Benjamin Howell, MD, MPH, MHS
Internal Medicine
Titles
- Assistant Professor of Medicine (General Medicine)
Education & Training
- MHSYale School of Medicine (2020)
- Chief Resident, Advocacy and Community HealthYale-New Haven Hospital (2017)
- ResidentYale-New Haven Hospital (2016)
- MDUniversity of California, San Francisco, Sch of Med (2013)
- MPHUniversity of California, Berkeley, School of Public Health (2012)
- BAColumbia University (2002)
Additional Information
Board Certifications
- AB of Preventive Medicine, Addiction Medicine (Preventive Medicine) (2022)
Publications
- Howell BA, Hawks L, Wang EA, Winkelman TNA. Evaluation of Changes in US Health Insurance Coverage for Individuals With Criminal Legal Involvement in Medicaid Expansion and Nonexpansion States, 2010 to 2017. JAMA Health Forum 2022, 3: e220493. PMID: 35977325, PMCID: PMC8994123, DOI: 10.1001/jamahealthforum.2022.0493.
- Howell BA, Puglisi LB, Aminawung J, Domingo KB, Elumn J, Gallagher C, Horton N, Kazi DS, Krumholz HM, Lin HJ, Roy B, Wang EA. A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper. BMC Public Health 2022, 22: 331. PMID: 35172807, PMCID: PMC8848673, DOI: 10.1186/s12889-022-12688-x.
- Howell BA, Earnshaw VA, Garcia M, Taylor A, Martin K, Fox AD. The Stigma of Criminal Legal Involvement and Health: a Conceptual Framework. Journal Of Urban Health 2022, 99: 92-101. PMID: 35031942, PMCID: PMC8866593, DOI: 10.1007/s11524-021-00599-y.
- Howell B, Black A, Lin H, Liberatore M, Greene C, D'Onofrio G, Heimer R, Grau L, Hawk K, Fiellin D, Becker W. Receipt of addiction treatment after nonfatal opioid overdose and risk of subsequent overdose: A retrospective cohort study. Drug And Alcohol Dependence 2025, 273: 112679. PMID: 40413965, PMCID: PMC12178112, DOI: 10.1016/j.drugalcdep.2025.112679.
- Balter D, Howell B. Take-Home Naloxone, Release From Jail, and Opioid Overdose—A Piece of the Puzzle. JAMA Network Open 2024, 7: e2448667. PMID: 39656464, DOI: 10.1001/jamanetworkopen.2024.48667.
- Howell B, Lin L, Coughlin L. Treatment for Co-Occurring Stimulant and Opioid Use Disorders. JAMA Psychiatry 2024, 81: 853-854. PMID: 38985457, DOI: 10.1001/jamapsychiatry.2024.1775.
- Hill K, Bodurtha P, Winkelman T, Howell B. Postrelease Risk of Overdose and All-Cause Death Among Persons Released From Jail or Prison: Minnesota, March 2020-December 2021. American Journal Of Public Health 2024, 114: 913-922. PMID: 39024534, PMCID: PMC11306622, DOI: 10.2105/ajph.2024.307723.
- Howell B, Black A, Lin H, Lauretta G, Heimer R, Hawk K, D'Onofrio G, Fiellin D, Becker W. T50 Receipt of Prescribed Opioids and Benzodiazepines After Non-Fatal Overdose and Risk of Subsequent Overdose. Drug And Alcohol Dependence 2024, 260: 110499. DOI: 10.1016/j.drugalcdep.2023.110499.
- Shearer R, Howell B, Khatri U, Winkelman T. T42 Treatment Setting Among Individuals With Opioid Use and Criminal Legal Involvement, Housing Instability, or Medicaid Insurance, 2015-2020. Drug And Alcohol Dependence 2024, 260: 110491. DOI: 10.1016/j.drugalcdep.2023.110491.
