News and Insights for Psychiatric Pharmacists

AAPP Releases FAQ on Buprenorphine and Methadone in Acute Care Settings

Alleviate confusion about the use of buprenorphine and methadone in acute care settings through AAPP’s toolkit.

Reflections on My Year as AAPP President

As I reflect on this past year as AAPP President, I feel a sense of awe and profound gratitude. AAPP is not simply an association to me. It is a community where challenges are met with courage, compassion, and collective wisdom. Serving in this role has been one of the great honors of my professional life.

Deanna Kelly Accepts NAMI Scientific Research Award

Congratulations to AAPP member and Past-President Dr. Deanna Kelly, PharmD, BCPP, named by the National Alliance on Mental Illness (NAMI) as the 2026 recipient of its prestigious Scientific Research Award! The honor, which recognizes groundbreaking contributions to the understanding and treatment of mental illness, was presented at the organization’s national convention, NAMICon, May 27–30, 2026 in Atlanta, Georgia. Dr. Kelly, Professor of Psychiatry and Director of the Maryland Psychiatric Research Center (MPRC) and its Treatment Research Program, has spent nearly three decades advancing care for individuals with schizophrenia and related disorders and representing and advancing psychiatric pharmacy.

Once-Weekly Semaglutide in Adults With Daily Cigarette Use: A Randomized Clinical Trial

These findings suggest that glucagon-like peptide-1 receptor agonist monotherapy may alter some nicotine outcomes in people who smoke, irrespective of cessation treatment.

GLP-1 Receptor Agonist Treatment and Health Outcomes in Methadone-Treated Patients with Opioid Use Disorder and Diabetes

GLP-1 RA use in adults on methadone with both OUD and T2D was associated with lower rates of cardiometabolic and mental health complications.

Reducing Buprenorphine Misinformation as a Strategy to Improve Adoption in Primary Care

Findings suggest brief educational interventions can help primary care providers recognize misinformation that may otherwise undermine implementation efforts.

Tianeptine misuse and addiction: A systematic review of withdrawal, toxicity, and clinical management

This study conducted a systematic review following PRISMA 2020 guidelines.

Developing Effective Test-Taking Skills

Planning to sit for the BCPP exam? We've got resources! #BCPP #AAPP #examprep #psychpharmacy

AAPP Releases FAQ on Buprenorphine and Methadone in Acute Care Settings

Authored by AAPP members Zoe Karavolis, Emily Leppien and Annette Percy, AAPP has released an FAQ to help clinicians address frequently asked questions regarding the use of buprenorphine and methadone in acute care settings.

Psychotropic LAI Training Program Now Available!

AAPP's Psychotropic LAI Training Program is back and full of updates! This grant-funded educational activity is offered complimentary and includes access to 6 webinars and LAI resources like a pocket-guide, administration videos, and more. Register today and help us share this program with others that would find it valuable.

SAMHSA Resource - Healthy Starts: Postpartum OUD Care Transitions for Mother and Infant (Case Study)

This publication highlights best practices for managing OUD during and after pregnancy and summarizes current evidence on treating perinatal substance use disorder.

Around 1 In 5 Young People Use AI Chatbots For Mental Health Advice: Survey

Nearly 1 in 5 adolescents and young adults are turning to AI chatbots for advice when they’re sad, angry, nervous or stressed, according to a new study. The findings, from the research institute RAND, represent an increase from early 2025, when the nonprofit conducted a similar survey. At the time, around 13% of respondents said they used chatbots for such advice, but the share rose to 19% in the group’s latest survey in November.

Perinatal psychiatry: Innovative practice and transitions of care

"While working with the inpatient unit, I learned more about the transition of care to our outpatient Women's Mood Disorder clinic, the site for my ambulatory rotation during residency. My residency program director coordinated with the attending physician who oversaw the clinic, and I was immediately acknowledged as a member of the team. I was the first pharmacist to practice in this setting, which was a valuable experience in and of itself. I spent six months in the once-a-week clinic and grew to love my time there. To date, this was the most informative and rewarding patient care experience of my career..." Learn more about Caitlin Hughes' experience with perinatal psychiatry.

BPS Accepting Applications for 2027 Ambassador Roles

The Board of Pharmacy Specialties (BPS) is now accepting applications for the 2027 BPS Ambassador Program. Board-certified pharmacists interested can apply until June 12, 2026.

AAPP Participates at NAMI Convention

The National Alliance on Mental Illness (NAMI) held their national convention in Atlanta, GA May 28-30, 2026. AAPP members hosted a booth in the exhibit hall where volunteers answered questions from consumers at the ever-popular “Ask the Psychiatric Pharmacist” booth. A special thanks to Shari Allen, Katharine Heins, Lindsay Mccoy and Ashley Perkins.

Prevalence, adherence, and health care resource utilization in schizophrenia: A national and state-level analysis of US Medicaid Beneficiaries

These findings emphasize the need for targeted, system-level strategies to improve access, adherence, and coordinated care for individuals with schizophrenia within Medicaid programs.

Treatment-Resistant Depression: Costs, Caregiving, and Gaps in Care

This report used literature review and data analysis to gain insight into existing research and the real-world impact by examining Medicare fee-for-service and Part D data from 2021 to 2023.

Protecting Medicare’s Six Protected Classes

AAPP joined its coalition partners in the Partnership for Part D Access urging congressional leaders to oppose the CMS Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model and defend Medicare’s six protected classes policy.

Virtual Policy Briefing on June 18 - Protecting Access: Why the Part D Six Protected Classes Matter

Join the Partnership for Part D Access for a virtual congressional briefing on June 18 at 12:00 pm ET to discuss the history and importance of the six protected classes policy, as well as the risks posed by restricting access to critical, lifesaving medications through formulary limitations and utilization management practices. The event will feature a multi-stakeholder panel representing patient, provider, and advocacy perspectives.

Mental Health First Aid: July 16

Get certified in Mental Health First Aid! The next course is on July 16 and is completely free to attend, courtesy of the AAPP Foundation. Seats are filling up! Save your spot today.

Board-Certified Psychiatric Pharmacists and Their Potential Role in Addressing Behavioral Health Workforce Shortages

See how board-certified psychiatric pharmacists are well positioned to manage medications for people with mental health conditions to address psychiatric workforce shortages. Regulatory changes can expand their impact on patient care.

BCPP Exam Prep: Psychiatric Pharmacy Specialty Mock Exam

The mock exam is composed of 150 questions based on the content domains and knowledge statements included in the BPS content outline. Register today and practice, practice, practice!

Developing Effective Test-Taking Skills

Exams can be daunting. Let us help! Register for the Developing Effective Test-Taking Skills webinar to sharpen your skills. #BCPP #examprep #psychpharmacy #AAPP

AAPP Pharmacist Toolkit: Methamphetamine Use Disorder

AAPP’s resource document on Methamphetamine Use Disorder provides information on screening, diagnosis, intoxication, withdrawal, treatment, co-occurring psychiatric disorders, special populations, and harm reduction strategies.

VA Launches MDMA Clinical Trial To Measure Effects On PTSD, Mental Health

The Department of Veterans Affairs (VA) on Tuesday announced a new clinical trial of methylenedioxymethamphetamine-assisted therapy, more commonly known as MDMA, to evaluate the safety and efficacy when treating current and former military personnel for severe mental health disorders including posttraumatic stress disorder (PTSD) and alcohol use disorder. The latest announcement comes on the heels of a strong federal government-wide push across multiple branches to study and, ultimately, lawfully recognize different modalities like MDMA, psilocybin, LSD and ibogaine. Legislation has been crafted on bipartisan levels in both the U.S. House and Senate to accelerate the pace for which the VA, Food & Drug Administration (FDA) and the Department of Health and Human Services (HHS) can collectively give the green light for more widespread use in controlled settings.

Medicaid Enrollment for Children Falls Ahead of H.R.1 Implementation

Recent data shows that roughly 1.75 million fewer children were enrolled in Medicaid in January 2026 compared to the same time last year. Several factors contributed to the decrease, including confusion around new work requirements enacted in H.R.1 and administrative barriers like premium non-payment in some states. The uninsured rate for children started to increase following the pandemic, when states resumed Medicaid eligibility checks following an extended pause.

OMB Releases New Guidance on Federal Grants

On Thursday, May 28, the Office of Management and Budget (OMB) announced significant pending changes to the Uniform Guidance (2 C.F.R. Part 200), which governs administrative requirements, cost principles, and audit standards for federal awards, along with related agency-specific adoptions and deviations.

