Pub Date : 2022-01-01Epub Date: 2022-03-07DOI: 10.1080/1533256x.2022.2049161
Ariel Richer, Ariel L Roddy
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.
{"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}
Pub Date : 2021-12-16DOI: 10.1080/1533256x.2022.2016337
K. Farkas
{"title":"Effective psychotherapists: clinical skills that improve client outcomes","authors":"K. Farkas","doi":"10.1080/1533256x.2022.2016337","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2016337","url":null,"abstract":"","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"22 1","pages":"77 - 78"},"PeriodicalIF":0.8,"publicationDate":"2021-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46582104","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}
Pub Date : 2021-11-12DOI: 10.1080/1533256X.2021.2004354
Katie M. Edwards, Natira Mullet, Laura A. Siller
ABSTRACT The purpose of the study was to examine the correlates of perceptions of trauma-informed practices at a sober living home (SLH) among women with histories of addiction and victimization. Fifty-two women currently seeking or who had recently sought services at the SLH competed in a survey. Higher rates of financial worries and housing instability predicted lower perceptions that the SLH was trauma-informed in several domains. Being white compared to nonwhite increased perceptions that the SLH was culturally responsive and inclusive. Mental health symptoms and recent victimization were unrelated to perceptions of the extent to which the SLH was trauma informed. Efforts to enhance trauma-informed practices may be especially important for women higher in financial worries and housing instability as well as women who are racially/ethnically diverse.
{"title":"Trauma informed practices of a sober living home for women with addiction and victimization histories","authors":"Katie M. Edwards, Natira Mullet, Laura A. Siller","doi":"10.1080/1533256X.2021.2004354","DOIUrl":"https://doi.org/10.1080/1533256X.2021.2004354","url":null,"abstract":"ABSTRACT The purpose of the study was to examine the correlates of perceptions of trauma-informed practices at a sober living home (SLH) among women with histories of addiction and victimization. Fifty-two women currently seeking or who had recently sought services at the SLH competed in a survey. Higher rates of financial worries and housing instability predicted lower perceptions that the SLH was trauma-informed in several domains. Being white compared to nonwhite increased perceptions that the SLH was culturally responsive and inclusive. Mental health symptoms and recent victimization were unrelated to perceptions of the extent to which the SLH was trauma informed. Efforts to enhance trauma-informed practices may be especially important for women higher in financial worries and housing instability as well as women who are racially/ethnically diverse.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"102 - 115"},"PeriodicalIF":0.8,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47281501","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}
Pub Date : 2021-11-12DOI: 10.1080/1533256x.2021.1993119
Anthony T Estreet, R. Gomez
ABSTRACT On July 15, 2020, The Council on Social Work Education (CSWE) announced the release of the Specialized Practice Curricular Guide for Substance Use Social Work Practice. The guide was formulated by a national taskforce, and is the result of a collaboration between CSWE, the American Academy of Addiction Psychiatry (AAAP) and the Opioid Response Network (ORN). The release of the guide followed a long and dedicated working process of a national taskforce of CSWE members who are national and international experts in substance use. This article discusses the process from development to dissemination and also discusses future steps of this much anticipated curriculum guide. This guide was developed with the hopes that more social work programs would begin to include or enhance educational content to address the substance use among the many clients we serve.
{"title":"The CSWE substance use curricular guide: inception, evolution, impact","authors":"Anthony T Estreet, R. Gomez","doi":"10.1080/1533256x.2021.1993119","DOIUrl":"https://doi.org/10.1080/1533256x.2021.1993119","url":null,"abstract":"ABSTRACT On July 15, 2020, The Council on Social Work Education (CSWE) announced the release of the Specialized Practice Curricular Guide for Substance Use Social Work Practice. The guide was formulated by a national taskforce, and is the result of a collaboration between CSWE, the American Academy of Addiction Psychiatry (AAAP) and the Opioid Response Network (ORN). The release of the guide followed a long and dedicated working process of a national taskforce of CSWE members who are national and international experts in substance use. This article discusses the process from development to dissemination and also discusses future steps of this much anticipated curriculum guide. This guide was developed with the hopes that more social work programs would begin to include or enhance educational content to address the substance use among the many clients we serve.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"22 1","pages":"169 - 174"},"PeriodicalIF":0.8,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45056769","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}
Pub Date : 2021-11-08DOI: 10.1080/1533256X.2021.1988492
A. C. Carter, Cory B. Dennis
ABSTRACT Legally mandated substance use treatment is prevalent but controversial and further research aimed at understanding this relationship is important for developing and informing social policy, social work practice, and education. This study used clinical data mining to examine the relationship between a client’s legal involvement, treatment engagement, and treatment completion. By using structural equation modeling, this study found that legal involvement did not have an effect on clients’ engagement in treatment or on completing treatment, while engagement was shown to have an effect on whether the client completed treatment.