- Balter D, Puglisi L, Dziura J, Fiellin D, Howell B. W80 Buprenorphine-Naloxone vs. Extended-Release Naltrexone for Opioid Use Disorder in People With Recent Criminal Legal Involvement: A Secondary Analysis of the X:BOT Randomized Controlled Trial. Drug And Alcohol Dependence 2024, 260: 110698. DOI: 10.1016/j.drugalcdep.2023.110698.
- Balter D, Puglisi L, Dziura J, Fiellin D, Howell B. Buprenorphine-naloxone vs. extended-release naltrexone for opioid use disorder in individuals with and without criminal legal involvement: A secondary analysis of the X:BOT randomized controlled trial. Journal Of Substance Use And Addiction Treatment 2024, 164: 209438. PMID: 38857827, PMCID: PMC11300157, DOI: 10.1016/j.josat.2024.209438.
- Kazemitabar M, Howell B, Becker W, Lin H, Grau L, Heimer R, D'Onofrio G, Hawk K, Fiellin D, Black A. Prescription Opioid Dose Change Before Fatal Opioid-Detected Overdose. Journal Of Studies On Alcohol And Drugs 2024, 85: 815-819. PMID: 38775307, DOI: 10.15288/jsad.24-00026.
- Kim J, Lee J, Thornhill T, Dennett J, Lu H, Howell B, Grau L, Fiellin D, Heimer R, Gonsalves G. Accessibility of Opioid Treatment Programs Based on Conventional vs Perceived Travel Time Measures. JAMA Network Open 2024, 7: e240209. PMID: 38376839, PMCID: PMC10879949, DOI: 10.1001/jamanetworkopen.2024.0209.
- Shearer R, Segel J, Howell B, Jones A, Khatri U, da Silva D, Vest N, Winkelman T. Racial and Ethnic Differences in Heroin, Methamphetamine, and Cocaine Use, Treatment, and Mortality Trends in 3 National Data Sources—United States, 2010-2019. Medical Care 2024, 62: 151-160. PMID: 38180005, PMCID: PMC10922552, DOI: 10.1097/mlr.0000000000001969.
- Segel J, Shearer R, Jones A, Khatri U, Howell B, Crowley D, Sterner G, Vest N, da Silva D, Winkelman T. Understanding Regional Patterns of Overdose Deaths Related to Opioids and Psychostimulants. Substance Use & Misuse 2023, 59: 558-566. PMID: 38037904, PMCID: PMC10923074, DOI: 10.1080/10826084.2023.2287220.
- Heimer R, Black A, Lin H, Grau L, Fiellin D, Howell B, Hawk K, D'Onofrio G, Becker W. Receipt of opioid use disorder treatments prior to fatal overdoses and comparison to no treatment in Connecticut, 2016–17. Drug And Alcohol Dependence 2023, 254: 111040. PMID: 38043226, PMCID: PMC10872282, DOI: 10.1016/j.drugalcdep.2023.111040.
- Shearer R, Howell B, Khatri U, Winkelman T. Treatment setting among individuals with opioid use and criminal legal involvement, housing instability, or Medicaid insurance, 2015-2021. Drug And Alcohol Dependence Reports 2023, 8: 100179. PMID: 37502021, PMCID: PMC10368753, DOI: 10.1016/j.dadr.2023.100179.
- Howell B, Hawks L, Balasuriya L, Chang V, Wang E, Winkelman T. Health Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion. Psychiatric Services 2023, 74: 1019-1026. PMID: 37016823, PMCID: PMC10939137, DOI: 10.1176/appi.ps.20220171.
- Onyeali R, Howell B, McInnes D, Emerson A, Williams M. The case for transitional services and programs for older adults reentering society: a narrative review of US departments of correction and recommendations. International Journal Of Prison Health 2023, 19: 4-19. PMID: 36757114, PMCID: PMC10123961, DOI: 10.1108/ijph-08-2021-0073.
