Digital Commons Network^™

Identifying Overdose Risk Factors For People Hospitalized With Injection Drug Use-Associated Infections In Maine, Melanie Mait, Kim Murray, Tania D. Strout, Kinna Thakarar

Journal of Maine Medical Center

Introduction: The overdose crisis continues to be a significant problem, particularly in rural states such as Maine. The objectives of this study were to: 1) describe demographic and health characteristics and 2) identify overdose risk factors among people in Maine hospitalized with injection drug use (IDU)-associated infections.

Methods: We performed descriptive analysis of demographics, health characteristics, and injection practices, stratified by lifetime history of overdose. We conducted an exploratory logistic regression analysis, controlling for gender, homelessness, having experienced an emergency department (ED) visit in the past 3-months, and endorsement of injecting alone in the past 30 days to examine …

The Effect Of A Psychosocial Occupational Therapy-Based Group On Self-Confidence And Perceived Life Satisfaction In An Outpatient Addiction Rehabilitation Center, Lindsay J. Hodge

Occupational Therapy Capstone Projects

Due to the chronic effects and neurological basis of substance use disorder, medical and holistic interventions are needed to address the disorder. Individuals with substance use disorder feel an impact to their occupational functioning and overall engagement in daily activities and may lack the ability to participate in meaningful tasks without the use of substances. As the individual's substance of choice becomes their ‘primary occupation’, daily activities and routines can be removed or altered to make space for their chosen occupation. Occupational therapy takes a comprehensive approach to treatment and aims to treat all areas of occupational dysfunction, including those …

Effectiveness Of A Peer-Supported Digital Brief Intervention: Reducing Alcohol Use & Related Harms In Young Adults With Histories Of Interpersonal Trauma, Caitlin Mcgettrick

Masters Theses & Specialist Projects

Alcohol is the most frequently used substance in the United States, and young adults ages 18-25 have the highest rates of heavy alcohol use. Heavy and persistent alcohol use is associated with a host of negative outcomes in young adults, including poor mental health, lower life satisfaction, cognitive impairments, poor academic performance, increased risk for motor vehicle accidents, and substance use disorders. Brief interventions (BI) are low-resource, short-term interventions designed to reduce problematic substance use and mitigate the substantial harms posed by heavy and persistent use of substances such as alcohol. BIs have limited effectiveness in trauma survivors despite trauma …

Substance Use Treatment Within The Us Prison System, Timothy Hicks

Electronic Theses, Projects, and Dissertations

This study examines the challenges and effectiveness of substance use disorder (SUD) treatment within US prisons, focusing on treatment availability, accessibility, and outcomes. Through a literature review spanning PsycINFO, Academic Search Premier, Criminal Justice Abstracts, JSTOR, and PubMed, it addresses the literature gap and healthcare needs for incarcerated individuals. The research identifies limited SUD treatment availability and explores the impact of medication-assisted treatments (MATs) and therapeutic interventions. It highlights barriers such as systemic stigma and inconsistencies in treatment access and quality. Findings advocate for evidence-based treatment's role in reducing recidivism and call for policy reform and enhanced collaborative efforts to …

Barriers To Escape: How Homelessness And Drug Addiction Prevent Women From Escaping Sex Trafficking And Commercial Sex, Laura J. Lederer, Mckamie J. Chandler, Stanley Stinson

Dignity: A Journal of Analysis of Exploitation and Violence

Victims of sex trafficking and women purportedly involved in prostitution voluntarily face a complex web of interconnected challenges when attempting to escape their current circumstances. By analyzing the shared and distinct challenges faced by these women, the paper aims to inform policymakers and service providers, offering recommendations to empower women seeking to escape exploitation through multidisciplinary and interconnected networks of providers. This study surveyed 74 women in Detroit, Michigan, using nonprobability convenience sampling over a 10-month period in 2020. It compared three groups of women who self-reported as victims of sex trafficking, women who voluntarily engaged in some form of …

An Exploration Of The Available Services For Offenders With Mental Illness (Omi), Kaliah Moulton