Podcast Highlights AAPP Annual Meeting 2026 Take-Aways

AAPP partnered with Pharmacy Times to record a Pharmacy Focus podcast focused on emerging trends in psychiatric pharmacotherapy as presented at AAPP 2026, held April 19-22 in WA. Moderator Bob Haight, PharmD, BCPP, AAPP Annual Meeting Director and Past President, Clinical Application Series Chair Archana Jhawar, PharmD, BCPP, and Chelsea Di Polito, PharmD, BCPP, Annual Meeting Chair, shared insights gained on newer psychiatric medications and how these newer therapies fit into clinical decision-making, especially given considerations like cost, monitoring requirements, and patient-specific factors. The episode also explores cutting-edge research and practice challenges, including the growing interest in GLP-1 receptor agonists for substance use disorders, evolving strategies for clozapine monitoring following REMS changes, and advancements in long-acting injectable antipsychotics that improve flexibility, adherence, and patient-centered care. Tune in to hear the major takeaways and to see how AAPP’s Annual Meeting provides a valuable forum for translating emerging evidence into practical strategies that can be immediately applied in clinical practice.

House Ways and Means Committee Advances H.R. 3164, the Main Street Pharmacy Access Act (formerly Ensuring Community Access to Pharmacist Services Act)

On May 21, the House Ways and Means Committee held a markup to advance several pieces of healthcare legislation to the full House of Representatives, including H.R. 3164, the Main Street Pharmacy Access Act (formerly Ensuring Community Access to Pharmacist Services Act). The bill specifically provides for Medicare Part B coverage of pharmacist-administered tests for four respiratory illnesses: influenza, respiratory syncytial virus (RSV), strep throat, and COVID-19. It would also allow pharmacists to prescribe treatments for these illnesses when properly indicated.

Recovery Research Institute Webinar July 8: Integrating Overdose Prevention and Opioid Use Disorder Treatment in Pediatric Primary Care

This session reviews practical, evidence-based approaches for bringing overdose prevention and opioid use disorder (OUD) treatment into pediatric primary care. It will cover screening and risk assessment, brief counseling to reduce the consequences of drug use, naloxone distribution, and pathways for initiating and managing medications for OUD (including buprenorphine).

Member News: June 2026

Michelle Geier, PharmD, BCPP, FAAPP, recently completed a Master's in Public Health degree at the University of Florida.

Farah Khorassani, PharmD, BCPP, FAAPP, was featured in an article explaining her vital role on the care team and as a mentor.

Jolene Bostwick, PharmD, BCPS, BCPP, was promoted to Associate Dean for Student Affairs at the University of Michigan College of Pharmacy.

Is There an App For That? | On-Demand Webinar

Stream this expert-led discussion on the expanding role of digital therapeutics in treating mental health conditions. Watch the recording and stay ahead in this fast-evolving field! Visit the course page to watch the webinar or learn more and register.

Home Study Workshop! Presentation Design and Speaker Development

Through expert guidance, participants will refine their presentation skills and learn how to captivate audiences. This 2-hour program with ACPE credit provides a unique opportunity to gain practical tools to elevate speaking abilities, enhance your expertise and confidence, and make you a standout voice in the field of psychiatric pharmacy. Don't miss this opportunity to learn!

FDA Approves Neuromodulation Device To Treat PTSD Symptoms

The FDA granted de novo approval for a neuromodulation device to treat symptoms associated with post-traumatic stress disorder (PTSD). The wearable, non-invasive device -- dubbed Modius Spero -- uses electrical vestibular system stimulation to target specific brain areas. It is prescribed and overseen by a healthcare professional as part of a comprehensive PTSD care plan.

PCSS-MOUD Clinical Roundtable June 4: SBIRT for Substance Use Disorders in Primary Care Settings

This webinar will detail the benefits of SBIRT, the appropriate screening tools to use and how to use these to facilitate change-focused conversations.

“It was good because they have a relationship with us”: A qualitative study on low-threshold buprenorphine treatment at syringe services programs

The SSP-based model provided rapid access to buprenorphine prescriptions, but precipitated withdrawal was a common complication.

Characterizing public comments via Regulations.gov in response to proposed cannabis rescheduling in the United States

Public sentiment on Regulations.gov supports the United States Drug Enforcement Administration's proposal for cannabis rescheduling, though the majority views the proposed Schedule III classification as inadequate and supports further rescheduling or complete de-scheduling of cannabis.

Opioid-Related Medication Access for Adolescents Who Test Positive for Fentanyl

This study offers novel data on opioid-related medication access for adolescents with illicit fentanyl exposure.

How Is Food Addiction Addressed at U.S. Substance Use Disorder Treatment Facilities? Perspectives of Service Providers

Formalizing FA assessment and diagnosis, and improving reimbursement mechanisms, may reduce potential health inequities between market-driven and publicly funded SUD treatment centers in FA treatment and referral resources.

Care trajectories among people with opioid use disorder after release from New York City jails: A state sequence analysis approach

This study's findings suggest that provision of in-jail MOUD could improve methadone uptake in the community.

Beyond Attendance: Social Anxiety and Psychiatric Concerns Predict Mutual-Help Group Involvement in a U.S. National Longitudinal Survey

Social anxiety and psychiatric concerns are salient barriers to attending a variety of MHG groups and to MHG involvement.

Low-Dose Buprenorphine Following Ketamine Treatment for Suicidal Ideation in Major Depressive Disorder: A Randomized, Double-Blind, Placebo-Controlled Trial

This randomized controlled trial provides the first evidence that a pharmacological intervention, buprenorphine, significantly sustains and enhances the antisuicidal effects of ketamine in MDD.

A review of the relationship between dimensions of alcohol consumption and the burden of disease: 2026 update including Mendelian randomisation studies

This review aimed to update current knowledge on causality and risk relationships to inform global and national comparative risk assessments for alcohol.

What I Wish I Knew - The Role of Psychiatric Pharmacists in the Diagnostic Process

Dr. Austin Smith, PharmD, BCPP discusses the role of Psychiatric Pharmacists in the diagnostic process.

Free Workshop: Elevate Your Speaking Skills!

AAPP and the AAPP Foundation are pleased to be offering a complimentary, 2-hour workshop: Cultivating Expertise: Enhancing Presentation Design and Speaker Development in Psychiatric Pharmacists. Earn ACPE credit and make yourself a standout voice in the field of psychiatric pharmacy!

New Career Center for Psychiatric Pharmacists

Whether you’re actively seeking to fill a position, job searching yourself, or simply keeping an eye on new opportunities, AAPP’s new Career Center helps psychiatric pharmacists explore jobs, upload a resume, save positions, and compare cost of living across cities. #PsychPharm #Jobs

BCPP Exam Prep: Developing Effective Test-Taking Skills

This 2-hour webinar focuses on developing appropriate techniques for answering standardized questions more accurately, identifying common issues in testing that may be hurting your performance, and analyzing your testing performance to improve accuracy, pacing, and endurance. Level up your test-taking skills!

Navigating the Peer Review Process: A Guide for New Reviewers

Improve your peer review skills! Discover the components to evaluate, the role of the peer reviewer, the skills necessary to critically evaluate a manuscript, and how to provide feedback to authors and journal editors.

Recovery is possible

Someone you love may face both a mental condition and a substance use challenge. They deserve steady support, starting with you. When more is needed, help is available 24/7. Call or text 988 anywhere in the U.S. Learn more: 988lifeline.org #MHAM2026 #SeeThePerson

Forensic Psychiatry

Mental illness and substance use disorders are common in correctional populations. Watch this video to learn about a psychiatric pharmacist's role in correctional healthcare.

Join the 2026 AAPP Outcomes Research Grants Q&A Session!

The 2026 AAPP Outcomes Research Grants provide $15,000 each to support retrospective studies on bipolar, clozapine, and MOUD. Mark your calendar for the Q&A session June 30, 2026! Get your questions answered and learn how to advance your research. #PsychPharm

AAPP Pharmacist Toolkit: Agitation and Aggression in Practice

This toolkit provides a resource for recognizing, understanding, and managing episodes of agitation and forms of aggression encountered in clinical practice.

Addressing Misinformation Regarding Antidepressants and Violence

AAPP's newest policy brief addresses misinformation about the association between antidepressants and violence, emphasizing the safety and benefits of antidepressants for treating various mental health disorders.

Speaking with Compassion

Respectful communication about mental health is especially important during times of transition, including housing instability or reentry into the community. Compassionate words signal safety when people need it most. #MHAM2026 #MentalHealthAwarenessMonth

State of the Union 2026: State-Level Updates and National Trends in Pharmacist Payment Reform

This article highlights state-level progress toward pharmacist reimbursement since the 2024 manuscript on this topic. A special thanks to the many AAPP members who assisted in the research and authorship of this manuscript which highlights expansion of pharmacist test-and-treat authority, new commercial coverage mandates, explicit Medicaid provider enrollment and reimbursement structures, and broadened scope-of-practice provisions tied to payment. Collectively, these developments reinforce the emergent bottom-up trajectory of pharmacist reimbursement reform and highlight the steady, incremental strengthening of pharmacist integration within state health systems.