- Howell B, Black A, Grau L, Lin H, Greene C, Lee H, Heimer R, Hawk K, D'Onofrio G, Fiellin D, Becker W. Concordance between controlled substance receipt and post-mortem toxicology in opioid-detected overdose deaths: A statewide analysis. Drug And Alcohol Dependence 2023, 244: 109788. PMID: 36738634, PMCID: PMC9975083, DOI: 10.1016/j.drugalcdep.2023.109788.
- Tsai J, Havlik J, Howell B, Johnson E, Rosenthal D. Primary Care for Veterans Experiencing Homelessness: a Narrative Review of the Homeless Patient Aligned Care Team (HPACT) Model. Journal Of General Internal Medicine 2022, 38: 765-783. PMID: 36443628, PMCID: PMC9971390, DOI: 10.1007/s11606-022-07970-y.
- Howell B. Peer Review of “SARS-CoV-2 Vaccination Uptake in a Correctional Setting: Cross-sectional Study”. JMIRx Med 2021, 2: e31905. PMCID: PMC10414330, DOI: 10.2196/31905.
- Howell BA, Martin RA, Lebeau R, Truong AQ, Wang EA, Rich JD, Clarke JG. Changes In Health Services Use After Receipt Of Medications For Opioid Use Disorder In A Statewide Correctional System. Health Affairs 2021, 40: 1304-1311. PMID: 34339247, PMCID: PMC9036835, DOI: 10.1377/hlthaff.2020.02156.
- Howell BA, Puglisi L, Clark K, Albizu-Garcia C, Ashkin E, Booth T, Brinkley-Rubinstein L, Fiellin DA, Fox AD, Maurer KF, Lin HJ, McCollister K, Murphy S, Morse DS, Shavit S, Wang K, Winkelman T, Wang EA. The Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN-PATHS): A hybrid type-1 effectiveness trial of enhanced primary care to improve opioid use disorder treatment outcomes following release from jail. Journal Of Substance Use And Addiction Treatment 2021, 128: 108315. PMID: 33583610, PMCID: PMC8319218, DOI: 10.1016/j.jsat.2021.108315.
- Chowkwanyun M, Howell B. Health, Social Reform, and Medical Schools - The Training of American Physicians and the Dissenting Tradition. The New England Journal Of Medicine 2019, 381: 1870-1875. PMID: 31693812, DOI: 10.1056/NEJMms1907237.
- Howell BA, Wang EA, Winkelman TNA. Mental Health Treatment Among Individuals Involved in the Criminal Justice System After Implementation of the Affordable Care Act. Psychiatric Services 2019, 70: 765-771. PMID: 31138056, DOI: 10.1176/appi.ps.201800559.
- Howell BA, Long JB, Edelman EJ, McGinnis KA, Rimland D, Fiellin DA, Justice AC, Wang EA. Incarceration History and Uncontrolled Blood Pressure in a Multi-Site Cohort. Journal Of General Internal Medicine 2016, 31: 1496-1502. PMID: 27619934, PMCID: PMC5130961, DOI: 10.1007/s11606-016-3857-1.
- Howell B, Kim T, Cheer A, Dwyer H, Saloner D, Chuter T. Computational Fluid Dynamics Within Bifurcated Abdominal Aortic Stent-Grafts. Journal Of Endovascular Therapy 2007, 14: 138-143. DOI: 10.1583/1545-1550(2007)14[138:cfdwba]2.0.co;2.
- Howell B, Kim T, Cheer A, Dwyer H, Chuter T. Effect of residual aneurysm pressure on the bifurcated stent-graft. Journal Of Biomechanics 2006, 39: s276. DOI: 10.1016/s0021-9290(06)84063-7.
- Howell B, Saloner D, LaBerge J, Chuter T. Pulsatile movement of the zenith aortic stent-graft. Journal Of Biomechanics 2006, 39: s275. DOI: 10.1016/s0021-9290(06)84058-3.