Honors Projects

The study is an exploration of services available for offenders with mental illness (OMI) and obstacles to providing treatment. It aims to identify services and obstacles to delivering treatment for offenders with mental health and substance use disorders in Augusta and Rockingham Counties. Semi-structured interviews were conducted with representatives of local agencies. Based on the agencies interviewed, services for OMI vary across the Sequential Intercept Model, with services like Crisis Intervention Teams, Medication-Assisted Treatment, and supervisory housing. Participants reported that despite the variation in services, barriers in infrastructure due to poor funding, low staffing, and lack of housing were present. …

An Exploration Of The Available Services For Offenders With Mental Illness (Omi), Kaliah Moulton

ASPIRE 2024

The study is an exploration of services available for offenders with mental illness (OMI) and obstacles to providing treatment. It aims to identify services and obstacles to delivering treatment for offenders with mental health and substance use disorders in Augusta and Rockingham Counties. Semi-structured interviews were conducted with representatives of local agencies. Based on the agencies interviewed, services for OMI vary across the Sequential Intercept Model, with services like Crisis Intervention Teams, Medication-Assisted Treatment, and supervisory housing. Participants reported that despite the variation in services, barriers in infrastructure due to poor funding, low staffing, and lack of housing were present. …

A Clinical Trial Of The Examen And Mindfulness Within A Secular Substance Use Disorder Treatment Program, Christopher M. Buenrostro, Thomas G. Plante

Psychology

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.

Prevalence Of Substance Use Among Lesbian, Gay, And Bisexual High School Students In 2019 Vs. 2021, Jordyn Lee, Elisabeth Hayes, Adam Wyatt

Nursing & Health Sciences Research Journal

Background: Studies suggest that LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, plus) youth are at increased risk of engaging in alcohol and substance use. The COVID-19 pandemic forced many students to isolate in 2020 and 2021, and the impacts of this have been purported to be detrimental. This study examines the prevalence of alcohol and substance use among lesbian, gay, and bisexual (LGB) U.S. high school students before the pandemic in 2019 versus 2021. Methods: This cross-sectional descriptive study used results from the 2019 Youth Risk Behavior Survey (YRBS) and the 2021 Adolescent Behavior and Experiences Survey (ABES). The 2019 YRBS …

Association Between Chronic Disease And Substance Use Among Older Adults In Tennessee, Manik Ahuja, Jessica Stamey, Johanna Cimilluca, Kawther Al Skir, Mary K. Herndon, Kathleen Baggett, Thiveya Sathiyasaleen, Praveen Fernandopulle

ETSU Faculty Works

Background:

Design and methods:

Addressing Inpatient Substance Use Stigma And Bias: An Examination To Support Training For Healthcare Professionals, Tara Flood, Dnp, Rn, Cbc

College of Nursing Posters

Background

The current opioid crisis is a significant public health issue in the United States, especially amongst women of reproductive age. In the last two decades, the rate of opioid use disorder (OUD) in pregnant women has quadrupled. Women with substance use disorders (SUD) experience more sociodemographic and health disadvantages, pre-existing health conditions, and co-morbid psychiatric diagnoses than their counterparts without SUDs. They are also more likely to experience emergency department visits and hospitalizations during the antenatal period and less likely to utilize prenatal healthcare services.

Social Bonding In Social Isolation: Social And Religious Support For Substance Use Recovery During Covid-19, Lindsey Chapman

All Theses

The importance of social bonds in supporting those in substance use recovery is illustrious through applications of social bonding theory. However, the effect of COVID-19 restrictions on these essential relationships has not been widely studied. The initial survey instrument studying social support, religious support, and substance use patterns before, during, and after COVID-19 was met with methodological difficulty in reaching the target population through email. This instrument was adapted into a semi-structured interview guide and methodology evolved to include participation either in-person or over Zoom. Through 14 in-depth interviews with people in substance use recovery programs, themes of isolation, peer …

Evaluation Of A Substance Abuse Screening Tool In The Pediatric Emergency Room, Jody Sims

Dissertations

Abstract

Background: Substance abuse among adolescents is one of the most serious social health problems in the United States. The prevalence of alcohol use in adolescents is as high as 80%, while opioid overdose deaths among adolescents have risen by greater than 50% in the last 10 years. Alcohol, tobacco, and other substance use has also increased among youth and is not being properly evaluated in the pediatric hospital setting. The purpose of this project was to evaluate the use of a substance abuse screening tool with SBIRT trained staff in the pediatric emergency room setting.

