{"id":"W4407147508","doi":"10.1177/07067437251315516","title":"Enhancing Integrated Treatment Programs for Severe Concurrent Substance Use and Mental Disorders: Insights on Overdose from the ROAR CANADA Project: Améliorer les programmes de traitement intégré pour les troubles mentaux et les troubles liés à l’usage de substances psychoactives graves et concomitants : aperçu de la problématique des surdoses dans le cadre du projet ROAR CANADA","year":2025,"lang":"en","type":"article","venue":"The Canadian Journal of Psychiatry","topic":"Substance Abuse Treatment and Outcomes","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"St. Joseph’s Healthcare Hamilton; McMaster University; Provincial Health Services Authority; BC Mental Health & Substance Use Services; University of British Columbia","funders":"Health Canada","keywords":"Impulsivity; Medicine; Drug overdose; Psychiatry; Population; Longitudinal study; Substance abuse; Poison control; Emergency medicine; Environmental health","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002435556,0.0003083337,0.0004519342,0.0008383464,0.002911506,0.001439241,0.001412065,0.0004285917,0.003027946],"category_scores_gemma":[0.004599532,0.0002858093,0.0006361845,0.001563191,0.00104116,0.0005003072,0.002834537,0.001158358,0.0001717634],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.02178835,"about_ca_system_score_gemma":0.1161577,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9270245,"about_ca_topic_score_gemma":0.981324,"domain_scores_codex":[0.9973361,0.0008642165,0.00007635843,0.0001081886,0.0009386261,0.0006764618],"domain_scores_gemma":[0.9945839,0.0006097728,0.0005233334,0.0002222755,0.001413518,0.002647244],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.001199606,0.005233802,0.3167081,0.001540108,0.0003662096,0.0005040572,0.01790651,0.001927515,0.002215266,0.002344344,0.02596658,0.624088],"study_design_scores_gemma":[0.0008655373,0.002138759,0.9355185,0.0008940022,0.0004125933,0.0002669299,0.01460527,0.001116549,0.0008454989,0.0005136639,0.04273666,0.00008604027],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9624715,0.003884136,0.00108018,0.01475933,0.00009359924,0.002238733,0.001721997,0.0001024118,0.0136481],"genre_scores_gemma":[0.961716,0.009683533,0.01269671,0.004206419,0.0001051918,0.001286551,0.001597544,0.00004712266,0.008660905],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.9782116,"threshold_uncertainty_score":0.1580862,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02125892309376185,"score_gpt":0.2882805622629394,"score_spread":0.2670216391691775,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}