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Verena E. Metz , PhD

verena.e.metz@kp.org

Metz, Verena

​Verena Metz, PhD, is a staff scientist with the Kaiser Permanente Division of Research, a member of the Drug and Alcohol Research Team (DART). She studied psychology at the University of Vienna, Austria, and completed a doctoral program of Applied Medical Science in Mental Health and Behavioral Medicine at the Medical University of Vienna, where she also trained as a clinical and health psychologist. Her doctoral thesis focused on maternal and neonatal outcome parameters of women receiving opioid maintenance treatment throughout their pregnancy. Her interest in substance use disorders and vulnerable patient populations led her to complete postdoctoral research training in the Division of Substance Use Disorders at Columbia University Medical Center (New York State Psychiatric Institute), where she was mainly involved in medication trials in opioid-using, non-treatment-seeking volunteers, and a harm reduction study focusing on reducing opioid overdose deaths in New York City. In San Francisco, she worked briefly at the Friends Research Institute, implementing a study in a clinic with methadone-treated patients, before completing a 2-year clinical training in community mental health and school settings, to receive her license as a psychologist in California.

Current Positions

  • Staff Scientist, Division of Research, Kaiser Permanente Northern California

Section Affiliations

Primary Research Interests

  • Prevention of and early intervention for substance use disorders
  • Integrated mental health care/comprehensive health care
  • Gender, cultural background, and other individual and socio-cultural characteristics affecting mental health
  • Mental Health and substance use disorders in vulnerable patient populations

Studies

Evaluating delivery of a centralized LINKAGE telehealth modality to engage Addiction Medicine and Recovery Services patients across Northern California with their medical providers

This electronic-health records (EHR)-based data-only study will investigate whether virtual LINKAGE program implementation is feasible and effective at KPNC, and whether virtual LINKAGE can contribute to reducing disparities and stigma in healthcare for patients with substance use disorders (SUDs). The virtual version of the LINKAGE program is currently being implemented at Addiction Medicine and Recovery Services (AMRS) clinics across KPNC to engage patients with SUDs in their own health care. We will examine virtual LINKAGE implementation outcomes as well as compare health care engagement, health care utilization, and patient reported outcomes of current virtual LINKAGE participants to a 1:3 matched sample of eligible current non-LINKAGE participants, with the goal of determining the feasibility and effectiveness of the virtual LINKAGE program, its subjective effects on patients, and whether it has the potential to reduce disparities in health care in AMRS patients across communities in the region.

Investigator: Metz, Verena

Funder: Northern California Community Benefit Programs

Publications

Overall and Telehealth Addiction Treatment Utilization by Age, Race, Ethnicity, and Socioeconomic Status in California After COVID-19 Policy Changes

Authors: Palzes, Vanessa A;Chi, Felicia W;Metz, Verena E;Sterling, Stacy;Asyyed, Asma;Ridout, Kathryn K;Campbell, Cynthia I

JAMA Health Forum. 2023 May 05;4(5):e231018. Epub 2023-05-05.

PubMed abstract

Disparities in the Receipt of Alcohol Brief Intervention: The Intersectionality of Sex, Age and Race/ethnicity

Authors: Parthasarathy, Sujaya; Chi, Felicia; Metz, Verena; Kline-Simon, Andrea; Asyyed, Asma; Campbell, Cynthia; Sterling, Stacy

Addiction. 2023 Mar 29.

PubMed abstract

Associations between alcohol brief intervention in primary care and drinking and health outcomes in adults with hypertension and type 2 diabetes: a population-based observational study

Authors: Chi, Felicia W; Weisner, Constance M; Satre, Derek D; Grant, Richard W; Metz, Verena E; Sterling, Stacy A; et al.

BMJ Open. 2023 Jan 19;13(1):e064088. Epub 2023-01-19.

PubMed abstract

Effectiveness of a pharmacist-delivered primary care telemedicine intervention to increase access to pharmacotherapy and specialty treatment for alcohol use problems: Protocol for the alcohol telemedicine consult cluster-randomized pragmatic trial

Authors: Metz, Verena E; Leibowitz, Amy; Satre, Derek D; Parthasarathy, Sujaya; Jackson-Morris, Melanie; Cocohoba, Jennifer; Sterling, Stacy A

Contemp Clin Trials. 2022 Dec;123:107004. Epub 2022-11-13.

