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Articles 1 - 16 of 16
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The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler
The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler
Walden Dissertations and Doctoral Studies
Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …
The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler
The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler
Walden Dissertations and Doctoral Studies
Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …
Stigma Toward People With Opioid Use Disorder In Southwest Michigan, Kathy A. Carruthers
Stigma Toward People With Opioid Use Disorder In Southwest Michigan, Kathy A. Carruthers
Walden Dissertations and Doctoral Studies
The opioid epidemic is one of the largest health problems in America. In one Southwest Michigan county, opioid overdose deaths increased from 36 deaths in 2008 to 104 deaths in 2017. In the same county, stigma was identified as the highest-ranked reason people do not seek opioid use disorder (OUD) treatment. The purpose of this study was to examine knowledge that social work practitioners have regarding stigma toward people who inject drugs with OUD in Southwest Michigan. The purpose aligned with social work values as people with OUD are marginalized and cannot advocate for themselves. The theoretical framework that guided …
Social Workers’ Attitudes Toward Medication-Assisted Treatment For Opioid Use Disorder, William Tillman Spivey
Social Workers’ Attitudes Toward Medication-Assisted Treatment For Opioid Use Disorder, William Tillman Spivey
Walden Dissertations and Doctoral Studies
Over the last decade, opioid misuse has emerged as a major problem in the United States. The extreme increase in overdose deaths affects both public health and social welfare in north central Florida. Social workers play a major role in the delivery of treatment for opioid misuse. Medication-assisted treatment for opioid use disorder has become widely used yet faces debate among social workers. The practice-focused research question for this project addressed the attitudes of social workers toward the use of medication-assisted treatment for opioid use disorder. Social learning theory was the theoretical framework used in this action research study. Data …
Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella
Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella
Walden Dissertations and Doctoral Studies
In the past 15 years, the nonmedical use of opioids in the United States has reached epidemic proportions, resulting in a 21% increase in overdose fatalities. This surge in opioid use and dependence represents a shift in the demographic from inner-city populations over the age of 40 to young adults between the ages of 20 and 34 who dwell in primarily white suburban neighborhoods. Research has identified physicians’ liberal prescribing practices as one cause of this epidemic and has documented the ineffectiveness of current interventions with young addicts. The purpose of this narrative study was to gain insight into what …
Exploring The Dual Role Of Consumer And Provider In Substance Use Peer Support Workers, Christian Scannell
Exploring The Dual Role Of Consumer And Provider In Substance Use Peer Support Workers, Christian Scannell
Walden Dissertations and Doctoral Studies
Peer support is built upon the premise that shared life experiences will benefit both the helper and the receiver. In the substance abuse field, this relationship has been linked to an increase in practical knowledge, empowerment, hope, and community connectedness. However, the research on peer support is primarily geared toward the effectiveness of the intervention for the consumer. Less is known about the role of this relationship in the recovery of the workers themselves. The purpose of this generic qualitative study was to explore the experience of recovery in substance abuse peer support workers. A recovery framework and the helper …
Waiting Times And Dwi, Court-Mandated Treatment Completion, Cailyn Florence Green
Waiting Times And Dwi, Court-Mandated Treatment Completion, Cailyn Florence Green
Walden Dissertations and Doctoral Studies
Drivers under the influence of alcohol cause nearly one third of all fatal motor vehicle accidents. Ambulatory outpatient alcohol abuse treatment has been clinically shown to increase abstinence, which could decrease the chance of subsequent DWI offences. A barrier to successful completion is extended waiting periods prior to treatment engagement. The theory of patient waiting supports the longer a patient waits to begin treatment the lower the likelihood of successful completion. By exploring the impact of waiting times on DWI court mandated clients, referral courts and treatment facilities can work together to create a successful completion strategy for offenders. The …
Exploring Stages Of Recovery From Crack Cocaine Addiction, Zeb Stuart Regan
Exploring Stages Of Recovery From Crack Cocaine Addiction, Zeb Stuart Regan
Walden Dissertations and Doctoral Studies
Crack cocaine users need efficacious treatment options to address triggers and cravings for the drug. The purpose of this qualitative, multiple case study was to explore the recovery narratives of 3 purposefully selected substance abuse counselors who were once addicted to crack cocaine and whether or not these narratives fit within the 5 stages of the transtheoretical model of change (TTM). The TTM was used in this study to explore the stages of change in those with prior addiction regarding the motivational strategies needed to promote change. Data collected in face to face interviews were organized using thematic content analysis …
Practicing Self-Efficacy And Transparency To Achieve Long-Term Recovery And Reduce Recidivism, Lisa Kent
Practicing Self-Efficacy And Transparency To Achieve Long-Term Recovery And Reduce Recidivism, Lisa Kent
Walden Dissertations and Doctoral Studies
There is limited data about the positive application of self-efficacy and the practice of transparency for individuals in recovery to achieve long-term recovery from substance addiction and criminal recidivism. The purpose of this qualitative phenomenological study was to gain more insight and knowledge about how the application of self-efficacy and the practice of transparency help individuals in recovery achieve long-term recovery from substance addiction and criminal recidivism for two or more years. The conceptual framework used to guide this study was Albert Bandura's self-efficacy theory. This study is significant because it explains that long-term recovery is not an easy task …