Departments and Programs
Titles
- Assistant Professor of Medicine (General Medicine)
Education & Training
- MHSYale School of Medicine (2020)
- Chief Resident, Advocacy and Community HealthYale-New Haven Hospital (2017)
- ResidentYale-New Haven Hospital (2016)
- MDUniversity of California, San Francisco, Sch of Med (2013)
- MPHUniversity of California, Berkeley, School of Public Health (2012)
- BAColumbia University (2002)
Additional Information
Board Certifications
- AB of Preventive Medicine, Addiction Medicine (Preventive Medicine) (2022)
Publications
- Howell BA, Hawks L, Wang EA, Winkelman TNA. Evaluation of Changes in US Health Insurance Coverage for Individuals With Criminal Legal Involvement in Medicaid Expansion and Nonexpansion States, 2010 to 2017. JAMA Health Forum 2022, 3: e220493. PMID: 35977325, PMCID: PMC8994123, DOI: 10.1001/jamahealthforum.2022.0493.
- Howell BA, Puglisi LB, Aminawung J, Domingo KB, Elumn J, Gallagher C, Horton N, Kazi DS, Krumholz HM, Lin HJ, Roy B, Wang EA. A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper. BMC Public Health 2022, 22: 331. PMID: 35172807, PMCID: PMC8848673, DOI: 10.1186/s12889-022-12688-x.
- Howell BA, Earnshaw VA, Garcia M, Taylor A, Martin K, Fox AD. The Stigma of Criminal Legal Involvement and Health: a Conceptual Framework. Journal Of Urban Health 2022, 99: 92-101. PMID: 35031942, PMCID: PMC8866593, DOI: 10.1007/s11524-021-00599-y.
- Howell B, Black A, Lin H, Liberatore M, Greene C, D'Onofrio G, Heimer R, Grau L, Hawk K, Fiellin D, Becker W. Receipt of addiction treatment after nonfatal opioid overdose and risk of subsequent overdose: A retrospective cohort study. Drug And Alcohol Dependence 2025, 273: 112679. PMID: 40413965, PMCID: PMC12178112, DOI: 10.1016/j.drugalcdep.2025.112679.
- Balter D, Howell B. Take-Home Naloxone, Release From Jail, and Opioid Overdose—A Piece of the Puzzle. JAMA Network Open 2024, 7: e2448667. PMID: 39656464, DOI: 10.1001/jamanetworkopen.2024.48667.
- Howell B, Lin L, Coughlin L. Treatment for Co-Occurring Stimulant and Opioid Use Disorders. JAMA Psychiatry 2024, 81: 853-854. PMID: 38985457, DOI: 10.1001/jamapsychiatry.2024.1775.
- Hill K, Bodurtha P, Winkelman T, Howell B. Postrelease Risk of Overdose and All-Cause Death Among Persons Released From Jail or Prison: Minnesota, March 2020-December 2021. American Journal Of Public Health 2024, 114: 913-922. PMID: 39024534, PMCID: PMC11306622, DOI: 10.2105/ajph.2024.307723.
- Howell B, Black A, Lin H, Lauretta G, Heimer R, Hawk K, D'Onofrio G, Fiellin D, Becker W. T50 Receipt of Prescribed Opioids and Benzodiazepines After Non-Fatal Overdose and Risk of Subsequent Overdose. Drug And Alcohol Dependence 2024, 260: 110499. DOI: 10.1016/j.drugalcdep.2023.110499.
- Shearer R, Howell B, Khatri U, Winkelman T. T42 Treatment Setting Among Individuals With Opioid Use and Criminal Legal Involvement, Housing Instability, or Medicaid Insurance, 2015-2020. Drug And Alcohol Dependence 2024, 260: 110491. DOI: 10.1016/j.drugalcdep.2023.110491.