PubMed abstract

COVID-19 pandemic-related changes in utilization of telehealth and treatment overall for alcohol use problems

Authors: Palzes, Vanessa A; Chi, Felicia W; Metz, Verena E; Campbell, Cynthia; Corriveau, Caroline; Sterling, Stacy

Alcohol Clin Exp Res. 2022 Dec;46(12):2280-2291. Epub 2022-12-17.

PubMed abstract

Predicting severe alcohol use disorders in primary care using number of heavy drinking days

Authors: Metz, Verena E; Palzes, Vanessa A; Kline-Simon, Andrea H; Chi, Felicia W; Weisner, Constance M; Sterling, Stacy A

Addiction. 2022 Nov;117(11):2847-2854. Epub 2022-07-25.

PubMed abstract

Young Adult Substance Use and Healthcare Use Associated With Screening, Brief Intervention and Referral to Treatment in Pediatric Primary Care

Authors: Sterling, Stacy; Parthasarathy, Sujaya; Jones, Ashley; Weisner, Constance; Metz, Verena; Hartman, Lauren; Saba, Katrina; Kline-Simon, Andrea H

J Adolesc Health. 2022 Oct;71(4S):S15-S23.

PubMed abstract

A randomized clinical trial of the effects of brief versus extended opioid overdose education on naloxone utilization outcomes by individuals with opioid use disorder

Authors: Jones, Jermaine D; Metz, Verena E; Comer, Sandra D; et al.

Drug Alcohol Depend. 2022 08 01;237:109505. Epub 2022-05-23.

PubMed abstract

Alcohol brief intervention, specialty treatment and drinking outcomes at 12 months: Results from a systematic alcohol screening and brief intervention initiative in adult primary care

Authors: Chi, Felicia W; Weisner, Constance; Satre, Derek D; Campbell, Cynthia I; Elson, Joseph; Sterling, Stacy A; et al.

Drug Alcohol Depend. 2022 06 01;235:109458. Epub 2022-04-12.

PubMed abstract

Substance use disorders among primary care patients screening positive for unhealthy alcohol use

Authors: Metz, Verena E; Palzes, Vanessa A; Kline-Simon, Andrea Hessel; Chi, Felicia W; Campbell, Cynthia I; Weisner, Constance M; Sterling, Stacy A

Fam Pract. 2022 03 24;39(2):226-233.

PubMed abstract

Alcohol Use Among Young Adults in Northern California During the COVID-19 Pandemic-An Electronic Health Records-Based Study

Authors: Metz, Verena E; Palzes, Vanessa A; Chi, Felicia W; Campbell, Cynthia I; Sterling, Stacy A

Front Psychiatry. 2022;13:883306. Epub 2022-07-12.

PubMed abstract

Patient and provider factors associated with receipt and delivery of brief interventions for unhealthy alcohol use in primary care

Authors: Lu, Yun; Metz, Verena E; Weisner, Constance; Satre, Derek D; Campbell, Cynthia I; Sterling, Stacy A; et al.

Alcohol Clin Exp Res. 2021 10;45(10):2179-2189. Epub 2021-09-05.

PubMed abstract

Physical, Mental Health and Developmental Conditions, and Sociodemographic Characteristics Associated With Adverse Childhood Experiences Among Young Children in Pediatric Primary Care

Authors: Sterling, Stacy; Iturralde, Esti; Young-Wolff, Kelly; Metz, Verena E; Espinas, Paul; et al.

J Pediatr Health Care. 2021 Sep-Oct;35(5):491-499. Epub 2021-07-03.

PubMed abstract

How competent are people who use opioids at responding to overdoses? Qualitative analyses of actions and decisions taken during overdose emergencies.

Authors: Neale, Joanne J; Brown, Caral C; Campbell, Aimee N C ANC; Jones, Jermaine D JD; Metz, Verena E VE; Strang, John J; Comer, Sandra D SD

Addiction (Abingdon, England). 2019 04 ;114(4):708-718. Epub 2018-12-28.

