{"title":"Treatment of depression in drug-dependent patients: effects on mood and drug use.","authors":"E V Nunes, F M Quitkin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"172 ","pages":"61-85"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20102315","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":"Comorbid Mental and Addictive Disorders: Treatment and HIV-Related Issues. Proceedings of a meeting. September 27-28, 1994.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"172 ","pages":"1-169"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20128750","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":"Metabolic bioactivation reactions potentially related to drug toxicities.","authors":"N Castagnoli, K P Castagnoli","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"173 ","pages":"85-105"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20202246","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 M Sayre, D A Engelhart, D V Nadkarni, M K Manoj Babu, A M Flammang, G D McCoy
{"title":"The role of iminium-enamine species in the toxication and detoxication of cyclic tertiary amines.","authors":"L M Sayre, D A Engelhart, D V Nadkarni, M K Manoj Babu, A M Flammang, G D McCoy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"173 ","pages":"106-27"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20202247","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":"Pharmacokinetics of cocaine: considerations when assessing cocaine use by urinalysis.","authors":"R T Jones","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"175 ","pages":"221-34"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20396161","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}
The purpose of this chapter is to review the literature on drug and alcohol use among rural Mexican-Americans. Given the lack of empirical data on substance use among this population, the review was expanded to include adult alcohol use in rural areas of Mexico and the United States and in urban areas of the United States. This chapter focuses on sociocultural factors (gender, community norms, family traditionalism, and acculturation) associated with drug and alcohol use among rural Mexican-Americans by presenting an integrative analysis of factors related to the risks of drug use. The interrelationship between levels of acculturation and levels of family traditionalism as they relate to the risks of drug abuse is also examined. Finally, suggestions are offered for future research and for preventive interventions applicable to rural Mexican-American populations.
{"title":"Drug and alcohol use among rural Mexican-Americans.","authors":"F. Castro, S. E. Gutierres","doi":"10.1037/e495612006-023","DOIUrl":"https://doi.org/10.1037/e495612006-023","url":null,"abstract":"The purpose of this chapter is to review the literature on drug and alcohol use among rural Mexican-Americans. Given the lack of empirical data on substance use among this population, the review was expanded to include adult alcohol use in rural areas of Mexico and the United States and in urban areas of the United States. This chapter focuses on sociocultural factors (gender, community norms, family traditionalism, and acculturation) associated with drug and alcohol use among rural Mexican-Americans by presenting an integrative analysis of factors related to the risks of drug use. The interrelationship between levels of acculturation and levels of family traditionalism as they relate to the risks of drug abuse is also examined. Finally, suggestions are offered for future research and for preventive interventions applicable to rural Mexican-American populations.","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"168 1","pages":"498-530"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57802688","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}
The mental health funding cuts and the block grant shift of the last decade have placed an increased emphasis on fee-generating services. In already underserved rural areas, this has generated immense challenges for mental health professionals on how to provide services to persons other than those with chronic mental illness. This chapter has discussed alternatives and innovations that have proven successful. Linkages with primary care physicians and indigenous residents who have been trained to provide basic mental health services under the supervision of mental health professionals are just two of the ways in which mental health professionals have risen to meet the challenges placed before them. A review of the literature produced few articles about rural programs addressing the issues of substance abuse, services to women, children, the elderly, those with severe mental illness or developmental disability, and the homeless, or crisis intervention programs. Much work needs to be done to provide adequate services to these special rural populations. It is hoped that the renewed interest in rural areas generated by the farm crisis will produce additional programs addressing the needs of these often underserved populations.