Methods: The CRAFFT substance …

Geriatric Emergency Medicine Fellowship Journal Club: Screening For High-Risk Alcohol Use Among Older Adults In The Emergency Department, Kira Gossack-Keenan

Journal of Geriatric Emergency Medicine

Alcohol use in older adults is a growing and under-recognized issue. Older adults are at higher risk of alcohol-related complications due to underlying comorbidities, frailty, and polypharmacy. High-risk alcohol use and alcohol use disorder (AUD) are often missed among older patients. We present two recent studies on screening older patients for alcohol use. Older adults have unique needs and require a specialized approach to screening.

Therapeutic Gardening For Mental Health In Substance Use Recovery, Stephanie E. Schafer

Master's Projects and Capstones

Abstract

As the clinical nurse leader (CNL) in this project, I used the “[CNL]

Essential 1: Background for Practice from Sciences and Humanities” (Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice, 2013) and its competencies to focus on designing nursing care for a clinical or community-focused population based on biopsychosocial, public health, nursing, and organizational sciences and to synthesize evidence for practice to determine appropriate application of interventions across diverse populations. With the help of the CNL competencies and collaboration with the healthcare team, we created and implemented a therapeutic garden for residents in a substance use …

Therapeutic Gardening For Addiction Recovery, Hugo A. Rivera Lopez

Master's Projects and Capstones

Problem: The use of evidence-based alternative forms of therapy like horticulture therapy and therapeutic gardening is underutilized in substance use recovery programs in the United States. As the country continues to struggle with addiction, it is important that recovery programs look to and incorporate these alternative therapies into official curricula. Currently, 46.3 million individuals living in the United States are living with a substance use disorder (U.S Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration, 2022).

Context: The intervention was implemented at an all-male substance use treatment facility in San Jose, CA that houses up …

The Physical Health Of People With Co-Occurring Serious Mental Illness And Substance Use Disorders, Mark R. Hawes

Brown School Theses and Dissertations

People with serious mental illness (SMI; e.g., schizophrenia) die 10–25 years earlier than people in the general population largely due to chronic medical conditions (e.g., cardiovascular disease [CVD]), and having a co-occurring substance use disorder (SUD) increases this risk even further compared to having either disorder alone. This is concerning since 50% of people with SMI will be diagnosed with a co-occurring SUD in their lifetime and 40%-80% are current tobacco smokers. Healthy lifestyle interventions can improve the health of people with SMI by offering a package of services aimed at improving physical activity, dietary habits, and engagement in health …

Physiology Of Human-Equine Interaction During Substance Withdrawal, Molly Marie Friend

Theses and Dissertations

Psychotherapy incorporating equine interaction (PIE) is emerging as an effective treatment for substance use disorder (SUD), but research is limited concerning physiological impacts during substance withdrawal. This study investigated impacts of PIE on salivary cortisol concentrations, heart rate, anxiety, and depression during SUD withdrawal. Heart rate and cortisol concentrations were measured in horses to determine potential human-horse coupling. Saliva samples and heart rates were collected pre and post PIE from residential SUD patients (n=18) and their therapy horses (n=4) during and following the withdrawal period. Participants (n=10) also completed a survey measuring anxiety and depression (P = 0.05). A …

Characterization Of Differential Rearing And Sex On 5-Ht2ar Receptor Activation, Kelsey Lowe

Theses/Capstones/Creative Projects

The prevalence of substance use disorders (SUDs) continues to rise while the number of medications to combat this deadly disorder remains stagnant. Entirely new thinking about what exemplifies a possible therapeutic is needed. Hallucinogens are continually being studied more as possible treatments for many psychological conditions, including SUDs. Classic hallucinogens engage many serotonin and monoamine systems, but the hallucinogenic effects are driven by serotonin 5-HT_2A receptor (5-HT_2AR) activation. Forced social isolation induces chronic stress, increases 5-HT_2AR expression in the cortex and have been suggested to play a role in the comorbidity between stress, maladaptive coping, …