National Council Podcast: The State of Mental Wellbeing

In this episode of The State of Mental Wellbeing: A Podcast on Mental Health & Substance Use, host Mohini Venkatesh talks with National Council President and CEO Chuck Ingoglia and Reyna Taylor about the federal mental health and substance use policy environment. Together, they explore federal funding, workforce challenges, Medicaid implementation and advocacy opportunities.

Opioid Response Network Free Webinar: Update on the Diversification of Kratom-Derived Products

This talk will provide a background on traditional kratom and an overview of the recent proliferation of novel, kratom-derived products. Industry marketing, confused media coverage, and dynamic government policy will be described, as all influence public health responses.

Cross-System Collaboration to Support Children and Youth With Behavioral Health Needs and Their Families

This paper introduces behavioral health, Medicaid, and public health agency leaders, administrators, managers, and policymakers to selected public child- and family-serving systems.

Children Exposed To Prenatal Antidepressants Had An Increased Risk Of Autism Or ADHD That Was Not Significant After Adjusting For Confounding Factors, Research Shows

MedPage Today (5/14, George) reports, “Children exposed to prenatal antidepressants had an increased risk of autism or attention deficit-hyperactivity disorder (ADHD) that was not significant after adjusting for confounding factors, a systematic review and meta-analysis showed.” Investigators found that “overall, prenatal antidepressant use was associated with a modestly increased risk of neurodevelopmental disorders in offspring (relative risk [RR] 1.13, 95% CI 1.0

Maternal and paternal antidepressant use before and during pregnancy and offspring risk of neurodevelopmental disorders: a systematic review and meta-analysis

This systematic review and meta-analysis indicated a small association between antidepressants and ADHD or ASD.

Pharmacists at the Center of Deprescribing: New Codes, New Opportunities

CMS has formally acknowledged and encouraged the involvement of clinical pharmacists in medication management and deprescribing activities through team-based care models. In newly released billing guidance tied to Deprescribing Services Codes, CMS confirmed that pharmacists can contribute billable time through “incident-to” services provided under physician or non-physician practitioner collaborations. The announcement arrives as Secretary Kennedy undertakes efforts aimed at reducing unnecessary prescribing. For pharmacists already embedded in collaborative care models, this development represents more than billing clarification and signals a growing recognition of the pharmacist’s expanding clinical role in optimizing medication therapy. However, CMS has historically limited the codes pharmacists can bill incident-to physicians and non-physician practitioners, prohibiting service delivery for many patients. As such, AAPP has been collaborating with APhA and ASHP to fix the larger issue to allow pharmacists to submit codes through incident to mechanisms that reflect the complexity of care pharmacists are providing. More recently, we requested an audience with CMS to discuss this latest development in billing opportunities for pharmacists.

Psychiatric Pharmacy Specialty Mock Exam for BCPP Candidates

Studying for the BCPP exam? Test your knowledge with our 150-question mock exam! #psychpharmacy #BCPP #AAPP #BPS #boardcertification

Addressing Misinformation Regarding Antidepressants and Violence

AAPP's most recent policy statement and brief seeks to dispel misinformation misinformation about the association between antidepressants and violence, emphasizing the safety and benefits of antidepressants for treating various mental health disorders in youth and adults. Please join AAPP in using this brief in your own advocacy as we work together to lead with the evidence.

Behavior Health Agency to Take Down Opioid Treatment Provider List

SAMHSA plans to remove its online tool for locating public access to providers that prescribe buprenorphine for OUD and pharmacists that dispense the drug on June 1. The agency indicates it plans to work with other federal agencies and partners to develop a new locator to assist individuals in need of services to find practitioners in their community but offered no timeline.

Microcosting the optimization of PrEP implementation among sexual and gender minority individuals with a substance use disorder

This study provides key insights into the resource/cost requirements for implementing and sustaining each A.S.K.-PrEP strategy.

Frequent police contact and nonfatal overdose among people who use drugs in rural Appalachia

Police stop-and-search was associated with elevated subsequent overdose risk among PWUD.

Impact of Cannabis Edibles Combined With Alcohol on Driving, Field Sobriety Performance, and Subjective Effects

In this trial of healthy adults who co-used cannabis and alcohol, cannabis edibles combined with alcohol augmented driving impairment.

Evaluating the potential risk of ketamine-induced hepatotoxicity in the treatment of mood and anxiety disorders: A systematic review

This review identified that ketamine treatment was associated with instances of elevated liver enzymes.

Initiation of Medications for Alcohol Use Disorder Among Hospitalized Veterans: A Retrospective Cohort Study

These data indicate a need to identify and disseminate successful hospital-based strategies to increase prescribing of MAUD.

Access to Medications for Opioid Use Disorder Among Veterans With Homeless Experience in Permanent Supportive Housing

These results suggest that MOUD access in supportive housing should be expanding, which could require embedding addiction care into PSH teams, leveraging behavioral health touchpoints, and addressing persistent disparities.

PCSS-MOUD Podcast Series - Meeting People Where They’re At: Pharmacist-Led Innovations in Substance Use Care

This episode examines how pharmacy-based models are closing gaps in addiction care deserts, how pharmacists can strengthen interdisciplinary care teams, and why fair reimbursement for pharmacist services matters for sustaining care in the communities hit hardest by overdose.

Can AI Say “I Don’t Know”?

Clinicians are rightly expected to disclose their gaps in knowledge or their inability to forecast an outcome. Yet emerging AI tools often cannot, or will not, do the same.

What I Wish I Knew: Mental Illness is More Than Just Biology

Dr. Joshua Holland, PharmD, BCPP, PLPC, talks about how psychotherapy techniques have advanced and can provide healing and help people meet their psychological needs.

Complimentary Clozapine Education Series

Earn up to 5.5 ACPE contact hours during this on-demand, seven-part educational series! Webinars are immediately accessible. Register and start today!

Patients and Caregivers

Parents and caregivers are often the first to notice when something feels different. Changes in mood, sleep, appetite or behavior may signal a young person needs support. #MentalHealthAwarenessMonth #SeeThePerson

Brochures and Fact Sheets

The National Institute of Mental Health is an excellent resource for broshures and fact sheets on mental health disorders for patients, caregivers, and healthcare professionals. Printed materials can even be ordered free of charge!

AAPP Joins Coalition Comments on Flavored E-Cigarette Draft Guidance

The FDA has issued draft guidance on marketing applications for flavored e-cigarettes. This guidance opens the door for the FDA to authorize more flavored products, including flavors like mint, that have historically been widely used by youth.

Antidepressant use among American adults in a 50-state survey

Findings from this study suggest that restrictive policies on antidepressant prescribing are unlikely to align with public sentiment and may risk exacerbating existing inequities in care.

Psychiatric Pharmacy Specialty Mock Exam for BCPP Candidates

Practice, practice, practice! The 150-question mock exam lets you test your knowledge, pacing, and endurance before sitting for the BCPP certification exam. #BCPP #AAPP #examprep #psychpharmacy

AAPP Pharmacist Toolkit: Xylazine

AAPP's pharmacist toolkit on Xylazine is intended to highlight both the evidence base available as well as strategies of clinical decision making used by expert clinicians.

The Trevor Project has published their 2025 U.S. National Survey on the Mental Health of LGBTQ+ Young People

LGBTQ+ young people who reported living in very accepting communities attempted suicide at less than a third of the rate of those who did not.

Symptom-Based Dosing for Neonatal Opioid Withdrawal

Symptom-based dosing decreased time to medical readiness for discharge compared with a scheduled opioid taper approach among infants cared for with ESC.

AAPP Responds to MAHA Action Plan to Curb Psychiatric Overprescribing

The U.S. Department of Health and Human Services (HHS) recently announced efforts to curb psychiatric overprescribing at a MAHA Institute summit on mental health and overmedicalization. Per the press release, “HHS agencies are bringing together their collective expertise and aligning to evaluate prescription patterns for psychiatric medications, their benefits and potential harms, and elevate the role of nonmedication treatments and scalable, evidence-based solutions to improve mental health.” Read on to learn more about AAPP actions.

Incident mental disorders following cancer: analysis of real-world psychiatric outcomes in a nationwide population-based cohort study in Denmark across three decades

The incidence and risk elevation of incident mental disorders in cancer patients vary based on sex, cancer type, time since diagnosis and type of mental disorder.

Treatment of Anxiety for Adults in Primary Care Settings

Referring patients to behavioral health specialists for CBT and/or prescribing recommended pharmacotherapy with Collaborative Care Management can help to reduce patient morbidity and improve functioning.

Methadone Diversion and Overdose: What Does the Evidence Say? A Narrative Review

The link between specialty-care-only policies and lower diversion and overdose risk is not supported by the reviewed literature.

Initiation of Medications for Alcohol Use Disorder Among Hospitalized Veterans: A Retrospective Cohort Study

These data indicate a need to identify and disseminate successful hospital-based strategies to increase prescribing of MAUD.