Medication-Assisted Therapy Interventions And Prescription Opioid Misuse, Stella Kiah Jefferies
Medication-Assisted Therapy Interventions And Prescription Opioid Misuse, Stella Kiah Jefferies
Walden Dissertations and Doctoral Studies
Opioid drug misuse and dependence are a social and public health problem in the United States. Prescription opioid abuse and misuse have been associated with substantial morbidity and mortality rates as well as social and economic costs. The purpose of this project was to provide a systematic review of literature on the effectiveness of medication-assisted therapy interventions in addressing the problem of prescription opioid misuse in health care settings. The systematic review was completed through a literature search conducted across five electronic databases. The review was guided by the health belief model and eligible studies were rated using Johns Hopkins …
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Walden Dissertations and Doctoral Studies
Researchers have suggested that jails and prisons in the United States are becoming the new mental health clinics, contributing to the phenomenon of mass incarceration and costing upwards of $15 billion per year in public revenue. The problem is no conclusive evidence exists that treatment in these custodial environments is more effective than that provided by noncustodial programs; especially for substance users. Additionally, the continuing incarceration of people with mental health problems by the hundreds of thousands poses a difficult ethical dilemma regarding why this population does not receive noncustodial or hospital treatment instead. The study addressed the research question …
The Effect Of Gender And Narcotic Or Stimulant Abuse On Drug-Related Locus Of Control, Yolanda Rene Travis
The Effect Of Gender And Narcotic Or Stimulant Abuse On Drug-Related Locus Of Control, Yolanda Rene Travis
Walden Dissertations and Doctoral Studies
Substance use disorders cause significant neurological damage, cognitive impairment, and maladaptive behaviors that negatively affect a person's quality of life. The purpose of this study was to explore the effect gender and primary drugs have on locus of control. Generalized expectancy theory helped to explain the behavior of patients diagnosed with substance use disorders and their inability to control ongoing drug use. The research question focused on to what extent drug-related locus of control scores differ by primary drug (narcotic vs. stimulant), gender (male vs. female), and their interaction. Data measuring locus of control from 553 participants provided a subset …
How Heroin-Addicted Offenders Experience Sobriety Upon Release From Jail, Rebecca Lynn Foster
How Heroin-Addicted Offenders Experience Sobriety Upon Release From Jail, Rebecca Lynn Foster
Walden Dissertations and Doctoral Studies
Heroin addiction is a growing epidemic in the United States. The need for proper treatment programs accessible by heroin users who wish to or are mandated to participate in recovery programs is a growing need, and pathways to sobriety for ex-offenders have presented in literature as understudied. The purpose of this study was to examine heroin-addicted offenders' experiences prior to and after release on their paths to sobriety. This study followed a qualitative phenomenological approach based on the theory of personal causation, which posits that individuals see events in life as either driven by themselves or caused by others, both …
Factors Associated With Harm Reduction Model Use Among Substance Abuse Counselors, Tiffany Madden
Factors Associated With Harm Reduction Model Use Among Substance Abuse Counselors, Tiffany Madden
Walden Dissertations and Doctoral Studies
Drug overdose death rates in the United States have more than tripled since 1990 with more than 36,000 dying in 2008. In 2007 the estimated cost of drug use to U.S. society due to lost productivity, increased health care, and criminal justice costs was over $193 billion. Previous researchers have found that harm reduction is a viable treatment option within the field of addiction. The guiding premise in the harm reduction approach is that all people can achieve improved psychological and physiological health even if they are unable to be substance-free. However, there remains an important gap in the current …
A Phenomenological Study Of Methadone Treatment By Opiate-Dependent Individuals Ages 50-55 Years, Lamart Hightower
A Phenomenological Study Of Methadone Treatment By Opiate-Dependent Individuals Ages 50-55 Years, Lamart Hightower
Walden Dissertations and Doctoral Studies
Today's methadone patients differ from those of the past due to increases in polydrug use, mental health issues, and medical needs. Patients requiring methadone treatment for their opiate addiction are now older than those who initially presented for treatment when methadone treatment first started. The number of older opiate users will continue to grow as the population continues to age. Although previous studies on opiate addiction focused on using methadone in treatment of younger adults, this study used phenomenological methodology to explore the lived experiences of opiate addicted methadone users between the ages of 50 to 55, an understudied population. …
Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek
Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek
Walden Dissertations and Doctoral Studies
Research in the late 1990s and early 2000s projected that the number of people aged 50 and older who needed treatment for illicit drug use and abuse of prescribed medications to increase from approximately 1.7 million in 2001 to approximately 4.4 million in 2020. The purpose of this study was to examine how gender, marital status, employment status, and primary referral source predicted treatment outcomes with this older population. Of interest was how these predictions could better prepare treatment providers to treat individuals born between 1946 and 1964 who are addicted to substances. This quantitative study used an archival database, …