Journal of Social Work Practice in the Addictions最新文献

{"title":"Issues of Alcohol Misuse and treatment in Multicultural South Africa: An Interview with Varoshini Nadesan, PhD","authors":"S. Rose","doi":"10.1080/1533256x.2022.2051899","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2051899","url":null,"abstract":"In South Africa for many years, substance use consisted primarily of the misuse of locally produced alcohol, cannabis, and tobacco due to the isolation wrought by apartheid (United Nations Office for Drug Control and Crime Prevention (UNODCCP), 1999). While the use of other illicit drugs has increased (Atkins, 1997) alcohol continues to be the most commonly misused substance, most especially among males (South African Community Epidemiology Network on Drug Use (SACENDU), 2006). In the 2002– 2004 South African Stress and Health study, researchers reported that 38.7% of the population use alcohol, 30% use tobacco 8.4% use cannabis, with other drug use and nonprescription psychoactive drug use at 21.3% (Van Heerden et al., 2009). However, over 80% of those who abuse substances, report that alcohol is their primary substance of misuse. Despite efforts to control alcohol consumption through ‘demand reduction,’ alcohol use is reported to remain high (Vellios & Van Walbeek, 2018) and is considered the primary substance of abuse in the country, with an estimated burden of disease attributed to it of 7.1% of all deaths (Peltzer et al., 2011). Not only is the amount of alcohol consumption the greatest on the African continent, fetal alcohol syndrome (FAS) is reported to be higher than almost any other countries in the world (Parry et al., 2005). The percentage of women in Africa who drink alcohol is also above the world average, raising concerns for minor children in their care (Cupido, 2021). There are many different treatment resources available to persons in South Africa, but the 12-step program advocated by Alcoholics Anonymous is a consistent element across treatment programs. Outpatient treatment program, rehabilitation centers, and referral to AA support groups is strongly supported. Today we talk with Dr. Varoshini Nadesan, Senior Lecturer in Social Work and Community Development at the University of Johannesburg, South Africa. Dr. Nadesan has worked closely with many community organizations and has served three terms as a nonalcoholic Board member of Alcoholics Anonymous South Africa and was recently elected as an AA World Services Delegate in 2020, representing South Africa on AA International. We discuss with her the patterns of drinking and treatment among various groups in multicultural South Africa.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"22 1","pages":"162 - 168"},"PeriodicalIF":0.8,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43488131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the impact of COVID-19 on older adults in 12-step programs","authors":"Annah K. Bender, J. Pickard, Madeline Webster","doi":"10.1080/1533256X.2022.2047561","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2047561","url":null,"abstract":"ABSTRACT The purpose of this study was to understand how older adults in recovery from substance use disorders experienced the transition from in-person to virtual 12-step meetings. We interviewed 11 older adults (age 50+) who self-identified as being members of 12-step programs. Participants completed an online survey including standardized measures assessing depression, anxiety, social isolation, and quality of life. Three themes emerged from interviews: Importance of the program; Promises and Limits of Technology; and Concern for Others. Participants’ high level of commitment to their groups enabled them to adapt quickly to virtual meetings. Participants described their concerns about members of their groups who were unable to make this transition. Older adults in this study adapted quickly to virtual recovery groups. The social support participants received during groups, whether virtual or in person, may have acted as a buffer protecting them from the isolative effects of the pandemic.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"199 - 215"},"PeriodicalIF":0.8,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42271470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of collaborative documentation tool for implementing medication-assisted treatment in substance use disorder counseling","authors":"V. Lushin, E. Matthews, V. Stanhope, R. Rivera, J. Rzewinski, R. Stewart, J. Rees, S. Marcus","doi":"10.1080/1533256X.2022.2040115","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2040115","url":null,"abstract":"ABSTRACT Despite the escalating opioid epidemic, as little as 11% of patients with opioid use disorder (OUD) receive medication-assisted treatment (MAT), the best-practice intervention for OUD. Many patients do not receive education about the benefits of MAT and thus hold negative beliefs about MAT, which reduces MAT uptake. Shared decision-making (SDM) helps engage patients in beneficial treatment decisions but is not systematically integrated into MAT counseling. A structured SDM session guide for front-line counselors, with a health-record template using a collaborative documentation (CD) approach, was developed and its feasibility and acceptability was pilot-tested. The session guide (CD MAT Tool) contains a training manual and session templates. Counselors (n = 11) were trained with the CD MAT Tool and used it with their patients (n = 9). Qualitative interviews and focus groups with counselors and patients demonstrated high feasibility, acceptability, and positive session impact of the CD MAT Tool. Implications for further research and practice use are discussed.