{"title":"Mental health service delivery in rural areas: organizational and clinical issues.","authors":"M. Wagenfeld, J. Murray, D. Mohatt, J. DeBruyn","doi":"10.1037/e495612006-018","DOIUrl":"https://doi.org/10.1037/e495612006-018","url":null,"abstract":"The mental health funding cuts and the block grant shift of the last decade have placed an increased emphasis on fee-generating services. In already underserved rural areas, this has generated immense challenges for mental health professionals on how to provide services to persons other than those with chronic mental illness. This chapter has discussed alternatives and innovations that have proven successful. Linkages with primary care physicians and indigenous residents who have been trained to provide basic mental health services under the supervision of mental health professionals are just two of the ways in which mental health professionals have risen to meet the challenges placed before them. A review of the literature produced few articles about rural programs addressing the issues of substance abuse, services to women, children, the elderly, those with severe mental illness or developmental disability, and the homeless, or crisis intervention programs. Much work needs to be done to provide adequate services to these special rural populations. It is hoped that the renewed interest in rural areas generated by the farm crisis will produce additional programs addressing the needs of these often underserved populations.","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"168 1","pages":"418-37"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57802784","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}
Drug abuse represents a major social and behavioral health problem. National Institute of Drug Abuse (NIDA) statistics suggest that 37 percent of the U.S. population has used illicit drugs (Smith 1992) and as many as 23 percent of the work force regularly do so in the workplace (Barabander 1993). Drug use in the workplace is not limited to benign, recreational drugs. The NIDA estimates indicate that 3 percent of the work force abuse heroin (Browne 1986) and over twice that figure abuse cocaine (Abelson and Miller 1985). Chemical abuse affects family functioning, work performance, and the health of newborn children (Levy and Rutter 1992). Of contemporary concern, opiate and cocaine abuse probably represent the most significant problem because of their severe addictive properties, the high likelihood of polydrug abuse among their users, and the decline of social functioning that accompanies their abuse (Almog et al. 1993). Three tasks face those who attempt to develop treatment programs for drug abuse disorders: (1) developing procedures that facilitate patient engagement in treatment, (2) developing procedures that increase the likelihood of retention of individuals in treatment, and (3) establishing the conditions under which even effective treatments work best and least well. While this chapter will focus on the status of research on the first two of these tasks, the last one cannot be ignored in this process. This is true both because of the necessity of continually testing the relationship between treatment engagement and dropout on one hand and treatment efficacy on the other, and because there are promising developments in the area of treatment efficacy that may improve awareness of the significance of engagement and retention.
{"title":"Tailoring interventions to clients: effects on engagement and retention.","authors":"L. Beutler, H. Zetzer, E. Yost","doi":"10.1037/E495632006-006","DOIUrl":"https://doi.org/10.1037/E495632006-006","url":null,"abstract":"Drug abuse represents a major social and behavioral health problem. National Institute of Drug Abuse (NIDA) statistics suggest that 37 percent of the U.S. population has used illicit drugs (Smith 1992) and as many as 23 percent of the work force regularly do so in the workplace (Barabander 1993). Drug use in the workplace is not limited to benign, recreational drugs. The NIDA estimates indicate that 3 percent of the work force abuse heroin (Browne 1986) and over twice that figure abuse cocaine (Abelson and Miller 1985). Chemical abuse affects family functioning, work performance, and the health of newborn children (Levy and Rutter 1992). Of contemporary concern, opiate and cocaine abuse probably represent the most significant problem because of their severe addictive properties, the high likelihood of polydrug abuse among their users, and the decline of social functioning that accompanies their abuse (Almog et al. 1993). Three tasks face those who attempt to develop treatment programs for drug abuse disorders: (1) developing procedures that facilitate patient engagement in treatment, (2) developing procedures that increase the likelihood of retention of individuals in treatment, and (3) establishing the conditions under which even effective treatments work best and least well. While this chapter will focus on the status of research on the first two of these tasks, the last one cannot be ignored in this process. This is true both because of the necessity of continually testing the relationship between treatment engagement and dropout on one hand and treatment efficacy on the other, and because there are promising developments in the area of treatment efficacy that may improve awareness of the significance of engagement and retention.","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"165 1","pages":"85-109"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57804180","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}
There is now a widespread acceptance that persons with severe mental illness are at increased risk to develop substance use disorders (alcohol and drug abuse/dependence). Reviews of the prevalence of substance use disorders in clients with schizophrenia (Mueser et al. 1990), bipolar disorder (Goodwin and Jamison 1990), and the young, chronically mentally ill (Safer 1987) indicate a wide range of prevalence estimates, from as low as 10 percent to over 65 percent. Variability in prevalence rates can be attributed to differences across studies in factors such as the setting in which clients are sampled (e.g., community mental health center, acute inpatient, chronic inpatient), methods for assessing psychiatric and substance use disorders (e.g., structured clinical interview, chart review), and the demographic mix of the study sample (e.g., proportion of males) (Galanter et al. 1988; Mueser et al. 1995).