The Need For Sharps Boxes To Be Offered In The Hospital Setting For People Who Use Substances: Removing Sharps Boxes Puts All Of Us At Risk., Cheryl Forchuk, Michael Silverman, Abraham Rudnick, Jonathan Serrato, Brenna Schmitt, Leanne Scott

Nursing Publications

INTRODUCTION: Substance use can occur in the hospital setting among people with substance use disorder, including intravenous use. However, the provision of sharps boxes is not typically offered in Canadian hospitals. This study set out to explore the current issues due to the lack of harm reduction in the hospital setting.

METHOD: Thirty-one health care professionals participated in virtual one-to-one interviews and focus groups regarding harm reduction in hospital. The issue of sharps box removal was highlighted as a concern. A secondary ethnographic thematic analysis explored this theme in more detail. A scoping review of the literature observed additional considerations. …

Addressing Knowledge Deficit Around Narcan Administration In Unhoused Youth In The Greater Seattle Area, Olivia Boron, Lizzy Carlson, Macie Leach, Casey Burk, Michele Mojarro, Sydney Porter

Nursing Leadership in Community Engagement Projects

Introduction

For our project we worked with a non profit organization in downtown Seattle that serves houseless youth ages 18-25 with a day center and overnight shelter. Their day center has health clinics, serves lunches, and provides creative activities for the houseless to enjoy. Their overnight shelters are open every night for the houseless, providing 30 beds. The goal of the facility is to end homelessness among youth by partnering with them on their journey towards housing and sustainability. Recently, the center was approved to become a Narcan (naloxone) distribution site. When assessing the needs of the facility we identified …

Lived Experiences Of People With Substance Use Disorder As Healthcare Education To Develop Empathy For This Population, Whitney Bynum

Nursing | Student Research Posters

Stigmas that develop among healthcare workers regarding patients with substance use disorder include: "drug-seeking", "violent", and "unmotivated". These beliefs can decrease the quality of care provided and results in less people seeking out needed treatment. Healthy People's 2030 goals include reducing drug and alcohol addiction. In order to do this, healthcare workers need to show empathy and form trusting relationships with this patient population. Building a trusting relationship allows the patient to be more receptive to help and suggestions. Learning the life story of a patient can help healthcare workers develop empathy and reduce negative attitudes.

Screening The “Invisible Population” Of Older Adult Patients For Prescription Pain Reliever Non-Medical Use And Use Disorders, Alyssa M. Falise, Vinita Sharma, Carolin C. Hoeflich, Catalina Lopez-Quintero, Catherine W. Striley

Public Health and Population Science Faculty Publications and Presentations

Background: In the United States, the number of older adults reporting non-medical use of prescription pain relievers (NMUPPR) between 2015 and 2019 has remained constant, while those meeting criteria for opioid use disorders (OUDs) between 2013 and 2018 increased three-fold. These rates are expected to increase due to increased life expectancy among this population coupled with higher rates of substance use. However, they have consistently lower screening rates for problematic prescription pain reliever use, compared to younger cohorts. Objectives: This commentary reviewed trends in older adult NMUPPR and OUDs and reviewed several available screening tools. We then considered …

Unique Posttraumatic Growth Expression Among Homeless Males Currently Enrolled In Chemical Dependency Treatment, Travis T. Mord

Theses and Graduate Projects

Posttraumatic growth (PTG) has gained considerable research and clinical attention for the past three decades. While the impact of PTG has been well-researched in relation to trauma exposure, medical ailments, or mood related conditions, there are still a number of mental health conditions requiring further analysis. The current study examined the relationship between PTG and key substance use significance indicators, including diagnostic severity of the use disorder and number of previous substance use treatment attempts, among a sample (N = 136) of adult men who were enrolled in a mental illness/chemical dependency (MICD) intensive outpatient program (IOP). This study also …

Substance Use Among Nurses As A Result Of Covid-19, And The Impact Of Rehabilitative Programs On Nurses, Gerome Macaspac

Nursing | Senior Theses

Background: The incidence of substance use among nurses has been a persistent issue for decades. The effects associated with substance misuse depend on what is used, the amount, how often, and how they are taken. Regardless of the substance used, any nurse who enters the workplace using substances puts the lives of others at risk. Due to the widespread effects of the COVID-19 pandemic, there is a risk that the number of nurses resorting to the use of substances may have increased. Therefore, an investigation into drug use among nurses during the pandemic is particularly important.

