Pub Date : 2022-03-10DOI: 10.1080/1533256x.2022.2051899
S. Rose
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.
多年来，在南非，由于种族隔离造成的孤立，药物使用主要包括滥用当地生产的酒精、大麻和烟草（联合国药物管制和预防犯罪办事处，1999年）。尽管其他非法药物的使用有所增加（Atkins，1997年），但酒精仍然是最常见的滥用物质，尤其是在男性中（南非社区药物使用流行病学网络，2006年）。在2002–2004年南非压力与健康研究中，研究人员报告称，38.7%的人口饮酒，30%的人口吸烟，8.4%的人吸食大麻，其他药物和非处方精神药物的使用率为21.3%（Van Heerden等人，2009）。然而，超过80%的滥用药物的人报告说，酒精是他们滥用药物的主要物质。尽管努力通过“减少需求”来控制酒精消费，但据报道，酒精使用量仍然很高（Vellios&Van Walbeek，2018），并被认为是该国滥用的主要物质，估计其疾病负担占所有死亡人数的7.1%（Peltzer等人，2011）。据报道，胎儿酒精综合征（FAS）不仅是非洲大陆饮酒量最大的国家，而且几乎高于世界上任何其他国家（Parry et al.，2005）。非洲女性饮酒的比例也高于世界平均水平，这引发了人们对其照顾的未成年儿童的担忧（Cupid o，2021）。南非有许多不同的治疗资源，但匿名酗酒者倡导的12步计划是各种治疗计划的一致要素。大力支持门诊治疗计划、康复中心和转诊至AA支持小组。今天，我们采访了南非约翰内斯堡大学社会工作和社区发展高级讲师Varoshini Nadesan博士。Nadesan博士与许多社区组织密切合作，曾三届担任南非匿名酗酒者协会非酒精理事会成员，最近于2020年当选为AA世界服务代表，代表南非参加AA国际。我们与她讨论了多元文化的南非不同群体的饮酒和待遇模式。
{"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}
Pub Date : 2022-03-02DOI: 10.1080/1533256X.2022.2047561
Annah K. Bender, J. Pickard, Madeline Webster
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.
{"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}
Pub Date : 2022-02-16DOI: 10.1080/1533256X.2022.2040115
V. Lushin, E. Matthews, V. Stanhope, R. Rivera, J. Rzewinski, R. Stewart, J. Rees, S. Marcus
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.
摘要尽管阿片类药物的流行不断升级，但只有11%的阿片类使用障碍（OUD）患者接受了药物辅助治疗（MAT），这是治疗OUD的最佳实践干预措施。许多患者没有接受过关于MAT益处的教育，因此对MAT持有负面看法，这会减少MAT的摄入。共享决策（SDM）有助于让患者参与有益的治疗决策，但没有系统地纳入MAT咨询。为一线辅导员制定了一份结构化的SDM会话指南，其中包括使用协作文档（CD）方法的健康记录模板，并对其可行性和可接受性进行了试点测试。课程指南（CD MAT Tool）包含培训手册和课程模板。咨询师（n=11）接受了CD MAT工具的培训，并与患者（n=9）一起使用。咨询师和患者的定性访谈和焦点小组展示了CD MAT工具的高度可行性、可接受性和积极的会话影响。讨论了对进一步研究和实践使用的启示。
{"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}
Pub Date : 2022-02-07DOI: 10.1080/1533256X.2021.2018644
Andrew J. Flaherty, Aidyn L Iachini, Melissa C. Reitmeier, D. Dehart
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.
{"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}
Pub Date : 2022-01-16DOI: 10.1080/1533256X.2022.2028120
Christopher Rusk, S. Sarabia
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
{"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}
Pub Date : 2022-01-13DOI: 10.1080/1533256X.2022.2028121
A. Hawa, D. Barr, Haleh Sheikholeslami
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.
{"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}
Pub Date : 2022-01-03DOI: 10.1080/1533256X.2021.2001922
M. Fendrich, Thomas P. Lebel
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.
{"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}
Pub Date : 2022-01-02DOI: 10.1080/1533256X.2022.2016338
S. Rose
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.
心理健康和药物使用障碍状况的交叉点在该国的研究和实践界越来越得到认可，并得到了国家酒精及相关疾病流行病学调查（NESARC）研究的支持，报告称，物质使用障碍与独立情绪和焦虑障碍之间的关联是显著和积极的（Grant等人，2006）。我们不清楚的是，这种交叉的力量，以及它如何影响其他文化和国家的预防、评估和治疗。据报道，亚裔美国人（AA）是美国一个快速增长的少数族裔文化群体，其使用心理健康服务（包括药物使用治疗）的水平不如多数族裔文化美国人Le Meyer等人（2009）。一些研究人员对亚裔太平洋岛民的这种“模范少数群体”刻板印象提出了质疑，指出甲基苯丙胺依赖、酒精使用障碍和其他成瘾性障碍很严重，但由于治疗障碍，这些障碍仍然隐藏着（Fong&Tsuang，2007）。其他人报告了亚裔美国人酗酒、抑郁和自杀率之间的关联，并特别指出女性AA饮酒者的心理健康状况较差（Cheng et al.，2012）。在为亚裔美国人创建和实施治疗系统的过程中，解决这些治疗障碍的努力强调了文化适应、语言、性别和心理教育干预，使传统的心理健康概念与当前的模式保持一致（Lui&Zamboanga，2018；Pham&Lui，2020；Yamada等人，2019）。今天，我们采访新加坡国立大学Saw Swee Hock公共卫生学院副教授Mythily Subramaniam。Subramaniam博士的研究一直处于物质使用和心理健康的交叉点。此外，她还领导了新加坡心理健康研究，这是一项针对当地人口心理健康状况的全国流行病学研究。
{"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}
Pub Date : 2022-01-01Epub Date: 2021-10-01DOI: 10.1080/1533256X.2021.1984660
Leonard A Jason, Ted Bobak, Mohammed Islam, Mayra Guerrero, John M Light, Nate Doogan
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.
{"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}
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}
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