现在人们普遍认为，患有严重精神疾病的人患物质使用障碍(酒精和药物滥用/依赖)的风险更大。对精神分裂症(Mueser et al. 1990)、双相情感障碍(Goodwin and Jamison 1990)和年轻人慢性精神疾病(Safer 1987)患者中物质使用障碍患病率的回顾表明，患病率估计范围很广，从低至10%到65%以上。患病率的差异可归因于不同研究的不同因素，如取样对象的环境(例如，社区精神卫生中心、急性住院病人、慢性住院病人)、评估精神和物质使用障碍的方法(例如，结构化临床访谈、图表审查)和研究样本的人口结构(例如，男性比例)(Galanter等人，1988;Mueser et al. 1995)。
{"title":"The course and treatment of substance use disorder in persons with severe mental illness.","authors":"K. Mueser, R. Drake, K. Miles","doi":"10.1037/e495582006-002","DOIUrl":"https://doi.org/10.1037/e495582006-002","url":null,"abstract":"There is now a widespread acceptance that persons with severe mental illness are at increased risk to develop substance use disorders (alcohol and drug abuse/dependence). Reviews of the prevalence of substance use disorders in clients with schizophrenia (Mueser et al. 1990), bipolar disorder (Goodwin and Jamison 1990), and the young, chronically mentally ill (Safer 1987) indicate a wide range of prevalence estimates, from as low as 10 percent to over 65 percent. Variability in prevalence rates can be attributed to differences across studies in factors such as the setting in which clients are sampled (e.g., community mental health center, acute inpatient, chronic inpatient), methods for assessing psychiatric and substance use disorders (e.g., structured clinical interview, chart review), and the demographic mix of the study sample (e.g., proportion of males) (Galanter et al. 1988; Mueser et al. 1995).","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"172 1","pages":"86-109"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57800863","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}
A summary of the results of a series of studies of nonresponse and measurement error in the National Household Survey on Drug Abuse (NHSDA) is given in this chapter. Two studies not previously reported, the Skip Pattern Experiment and the Census Match Study, are the primary focus of the chapter. The Skip Pattern Experiment involved a test of a modified NHSDA questionnaire that made extensive use of skip patterns in drug use questions. Compared to the standard NHSDA method, which avoids skip patterns, the modified questionnaire tended to produce lower rates of reported drug use. The Census Match Study involved linking 1990 NHSDA nonrespondent cases with data from the 1990 Decennial Census. Household and individual data for NHSDA nonrespondents were obtained from the Census and used to characterize NHSDA nonresponse patterns in detail. A multilevel logistic model of response propensity identified the important predictors of nonresponse, including characteristics of the sampled person, the selected household, the neighborhood, and the interviewer.
{"title":"Studies of nonresponse and measurement error in the national household survey on drug abuse.","authors":"J. Gfroerer, J. Lessler, Teresa Parsley","doi":"10.1037/e495622006-014","DOIUrl":"https://doi.org/10.1037/e495622006-014","url":null,"abstract":"A summary of the results of a series of studies of nonresponse and measurement error in the National Household Survey on Drug Abuse (NHSDA) is given in this chapter. Two studies not previously reported, the Skip Pattern Experiment and the Census Match Study, are the primary focus of the chapter. The Skip Pattern Experiment involved a test of a modified NHSDA questionnaire that made extensive use of skip patterns in drug use questions. Compared to the standard NHSDA method, which avoids skip patterns, the modified questionnaire tended to produce lower rates of reported drug use. The Census Match Study involved linking 1990 NHSDA nonrespondent cases with data from the 1990 Decennial Census. Household and individual data for NHSDA nonrespondents were obtained from the Census and used to characterize NHSDA nonresponse patterns in detail. A multilevel logistic model of response propensity identified the important predictors of nonresponse, including characteristics of the sampled person, the selected household, the neighborhood, and the interviewer.","PeriodicalId":76229,"journal":{"name":"NIDA research monograph","volume":"167 1","pages":"273-95"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57803584","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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