Actigraphy-based sleep outcomes in substance use disorders: A systematic review and meta-analysis

Actigraphy appears to be a feasible objective tool for sleep assessment in SUDs, though additional studies across diverse substances are needed.

“Smart” harm reduction vending machines to improve public health: Evaluating the utilization

Interactive sVMs can effectively dispense HR items and connect individuals to services, thereby having the potential to improve individual and public health. Contextual factors, such as location, may influence utilization.

Patient-reported outcomes for monitoring substance use treatment: A systematic review of single-item measures

Single-item patient-reported outcome measures are pragmatic tools for implementing measurement-based care in substance use treatment.

Opioid use disorder and medication for opioid use disorder among pregnant women with commercial insurance in the United States, 2016–2020

These results demonstrate substantial missed opportunities for MOUD treatment during pregnancy, highlighting the need for targeted interventions to improve evidence-based perinatal OUD care.

Cascade of Care for Opioid Use Disorder Among Medicaid Beneficiaries

This cross-sectional study found a substantial increase in the percentage of individuals with OUD who received MOUD among almost all states.

Medicaid Managed Care Plan Alignment With State Substance Use Disorder Treatment Coverage Requirements

Medicaid managed care plans located in Republican-leaning states were less likely to be subject to state requirements governing coverage and prior authorization of SUD treatment medications, with the exception of methadone, and were also less likely to align with requirements when imposed by states.

New! NAMI Family Caregiver HelpLine

The NAMI Family Caregiver HelpLine offers free, confidential support for people caring for loved ones living with mental illness. ​Every call is free, confidential, and reaches a trained volunteer who has cared for a loved one with mental illness themselves. Please share this broadly with your patients and their caregivers. 

Advisory: Promoting Integrated Physical and Behavioral Health Care for Older Adults

This SAMHSA advisory outlines evidence-based strategies to integrate physical and behavioral health services, improving outcomes, reducing costs, and enhancing quality of life.

Clinical Drug Testing Dashboard

The Centers for Disease Control and Prevention has launched the Clinical Drug Test Dashboard in partnership with Millenium Health. Designed to strengthen the nation’s response to the overdose crisis, the Clinical Drug Test Dashboard is an interactive tool that provides timely national and regional insights on fentanyl, heroin, cocaine and methamphetamine trends based on clinical urine drug test data. Data will be updated quarterly.

What to Know About Orphines, a New Class of Deadly Opioids

Orphines are 10 times more dangerous than fentanyl and are showing up in street drugs within the US.

Once-weekly semaglutide versus placebo in patients with alcohol use disorder and comorbid obesity: a randomised, double-blind, placebo-controlled trial

This study evaluated the efficacy of semaglutide once-weekly in treatment-seeking patients with alcohol use disorder and comorbid obesity.

SAMHSA Resource - Community-Initiated Care in Behavioral Health: Exploring Funding Mechanisms for Substance Use Disorders

This report examines how existing CIC programs operate, funding strategies used to sustain their work and offers insights to help strengthen and expand CIC models nationwide.

Ketamine Infusions and Rapid Reduction of Suicidal and Depressive Symptoms in Major Depressive Episode

Findings of this meta-analysis suggest that ketamine may be considered an off-label treatment for those at risk of suicidal behaviors or those not responding to other treatments for depression.

Benzodiazepine or Z-hypnotic use during pregnancy and risk of psychiatric disorders in children: population based cohort study

In this large population based cohort, prenatal exposure to benzodiazepines or Z-hypnotics was not associated with an increased risk of psychiatric disorders in offspring.

Managing mental health medications

AAPP member Farah Khorassani explains her vital role on the care team.

Showcasing Psychiatric Pharmacist Impact: Low Barrier Outreach

AAPP's newest member profile showcases psychiatric pharmacist impact through low barrier outreach showcasing how pharmacists can deliver medications and  psychiatric and substance use disorder care to underserved individuals.

Journal Club Recordings Available

If you missed any of the previous Resident Journal Club presentations or would like to revisit a session, recordings are available for you to listen and review at your convenience. Once registered, you can access the recordings, presentations, and article links on the Journal Club page.

FDA Approves 1st Non-Antipsychotic Medication For Agitation In Alzheimer's Disease

The Food and Drug Administration (FDA) approved the drug Auvelity this week for the treatment of agitation in adults with Alzheimer's dementia. The extended-release tablet is the first FDA-approved medication for this condition that is not an antipsychotic.

The Growing Use of Artificial Intelligence in Health Care and Implications for Disparities

While there has been an increase in funding for and use of AI in health care in recent years, public opinion on AI’s role in providing accurate health information remains mixed.

Prenatal exposure to buprenorphine or methadone and adverse neurodevelopmental outcomes: population based cohort study

The findings of this study suggest no increased risk of long term adverse neurodevelopmental outcomes among children with prenatal exposure to buprenorphine versus methadone, further supporting buprenorphine as a safe treatment option for opioid use disorder during pregnancy.

A systematic review and meta-analysis of the association between e-cigarette use and cigarette abstinence or changes in continued cigarette smoking among individuals who smoke cigarettes

Evidence suggests that the use of nicotine-containing e-cigarettes supports cigarette smoking cessation and reduction among individuals who smoke cigarettes regularly.

AAPP Opposes New Restrictions on Fentanyl Test Strips for Harm Reduction

AAPP opposes the SAMHSA policy change to prohibit the use of federal funds for the purchase of “fentanyl test strips or any other substance test kits intended for use by people using drugs.” Test strips are an essential component of overdose prevention interventions. Access AAPP’s Policy Statement “The funding and delivery of harm reduction services” to support your advocacy.

AAPP Opposes New Restrictions on Fentanyl Test Strips for Harm Reduction

AAPP has issued a statement opposing the Substance Abuse and Mental Health Services Administration’s (SAMHSA) policy change to prohibit the use of federal funds for the purchase of “fentanyl test strips or any other substance test kits, including xylazine and medetomidine test strips, intended for use by people using drugs.” Restricting access to this tool risks reversing progress in overdose prevention at a time when synthetic adulterants continue to drive morbidity and mortality. Evidence supports the importance of clinicians, first responders, and individuals having access to test strips as an essential component of overdose prevention interventions. Access AAPP’s Policy Statement “The funding and delivery of harm reduction services” for further information and to support your own advocacy in this area.

Cost-effectiveness analysis of treatment strategies initiating with second-generation antipsychotic long-acting injectables in patients with schizophrenia in the United States

Over a 5-year horizon, the treatment strategy initiating with paliperidone emerged as a favorable LAI option, providing the highest QALY gains at comparable or lower costs than the other LAI-initiating strategies.

Showcasing Psychiatric Pharmacist Impact: Low Barrier Outreach

In our newest member profile showcasing psychiatric pharmacist impact, learn how Dr. Jacky Parizher works as an outreach pharmacist providing low barrier treatment for opioid use disorder.

Understanding Brain–Body Interactions to Advance Brain Health: Proceedings of a Workshop 2026

This new proceedings of a workshop summarizes emerging scientific insights into brain-body communication pathways, and the implications for therapeutic development, public health, and overall well-being.

Nearly 700 Attend Ambassador Funded Program at Rx and Illicit Drug Summit

I was given the amazing opportunity to co-lead a platform presentation with Dr. Alexa Flood at the RX and Illicit Drug Summit (RX Summit) in Nashville. Through the support of the AAPP Ambassador Program, we were able to present to nearly 700 attendees and lead the second-most attended presentation of the conference. With 4 days of programming and 2165 attendees, we are confident that this impressive attendance allowed us to bring great visibility to this important topic and the psychiatric pharmacist's value as a member of the substance use disorder treatment team.

AAPP at Work

During AAPP 2026, we hosted our annual business meeting known as the Forum on our Future. Listen into the recording summarizing AAPP’s major initiatives including: 

Emerald City Energy and Exchange: President Reflects on AAPP 2026

Jolene Bostwick, PharmD, BCPP – AAPP President 

Coming home from our Annual Meeting 2026 in Seattle, I feel grateful and energized. Each year, this meeting reminds me why AAPP is such a special professional home. We come for the education, but we leave with something equally important: connection, belonging, and renewed commitment to our patients and our profession.

BPS Receives Petition to Recognize Pharmacogenomics as a Specialty Certification

BPS received a petition to recognize Pharmacogenomics as a BPS specialty certification and has opened the public comment period. The comment period will close on June 3, 2026 at 5:00 PM ET.

A population-based study exploring racial and gender inequities in polysubstance-related deaths across the United States from 2004 to 2022

Joinpoint regression was used to examine mortality rates for opioid-only, opioids with a stimulant, opioids with benzodiazepines, among racial/gender groups to measure temporal trends in age-adjusted overdose mortality due to polysubstance-related overdose.

SAMHSA Resource - Refocus and Renew: Moving Towards Health Technical Assistance Papers

This series of papers calls on state leaders to refocus on serious mental illness and serious emotional disturbances treatment and recovery and focuses on providing updated information and guidance on SMI and SED and renewing efforts for systems-level changes.