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"179 - 198"},"PeriodicalIF":0.8,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45656807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors that influence SBIRT implementation in non-medical settings","authors":"Andrew J. Flaherty, Aidyn L Iachini, Melissa C. Reitmeier, D. Dehart","doi":"10.1080/1533256X.2021.2018644","DOIUrl":"https://doi.org/10.1080/1533256X.2021.2018644","url":null,"abstract":"ABSTRACT SBIRT is an evidenced-based intervention model designed to reduce substance use. While initially used in medical settings, SBIRT implementation has evolved into non-medical settings with mixed evidence of effectiveness. This exploratory qualitative study sought to understand what factors influence implementation of SBIRT in non-medical settings. Interviews were conducted with 15 practitioners trained in SBIRT. Findings suggest that eight factors influenced SBIRT implementation in these settings, including compatibility of SBIRT with the setting, staff training/staffing, client factors, time, leadership, policy, available resources, and perception of advantage/efficacy of SBIRT. Implications of these findings for social work practice are discussed.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"116 - 128"},"PeriodicalIF":0.8,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48937600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A capabilities approach: re-envision addressing substance misuse","authors":"Christopher Rusk, S. Sarabia","doi":"10.1080/1533256X.2022.2028120","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2028120","url":null,"abstract":"ABSTRACT The Capabilities Approach provides an alternate lens to conceptualize substance misuse that embraces human dignity. This paper provides an overview of the Capabilities Approach, describes three overarching areas of substance misuse that hurt people who use substances, and explains how a shift to a Capabilities Approach would reduce that burden. These include (1) the stigmatizing effects of attributing substance misuse to personal responsibility while minimizing structural contributing factors; (2) the fragmented, siloed services separating micro and macro approaches; and (3) a rigid, prescriptive view of recovery based on 12 step philosophy with the sole outcome of abstinence thus not supporting a person-centered, multiple pathways approach, and in turn, self-determination. Finally, implications for Capabilities guided approaches to social work practice highlight person-in-environment, integrated practice, and a client-centered focus while replacing policies such as the War on Drugs with harm reduction and drug","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"161 - 178"},"PeriodicalIF":0.8,"publicationDate":"2022-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45926380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to and supports for tobacco and alcohol use disorder treatment among California’s homeless","authors":"A. Hawa, D. Barr, Haleh Sheikholeslami","doi":"10.1080/1533256X.2022.2028121","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2028121","url":null,"abstract":"ABSTRACT Recommendations for the treatment of tobacco and alcohol use disorders are plentiful. The literature is mixed, however, on the extent to which treatments for these disorders apply to people experiencing homelessness. We identified 12 community health centers from distinct counties across California that provide tobacco and alcohol use disorder treatments to people experiencing homelessness and conducted semi-structured interviews with each. We qualitatively analyzed transcripts using the NVivo 12 software. The following themes emerged: (1) the role of street outreach as the first step of service delivery, (2) the importance of patient choice and volition in the treatment decision-making process, (3) the need for explicit provider-patient trust-building, (4) acknowledging variability in access to and availability of resources at treatment sites, and (5) redefining successful outcomes. Findings have implications for dissemination and implementation research in tobacco and alcohol use disorders among people experiencing homelessness, both in California and broader North American settings.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"129 - 140"},"PeriodicalIF":0.8,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42671733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emerging adults in drug treatment court: program behavior, program completion, & recidivism","authors":"M. Fendrich, Thomas P. Lebel","doi":"10.1080/1533256X.2021.2001922","DOIUrl":"https://doi.org/10.1080/1533256X.2021.2001922","url":null,"abstract":"ABSTRACT We compared emerging adults with older adults who were admitted to the Drug Treatment Court (DTC) in a large Midwestern county. Emerging adults were more likely to be lower risk and to be opioid/heroin users. Compared to older adults, emerging adults were more likely to have increased violations in the DTC program. Emerging adults compared to older adults were more likely to be terminated than to graduate with no recidivism (odds ratio 1.83), and more likely to recidivate after they graduated (odds ratio 2.16). Elevated risks for program termination and recidivism for emerging adults, despite a reduced risk profile at entry, underscore the need for program modifications (such as peer support) that specifically target this age group.