- Balter D, Puglisi L, Dziura J, Fiellin D, Howell B. W80 Buprenorphine-Naloxone vs. Extended-Release Naltrexone for Opioid Use Disorder in People With Recent Criminal Legal Involvement: A Secondary Analysis of the X:BOT Randomized Controlled Trial. Drug And Alcohol Dependence 2024, 260: 110698. DOI: 10.1016/j.drugalcdep.2023.110698.
- Balter D, Puglisi L, Dziura J, Fiellin D, Howell B. Buprenorphine-naloxone vs. extended-release naltrexone for opioid use disorder in individuals with and without criminal legal involvement: A secondary analysis of the X:BOT randomized controlled trial. Journal Of Substance Use And Addiction Treatment 2024, 164: 209438. PMID: 38857827, PMCID: PMC11300157, DOI: 10.1016/j.josat.2024.209438.
- Kazemitabar M, Howell B, Becker W, Lin H, Grau L, Heimer R, D'Onofrio G, Hawk K, Fiellin D, Black A. Prescription Opioid Dose Change Before Fatal Opioid-Detected Overdose. Journal Of Studies On Alcohol And Drugs 2024, 85: 815-819. PMID: 38775307, DOI: 10.15288/jsad.24-00026.
- Kim J, Lee J, Thornhill T, Dennett J, Lu H, Howell B, Grau L, Fiellin D, Heimer R, Gonsalves G. Accessibility of Opioid Treatment Programs Based on Conventional vs Perceived Travel Time Measures. JAMA Network Open 2024, 7: e240209. PMID: 38376839, PMCID: PMC10879949, DOI: 10.1001/jamanetworkopen.2024.0209.
- Shearer R, Segel J, Howell B, Jones A, Khatri U, da Silva D, Vest N, Winkelman T. Racial and Ethnic Differences in Heroin, Methamphetamine, and Cocaine Use, Treatment, and Mortality Trends in 3 National Data Sources—United States, 2010-2019. Medical Care 2024, 62: 151-160. PMID: 38180005, PMCID: PMC10922552, DOI: 10.1097/mlr.0000000000001969.
- Segel J, Shearer R, Jones A, Khatri U, Howell B, Crowley D, Sterner G, Vest N, da Silva D, Winkelman T. Understanding Regional Patterns of Overdose Deaths Related to Opioids and Psychostimulants. Substance Use & Misuse 2023, 59: 558-566. PMID: 38037904, PMCID: PMC10923074, DOI: 10.1080/10826084.2023.2287220.
- Heimer R, Black A, Lin H, Grau L, Fiellin D, Howell B, Hawk K, D'Onofrio G, Becker W. Receipt of opioid use disorder treatments prior to fatal overdoses and comparison to no treatment in Connecticut, 2016–17. Drug And Alcohol Dependence 2023, 254: 111040. PMID: 38043226, PMCID: PMC10872282, DOI: 10.1016/j.drugalcdep.2023.111040.
- Shearer R, Howell B, Khatri U, Winkelman T. Treatment setting among individuals with opioid use and criminal legal involvement, housing instability, or Medicaid insurance, 2015-2021. Drug And Alcohol Dependence Reports 2023, 8: 100179. PMID: 37502021, PMCID: PMC10368753, DOI: 10.1016/j.dadr.2023.100179.
- Howell B, Hawks L, Balasuriya L, Chang V, Wang E, Winkelman T. Health Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion. Psychiatric Services 2023, 74: 1019-1026. PMID: 37016823, PMCID: PMC10939137, DOI: 10.1176/appi.ps.20220171.
- Onyeali R, Howell B, McInnes D, Emerson A, Williams M. The case for transitional services and programs for older adults reentering society: a narrative review of US departments of correction and recommendations. International Journal Of Prison Health 2023, 19: 4-19. PMID: 36757114, PMCID: PMC10123961, DOI: 10.1108/ijph-08-2021-0073.
