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Incarcerated pregnant women and substance use a conversation with Thomas P. LeBel, PhD 被监禁的孕妇和药物使用——与Thomas P. LeBel博士的对话
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-07-03 DOI: 10.1080/1533256X.2022.2079061
S. Rose
Some women experience the trifecta of being pregnant, having a substance use disorder problem, and being incarcerated. Similar to other incarcerated women, pregnant women experience physical and mental health challenges, but these are compounded because they often come into jail with generally poorer health status, limited or no pre-natal care, and chronic poor nutrition (Swavola et al., 2016). While many incarcerated women have histories of trauma and substance use before their incarceration, one study reported that over 60% of incarcerated pregnant women had histories of family violence before age 18, and close to half had used drugs and alcohol during the past year as well as during their pregnancy (Fogel & Belyea, 2001). Some correctional facilities are willing to offer medication assisted treatment (MAT) during a pregnancy but not after the birth of the child (Sufrin et al., 2020), and few jail facilities offer gender responsive services during pregnancy or post-partum services after delivery. The needs of incarcerated pregnant women continue through their incarceration and as they reenter the community upon their release. Recently released pregnant women with substance use problems, need to quickly find prenatal care and plan for delivery, housing, and the initiation or continuation of treatment for substance use and other mental health conditions. Today we talk with Dr. Thomas LeBel, Associate Professor of Criminal Justice and Criminology at the Helen Bader School of Social Welfare at the University of WisconsinMilwaukee, who has focused a significant portion of his research on issues of reentry. In addition, Dr. LeBel and I have conducted a number of different studies in a large Midwestern jail with women, most of whom had substance use issues, some of whom were mothers and some of whom were pregnant.
一些女性经历了怀孕、药物使用障碍问题和入狱的三重困境。与其他被监禁的妇女类似,孕妇也面临着身体和精神健康方面的挑战,但这些挑战更加复杂,因为她们入狱时通常健康状况较差,产前护理有限或没有,而且长期营养不良(Swavola等人,2016)。虽然许多被监禁的妇女在被监禁之前都有创伤和药物使用史,但一项研究报告称,超过60%的被监禁的孕妇在18岁之前有家庭暴力史,近一半的人在过去一年以及怀孕期间使用过毒品和酒精(Fogel & Belyea, 2001年)。一些惩教机构愿意在怀孕期间提供药物辅助治疗(MAT),但在孩子出生后不提供(Sufrin et al., 2020),很少有监狱设施在怀孕期间或分娩后提供性别敏感服务。被监禁的孕妇的需求在她们被监禁期间持续存在,并在她们获释后重新进入社区。最近释放的有药物使用问题的孕妇,需要迅速找到产前护理和计划分娩,住房,以及开始或继续治疗药物使用和其他精神健康状况。今天我们采访了托马斯·勒贝尔博士,他是威斯康辛大学密尔沃基分校海伦·巴德社会福利学院刑事司法和犯罪学副教授,他的研究主要集中在重返社会问题上。此外,勒贝尔博士和我在中西部的一个大型监狱里对女性进行了许多不同的研究,其中大多数人都有药物使用问题,其中一些是母亲,一些是孕妇。
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引用次数: 0
New York master of social work graduates’ substance use treatment service delivery capacities 纽约社会工作硕士毕业生的药物使用治疗服务提供能力
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-06-23 DOI: 10.1080/1533256x.2022.2092984
Dane Minnick, Daejun Park
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引用次数: 2
Implementation of a pilot community-based experiential training program to address OUD and other SUDs 实施以社区为基础的体验式培训试点方案,以解决OUD和其他SUD问题
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-06-01 DOI: 10.1080/1533256x.2022.2080361
D. Swick, Yarneccia D. Dyson, Katherine Roosevelt, Daniel T. Rhodes, Melissa Floyd-Pickard, K. J. Poole, Michael Thull
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引用次数: 0
Running toward recovery: a sport intervention for individuals experiencing homelessness and substance use disorder 走向康复:针对无家可归和药物使用障碍患者的体育干预
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-06-01 DOI: 10.1080/1533256x.2022.2073660
Amy J. Kemter, R. Gomez, Angela Matijczak
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引用次数: 0
‘I had to fix me’: social workers and substance misuse “我必须修复我自己”:社会工作者和药物滥用
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-05-30 DOI: 10.1080/1533256X.2022.2084276
Jeffrey T. Steen, Catherine Cooper
As social workers in recovery, we have experienced new stresses in our wellbeing as a result of the COVID-19 pandemic. Similarly, we have observed colleagues encountering heightened concerns regarding these issues; those who use alcohol and other drugs (AOD) seem to be doing so with greater fervor, and coworkers in recovery have expressed fearing or experiencing relapse during this period of unrest. In response to these concerns, it is important for social work students, educators, and practitioners to engage more openly in discussions about our substance use and misuse. With these issues in mind, we reflect on our recent recovery and work-related experiences. In this paper, we also discuss literature regarding social workers’ AOD problems – including findings from our recent study of social workers’ wellness – and offer recommendations about how we might engender more critical and compassionate conversations regarding substance misuse and behavioral health treatment.
