JOURNAL OF ADDICTIONS & OFFENDER COUNSELING最新文献

Substance use remains a significant concern across college campuses and is associated with adverse mental health outcomes. Low levels of student help-seeking call for innovative forms of support that increase access to care. The new 988 Suicide and Crisis Lifeline has the potential to address this concern through free, 24/7 crisis support. Regression analyses concluded that more frequent substance use significantly predicted lower help-seeking intentions for suicidal thoughts among a sample of 446 college students. Students were also least likely to use the lifeline for substance use concerns as opposed to other mental health concerns. Implications for counselors are provided.

Substance misuse during adolescence is an issue, and engaging parents in prevention efforts has significant positive impacts; yet barriers to engagement exist. The purpose of this qualitative parent focus group study was to understand the perspectives of participants (n = 5) about information and delivery platforms that will promote, engage, and support parents in prevention efforts. Thematic analyses identified five key themes from the semistructured interview: (1) educational support, (2) community support, (3) venues and platforms, (4) influences of other countries, and (5) potential barriers. Implications for clinical mental health and school counselors, and future research are discussed.

Sex addiction prevalence is estimated between 3% and 10%. There are multiple pathways to its development including biological predispositions, trauma and attachment issues, comorbid conditions, among others. Although controversy still surrounds sex addiction's conceptualization, diagnosis, and treatment, some approaches to treatment have shown promise, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and use of selective serotonin reuptake inhibitors (SSRIs). Empirical support, clinical implications, and future directions are discussed.

The Examen is a 500-year-old Jesuit introspective prayer and reflection. Recent research has indicated that it has utility in psychotherapy. This study implemented the Examen as a secular cognitive–behavioral tool in the first longitudinal clinical trial of the intervention with an addiction treatment population, comparing it directly to a treatment-as-usual mindfulness intervention. The study found that Examen and mindfulness are equivalent in outcomes on depression, anxiety, stress, and substance craving. Further research should continue to investigate the Examen as an alternative to mindfulness for religious and secular populations and the factors responsible for the success of these practices.

Professional counseling literature pertaining to substance use counseling for LGBTQ+ communities is scant. One such exclusion is relapse prevention for LGBTQ+ clients. To meet this gap, this paper explored LGBTQ+-specific factors that contribute to the development and maintenance of substance use and the risk of relapse once in recovery. We extend Witkiewitz and Marlatt's Dynamic Model of Relapse by identifying and integrating examples of LGBTQ+-specific tonic and phasic elements that influence relapse. Based on these postulations, an LGBTQ+-affirmative model of relapse prevention is introduced. Implications for research and pedagogy are proposed.

Factors such as the therapeutic relationship and working alliance have been shown to be important predictors for client outcomes in broad counseling settings with diverse client populations. The present study used linear multiple regression analysis to explore how relational factors such as in-session empathy and mindfulness impact working alliance when providing sex offender counseling. Results from sex offender counselor participants (N = 109) showed that the perspective taking aspect of empathy was most impactful on working alliance and that in-session mindfulness was less impactful on working alliance.

Providing moderate levels of treatment to individuals with a criminal justice history is associated with lowered rates of recidivism; yet, treatment access remains low. One possible factor contributing to the lack of treatment options is public stigma. An experimental study was conducted that tested for differences in stigmatizing attitudes across conditions: (a) major depressive disorder (MDD), (b) MDD and opioid use disorder (OUD), and (c) MDD, OUD, and nonviolent, drug-related criminal histories. Findings indicate that individuals who meet the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for OUD with MDD, regardless of criminal histories, are stigmatized at higher levels than those with MDD alone.

This manuscript offers an overview of 11 disciplinary perspectives on the failed and destructive War on Drugs and the salutary prospects from decriminalizing drug use, including History, African American studies, Journalism, Sociology, Political Science, Cost Accounting, Urban Education, Counseling, Psychology, Nursing, and Public Health. This offers a roadmap for counselor social and political advocacy with drug policy and highlights community collaboration opportunities.