- Howell B, Black A, Grau L, Lin H, Greene C, Lee H, Heimer R, Hawk K, D'Onofrio G, Fiellin D, Becker W. Concordance between controlled substance receipt and post-mortem toxicology in opioid-detected overdose deaths: A statewide analysis. Drug And Alcohol Dependence 2023, 244: 109788. PMID: 36738634, PMCID: PMC9975083, DOI: 10.1016/j.drugalcdep.2023.109788.
- Tsai J, Havlik J, Howell B, Johnson E, Rosenthal D. Primary Care for Veterans Experiencing Homelessness: a Narrative Review of the Homeless Patient Aligned Care Team (HPACT) Model. Journal Of General Internal Medicine 2022, 38: 765-783. PMID: 36443628, PMCID: PMC9971390, DOI: 10.1007/s11606-022-07970-y.
- Howell B. Peer Review of “SARS-CoV-2 Vaccination Uptake in a Correctional Setting: Cross-sectional Study”. JMIRx Med 2021, 2: e31905. PMCID: PMC10414330, DOI: 10.2196/31905.
- Howell BA, Martin RA, Lebeau R, Truong AQ, Wang EA, Rich JD, Clarke JG. Changes In Health Services Use After Receipt Of Medications For Opioid Use Disorder In A Statewide Correctional System. Health Affairs 2021, 40: 1304-1311. PMID: 34339247, PMCID: PMC9036835, DOI: 10.1377/hlthaff.2020.02156.
- Howell BA, Puglisi L, Clark K, Albizu-Garcia C, Ashkin E, Booth T, Brinkley-Rubinstein L, Fiellin DA, Fox AD, Maurer KF, Lin HJ, McCollister K, Murphy S, Morse DS, Shavit S, Wang K, Winkelman T, Wang EA. The Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN-PATHS): A hybrid type-1 effectiveness trial of enhanced primary care to improve opioid use disorder treatment outcomes following release from jail. Journal Of Substance Use And Addiction Treatment 2021, 128: 108315. PMID: 33583610, PMCID: PMC8319218, DOI: 10.1016/j.jsat.2021.108315.
- Chowkwanyun M, Howell B. Health, Social Reform, and Medical Schools - The Training of American Physicians and the Dissenting Tradition. The New England Journal Of Medicine 2019, 381: 1870-1875. PMID: 31693812, DOI: 10.1056/NEJMms1907237.
- Howell BA, Wang EA, Winkelman TNA. Mental Health Treatment Among Individuals Involved in the Criminal Justice System After Implementation of the Affordable Care Act. Psychiatric Services 2019, 70: 765-771. PMID: 31138056, DOI: 10.1176/appi.ps.201800559.
- Howell BA, Long JB, Edelman EJ, McGinnis KA, Rimland D, Fiellin DA, Justice AC, Wang EA. Incarceration History and Uncontrolled Blood Pressure in a Multi-Site Cohort. Journal Of General Internal Medicine 2016, 31: 1496-1502. PMID: 27619934, PMCID: PMC5130961, DOI: 10.1007/s11606-016-3857-1.
- Howell B, Kim T, Cheer A, Dwyer H, Saloner D, Chuter T. Computational Fluid Dynamics Within Bifurcated Abdominal Aortic Stent-Grafts. Journal Of Endovascular Therapy 2007, 14: 138-143. DOI: 10.1583/1545-1550(2007)14[138:cfdwba]2.0.co;2.
- Howell B, Kim T, Cheer A, Dwyer H, Chuter T. Effect of residual aneurysm pressure on the bifurcated stent-graft. Journal Of Biomechanics 2006, 39: s276. DOI: 10.1016/s0021-9290(06)84063-7.
- Howell B, Saloner D, LaBerge J, Chuter T. Pulsatile movement of the zenith aortic stent-graft. Journal Of Biomechanics 2006, 39: s275. DOI: 10.1016/s0021-9290(06)84058-3.
Departments and Programs