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Medicine and Health Sciences

Peter Kelly

Treatment

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Full-Text Articles in Arts and Humanities

Predicting Dropout In The First 3 Months Of 12-Step Residential Drug And Alcohol Treatment In An Australian Sample, Frank P. Deane, David J. Wootton, Ching-I Hsu, Peter J. Kelly Jul 2013

Predicting Dropout In The First 3 Months Of 12-Step Residential Drug And Alcohol Treatment In An Australian Sample, Frank P. Deane, David J. Wootton, Ching-I Hsu, Peter J. Kelly

Peter Kelly

Objective: Premature termination from treatment is a major factor associated with poorer drug and alcohol treatment outcomes. The present study investigated client-related baseline predictors of dropout at 3 months from a faith-based 12-step residential drug treatment program. Method: Data were collected over a period of 14 months from eight residential drug and alcohol treatment programs run by The Australian Salvation Army. The final sample consisted of 618 participants, including 524 men (84.8%) and 94 women (15.2%). Predictor variables of interest were age, gender, primary drug of concern, criminal involvement, psychological distress, drug cravings, self-efficacy to abstain, spirituality, forgiveness of self …


Clinically Signficant Change To Establish Benchmarks In Residential Drug And Alcohol Treatment Services, Daniel Billingham, Peter Kelly, Frank Deane, Trevor Crowe, Mark Buckingham, Fiona Craig Jul 2013

Clinically Signficant Change To Establish Benchmarks In Residential Drug And Alcohol Treatment Services, Daniel Billingham, Peter Kelly, Frank Deane, Trevor Crowe, Mark Buckingham, Fiona Craig

Peter Kelly

There is increasing emphasis on the use routine outcome assessment measures to inform quality assurance initiatives. The calculation of reliable and clinically significant change indices is one strategy that organizations could use to develop both internal and externally focused benchmarking processes. The current study aimed to develop reliable and clinically significant change indices for a range of commonly used outcome measures in the substance abuse field. Participants were attending Kedesh Rehabilitation Services, an Australian residential substance abuse service that also accepts people with co-occurring mental health problems (n0595). A range of mental health and substance use measures were administered to …


A Comparison Of Treatment Outcomes For Individuals With Substance Use Disorder Alone And Individuals With Probable Dual Diagnosis, Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly Jul 2013

A Comparison Of Treatment Outcomes For Individuals With Substance Use Disorder Alone And Individuals With Probable Dual Diagnosis, Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly

Peter Kelly

The co-occurrence of substance use and mental health problems, often referred to as dual diagnosis (DD), is increasingly recognised as commonplace within substance abuse treatment programs. Two-hundred and thirty-four individuals from 9 Australian Salvation Army drug and alcohol rehabilitation programs completed a 3-month post-discharge telephone follow-up. Using a cut-off score from the Psychiatric Subscale of the Addiction Severity Index (5th ed.), 66.7% were classified as likely to have DD and 33.3% as substance use disorder only (SUD). Both groups reported comparable and decreased substance use levels at follow-up, yet DD individuals perceived less improvement in substance use problems. Comparable improvements …


Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen Jul 2013

Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen

Peter Kelly

Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …


Study Protocol: A Randomized Controlled Trial Of A Computer-Based Depression And Substance Abuse Intervention For People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Frances Kay-Lambkin, Amanda Baker, Frank P. Deane, Adam C. Brooks, Alexandra Mitchell, Sarah Marshall, Meredith Whittington, Genevieve A. Dingle Jul 2013

Study Protocol: A Randomized Controlled Trial Of A Computer-Based Depression And Substance Abuse Intervention For People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Frances Kay-Lambkin, Amanda Baker, Frank P. Deane, Adam C. Brooks, Alexandra Mitchell, Sarah Marshall, Meredith Whittington, Genevieve A. Dingle