{"title":"Legal involvement and substance use treatment engagement and outcomes","authors":"A. C. Carter, Cory B. Dennis","doi":"10.1080/1533256X.2021.1988492","DOIUrl":"https://doi.org/10.1080/1533256X.2021.1988492","url":null,"abstract":"ABSTRACT Legally mandated substance use treatment is prevalent but controversial and further research aimed at understanding this relationship is important for developing and informing social policy, social work practice, and education. This study used clinical data mining to examine the relationship between a client’s legal involvement, treatment engagement, and treatment completion. By using structural equation modeling, this study found that legal involvement did not have an effect on clients’ engagement in treatment or on completing treatment, while engagement was shown to have an effect on whether the client completed treatment.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"76 - 85"},"PeriodicalIF":0.8,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48783443","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}
Pub Date : 2021-11-08DOI: 10.1080/1533256X.2021.1996839
Benjamin H. Garland, Robert M. Mindrup, L. Zottarelli, Jill D. McCarley
ABSTRACT This study examined pre- and post-implementation of a same-day post-detoxification residential admission policy within a Veteran Health Administration (VHA) facility to determine improved outcomes consistent with the larger literature. A single facility sample of participants who received detoxification from alcohol pre- and post-policy change was identified utilizing administrative and health record data. Chi-square testing and independent samples T-testing evaluated changes between a 2018 pre-policy cohort and a 2019 post-policy cohort. Policy implementation of same-day admissions to residential treatment after detoxification resulted in statistically significant change in instances of waiting, wait times for participants who waited, no-show, and readmissions during the six months following inpatient discharge. Mortality, cancellation rates, and discharge type did not differ significantly. These findings further support previous research that outlines the relationship between efficient post-detoxification continuity of care and increased positive outcomes.
{"title":"Effects of a same-day post-detoxification residential alcohol use disorder treatment admission policy","authors":"Benjamin H. Garland, Robert M. Mindrup, L. Zottarelli, Jill D. McCarley","doi":"10.1080/1533256X.2021.1996839","DOIUrl":"https://doi.org/10.1080/1533256X.2021.1996839","url":null,"abstract":"ABSTRACT This study examined pre- and post-implementation of a same-day post-detoxification residential admission policy within a Veteran Health Administration (VHA) facility to determine improved outcomes consistent with the larger literature. A single facility sample of participants who received detoxification from alcohol pre- and post-policy change was identified utilizing administrative and health record data. Chi-square testing and independent samples T-testing evaluated changes between a 2018 pre-policy cohort and a 2019 post-policy cohort. Policy implementation of same-day admissions to residential treatment after detoxification resulted in statistically significant change in instances of waiting, wait times for participants who waited, no-show, and readmissions during the six months following inpatient discharge. Mortality, cancellation rates, and discharge type did not differ significantly. These findings further support previous research that outlines the relationship between efficient post-detoxification continuity of care and increased positive outcomes.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"23 1","pages":"65 - 75"},"PeriodicalIF":0.8,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45324437","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}
Pub Date : 2021-10-21DOI: 10.1080/1533256X.2022.2016339
E. Pasman
ABSTRACT A large body of research demonstrates the safety and efficacy of medication for opioid use disorder to reduce opioid misuse and related harms. However, stigma is a substantial barrier to broader use of these medications. This endpage reviews the impact of stigma toward medication for opioid use disorder on treatment access, uptake, retention, and outcomes. I then suggests areas for future research and social change. As one of the primary service providers for people with opioid use disorder, social workers should be at the forefront of efforts to destigmatize medication treatments. Social workers are well positioned to address the consequences of stigma toward medication for opioid use disorder through research, education, practice, and systems change.
{"title":"Reducing stigma toward medication for opioid use disorder through social work education, research, and practice","authors":"E. Pasman","doi":"10.1080/1533256X.2022.2016339","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2016339","url":null,"abstract":"ABSTRACT A large body of research demonstrates the safety and efficacy of medication for opioid use disorder to reduce opioid misuse and related harms. However, stigma is a substantial barrier to broader use of these medications. This endpage reviews the impact of stigma toward medication for opioid use disorder on treatment access, uptake, retention, and outcomes. I then suggests areas for future research and social change. As one of the primary service providers for people with opioid use disorder, social workers should be at the forefront of efforts to destigmatize medication treatments. Social workers are well positioned to address the consequences of stigma toward medication for opioid use disorder through research, education, practice, and systems change.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"22 1","pages":"86 - 92"},"PeriodicalIF":0.8,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42763045","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}
Pub Date : 2021-10-02DOI: 10.1080/1533256X.2021.1973831
Anna Parisi, Ting Guan, D. Chen
ABSTRACT The Seven Challenges® (7C) is a program for adults and adolescents with substance use disorders and co-occurring problems. The aim of this systematic review was to examine the methodological characteristics and substantive findings of studies evaluating the effectiveness of 7C. We identified seven studies via searches of seven electronic databases. Our results suggest that 7C is associated with reduced substance use, decreased mental health-related problems, and reduced criminal behavior. However, further research is needed to determine whether 7C is superior to alternative interventions for substance misuse and to explore the efficacy of the 7C program among adult populations.