PubMed abstract

The PPARγ Agonist Pioglitazone Fails to Alter the Abuse Potential of Heroin, But Does Reduce Heroin Craving and Anxiety.

Authors: Jones, Jermaine D JD; Bisaga, Adam A; Metz, Verena E VE; Manubay, Jeanne M JM; Mogali, Shanthi S; Ciccocioppo, Roberto R; Madera, Gabriela G; Doernberg, Molly M; Comer, Sandra D SD

Journal of psychoactive drugs. 2019 04 ;50(5):390-401. Epub 2018-09-11.

PubMed abstract

Characteristics of drug use among pregnant women in the United States: Opioid and non-opioid illegal drug use.

Authors: Metz, Verena E VE; Brown, Qiana L QL; Martins, Silvia S SS; Palamar, Joseph J JJ

Drug and alcohol dependence. 2018 02 01;183(5):261-266. Epub 2017-12-27.

PubMed abstract

Pioglitazone, a PPARγ agonist, reduces nicotine craving in humans, with marginal effects on abuse potential.

Authors: Jones, Jermaine D JD; Comer, Sandra D SD; Metz, Verena E VE; Manubay, Jeanne M JM; Mogali, Shanthi S; Ciccocioppo, Roberto R; Martinez, Suky S; Mumtaz, Mudassir M; Bisaga, Adam A

Pharmacology, biochemistry, and behavior. 2017 Dec 01;163(5):90-100. Epub 2017-10-08.

PubMed abstract

Abuse liability of intravenous buprenorphine vs. buprenorphine/naloxone: Importance of absolute naloxone amount.

Authors: Jones, Jermaine D JD; Manubay, Jeanne M JM; Mogali, Shanthi S; Metz, Verena E VE; Madera, Gabriela G; Martinez, Suky S; Mumtaz, Mudassir M; Comer, Sandra D SD

Drug and alcohol dependence. 2017 10 01;179(5):362-369. Epub 2017-07-26.

PubMed abstract

Effects of Ibudilast on the Subjective, Reinforcing, and Analgesic Effects of Oxycodone in Recently Detoxified Adults with Opioid Dependence.

Authors: Metz, Verena E VE; Jones, Jermaine D JD; Manubay, Jeanne J; Sullivan, Maria A MA; Mogali, Shanthi S; Segoshi, Andrew A; Madera, Gabriela G; Johnson, Kirk W KW; Comer, Sandra D SD

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology. 2017 Aug 01;42(9):1825-1832. Epub 2017-04-10.

PubMed abstract

No evidence of compensatory drug use risk behavior among heroin users after receiving take-home naloxone.

Authors: Jones, Jermaine D JD; Campbell, Aimee A; Metz, Verena E VE; Comer, Sandra D SD

Addictive behaviors. 2017 08 01;71(9):104-106. Epub 2017-03-09.

PubMed abstract

Racial Differences in HIV and HCV Risk Behaviors, Transmission, and Prevention Knowledge among Non-Treatment-Seeking Individuals with Opioid Use Disorder.

Authors: Metz, Verena E VE; Sullivan, Maria A MA; Jones, Jermaine D JD; Evans, Elizabeth E; Luba, Rachel R; Vogelman, Jonathan J; Comer, Sandra D SD

Journal of psychoactive drugs. 2017 08 01;49(1):59-68. Epub 2016-12-05.

PubMed abstract

The effects of pioglitazone, a PPARγ receptor agonist, on the abuse liability of oxycodone among nondependent opioid users.

Authors: Jones, Jermaine D JD; Sullivan, Maria A MA; Manubay, Jeanne M JM; Mogali, Shanthi S; Metz, Verena E VE; Ciccocioppo, Roberto R; Comer, Sandra D SD

Physiology & behavior. 2016 May 15;159(1):33-9. Epub 2015-10-09.

PubMed abstract

Need and utility of a polyethylene glycol marker to ensure against urine falsification among heroin users.

Authors: Jones, Jermaine D JD; Atchison, Jared J JJ; Madera, Gabriela G; Metz, Verena E VE; Comer, Sandra D SD

Drug and alcohol dependence. 2015 Aug 01;153(1):201-6. Epub 2015-05-27.