What I Wish I Knew - Open Door, not Open All Day: Establishing Boundaries while Remaining Collaborative

Sometime in your career, you'll have to say no. Read more from Dr. Andrea Beall about how to professionally say "no" while leaving opportunities open for the future.

SAMHSA Resource: Legal Tools Throughout the Behavioral Health Care Continuum

This paper is part of the Technical Assistance Coalition’s Refocus and Renew: Moving Towards Health series—a 10-paper collection guiding state leaders on SMI and SED treatment, recovery, and whole-person health.

Medicaid Expansion and Buprenorphine Dispensing in Early vs Recent Expansion States

In this cross-sectional study using contemporary data and methods, post-2018 Medicaid expansions were associated with substantial increases in buprenorphine treatment, particularly in high-need states operating under newer prescribing regulations.

Behaviors Related to Medical Cannabis Use in Older Adults: A Qualitative Study

A qualitative study of adults aged 65 and older in Southern California found that older medical cannabis users reported frequent and chronic use, widespread self-experimentation due to a lack of clinical guidance, and substitution of cannabis for other medications.

Celebrating each success: proportion of remission as a measure of recovery from polysubstance use disorder proportion of remission; a recovery measure

These results indicate the potential of PrR to capture gradual improvements in quality of life and reflect recovery progress.

To Support People Affected by Substance Use Disorders, Jurisdictions Should Measure Recovery

A survey of U.S. behavioral health agency officials from every state and the District of Columbia.

NIH Summary Examines Growing Evidence for GLP-1 Receptor Agonists in Addiction Treatment

Alcohol and drug addiction can cause many harms. This Research in Context feature looks at research into the causes of addiction and new ways to treat it.

ADHD medication surges for young women

Stimulant use has spiked in the post-pandemic era, particularly among young adult women. The latest data point comes from Trilliant Health, which found a 94% increase in stimulant prescriptions for commercially insured women ages 18-44 between 2018 and 2024.

SAMHSA Updates Guidance on Medication Assisted Treatment/Medication for Opioid Use Disorder

The Substance Abuse and Mental Health Services Administration (SAMHSA) expanded its list of prohibited harm reduction services to exclude drug testing strips in new guidance documents. The updated guidance prohibits test kits that can be used to test for the presence of fentanyl or xylazine in drugs, which were explicitly allowed in a July letter. The new guidance also clarifies that federal funding can’t be used to operate overdose hotlines whose primary purpose is “facilitating illicit drugs use by providing people using drugs a virtual or telephonic companion while they are using drugs.”

Award Recipients Recognized at AAPP 2026

We were so glad to have the opportunity to recognize our Judith J. Saklad Memorial Award and Early Practitioner Award recipients at #AAPP2026. The next awards cycle starts July 1. Take a look at the available awards and start thinking about who to nominate!

One Final Round of Applause for the AAPP Fellow Class of 2026

It's been just over a week since the 2026 Class of AAPP Fellows was officially installed during #AAPP2026. Let's give this group one more round of applause for an incredible achievement!

Treatment Guidelines

This member resource of treatment guidelines includes anxiety and related disorders, bipolar disorder, depression, medication-induced movement disorders, schizophrenia, seizure disorders, sleep-wake disorders, and substance use disorders.

Substance Use Disorders

Substance use disorders are highly prevalent among patients with mental health conditions. Troy Moore, Pharm.D., M.S., BCPP shares his experience in the management of substance use disorders within the Veterans Health Administration.

AAPP Announces Research Award Recipients Presented at 2026 AAPP Annual Meeting

Abstracts Committee Chair Ijeoma Onyema, PharmD, BCPP, is pleased to recognize the 2026 AAPP Research and Practice Award winners and finalists. Announced April 20th during AAPP’s 29th Annual Meeting, these awards recognize excellence in investigators presenting abstracts at the AAPP Annual Meeting. Award finalists presented platform presentations and displayed their posters during the meeting. Research and Practice Awards are sponsored by the AAPP Foundation.

Award Winners

Innovative Practices Award

Cannabis Reclassification Announcement

On April 22, the Department of Justice announced through a final order that it is reclassifying cannabis as a less-dangerous drug.

CMS Announces Behavioral Health Strategy

This week the Centers for Medicare and Medicaid Services (CMS) announced the agency’s new behavioral health strategy. The strategy is grounded in five key pillars: mental health and wellness, substance use disorder (SUD) treatment, prevention and recovery, pain treatment and management, care efficiencies and special populations. 

Trump Administration Issues Executive Order on Psychedelic Research

On April 18, President Trump signed the Accelerating Medical Treatments for Serious Mental Illness executive order (EO) intended to “dramatically accelerate access to new medical research and treatments based on psychedelic drugs,” with an emphasis on ibogaine and psilocybin.

2026 Class of FAAPPs Installed

During AAPP 2026, AAPP inducted thirty members into its second class of AAPP Fellows. The AAPP Fellows Program recognizes members who have demonstrated excellence in advancing the practice of psychiatric pharmacy and have distinguished themselves in advancing the mission and goals of AAPP, thereby promoting public awareness of the profession. After induction, Fellows can be recognized by the initials “FAAPP”.

Congratulations to all Fellows! 

A lifeline on wheels: perspectives of stakeholders on the implementation and impact of a mobile medications for opioid use disorder unit

Findings highlight the importance of policy and funding mechanisms to ensure the long-term viability of MHUs.

That’s a Wrap on AAPP 2026 in Seattle

We are fresh off a memorable week in Seattle for AAPP 2026 where we were joined by over 680 attendees plus another 200+ virtually. I’m feeling incredibly grateful to be working alongside members to help shape the future of psychiatric pharmacy. From reconnecting with AAPP founders and past presidents to meeting members and new faces from across the profession, the energy around emerging, pressing topics was energizing and encouraging.

Thanks to Corporate and AAPP 2026 Sponsors

AAPP extends our sincere thanks to the sponsors of AAPP 2026. Your partnership helped make this event possible and supports our ongoing efforts to advance the field of psychiatric pharmacy.

Thirty Inducted into 2026 Class of AAPP Fellows

A certificate award ceremony and dinner at AAPP 2026 provided opportunities to shower attention on the 2026 class of Fellows. The Fellows Program recognizes members who have demonstrated excellence in advancing the practice of psychiatric pharmacy and have distinguished themselves in advancing the mission and goals of the association, thereby promoting public awareness of the profession. After induction, Fellows can be recognized by the initials “FAAPP”.

Congratulations to AAPP Award Winners!

AAPP recognizes psychiatric pharmacists who have made significant contributions to the profession and to our organization and profession. Each winner was recognized during AAPP 2026. Review the press releases to learn more about these accomplishments.

Daily motivation for and perceived accessibility of nondrug reward among people in long-term recovery from opioid use disorder

Person-level characteristics were particularly strong in predicting motivation for and perceived access to daily nondrug rewards.

An international mega-analysis of psychedelic drug effects on brain circuit function

This study conducted a ‘mega-analysis’ integrating 11 independent resting-state functional magnetic resonance imaging datasets across five psychedelic drugs from research groups spanning three continents and five countries.

Comparative effectiveness, safety and acceptability of pharmacological and psychosocial interventions for the treatment of cannabis use disorder: A network meta-analysis

There is some evidence that dialectical behavioral/acceptance and commitment therapies, contingency management alone or with cognitive-behavioral therapy with motivation enhancement, N-acetylcysteine, cannabidiol or varenicline may facilitate abstinence, reduce use and/or support treatment completion for cannabis use disorder.

Internet Addiction and Its Association with Depression, Anxiety and Quality of Life Among School-going Adolescents: A Cross-sectional Study

These findings highlight an increased prevalence of internet addiction among adolescents, which is linked to increased levels of depression, anxiety and a lower quality of life.

Early onset of cannabis use and risk for opioid use disorder across two decades in the United States

Even after accounting for correlated variables, onset of cannabis use during early adolescence is associated with increased likelihood of OUD and riskier forms of opioid use that increase vulnerability to overdose and mortality.

Mirtazapine for Methamphetamine Use Disorder

In this parallel-group randomized clinical trial, mirtazapine delivered in routine clinical practice reduced methamphetamine use in adults with methamphetamine use disorder.

BPS Invites You to Serve as a Psychiatric Pharmacy Exam Item Writer

BPS is requesting applicants to serve as examination item writers for the specialty certification in Psychiatric Pharmacy (BCPP) examination. If selected, your participation will consist of access to virtual training materials, as well as access to a web-based item authoring platform to draft and submit 5-10 exam items according to assigned areas of the examination content outline beginning in late May 2026. Applications are due May 2, 2026.

Methadone Dose and Patient-Directed Discharge in Hospitalized Patients With Opioid Use Disorder

In this study, higher cumulative doses of methadone during the first 48 hours of care were associated with substantial reductions in the incidence of PDD.

