B.A., 1962, Eastern Baptist College, St. Davids, PA
Ph.D., 1968, University of Alabama
Post doctoral, 1977-78, University of London Institute of Psychiatry Eastern Pennsylvania Psychiatric Institute

RESEARCH INTERESTS:

Dr. Milby's research focuses on discovery of effective interventions for severe addiction. He is currently conducting his 3rd randomized controlled clinical trial to discover necessary and sufficient conditions for the effective treatment of cocaine dependence in homeless persons. In previous studies his group has developed an intervention which led to 72% abstinence after 2 months of day treatment, and 48% and 39% abstinence at 6 and 12 month follow-up with great reductions in homelessness and increased employment.

Dr. Milby is also an expert on the treatment of opioid addiction via methadone maintenance and the conditions necessary for successful detoxification and drug-free adjustment of methadone maintenance treated patients. As former Chief of the Birmingham VA Psychology Service he has been instrumental in the training of psychologists in multiple medical and mental health settings and for the development of effective treatment for Posttraumatic Stress Disorder. He has also conducted research on treatment of Irritable Bowel Syndrome and Obsessive Compulsive Disorders, the subject of several book chapters.

Current research and training opportunities with his group include: 1. Homeless 3 Project - assessment, diagnosis, treatment planning, and treatment of cocaine dependent persons; develop program refinements to address associated affective disorders and disruptive behavior patterns, i.e. effective anger management, and re-establishing healthy family relationships; and participation in analysis, interpretation and writing from existing data sets. 2. Methadone Maintenance Detoxification Assistance Project – screening assessments for appropriateness and readiness to detoxify, administration and scoring of brief test battery, pilot research intervention and data collection for clients preparing and attempting to detoxify to a drug-free adjustment.

REPRESENTATIVE PUBLICATIONS:

Milby, J. B., Schumacher, J.E., Raczynski, J. M., Michael, M., Engle, M., Caldwell, E., & Carr, J. (1996). Sufficient conditions for effective treatment of substance abusing homeless. Drug and Alcohol Dependence, 43, 39-47.

Schumacher, J. E., Milby, J. B., Caldwell, E., Raczynski, J. M., Engle, M., Michael, M., & Carr, J. (1995). Treatment outcome as a function of treatment attendance with homeless persons abusing cocaine. Co-published in Journal of Addictive Diseases., 14, 73-85 and in G.J. Stahler and B. Stimmel (Eds.). The Effectiveness of Social Interventions for Homeless Substance Abusers (pp. 73-86). New York: Haworth Medical Press.

Milby, J.B., Schumacher, J.E., McNamara, C., Wallace, D., Usdan, S., & Michael, M. (2000). Initiating abstinence in cocaine abusing dually diagnosed homeless persons. Drug and Alcohol Dependence, in press.

McNamara, C., Schumacher, J. E., Milby, J. B., Wallace, D., & Usdan, S. (2000) Prevalence of non-psychotic mental disorders does not effect treatment outcome in a homeless cocaine dependent sample. The American Journal of Drug and Alcohol Abuse. in press.

Milby JB, Gurwitch RH, Wiebe DJ, Ling W, McLellan AT and Woody GE (1986). Methadone Maintenance detoxification fear: Prevalence, diagnostic reliability. American Journal of Psychiatry, 143, (6), 739-743.

Milby JB (1988). Methadone maintenance to abstinence: How many make it? Journal of Nervous and Mental Disease, 176, (7), 409-422.

McCluskey HY, Milby JB, Switzer PK, Williams V and Wooten V (1991). Persistent sleep onset insomnia: Efficacy of behavior vs. triazolam treatment. American Journal of Psychiatry, 148, (1) 121-126.

Milby JB, Williams V, Hall J, Khuder S, McGill T, and Wooten V. (1993). Effectiveness of combined triazolam-behavior therapy for persistent disorder of initiating and maintaining sleep. American Journal of Psychiatry, 150(8), 1259-1260

Milby JB, Gentile M, Huggins N, Sims MK, Hohmann A, McLellan AT, Woody G, & Haas N. (1994). Methadone maintenance outcome as a function of detoxification phobia. American Journal of Psychiatry, 151, 1031-1037.

Milby JB, Sims MK, Khuder S, Schumacher JE, Huggins N, McLellan AT, Woody G, & Haas N. (1995). Psychiatric co-morbidity: Prevalence in methadone maintenance treatment. The American Journal of Drug and Alcohol Abuse, 22, 95-107.

Milby, J.B. (1993). A Review of Treating PSTD: Cognitive-behavioral strategies. In: Foy DW (Ed.). Behavior Therapist. New York: Guilford Press.

Milby JB & Schumacher JE. (1997). Psychoactive Substance Use Disorders: Drugs. In: Turner SM & Hersen M (eds). Adult Psychopathology and Diagnosis (3rd ed). New York: John Wiley & Sons, Inc.

Milby JB, Robinson S & Daniel S. (1998). Obsessive compulsive disorders. In: Kratochwill TR & Morris RJ (Eds.). The Practice of Child Therapy (3rd ed). New York: Pergamon Press.