Vania Modesto-Lowe1,2,3,4, Joseph C LaBell5, Natalie Z Meyers5. 1. Connecticut Valley Hospital, Middletown, Connecticut. 2. Quinnipiac University, Hamden, Connecticut. 3. University of Connecticut School of Medicine, Farmington, Connecticut. 4. Corresponding author: Vania Modesto-Lowe, MD, MPH, Connecticut Valley Hospital, Addiction Services Division, PO Box 351, Middletown, CT 06457 (vania.modesto-lowe@ct.gov). 5. Quinnipiac University School of Health Science, Hamden, Connecticut.