similar period. OTC sales were higher in some states but still fell far short of pharmacy and community distribution.
By comparison, pharmacies and community programs each distributed more than 15 times as many units/million over a similar period. OTC sales were higher in some states but still fell far short of pharmacy and community distribution.
In the first year, sales peaked around 23 units per million people and soon stabilized below 15 units per million.
September 16, 2025 at 1:46 PM
In the first year, sales peaked around 23 units per million people and soon stabilized below 15 units per million.
The TRS-IA measures 7 domains: campus safety, staff training, classroom strategies, staff self-care, community context, early intervention, & targeted/intensive programming.
August 28, 2025 at 2:26 PM
The TRS-IA measures 7 domains: campus safety, staff training, classroom strategies, staff self-care, community context, early intervention, & targeted/intensive programming.
Methadone coverage accounted for much of the increase, but buprenorphine remained the more commonly used medication. In all quarters, rural seniors got MOUD at *higher rates* than those in cities.
August 5, 2025 at 5:57 PM
Methadone coverage accounted for much of the increase, but buprenorphine remained the more commonly used medication. In all quarters, rural seniors got MOUD at *higher rates* than those in cities.
After Medicare began covering methadone for opioid use disorder, treatment rates rose—especially in rural areas, where access lags. Both city and rural residents saw bigger gains than before.
August 5, 2025 at 5:57 PM
After Medicare began covering methadone for opioid use disorder, treatment rates rose—especially in rural areas, where access lags. Both city and rural residents saw bigger gains than before.
This figure shows the breakdown of actions schools take after identifying a mental health need:
July 22, 2025 at 12:14 PM
This figure shows the breakdown of actions schools take after identifying a mental health need:
But screening alone is likely not enough. Principals say that making sure students actually receive mental health care is a significant challenge— about 41% of principals say it’s hard to ensure students get the help they need
July 22, 2025 at 12:09 PM
But screening alone is likely not enough. Principals say that making sure students actually receive mental health care is a significant challenge— about 41% of principals say it’s hard to ensure students get the help they need
This figure shows the breakdown of actions schools take after identifying a mental health need:
July 22, 2025 at 12:09 PM
This figure shows the breakdown of actions schools take after identifying a mental health need:
Here’s what typically happens if a student is found to need help:
- Parents are notified
- In-person care offered at school
- Referrals to outside child mental health specialists
- Parents are notified
- In-person care offered at school
- Referrals to outside child mental health specialists
July 22, 2025 at 12:09 PM
Here’s what typically happens if a student is found to need help:
- Parents are notified
- In-person care offered at school
- Referrals to outside child mental health specialists
- Parents are notified
- In-person care offered at school
- Referrals to outside child mental health specialists
Only 3 in 10 public school districts require mental health screening for students. This means most kids may not be routinely checked for issues like anxiety or depression.
July 22, 2025 at 12:09 PM
Only 3 in 10 public school districts require mental health screening for students. This means most kids may not be routinely checked for issues like anxiety or depression.
3/ Even in counties with high opioid overdose rates, the removal of the X-waiver didn't significantly impact buprenorphine access.
December 19, 2024 at 8:49 PM
3/ Even in counties with high opioid overdose rates, the removal of the X-waiver didn't significantly impact buprenorphine access.
7/ And the southern U.S. had more states where a greater proportion of prescribers to the elderly are high prescribers than other regions.
December 17, 2024 at 1:51 PM
7/ And the southern U.S. had more states where a greater proportion of prescribers to the elderly are high prescribers than other regions.
5/ Only 1,232 clinicians prescribed *any* buprenorphine to older adults.
Of those, only 5% prescribed to more than 15 older adults, accounting for 36% of older adults receiving buprenorphine.
Of those, only 5% prescribed to more than 15 older adults, accounting for 36% of older adults receiving buprenorphine.
December 17, 2024 at 1:51 PM
5/ Only 1,232 clinicians prescribed *any* buprenorphine to older adults.
Of those, only 5% prescribed to more than 15 older adults, accounting for 36% of older adults receiving buprenorphine.
Of those, only 5% prescribed to more than 15 older adults, accounting for 36% of older adults receiving buprenorphine.
Appreciate co-authors @adamjgordon.bsky.social and others for their collaboration and @FOREfdn for supporting this research
December 2, 2024 at 2:46 PM
Appreciate co-authors @adamjgordon.bsky.social and others for their collaboration and @FOREfdn for supporting this research
This research highlights the complexity of policies to support telehealth for medication treatment and the need for nuanced, supportive approaches and future research around telehealth to maximize the lifesaving potential of buprenorphine.
Learn more: link.springer.com/article/10.1...
Learn more: link.springer.com/article/10.1...
December 2, 2024 at 2:46 PM
This research highlights the complexity of policies to support telehealth for medication treatment and the need for nuanced, supportive approaches and future research around telehealth to maximize the lifesaving potential of buprenorphine.
Learn more: link.springer.com/article/10.1...
Learn more: link.springer.com/article/10.1...