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"86 - 101"},"PeriodicalIF":0.8,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43697958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and substance use disorders in the multi-cultural Asian community in Singapore: an interview with Mythily Subramaniam, PhD","authors":"S. Rose","doi":"10.1080/1533256X.2022.2016338","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2016338","url":null,"abstract":"The intersection of mental health and substance use disorder conditions is increasingly recognized in both the research and practice communities in this country, and is supported in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) study, reporting that the association between substance use disorders and independent mood and anxiety disorders is significant and positive (Grant et al., 2006). What we do not know as clearly is the strength of this intersection and how it affects prevention, assessment, and treatment in other cultures and countries. It has been reported that Asian Americans (AA), a fast growing minority culture group in the U.S., do not use mental health services (including substance use treatment) to the level of majority culture Americans Le Meyer et al. (2009). Some researchers have challenged this ‘model minority’ stereotype of Asian-American Pacific Islanders, noting that methamphetamine dependence, alcohol use disorders, and other addictive disorders are significant but remain hidden due to treatment barriers (Fong & Tsuang, 2007). Others have reported associations among heavy drinking, depression, and suicide rates for Asian Americans, and note specifically poorer mental health among female AA drinkers (Cheng et al., 2012). In creating and implementing treatment systems for Asian Americans, efforts to address these barriers to treatment stress acculturation, language, gender, and psychoeducational interventions, aligning traditional concepts of mental health with current models (Lui & Zamboanga, 2018; Pham & Lui, 2020; Yamada et al., 2019). Today we speak with Mythily Subramaniam, Associate Professor at Saw Swee Hock School of Public Health, National University in Singapore. Dr. Subramaniam’s research has been at the intersection of substance use and mental health. In addition, she headed the Singapore Mental Health Study, a national epidemiological study of the mental health status of the local population.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"22 1","pages":"79 - 85"},"PeriodicalIF":0.8,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43977427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Willingness to Lend Resources is Associated with Increases in Recovery and Participation in Community Activities.","authors":"Leonard A Jason, Ted Bobak, Mohammed Islam, Mayra Guerrero, John M Light, Nate Doogan","doi":"10.1080/1533256X.2021.1984660","DOIUrl":"10.1080/1533256X.2021.1984660","url":null,"abstract":"<p><p>Recovery homes may facilitate individuals with substance use disorders re-integration back into community settings by providing friendship, resources, and advice. Participants of the current study were over 600 residents of 42 Oxford House recovery homes. Findings indicated that willingness to share resources in the form of loans was associated with higher levels of house involvement in recovery home chapters. Active involvement in house and community affairs may influence more recovery within homes or may be an indicator of houses with residents with more capacities and skills for positive long-term health outcomes. Such findings suggest that recovery is a dynamic process with multiple ecological layers embedding individuals, their immediate social networks, and the wider community.</p>","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"22 4","pages":"320-333"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855280/pdf/nihms-1745248.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10618686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid use in indigenous populations: indigenous perspectives and directions in culturally responsive care.","authors":"Ariel Richer, Ariel L Roddy","doi":"10.1080/1533256x.2022.2049161","DOIUrl":"10.1080/1533256x.2022.2049161","url":null,"abstract":"<p><p>In this work, we outline the necessary components for culturally responsive treatment to opioid use disorders in Indigenous communities. First, we examine the context of historical trauma faced by Indigenous groups in the U.S. and how this context may affect successful implementation of treatment. We then outline the strategies of Penobscot Nation and Little Earth in developing holistic treatment regimens for Indigenous peoples, and list policy interventions suited to improve outcomes for Indigenous groups related to opioid use disorders. We conclude with suggestions for future directions in anticolonial strategies for addressing opioid use in Indigenous communities. The combination of culturally responsive treatment, tribal sovereignty in the treatment of opioid use disorders, and effective resource allocation is necessary to affect positive change in Indigenous substance use trajectories.</p>","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"22 3","pages":"255-263"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10249962/pdf/nihms-1903122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10074158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}