作为康复期的社会工作者,2019冠状病毒病大流行给我们的福祉带来了新的压力。同样,我们也观察到同事们对这些问题的高度关注;那些使用酒精和其他药物(AOD)的人似乎更热衷于这样做,而正在康复的同事表示担心或在这段不安时期经历复发。为了回应这些担忧,社会工作学生、教育工作者和从业人员更公开地参与讨论我们的物质使用和滥用是很重要的。考虑到这些问题,我们反思了我们最近的恢复和工作经验。在本文中,我们还讨论了有关社会工作者AOD问题的文献——包括我们最近对社会工作者健康的研究结果——并就如何在药物滥用和行为健康治疗方面产生更多批判性和同情心的对话提供了建议。
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引用次数: 0
Why has the Opioid Crisis Remained Unchanged in Canada? The Limits of Bio-Scientific Based Policy Approaches 为什么阿片类药物危机在加拿大没有改变?基于生物科学的政策方法的局限性
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-05-11 DOI: 10.1080/1533256x.2022.2071822
Ana Ning, R. Csiernik
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引用次数: 2
Addressing length of stay in substance use treatment to predict successful completion 处理药物使用治疗的停留时间以预测成功完成
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-04-12 DOI: 10.1080/1533256X.2022.2063345
Carl R. Morgan, Cory B. Dennis
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.
治疗物质使用障碍患者面临许多挑战。这项研究的重点是可能预测人们在治疗中停留多久的因素,以及是否有足够的时间来完成治疗。使用来自ted - d数据集的全州子样本的数据,结果表明,免费治疗导致住院时间延长,而药物使用频率和等待进入治疗的天数对住院时间有负面影响。进一步的住院时间预测治疗完成情况。我们还对住院和门诊治疗环境的差异进行了事后分析。这项研究提供的信息可以支持让客户在治疗中保持足够长的时间,以完成治疗作为他们康复的一部分。
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引用次数: 0
Gambling knowledge and experience among clinical social workers 临床社会工作者的赌博知识和经验
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-04-04 DOI: 10.1080/1533256X.2022.2059849
L. Nower, Wen Li Anthony, Jackie F. Stanmyre, Doug Behan
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.
尽管合法赌博迅速扩张,但很少有社会工作者接受过识别问题赌博症状的培训。本研究透过网路调查,探讨1777名临床社工的赌博知识、行为及问题症状。调查结果显示,约77%的社工有赌博行为,超过4%的赌博者报告至少有一种赌博问题症状。参与者正确回答了不到一半的知识问题,大多数人不知道目前赌博障碍的诊断分类或赌博的法定年龄。多元回归分析的结果发现,在物质治疗设施或大学工作8至15年的社会工作者,以及/或接受过赌博治疗培训的社会工作者,对赌博和赌博治疗的了解程度较高。研究结果强调,社会工作学校和组织需要优先考虑问题赌博识别和治疗的教育和培训。
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引用次数: 0
A mixed-methods study of applied team integration for opioid use disorder treatment in rural settings 应用团队整合治疗农村阿片类药物使用障碍的混合方法研究
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-03-16 DOI: 10.1080/1533256X.2022.2054155
Michael Campbell, R. Lucio, S. Cashwell, James Cowser
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.
摘要阿片类药物流行及其引发的阿片类使用障碍(OUD)已经摧毁了个人、家庭和社区。这些影响对农村社区产生了巨大影响,最佳实践建议中的差异加剧了这种影响,这些建议要求建立一个资源密集型的综合治疗方案框架,而农村社区的治疗资源有限。这项试点研究探索了从一个由五个初级保健点组成的网络中建立的门诊治疗团队(由医疗、行为健康和行政人员组成)的几名成员(n=45)收集的数据,该团队是为解决美国阿巴拉契亚农村的OUD而开发的。参与者完成了协作环境评估(ACE-15)和四个关于团队集成的开放式问题。研究结果呼吁政策制定者和提供者改变OUD待遇,适应社会工作中对高等教育的关注,基于能力的学习,呼吁采取行动减少耻辱感,以及机构间合作。
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引用次数: 0
The Routledge handbook of social work and addictive behaviors 劳特利奇社会工作与成瘾行为手册
IF 0.8 Q4 SOCIAL WORK Pub Date : 2022-03-10 DOI: 10.1080/1533256x.2022.2051898
K. Farkas
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引用次数: 7
期刊
Journal of Social Work Practice in the Addictions
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