PubMed abstract

Abuse potential of intranasal buprenorphine versus buprenorphine/naloxone in buprenorphine-maintained heroin users.

Authors: Jones, Jermaine D JD; Sullivan, Maria A MA; Vosburg, Suzanne K SK; Manubay, Jeanne M JM; Mogali, Shanthi S; Metz, Verena V; Comer, Sandra D SD

Addiction biology. 2015 Jul 01;20(4):784-98. Epub 2014-07-25.

PubMed abstract

Should pregnant women with substance use disorders be managed differently?

Authors: Metz, Verena V; Köchl, Birgit B; Fischer, Gabriele G

Neuropsychiatry. 2012 Jan 25;2(1):29-41. Epub 2014-07-15.

PubMed abstract

Comparison of a drug versus money and drug versus drug self-administration choice procedure with oxycodone and morphine in opioid addicts.

Authors: Comer, Sandra D SD; Metz, Verena E VE; Cooper, Ziva D ZD; Kowalczyk, William J WJ; Jones, Jermaine D JD; Sullivan, Maria A MA; Manubay, Jeanne M JM; Vosburg, Suzanne K SK; Smith, Mary E ME; Peyser, Deena D; Saccone, Phillip A PA

Behavioural pharmacology. 2013 Sep 01;24(5-6):504-16. Epub 2014-07-15.

PubMed abstract

Substance abuse/dependence treatment: a European perspective.

Authors: Metz, Verena E VE; Brandt, Laura L; Unger, Annemarie A; Fischer, Gabriele G

Substance abuse. 2014 Dec 01;35(3):309-20. Epub 2014-07-15.

PubMed abstract

Characteristics and quality of life of opioid-dependent pregnant women in Austria.

Authors: Metz, Verena E VE; Comer, Sandra D SD; Wuerzl, Johanna J; Pribasnig, Anna A; Fischer, Gabriele G

Archives of women's mental health. 2014 Dec 01;17(6):529-39. Epub 2014-07-15.

PubMed abstract

Influence of site differences between urban and rural American and Central European opioid-dependent pregnant women and neonatal outcome characteristics.

Authors: Baewert, Andjela A; Jagsch, Reinhold R; Winklbaur, Bernadette B; Kaiser, Gerda G; Thau, Kenneth K; Unger, Annemarie A; Aschauer, Constantin C; Weninger, Manfred M; Metz, Verena V

European addiction research. 2012 Jan 25;18(3):130-9. Epub 2012-02-21.

PubMed abstract

Opioid dependent and pregnant: what are the best options for mothers and neonates?

Authors: Unger, Annemarie A; Metz, Verena V; Fischer, Gabriele G

Obstetrics and gynecology international. 2012 Jan 25;2012(1):195954. Epub 2012-02-07.

PubMed abstract

First-trimester fetal heart rate in mothers with opioid addiction.

Authors: Schmid, Maximilian M; Kuessel, Lorenz L; Klein, Katharina K; Metz, Verena V; Fischer, Gabriele G; Krampl-Bettelheim, Elisabeth E

Addiction (Abingdon, England). 2010 Jul 25;105(7):1265-8. Epub 2011-08-08.

PubMed abstract

Impact of treatment approach on maternal and neonatal outcome in pregnant opioid-maintained women.

Authors: Metz, Verena V; Jagsch, Reinhold R; Ebner, Nina N; Würzl, Johanna J; Pribasnig, Anna A; Aschauer, Constantin C; Fischer, Gabriele G

Human psychopharmacology. 2011 Aug 25;26(6):412-21. Epub 2011-08-08.

PubMed abstract

Association between prenatal tobacco exposure and outcome of neonates born to opioid-maintained mothers. Implications for treatment.

Authors: Winklbaur, Bernadette B; Baewert, Andjela A; Jagsch, Reinhold R; Rohrmeister, Klaudia K; Metz, Verena V; Aeschbach Jachmann, Crispa C; Thau, Kenneth K; Fischer, Gabriele G

European addiction research. 2009 Jul 25;15(3):150-6. Epub 2009-05-07.

PubMed abstract

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