AAPP Joins Joint Statement from the Pharmacy Community on Changes to CDC ACIP Charter

AAPP joined ASHP and partnering pharmacy organizations expressing concerns about the recently revised charter for the Centers for Disease Control and Prevention's (CDC) Advisory Committee on Immunization Practices (ACIP). In our joint statement, we offer key considerations to restore patient and healthcare provider confidence that the nation's vaccine recommendation advisory framework is credible, independent, and scientifically grounded.

CMS Rule on Interoperability Standards and Prior Authorizations

The Centers for Medicare and Medicaid Services (CMS) has proposed a new rule aimed at improving prior authorizations and modernizing health data exchanges. The proposed rule would require electronic prior authorization for prescription drugs and expand the use of modern interoperability standards. The rule would also require health plans to disclose reasons for denials and publicly report metrics like approval rates and appeals outcomes.

New SAMHSA Fact Sheet on Screen-Based Media in Schools

SAMHSA has created a new fact sheet that provides resources and guidance to elementary school teachers and staff to help facilitate more balanced use of screen-based media. The fact sheet differentiates between active and passive screen use and promotes solutions like prioritizing the active use of technology and building movement into classroom activities.

Acetaminophen Exposure During Pregnancy and the Risk of Autism in Offspring

This study evaluated the potential association between prenatal acetaminophen exposure and risk of autism using Danish nationwide registers.

What I Wish I Knew: Precepting

Dr. Bob Haight, PharmD, BCPP, explains some of his tips to effective precepting.

2026 Early Practitioner Award Installation

Drs. Zoe Karavolis and Aaron Salwan have been awarded the inaugural AAPP Early Practitioner Award. This award recognizes the efforts of psychiatric pharmacists in the first 5 years of practice or 5 years after completion of post-doctoral training. Both Drs. Karavolis and Salwan have demonstrated commitment to AAPP and its mission and contributed to the advancement of psychiatric pharmacy practice through research, publications, presentations, mentoring, and the development of new psychiatric pharmacy practices or programs. Congratulations Zoe and Aaron!

Karavolis and Salwan Awarded First Ever Early Practitioner Awards

Drs. Zoe Karavolis and Aaron Salwan have been awarded the inaugural AAPP Early Practitioner Award. This award recognizes the efforts of psychiatric pharmacists in the first 5 years of practice or 5 years after completion of post-doctoral training. Both Drs. Karavolis and Salwan have demonstrated commitment to AAPP and its mission and contributed to the advancement of psychiatric pharmacy practice through research, publications, presentations, mentoring, and the development of new psychiatric pharmacy practices or programs.

Judith J Saklad Memorial Award Ceremony Honors Recipient Jerry McKee

During AAPP 2026, AAPP presented the 2026 Judith J. Saklad Memorial Award to Jerry McKee, PharmD, MS, BCPP, FAAPP. The Judith J. Saklad Memorial Award is presented annually to a senior psychiatric pharmacy practitioner who has achieved a level of professional distinction and represents the qualities and ideals of professional enthusiasm, a passion for optimizing patient care, and continuing dedication to the practice of psychiatric pharmacy. The Saklad Memorial Award is named after the late Judith J.

Free Medication Database

This medication database provides important information on generic and brand name medications used in treating individuals living with mental health and/or substance use disorders.

AAPP New Practitioner Hub

Access valuable psychiatric treatment guideline and clinical pearl resources at AAPP

Impact of pharmacists on outcomes for patients with psychiatric or neurologic disorders

Psychiatric and neurologic illnesses are highly prevalent and are often suboptimally treated. Pharmacists who focus on psychiatric and neurologic diseases improve outcomes for patients with these conditions. This is important in the current health care environment as most patients with psychiatric or neurologic conditions continue to have unmet needs. Read this MHC article to learn more about the value of psychiatric and neurologic pharmacists as part of the health care team. We hope you will consider exploring psychiatric and neurological pharmacy for your career.

AAPP Foundation 2025 Annual Report Released

Momentum continued throughout 2025 in the areas of grant support, practitioner development, and sponsorship! View our 2025 Annual Report to see the impact. Thank you to the incredible donors who support this important work.

See Your Donations At Work! Hear Impact Grant Presentations During AAPP 2026

Collegiate Chapter Impact Grant recipients will share their grant-funded projects during the Collegiate Chapter Meeting on Sunday, 4/19! Join chapter representatives in the Cedar Ballroom from 4:45-5:15 PM Pacific Time. Presentations will not be livestreamed; however, they will be recorded and posted for those unable to attend live. Thank you to our donors for helping us continue this important grant program with your monetary gifts.

Student Grant Recipients Head to AAPP 2026

Thanks to generous AAPP Foundation donors and the AAPP Past Presidents' Destiny Fund, 33 PharmD students were awarded full, in-person student registration grants to AAPP 2026! Congratulations to each of the recipients and enjoy your time in Seattle!

Keynote Session at AAPP 2026 Supported by Kim Tallian Bequest

The estate bequest made by long-time AAPP member Kim Tallian, PharmD, BCPP, FASHP, FCCP, FCSHP, APH will be partially applied to a session sponsorship at the upcoming 2026 AAPP Annual Meeting titled, The Pleasure Pain Balance in a Dopamine Overloaded World, presented by Anna Lembke, MD on Sunday, April 19 at 1:15 PM Pacific Time. Dr. Tallian was a passionate psychiatric pharmacist and advocate for the profession, students, residents and patients. Dr.

AAPP 2026 Activities Sponsored by the AAPP Foundation

The AAPP Foundation Board of Directors is looking forward to the 2026 AAPP Annual Meeting! Our booth will be near registration in the Grand Ballroom Foyer (Level 2). Members of the Foundation Board will be present at various times throughout the event to answer your questions about donations, bequests, grant programs, and more! Please join us for various Foundation-supported activities.

FDA’s Office of Clinical Pharmacology Announces Release of Its 2025 Annual Report

In this year’s report, OCP celebrates its 30th anniversary, showcasing the Office’s contributions to the evolution of clinical pharmacology into a foundational pillar of drug development and regulatory review by enhancing efficacy and safety evaluations through rigorous, collaborative, and state-of-the-art approaches.

Do US Adults View Drug and Alcohol Addiction as a Health Condition?

US adults likely have heterogenous views on addiction, and more research is needed to further understand how US adults conceptualize addiction.

Slow-Release Oral Morphine vs Methadone for Opioid Use Disorder in the Fentanyl Era

In this study, SROM for OUD was associated with slightly higher treatment discontinuation risk than methadone but similar mortality risk, suggesting either medication may be appropriate alongside measures to support retention.

A Comparative Systematic Review and Meta-analysis of Psychotic Outcomes from Therapeutic and Nontherapeutic Use of Stimulants

Stimulant-induced psychosis occurs in both therapeutic and nontherapeutic contexts but at vastly different prevalence rates.

“You’re Hoping for the Best, but Preparing for the Worst”: Discussions of Starting Buprenorphine in the Context of Fentanyl Use with Clinicians and People Who Use Fentanyl

While both PWUF and clinicians identified precipitated withdrawal as a major concern when initiating buprenorphine, it was just one of many barriers.

SAMHSA Resource - Refocus and Renew: Moving Towards Health Technical Assistance Papers

This paper provides an overview of SED, including the role of functional impairment in identifying youth with SED and the important developmental considerations.

AAPP Xylazine Toolkit Updated

The xylazine toolkit, intended to highlight the evidence base available and strategies of clinical decision making, was recently updated by AAPP member Sarah Thomason to include sections on regulatory status, laboratory testing and wound care.

Celebrating AAPP Volunteers During Upcoming National Volunteer Week

National Volunteer Week coincides with AAPP 2026 in Seattle but we don’t want that to detract from celebrating our amazing volunteers. So, we are saying our thank yous a week early. Every year, approximately 215 members contribute their time and talent to AAPP as members of committees, the Board of Directors, task forces, and editorial boards. This doesn’t include the countless other members who write, speak, represent AAPP at meetings, and much more. Though we celebrate our member volunteers year-round, we want to give extra recognition and a thank you to our volunteers in advance of National Volunteer Week. Cheers to our AAPP volunteers!

AAPP Supports Bills Removing Medicare Mental Health Inpatient Limitations Act (S.4076) and the Medicare Mental Health Inpatient Equity Act (H.R.4619)

AAPP joined numerous other Mental Health Liaison Group member organizations in expressing strong coalition support for the introduction and swift passage of legislation to remove the 190-day lifetime limit on inpatient psychiatric treatment for Medicare beneficiaries.

Psychiatric Pharmacists Urged to Join CLOSZE Clozapine Panel

The CURESZ Foundation (Comprehensive Understanding via Research and Education into SchiZophrenia) founded by Bethany Yeiser and Dr. Henry Nasarallah has assembled a Clozapine in Schizophrenia Expert Panel (CLOSZE). The goal is to assist individuals living with schizophrenia and/or caregivers in finding a clinician who can assist them in trying clozapine. AAPP encourages psychiatric pharmacists to sign up for the registry so that patients/caregivers can outreach to establish ongoing care.