{"title":"The effectiveness of The Seven Challenges® Program for addressing substance misuse: a systematic review","authors":"Anna Parisi, Ting Guan, D. Chen","doi":"10.1080/1533256X.2021.1973831","DOIUrl":"https://doi.org/10.1080/1533256X.2021.1973831","url":null,"abstract":"ABSTRACT The Seven Challenges® (7C) is a program for adults and adolescents with substance use disorders and co-occurring problems. The aim of this systematic review was to examine the methodological characteristics and substantive findings of studies evaluating the effectiveness of 7C. We identified seven studies via searches of seven electronic databases. Our results suggest that 7C is associated with reduced substance use, decreased mental health-related problems, and reduced criminal behavior. However, further research is needed to determine whether 7C is superior to alternative interventions for substance misuse and to explore the efficacy of the 7C program among adult populations.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"21 1","pages":"317 - 332"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46101136","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}
Pub Date : 2021-10-02DOI: 10.1080/1533256x.2021.1973832
S. Rose
The ‘baby boomer’ generation has always commanded attention due to its magnitude and outsize influence. As this cohort ages, substance use among old adults is emerging as a public health concern. It is acknowledged that older adults will utilize the health care system in larger numbers due to population aging and increased longevity. How this aging process does and will intersect with the prevalence of substance use problems and substance use disorders is not fully understood but is the subject of increasing research. In addition, attitudes toward gender stereotypes and changing laws regarding cannabis use are adding to the challenges of treating older adults who use substances. In this article, we discuss these issues with Dr. Paul Sacco, Associate Dean for Research at the University of Maryland School of Social Work. Dr. Sacco practiced for 10 years as a psychiatric social worker before returning to complete his PhD at Washington University in St. Louis. His research centers primarily on behavioral health and addictions with a focus on life course development.
{"title":"Older adults and substance use: an interview with Paul Sacco, MSW, PhD, University of Maryland School of Social Work","authors":"S. Rose","doi":"10.1080/1533256x.2021.1973832","DOIUrl":"https://doi.org/10.1080/1533256x.2021.1973832","url":null,"abstract":"The ‘baby boomer’ generation has always commanded attention due to its magnitude and outsize influence. As this cohort ages, substance use among old adults is emerging as a public health concern. It is acknowledged that older adults will utilize the health care system in larger numbers due to population aging and increased longevity. How this aging process does and will intersect with the prevalence of substance use problems and substance use disorders is not fully understood but is the subject of increasing research. In addition, attitudes toward gender stereotypes and changing laws regarding cannabis use are adding to the challenges of treating older adults who use substances. In this article, we discuss these issues with Dr. Paul Sacco, Associate Dean for Research at the University of Maryland School of Social Work. Dr. Sacco practiced for 10 years as a psychiatric social worker before returning to complete his PhD at Washington University in St. Louis. His research centers primarily on behavioral health and addictions with a focus on life course development.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"21 1","pages":"410 - 416"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43751087","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}
Pub Date : 2021-10-02DOI: 10.1080/1533256X.2021.1973829
R. Rivera, Malitta Engstrom, J. Rees, L. Saldana, R. Beidas, S. Marcus, J. Rzewinski, V. Lushin
ABSTRACT Parental opioid use may negatively affect child health. However, the scope of existing knowledge in this area has not been mapped. We conducted a scoping review of articles (N=1188) describing various influences of parental opioid use on child health. The included studies (N=41) represented three types of such influences: through parental behaviors affected by opioids (n=22), through prenatal opioid exposure (n=9) and through poisoning (n=10). All three types of influences were associated with elevated risks for child health and development. Little research examined implications for child physical health and health service use; however, the existing evidence suggests concerning trends. One question remains largely unanswered, whether children’s health is affected directly by parental opioid use or by co-occurring factors such as parental mental health problems and/or environmental risks. Evidence is lacking on best practices to prevent/reduce health risks among children exposed to parental opioid use. Research and policy/practice implications are discussed.
{"title":"Child health consequences of parental opioid use: a scoping review","authors":"R. Rivera, Malitta Engstrom, J. Rees, L. Saldana, R. Beidas, S. Marcus, J. Rzewinski, V. Lushin","doi":"10.1080/1533256X.2021.1973829","DOIUrl":"https://doi.org/10.1080/1533256X.2021.1973829","url":null,"abstract":"ABSTRACT Parental opioid use may negatively affect child health. However, the scope of existing knowledge in this area has not been mapped. We conducted a scoping review of articles (N=1188) describing various influences of parental opioid use on child health. The included studies (N=41) represented three types of such influences: through parental behaviors affected by opioids (n=22), through prenatal opioid exposure (n=9) and through poisoning (n=10). All three types of influences were associated with elevated risks for child health and development. Little research examined implications for child physical health and health service use; however, the existing evidence suggests concerning trends. One question remains largely unanswered, whether children’s health is affected directly by parental opioid use or by co-occurring factors such as parental mental health problems and/or environmental risks. Evidence is lacking on best practices to prevent/reduce health risks among children exposed to parental opioid use. Research and policy/practice implications are discussed.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":"21 1","pages":"333 - 362"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46338380","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}
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