Research and Publications

Crossroads Centre recognizes that continued addiction research is a vital component of effective treatment. Our aim has been to study our treatment program and various modalities for the purpose of measuring efficacy for clients and their families and to utilize research findings to continually enhance our services. Crossroads is committed to providing routine client follow up and outcome studies through our C.A.R.E, Program (Crossroads Aftercare Recovery Evaluation). As part of this program, follow up is conducted with clients at six select intervals ranging from one month to two years post discharge. Client abstinence rates are recorded as well as several quality of life indicators that help determine the impact of treatment on the individual and their family. The early results from C.A.R.E. have been reported, looking at client acceptance and early relapse.

Our research is conducted under the supervision of Dr. Thomas C. Martin, M.D., FAAP, FACC, FASAM. Dr. Martin has been involved with Crossroads Centre since its inception in 1998. Through his association with Crossroads Centre, he became involved with the American Society of Addiction Medicine (ASAM). He passed the ASAM certifying exam in addiction medicine in 2002, and he was elected as a Fellow of ASAM for commitment to the Society and to the field of addiction medicine in 2006. He was named as a diplomat of the newly formed American Board of Addiction Medicine in 2009. He has been involved in the formation of a New England regional chapter of ASAM and has been participating in the program for the narcotic abstinence syndrome babies at Eastern Maine Medical Center in Bangor, Maine. He has presented 17 peer-reviewed papers and has published seven peer-reviewed articles involving clinical research studies. Many of these have been presented at the annual American Society of Addiction Medical-Scientific Conferences, most recently in San Francisco in May 2010. At that meeting, Dr. Martin presented some early observations on client relapse based on the C.A.R.E. program information. He also presented information on the accidental ingestion of opioid replacement medications by children in Maine, a region leading the USA in use and abuse of narcotics. Currently Dr. Martin is working with his wife, Judith Josiah-Martin MSW, on an article about maternal-child attachment in the setting of opioid replacement therapy. Judi is currently working on her PhD in Clinical Social Work at Smith College in Northampton Massachusetts and at the Acadia Hospital in Bangor.

