Bradley Stein
bradleydstein.bsky.social
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
Really important research about a school mental health intervention. Studies without significant findings often have a hard time getting published, but its just as important to know what interventions don't seem to have a significant benefit as knowing what interventions do.
New paper from my group, led by Carolina Guzman Holst

This is a secondary analysis of data from the high-quality MYRIAD trial, a universal school-based mindfulness intervention

Summary below (🧵)

acamh.onlinelibrary.wiley.com/doi/10.1002/...
October 15, 2025 at 12:22 PM
New research alert: The nationwide stimulant shortage didn’t affect all schools equally. Our new national study in JAACAP found much higher rates of ADHD medication interruption in schools where most students are from racial/ethnic minorities or low-income backgrounds.
October 13, 2025 at 12:36 PM
Reposted by Bradley Stein
The number of people initiating and continuing medication treatment for opioid use disorder declined in the six months after Medicaid unwinding began.

New study: https://bit.ly/42vlomV
Medicaid Unwinding Associated with Less Medication Treatment for Opioid Use Disorder
The end of pandemic-era enrollment enhancements for Medicaid was associated with a rise in the number of people ending medication treatment for opioid use disorder, as well as a decrease in the number...
www.rand.org
October 11, 2025 at 4:34 PM
New research led by @jcmecon.bsky.social of @georgemasonu.bsky.social in @healthaffairs.bsky.social finds Medicaid expansion has yielded lasting gains in access to specialty substance use disorder (SUD) treatment—benefiting thousands experiencing drug or alcohol problems.
October 8, 2025 at 7:57 PM
New Research Alert: Did you know nearly all U.S. public schools restrict student cell phone use—but the types of bans are very different depending on the school? Our recent paper, led by led by my @rand.org colleague Jon Cantor, just published in @jamahealthforum.com examines this issue
October 7, 2025 at 1:10 AM
Such an important topic. Great to see @parcka.bsky.social diving into this with my @rand.org colleague Liz!
Talking with youth about substance use isn’t easy. Dr. Elizabeth D’Amico shares how Motivational Interviewing #MI can help build trust. 🩷🎧 Listen to the newest episode of Let’s Talk About Drugs in the Intermountain West #LTAD now!
October 1, 2025 at 4:57 PM
New research alert: Medicaid covers nearly 40% of treatment for opioid use disorder (OUD), but recent “unwinding” of pandemic-era enrollment protections led many to lose coverage nationwide. How did this affect life-saving buprenorphine treatment?
September 30, 2025 at 2:10 PM
New research alert: Naloxone can stop opioid overdoses and save lives. When it went over-the-counter in Sept 2023, did Americans start buying it? We examined this question in a study now out in @jamainternalmed.com
September 16, 2025 at 1:46 PM
Schools nationwide want to be more trauma-responsive. The Trauma Responsive Schools Implementation Assessment (TRS-IA) provides practical tools for schools to support kids facing adversity. Published in @apajournals.bsky.social‬ and led by Pamela Vona
August 28, 2025 at 2:26 PM
Important new findings led by @rand.org colleague Erin Taylor in @healthaffairs.bsky.social : More older Americans are battling opioid addiction. In 2020, Medicare made it easier to get treatment—did it help? Find out below! (Paper link at end)
August 5, 2025 at 5:57 PM
Reposted by Bradley Stein
Mental health needs are rising among teens, but not all get the care they need. Can telehealth help bridge the gap? Recent paper in the Journal of Adolescent Health led by @rand.org‬ colleague Josh Breslau helps answer the question
July 25, 2025 at 7:36 PM
How are U.S. public schools tackling the growing youth mental health crisis? A new study led by my @rand.org colleague Jon Cantor gives us some answers.
July 22, 2025 at 12:14 PM
Reposted by Bradley Stein
Note to health/science journalists: When describing any sort of research, now would be a good time to note that the research was possible, at least in part, by federal funding of science through the National Institutes of Health, National Science Foundation, etc. report.nih.gov/funding/cate...
RePORT
report.nih.gov
May 26, 2025 at 2:54 PM
Very much looking forward to participating in this FORE webinar today and sharing some of our emerging findings from exploring the effects of Medicaid unwinding on buprenorphine treatment for opioid use disorder

More info/ registration link at

forefdn.org/webinar-medi...
Webinar: Medicaid’s Ongoing Critical Role in the U.S. Response to the Opioid and Overdose Crisis (3/26/2025) - FORE
Medicaid is the largest payer of opioid use disorder (OUD) treatment in the United States, covering an estimated 40% of adults under the age of 65 with OUD, and plays additional roles in supporting re...
forefdn.org
March 26, 2025 at 1:20 PM
So encouraging yesterday to see the bipartisan commitment to tackling the opioid crisis in action at the Senate Special Committee on Aging.

It was an honor to share RAND research with Congress and speak about the unique needs of the millions of older Americans who are affected.
February 28, 2025 at 12:24 AM
Thrilled to have the opportunity to testify today before the U.S. Senate Special Committee on Aging and share thoughts about addressing some of the challenges the opioid crisis is presenting for older Americans.

Catch the livestream here at 3:30 ET: www.aging.senate.gov/hearings/com...
Combating the Opioid Epidemic | United States Senate Special Committee on Aging
United States Senate Special Committee on Aging
www.aging.senate.gov
February 26, 2025 at 5:38 PM
Reposted by Bradley Stein
An urgent message from the nation's health journalists:
January 31, 2025 at 8:33 PM
💯
If Wilson struggles early they have to give Fields a series or 2. Throw everything you got at them.
January 12, 2025 at 1:05 AM
Reposted by Bradley Stein
Anyone sitting in a warm car honking at the guy slinging heavy garbage cans into a trash truck on a freezing day gets assigned to trash truck duty in their next life
January 2, 2025 at 6:01 PM
Reposted by Bradley Stein
watching this game has to suck if you actually care about these teams, but it absolutely rips for the rest of us
January 1, 2025 at 10:09 PM
Reposted by Bradley Stein
December 29, 2024 at 7:20 PM
Reposted by Bradley Stein
This is what the winter solstice looks like in Fairbanks, Alaska.
December 22, 2024 at 9:09 PM
1/ Excited to share recent paper, "Examining the Impact of Eliminating the X Waiver on Buprenorphine Dispensation in 63 Counties in Pennsylvania," in @sajamersa.bsky.social led by @beccabilden.bsky.social
December 19, 2024 at 8:49 PM
New work just dropped in the Journal of the American Geriatrics Society. The paper, led by @rand.org colleague Natalie Ernecoff, examines buprenorphine prescribing among older adults.

A quick 🧵
doi.org/10.1111/jgs....
Buprenorphine prescribing practices for older adults in 2019 and 2020
Background Opioid use disorder (OUD) prevalence has increased threefold among Medicare beneficiaries 65 years and older (hereafter “older adults”) since 2013, with a prevalence of 15.7 per 1000 Medi...
doi.org
December 17, 2024 at 1:51 PM