{"title":"Why has the Opioid Crisis Remained Unchanged in Canada? The Limits of Bio-Scientific Based Policy Approaches","authors":"Ana Ning, R. Csiernik","doi":"10.1080/1533256x.2022.2071822","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2071822","url":null,"abstract":"","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41339214","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":"Addressing length of stay in substance use treatment to predict successful completion","authors":"Carl R. Morgan, Cory B. Dennis","doi":"10.1080/1533256X.2022.2063345","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2063345","url":null,"abstract":"ABSTRACT There are many challenges to treating people for a substance use disorder. This study focuses on factors that might predict how long people stay in treatment, and whether it is enough time to complete treatment. Using data from a statewide subsample of the TEDS-D dataset, the results showed that free treatment leads to increased length of stay, while substance use frequency and days waiting to enter treatment have a negative effect on length of stay. Further length of stay predicted treatment completion. We also conducted a post hoc analysis looking at differences between inpatient and outpatient treatment settings. This study offers information that can support efforts to keep clients long enough in treatment to complete it as part of their recovery.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41999478","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}
L. Nower, Wen Li Anthony, Jackie F. Stanmyre, Doug Behan
{"title":"Gambling knowledge and experience among clinical social workers","authors":"L. Nower, Wen Li Anthony, Jackie F. Stanmyre, Doug Behan","doi":"10.1080/1533256X.2022.2059849","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2059849","url":null,"abstract":"ABSTRACT Despite the rapid expansion of legalized gambling, few social workers are trained to identify problem gambling symptoms. This study explored gambling knowledge, behavior, and problem symptoms in a sample of 1,777 clinical social workers through an online survey. Findings indicate about 77% of social workers gambled and more than 4% of those who gambled reported at least one problem gambling symptom. Participants answered less than half of the knowledge questions correctly, and a majority were unaware of the current diagnostic classification for gambling disorder or the legal age for gambling. Results of a multivariate regression analysis found that social workers in practice 8 to 15 years, employed in substance treatment facilities or universities, and/or with training in gambling treatment had higher levels of knowledge about gambling and gambling treatment. Findings underscore the need for social work schools and organizations to prioritize education and training for problem gambling identification and treatment.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41971939","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}
Michael Campbell, R. Lucio, S. Cashwell, James Cowser
{"title":"A mixed-methods study of applied team integration for opioid use disorder treatment in rural settings","authors":"Michael Campbell, R. Lucio, S. Cashwell, James Cowser","doi":"10.1080/1533256X.2022.2054155","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2054155","url":null,"abstract":"ABSTRACT The Opioid epidemic and the subsequent Opioid use disorders (OUD) stemming from this epidemic have devastated individuals, families, and communities. These impacts have an outsized effect on rural communities and are exacerbated by the discrepancy in best practice recommendations that call for a resource-intensive framework of integrated treatment options and the limited treatment resources found in rural communities. This pilot study explores data collected from several members (n=45) of an establishing ambulatory clinic-based treatment team (composed of medical, behavioral health, and administrative staff) from a network of five primary care sites, which were developed to address OUD in rural America Appalachia. Participants completed the Assessment for Collaborative Environments (ACE-15) and four open ended questions about team integration. The findings call for changes to OUD treatment from policy makers and providers, adaptations to higher education focus in social work, competency-based learning, a call for action in stigma reduction, and interagency collaboration.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47260582","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":"The Routledge handbook of social work and addictive behaviors","authors":"K. Farkas","doi":"10.1080/1533256x.2022.2051898","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2051898","url":null,"abstract":"","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47400336","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":"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":null,"pages":null},"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":null,"pages":null},"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}
V. Lushin, E. Matthews, V. Stanhope, R. Rivera, J. Rzewinski, R. Stewart, J. Rees, S. Marcus
{"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":null,"pages":null},"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}
Andrew J. Flaherty, Aidyn L Iachini, Melissa C. Reitmeier, D. Dehart
{"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":null,"pages":null},"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":null,"pages":null},"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}