Presentations

  1. Martin TC, Klinedinst M, Vance A. Crossroads Centre in Antigua, a centre for the treatment of drug and alcohol dependency: the first 100 clients. Presented at the 45th Scientific Meeting of the Caribbean Health Research Council, April 2000. West Indian Medical Journal 49 (Suppl 2), 54, 2000.
  2. Martin TC, Vance A, Klinedinst M, McElrath D. A comparison of Caribbean and non-Caribbean clients in a residential addiction treatment facility in Antigua, West Indies. Presented at the 32nd Annual Medical-Scientific Conference of the American Society of Addiction Medicine and at the 46th Scientific Meeting of the Caribbean Health Research Council, April 2001. Journal of Addictive Diseases 20, 159, 2001 and West Indian Medical Journal 50 (Suppl 2), 56, 2001.
  3. Martin TC, Josiah-Martin JA, Klinedinst M, Burke-Forde A. Does being overweight increase the risk of aminotransferase elevation in chronic alcoholics? Presented at the 33rd Annual Medical-Scientific Conference of the American Society of Addiction Medicine, April 2002.Journal of Addictive Diseases 21, 128, 2002.
  4. Martin TC, Josiah-Martin JA, Chapman-Martin K. Erythrocyte abnormalities in addiction: disease, diet or drug of choice? Presented at the 35th Annual Medical-Scientific Conference of the American Society of Addiction Medicine, May 2004. Journal of Addictive Diseases 22, 142, 2003.
  5. Martin TC, Josiah-Martin JA, Burke-Forde A, Norton K. A comparison of patients from Antigua relapsing to addictive drug use with non-relapsing patients after residential addiction treatment. Presented at the 48th Scientific Meeting of the Caribbean Health Research Council, May, 2003. West Indian Medical Journal 52 (Suppl 3), 53, 2003.
  6. Martin TC, Josiah-Martin JA, Sinnott T, Singh N. Comparison of clients not completing a 29 day stay and those completing stay at a residential drug treatment centre in Antigua, West Indies. Presented at the 35th Annual Medical-Scientific Conference of the American Society of Addiction Medicine, April 2004. Journal of Addictive Diseases 23; 144, 2004.
  7. Martin TC, Josiah-Martin JA, Kosakoski J, Sinnott T. A comparison of Caribbean clients failing to complete and those who did complete a 29-day residential drug treatment program in Antigua. Presented at the 49th Scientific Meeting of the Caribbean Health Research Council, April 2004. West Indian Medical Journal 53 (Suppl 2), 77, 2004.
  8. Martin TC, Josiah-Martin JA, Williams J, Lewis T, Sinnott T. Renal findings associated with chronic use of alcohol, opiates or stimulants. Presented at the 36th Annual Medical-Scientific Conference of the American Society of Addiction Medicine, April 2005. Journal of Addictive Diseases 24,123, 2005.
  9. Martin TC, Josiah-Martin JA, Kosakoski J, Martin K, Sinnott T. Does weekend or weekday admission affect treatment completion rate at a 29-day residential program? Presented at the 36th Annual Medical-Scientific Conference of the American Society of Addiction Medicine, April 2005. Journal of Addictive Diseases 24,128, 2005.
  10. Martin TC, Josiah-Martin JA, Henry HP, Roberts C. Toward effective school-based substance abuse prevention: “Breaking the Cycle” program in Antigua and Barbuda. Presented at the 51st Scientific Meeting of the Caribbean Health Research Council, April 2006. West Indian Medical Journal 55 (Suppl 2), 68, 2006.
  11. Martin TC, Josiah-Martin JA, Sinnott T. A comparison of clinical characteristics of women and men admitted for drug addiction in a contemporary residential setting. Presented at the 30th National Conference of the Association for Medical Education and Research in Substance Abuse, Nov 2006. Substance Abuse 28(1), 45, 2007.
  12. Martin TC, Josiah-Martin JA, Sinnott T. A comparison of clinical characteristics of women addicted to alcohol alone, stimulants or opioids in a contemporary residential treatment setting. Presented at the 30th National Conference of the Association for Medical Education and Research in Substance Abuse, Nov 2006. Substance Abuse 28(1), 56, 2007.
    (View pdf | View html)
  13. Martin TC, Lewis T, Josiah-Martin JA, Sinnott T. Client family member participation is associated with improved residential treatment program completion at Crossroads Centre Antigua. Presented at the 38th Annual Medical-Scientific Meeting of the American Society of Addiction Medicine, April 2007.
  14. Martin TC, Josiah-Martin JA, Sinnott T. A case-control study of the clinical variables associated with all-cause mortality following residential addiction treatment. Presented at the 38th Annual Medical-Scientific Meeting of the American Society of Addiction Medicine, April 2007.
  15. Martin TC, Lewis T, McKnight L, Sinnott T, Rocque M, Brondino J. Client acceptance of a recovery monitoring check-up (RMC) program following residential addiction treatment: the Crossroads Aftercare & Recovery Evaluation (CARE) program. Presented at the 40th Annual Medical-Scientific Meeting of the American Society of Addiction Medicine, April 2009.
  16. Martin TC. Accidental and non-accidental ingestion of methadone and buprenorphine in childhood: a single center experience, 1999-2009. Presented at the 41st Annual Medical-Scientific Meeting of the American Society of Addiction Medicine, April 2010.
  17. Martin TC, Lewis T, McKnight L. Identifying early relapse: the value of a recovery monitoring check-up (RMC) program following residential drug & alcohol addiction treatment. Presented at the 41st Annual Medical-Scientific Meeting of the American Society of Addiction Medicine, April 2010.
    (View as pdf)

Publications

  1. Martin TC, Klinedinst M, Josiah-Martin JA, Burke-Forde A. A comparison of Caribbean and non-Caribbean clients in a residential addiction treatment facility in Antigua, West Indies.Journal of Addictive Diseases 22:57, 2003.
    (View as pdf | View as html)
  2. Martin TC, Josiah-Martin JA, Kosakoski J, Norton K, Sinnott T. A comparison of clients from Antigua relapsing to addictive drug use with non-relapsing clients following residential addiction treatment. West Indian Medical Journal 54:196, 2005.
    (View as pdf | View as html)
  3. Martin TC, Josiah-Martin JA, Sinnott T. A comparison of women and men in a contemporary residential treatment setting. In: Women and Addiction, New Research, Egger KS, Moser LH, eds., Nova Science Publishers, Inc., Hauppauge NY, 121, 2008
    (View as pdf | View as html)
  4. Martin TC, Josiah-Martin JA, Roberts CW, Henry HP. Toward effective school-based substance abuse prevention: “Breaking the Cycle” program in Antigua and Barbuda. West Indian Medical Journal 57(4): 360, 2008
    (View as pdf | View as html)
  5. Martin TC, Lewis T, Josiah-Martin JA, Sinnott T. Client family member participation is associated with improved residential treatment program completion at an international drug and alcohol treatment center. Journal of Groups in Addiction & Recovery 5:1, 2010
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  6. Martin TC, Josiah-Martin JA, Sinnott T. Client characteristics associated with failure to complete residential treatment at a multicultural drug and alcohol treatment facility in Antigua, West Indies. West Indian Medical Journal 59(1): 29, 2010.
    (View as pdf | View as html)
  7. Martin TC, Rocque MA. Accidental and non-accidental ingestion of methadone and buprenorphine in childhood: a single center experience, 1999-2009. Current Drug Safety 6(1):12, 2011
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