Objective: To explore the …

An Evaluation Of Findings From A Sbirt Training Program In Counselor Education, Tiffany Lee, Andrew Clay, Karis Callaway, Stephen E. Craig, Georgiana Fisher

Journal of Counselor Preparation and Supervision

The effective implementation of empirically supported interventions is critical for the mitigation of problematic substance use. Screening, Brief Intervention, and Referral to Treatment (SBIRT) has been identified as an efficacious approach for initial response to individuals who have, or are at risk of developing, a substance use disorder. For SBIRT to be delivered appropriately, helping professionals must be adequately trained in its implementation. As a part of a three-year grant project, counselor educators at a large Midwestern university provided intensive training on SBIRT to students in a counselor education program. The outcomes of this training, specifically related to satisfaction, opinion, …

Associations Between Childhood Sexual Abuse, Adult Sexual Assault Experiences, Psychological Distress, And Substance Use, Diamonde Mccollum

The Pegasus Review: UCF Undergraduate Research Journal

This study evaluates the potential mechanisms underlying the association between childhood sexual abuse (CSA) and substance use among adult women. Moreover, CSA, adult sexual assault (ASA), and psychological distress (including symptoms of depression and perceived stress) was evaluated to determine how it contributes to substance misuse. Past research shows that individuals who experience CSA are more likely to experience ASA, which results in psychological distress. Individuals may use substances to cope with psychological distress from CSA and ASA, consistent with the self-medication hypothesis. Women (N = 225) were recruited from Mechanical Turk (Mturk) and completed an online survey. Results indicate …

Learning From Lived Experience: Substance Use Policies, Emergency Shelters, And Harm Reduction In London, On, Jesse Cram, Dena Salehipour

Undergraduate Student Research Internships Conference

Since 2018, the number of overdoses reported by London housing and emergency shelter agencies to the city of London has increased by 790%.These agencies currently have inconsistent overdose response policies that lack research-based support, and want to establish comprehensive best practices that support those involved at all levels.

Through a community based course, we initially collected and analyzed survey data from managers and staff from various London housing and emergency shelter agencies with the aim of understanding the limitations of the current approaches to the opioid crisis. Wanting to expand on this, our current project focuses on those who are …

The Perceived Self-Efficacy Of School Counselors To Provide Interventions And Support To Students Using Substances And The Potential For Collaboration With School Psychologists, Monica Holtz

Educational Specialist, 2020-current

Substance use has the potential to impact a student’s academic success; however, school counselors are in a position to intervene and provide support to these students to potentially mitigate the impact of the students’ use. Research shows that school-based interventions are effective in reducing substance use, but school counselors may not feel clinically prepared to provide these services. A random sample of school counselors in the state of Virginia practicing at the middle and high school level completed a survey regarding their feelings and perceptions of substance use intervention and support, including their self-efficacy to provide services, level of training, …

Mental Health, Chronic Disease, And Substance Use: Findings From Rural Texas, Subi Gandhi, Ryan Glaman, Elizabeth Wachira, Muna Bashir, Sushma Sharma, Chelsea Mowles, Jasmine Luttrell

Journal of Social, Behavioral, and Health Sciences

There are vital links among mental health conditions, chronic diseases, and substance use disorders. Simultaneous examination of the relationship among these three conditions is essential for providing well-integrated care to rural residents who have limited resources and for representing medically underserved areas. We aimed to assess the burden of behavioral health conditions and chronic diseases from a rural Texas community to garner context-specific insights and inform effective health promotion strategies in similar communities. We conducted a cross-sectional study among 181 residents from various zip codes in a rural Texas county. A self-administered, 18-item health-needs questionnaire was used to collect data …