New SAMHSA Resource: Dually Enrolled Medicaid and Medicare Beneficiaries

This report provides a guide to publicly accessible data sources to support research and improve data-driven decision-making for individuals dually eligible for Medicaid and Medicare.

Medicaid expansion boosted opioid treatment

State Medicaid expansions from 2017 to 2023 increased access to medication treatment for opioid use disorder at a time when fatal overdoses were continuing to climb, researchers wrote in JAMA Network Open. That means coverage expansions can significantly affect uptake of addiction medicine like buprenorphine. The findings could be important for state governments wrestling with reductions in federal Medicaid spending.

What I Wish I Knew: Telehealth: Tips, Pearls and Challenges

Dr. Yelena Lugin, PharmD, BCPP, provides tips on telehealth services.

Register on the CURESZ Foundation Clozapine Panel to help individuals living with schizophrenia trial clozapine

Expand availability to clozapine for those living with schizophrenia. Register now for the CURESZ Foundation Clozapine Panel!

AAPP Pharmacist Toolkit: Cannabis Use Disorder

The treatment of cannabis use disorder, special populations and co-occurring disorders as well as harm reduction strategies are also addressed in the toolkit.

CDC Issues Health Advisory about Withdrawal Syndrome Due to Medetomidine Exposure

The CDC and White House Office of National Drug Control Policy (ONDCP) issued an advisory to notify the public about increasing reports detecting medetomidine in the illegal drug supply causing withdrawal syndrome. Medetomidine is used for sedation and analgesia in dogs but is not approved for human use. Medetomidine can cause sedation, bradycardia, and hypotension and stopping it after regular use may lead to severe withdrawal.

Member News: April 2026

North Carolina AAPP members Jerry McKee PharmD, MS, BCPP, Vera Reinstein PharmD, BCPS. and Mina Wolfe, PharmD, have co-authored a publication entitled  "Increasing the use of long-acting injectable behavioral health medications in the community- A pharmacist-psychiatrist collaborative model" in the journal Research in Social and Administrative Pharmacy.

What is AI Psychosis? A Conversation on Chatbots and Mental Health

As AI chatbots become more widely used, questions are emerging about how they may affect mental health.

Availability of Care for Older Adults in Outpatient Behavioral Health Facilities

Fewer than half of outpatient facilities for substance use disorder accept Medicare, according to a new HHS report. But low reimbursement rates and difficulty finding mental health workers factor into clinics' ability to care for older adults who need behavioral health care, the report found.

SAMHSA Resource - Refocus and Renew: Moving Towards Health Technical Assistance Papers

These papers call on state leaders to refocus on SMI and serious emotional disturbances (SED) treatment and recovery— and to renew their commitment to system changes in improving whole-person health.

Turnover and Burnout Among Family Physicians

Evidence suggests that patients who lose a primary care physician experience higher emergency department use.

Vaping Likely Causes Cancer, Major Study Finds

Nicotine vaping is likely to cause lung and oral cancers, a comprehensive review of more than 100 studies has concluded. According to the analysis, human and animal studies, as well as cell experiments looking at the effects of chemicals found in vape liquid, all point toward carcinogenicity. Those studies, published since 2017, record "increasing concern", the researchers report.

Psychedelic Therapy vs Antidepressants for the Treatment of Depression Under Equal Unblinding Conditions

These findings suggest that PAT is no more effective than TADs under equal-unblinding conditions for the treatment of depression and highlight the potential role of blinding integrity.

Liver Injury Associated With Kratom (Mitragyna speciosa): A Systematic Review

Further research is needed to better characterize kratom’s mechanisms of liver injury and to inform clinical decision-making and public health policy.

Cannabis cessation and neurocognitive recovery: Patterns, predictors, and clinical implications—a systematic review

These findings provide evidence-based guidance for treatment duration, realistic expectation-setting, and individualized prognosis determination in cannabis use disorder recovery.

Treating Opioid Use Disorder With Methadone in Pharmacies

The primary study outcomes were ROI ratios and net profits after 3 years in operation.

Student Track - Traci Turner (Outpatient)

The Veteran's Health Administration (VHA) is the nation's largest integrated healthcare system. Hear Traci Turner, Pharm.D., BCPP share her experience as an outpatient clinical pharmacist at the VA.

Public Health

Protect people. Protect communities. #choosepsychpharmacy #pharmd #psychpharm #AAPP

National Council Releases White Paper on Peer Support in Schizophrenia Care

This white paper offers practical recommendations for health care leaders, policymakers, peer support programs, and individuals and families, and covers workforce development, program infrastructure, outreach, outcome measurement and policy reform.

Galvanizing Rural Opioid Response Efforts with Rural Health Transformation Program Dollars

Lessons from 10 FORE Grantees that have expanded access to prevention, treatment, and recovery supports in rural communities.

U.S. Behavioral Health Treatment Engagement Trends

This Recovery Research Institute summary highlights a cross-sectional analysis of National Survey on Drug Use and Health data showing.

Cannabis and Mental Health: A Review

The current evidence base is not sufficient to support the use of cannabis for the treatment of mental health conditions and demonstrates substantial risks of adverse effects.

Private Equity Acquisition and Buprenorphine Prescribing

In this study, the volume of patients treated with buprenorphine increased after private equity acquisition, with minimal changes in the payer mix among these patients.

Child poisoning cases rise as nicotine pouches flood stores

The colorful packaging and fruity flavors that make nicotine pouches appealing to adults also make them tempting — and dangerous — for kids.

Office for Civil Rights Announces Program to Protect SUD Patient Confidentiality

The Department of Health and Human Services Office for Civil Rights announced a new civil enforcement program to protect the confidentiality of SUD records for individuals under 42 CFR Part 2. This initiative allows for resolution agreements, monetary settlements, and corrective action plans aligned with HIPAA enforcement standards to address noncompliance and breach notifications.

What I Wish I Knew - Incorporating Research into Clinical Practice Post-residency; How to Continue to be Scholarly

Dr. Troy Moore, PharmD, MS, BCPP, discusses how to incorporate research into clinical practice post-residency.

AAPP Supports POINTS Act Addressing Gambling Addiction Crisis

AAPP joined 39 other organizations in supporting the POINTS Act. This Act addresses the gambling addiction crisis by allocating federal funding into a competitive, discretionary grant program under the Substance Abuse and Mental Health Services Administration (SAMHSA). The grant program will support States and Tribal entities in their efforts to establish, improve, or expand programs to prevent, screen, intervene and treat problem gambling and gambling addiction in the U.S. Utilizing 1/3rd of the existing federal excise tax on wagers paid by the gambling industry, the grant program will prioritize those populations most vulnerable to gambling addiction, including men, youth, Native Americans, servicemembers, and veterans. The POINTS Act allows funding for both community and statewide prevention, intervention, and treatment activities including providing specialized outpatient treatment, peer-support, awareness, and other evidence-based interventions to help those in need.

2026 NAMI-Ipsos Workplace Mental Health Survey Results

Burnout continues to affect a large portion of the workforce, impacting well-being, job satisfaction, and day-to-day life at work. The 2026 NAMI Workplace Mental Health Poll highlights how common these experiences are—and why support matters. The data also points to what employees say could help, including more access to mental health resources and training around stress and burnout.

Methylphenidate Treatment and Risk of Psychotic Disorder

A large, new study found that the stimulant methylphenidate, such as the drugs Ritalin and Concerta, may lower the risk of psychosis when prescribed to younger children with ADHD.

Shifts in Antipsychotic Prescribing by Clinician Type for Medicare Part D Beneficiaries, 2013-2023

A growing proportion of antipsychotic prescriptions for older adults were written by nonphysician clinicians, reflecting shifts in the mental health care workforce and prescribing practices, cross-sectional data showed. From 2013 to 2023, antipsychotic prescription claims for Medicare Part D beneficiaries written by psychiatrists and primary care physicians (PCPs) declined annually by 3.2% and 2.6%, respectively (P<0.001 for both). Prescriptions from advanced practice registered nurses (APRNs) and physician assistants (PAs), however, rose by 11.8% (P<0.001) each year, reported researchers.

Millions Could Lose Medicaid Coverage Due to New Rules

Between 4.9 and 10.1 million people could lose Medicaid coverage in 2028 as the result of new work requirements and more frequent eligibility checks.

AAPP Urges Revisions to Legislation Further Restricting Access to Methadone

AAPP joined the American Society of Addiction Medicine, ASHP, and other healthcare associations in a letter to Representative Houchin encouraging revisions to H.R. 5629 which would increase overdoses and reduce access to evidence-based OUD care, especially in rural areas. We argue that, if enacted as currently drafted, the bill would result in more opioid overdoses, because fewer people would get methadone treatment for OUD, with no improvement in safety for our communities.

Complementary services improve recovery outcomes among college students with alcohol or other drug related use disorders

These findings emphasize the role of social support and integrated treatment in fostering recovery and inform the design of individualized university recovery programs.

Extended-Release vs Sublingual Buprenorphine in Pregnancy Through 12 Months Post Partum: A Randomized Clinical Trial

The primary and key secondary outcomes were illicit opioid abstinence during pregnancy and the postpartum period, respectively, defined as the proportion of weekly collected urine samples negative for illicit opioids.

Celebrating each success: proportion of remission as a measure of recovery from polysubstance use disorder proportion of remission; a recovery measure

Results indicate the potential of PrR to capture gradual improvements in quality of life and reflect recovery progress.

Detecting Suicidality in Opioid Use Disorder Requires an Understanding of Intentional Opioid Overdose

This commentary discusses how a sensitive and validated assessment is crucially needed to identify those at risk for intentional opioid overdose.

AAPP Pharmacist Toolkit: Harm Reduction Strategies for People Who Inject Drugs

Toolkit on harm reduction provides tips and guideline summaries in the following areas: consequences of injection drug use, harm reduction services, activities, policies, stigma, potential barriers, professional/policy support, resources, and data sources.

Quality of Life

Better days start here. #choosepsychpharmacy #pharmd #psychpharm #AAPP

Tobacco Cessation Funding Policy Recommendations Issued by AAPP

AAPP supports the funding of federal programs directed toward tobacco cessation and outlines specific policy recommendations as to the federal funding programs critical to maintain for individuals living with mental health and/or substance use disorders.

Pharmacy-based Vaccine Access Work Group Survey Invite

AAPP is a member of a pharmacy‑based vaccine access work group composed of national pharmacy organizations. The work group is conducting a survey to gather insights into vaccination practices since June 2025. Feedback will support pharmacy organizations in their advocacy and education efforts. If applicable to your practice, please complete the survey, available through March 31, 2026.

Practice Settings

Pharmacists play a variety of roles in academia: as administrators (e.g., deans, department chairs, etc.), educators, clinical practitioners, and researchers. Often a faculty member plays more than one role, depending on their track (non-tenure versus tenure) and department (pharmaceutical sciences versus pharmacy practice).

Mechanisms Underlying Hazardous Alcohol Use After Mild Traumatic Brain Injury

This review discusses mechanisms that contribute to negative outcomes after mTBI and hazardous alcohol use and to the development of AUD after mTBI.

Antipsychotic Monitoring Policy Brief Now Available

AAPP supports access to evidence-based monitoring for youth prescribed antipsychotics and updates to child and adolescent psychotropic prescribing regulations.

AAPP Joins Organizations in Support of Funding for CDC's Tobacco Prevention & Cessation Programs in FY27 Appropriations Bills

AAPP joined over 80 organizations in writing letters of support to the House and Senate urging for continued funding for tobacco cessation and prevention at the CDC. These letters align with AAPP's policy ask document on federal tobacco funding

The Future of DSM: Role of Candidate Biomarkers and Biological Factors

As part of the planning for the future of DSM, the Biomarkers and Biological Factors Subcommittee of the Future DSM Strategic Committee was empaneled to begin to bridge the gap between psychiatry and neuroscience and move DSM toward a psychiatric nosological system informed by objective measures.

Tobacco Product Use among U.S. Adults, 2023–2024

Survey data suggest that prevalence of cigarette smoking among U.S. adults declined 2023 to 2024.

Teamwork

Mental health = team sport. #choosepsychpharmacy #pharmd #psychpharm #AAPP

President’s Blog: AAPP’s Strategic Plan and the Future of Work

AAPP President Jolene Bostwick talks about the future and our new strategic plan.

Overdose Prevention Centers and Neighborhood Commercial Activity in New York City

This cohort study found that OPC opening was not associated with significant changes in local economic activity.

Partnership for Part D Access Letter Opposing GUARD Model

As a member of the Partnership for Part D Coalition, AAPP supported a letter to CMS in opposition to the GUARD model. Opposition centers around the anticipated weaking of the 6 protected classes protections through its proposed Medicare drug pricing changes, which could lead to worsening patient health outcomes and increased costs.

Digital Media Use and Child Health and Development

A meta-analysis of children and teens found social media use was tied to higher rates of depression, behavioral problems, self-injury, and substance use. (JAMA Pediatrics)

Projecting and valuing climate change impacts on anxiety and depression in the contiguous USA: a damage function approach

Rising temperatures could trigger over a billion additional "symptom-days" of anxiety and depression annually in the U.S., researchers projected. (Lancet Planetary Health)

Sex differences in familial risk and genetic components of suicide attempts: a register-based cohort study in Sweden

Genetics play a role in risk of suicide attempt but do not fully explain the sex differences in incidence, a Swedish cohort study found. (BMJ Mental Health)

NAMI Ask the Expert Presents: An Overview of Catatonia

On March 19 from 4:00-5:30 PM ET NAMI will host this presentation to provide an overview of catatonia and discuss the various potential causes of catatonia, as well as the many different ways in which the syndrome may manifest.

Tobacco Product Use among U.S. Adults, 2023–2024

Data suggest that prevalence of cigarette smoking among U.S. adults declined from 10.8% of the population in 2023 to 9.9% in 2024.

Impact of mental health first aid training in California pharmacy professionals

MHFA training in pharmacy professionals is an effective intervention to promote mental health support, increase awareness, reduce stigma, and equip participants to make linkages.

What I Wish I Knew - Expanding the Psychiatric Pharmacist Practice to Embrace Harm Reduction

Dr. Taylor Nichols, PharmD, BCPP, explains how to embrace harm reduction.

Anxiety, Depression, and Care Barriers in Adults With Intellectual and Developmental Disabilities

In this cross-sectional study, US adults with IDDs experienced substantially higher rates of mental health conditions, treatment use, and cost-related barriers compared with those without functional impairments.

ASHP Vaccine Resources

These resources provide practical toolkits and clinical guidance.

Estimating Lifetime Drinking Trajectories for Alcohol Use from Adolescence to Older Adulthood in the United States: A Three-Step Approach

These findings provide a framework for the long-term evaluation of intervention programs and guiding health care resource allocation to reduce adolescent alcohol consumption.

Buprenorphine utilization following removal of prior authorization requirements in the Kentucky Medicaid population

Removal of transmucosal buprenorphine PA requirements for Kentucky Medicaid enrollees was associated with a significant immediate increase in buprenorphine dispensing for OUD treatment.

Opioid Agonist Therapy for Fentanyl-Related Opioid Use Disorder: A Systematic Review

Emerging evidence suggests novel OAT induction strategies for fentanyl-related OUD are feasible and show a consistent direction toward positive clinical and safety outcomes.

NAMI Launches #Vote4MentalHealth campaign for the 2026 elections

NAMI has relaunched its #Vote4MentalHealth campaign for the 2026 elections. This nonpartisan campaign is part of NAMI’s long-standing efforts to help people across the country understand that voting and mental health are closely intertwined and find the resources and information they need to cast their ballot. NAMI urges voters to take the pledge to #Vote4MentalHealth, which is a commitment to do one thing: understand how your vote impacts mental health. After taking the pledge, people can learn about the issues, share why they #Vote4MentalHealth, register to vote or update their registration, request an absentee ballot, find their polling place and more — all at vote4mentalhealth.org.

Bilateral Theta-Burst Stimulation of Dorsolateral Prefrontal Cortex Regions for Late-Life Depression: A Randomized, Sham-Controlled Clinical Trial

Active theta-burst stimulation beat sham stimulation at reducing depression scores by week 12 -- but not by week 6 -- in people with late-life depression, a randomized clinical trial showed. (American Journal of Psychiatry)

Clozapine After 1 Failed Antipsychotic Drug Trial in First-Episode Psychosis

While the majority of patients with first-episode psychosis respond to initial treatment with oral risperidone or amisulpride, clozapine appeared to be the best next step for non-responders in a sequential trial. (JAMA Psychiatry)

Patterns of prescription stimulant initiation before and during the COVID-19 pandemic: a population-based time-series analysis

Stimulant prescriptions for ADHD surged in adults during the COVID pandemic, a Canadian study found. (CMAJ)

FDA Launches New Adverse Event Look-Up Tool

The new platform provides for analyzing adverse event reports.

Unraveling Stigma Toward Persons With Substance Use Disorder: Instructional Design, Implementation, and Outcomes of an Interprofessional Workshop

The Stigma Unraveled/Addiction Unmasked interprofessional workshop prompted meaningful and statistically significant changes in participant beliefs, attitudes, behaviors, and knowledge.

Moving Naloxone Over-the-Counter Is Not Sufficient: Pharmacy-Based Interventions on Pricing Are the Solution

Policy interventions and pharmacist advocacy are needed to alleviate challenges.