Peter Kelly

"Background: A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered …


The Dual Diagnosis Capability Of Residential Addiction Treatment Centres: Priorities And Confidence To Improve Capability Following A Review Process, Harold Matthews, Peter Kelly, Frank P. Deane Jul 2012

The Dual Diagnosis Capability Of Residential Addiction Treatment Centres: Priorities And Confidence To Improve Capability Following A Review Process, Harold Matthews, Peter Kelly, Frank P. Deane

Peter Kelly

Abstract Introduction and Aims. The Dual Diagnosis Capability of Addiction Treatment (DDCAT) index is used to assess the capacity of substance abuse services to work with individuals with co-occurring mental health problems. The current study aimed to: (i) examine the dual diagnosis capability of residential substance abuse programs in Australia; (ii) identify managers’ perceptions regarding both priorities and confidence for change following the completion of the DDCAT; and (iii) to examine the usefulness of the DDCAT to residential substance abuse programs. Design and Methods. The DDCAT was completed across 16 residential substance abuse units.An external researcher administered and scored the …


Spirituality And The Treatment Of Substance Use Disorders: An Exploration Of Forgiveness, Resentment And Purpose In Life, Geoffrey Lyons, Frank Deane, Peter Caputi, Peter Kelly Jul 2012

Spirituality And The Treatment Of Substance Use Disorders: An Exploration Of Forgiveness, Resentment And Purpose In Life, Geoffrey Lyons, Frank Deane, Peter Caputi, Peter Kelly

Peter Kelly

Faith-based treatment programs are a viable treatment option for many individuals with substance use disorders; however, the psychological mechanisms that explain the relationship between spirituality and a recovery from substance use disorders have not been established. The Spirituality, Forgiveness, and Purpose (SFP) model of recovery proposes that forgiveness and purpose in life may mediate the spirituality–recovery relationship. As a preliminary step in exploring this theory, a cross-sectional investigation of 277 clients of the Australian Salvation Army Rehabilitation Service Centres was performed. A multiple regression found that forgiveness of others, forgiveness of self, receiving forgiveness from others, and receiving forgiveness from …


Exploring Outcomes Of Employing A Multiple Complex Needs Nurse In A Residential Aod Therapeutic Community Treatment Setting, Jo Lunn, Peter Kelly Jul 2012

Exploring Outcomes Of Employing A Multiple Complex Needs Nurse In A Residential Aod Therapeutic Community Treatment Setting, Jo Lunn, Peter Kelly

Peter Kelly

No abstract provided.


Examining Cancer And Cardiovascular Risk Behaviours In People Attending Residential Substance Abuse Treatment, Peter Kelly, A Baker, Frances Kay-Lambkin, Frank Deane, Billie Bonevski Jul 2012

Examining Cancer And Cardiovascular Risk Behaviours In People Attending Residential Substance Abuse Treatment, Peter Kelly, A Baker, Frances Kay-Lambkin, Frank Deane, Billie Bonevski

Peter Kelly

No abstract provided.


Do Spirituality And Religiosity Help In The Management Of Cravings In Substance Abuse Treatment?, Sarah Mason, Frank Deane, Peter Kelly, Trevor Crowe Jul 2012

Do Spirituality And Religiosity Help In The Management Of Cravings In Substance Abuse Treatment?, Sarah Mason, Frank Deane, Peter Kelly, Trevor Crowe

Peter Kelly

The purpose of this study was to examine the relationship of spirituality, religiosity and self-efficacy with drug and/or alcohol cravings. A cross-sectional survey was completed by 77 male participants at an Australian Salvation Army residential rehabilitation service in 2007. The survey included questions relating to the participants’ drug and/or alcohol use and also measures for spirituality, religiosity, cravings, and self-efficacy. The sample included participants aged between 19 and 74 years, with more than 57% reporting a diagnosis for a mental disorder and 78% reporting polysubstance misuse with alcohol most frequently endorsed as the primary drug of concern (71%). Seventy-five percent …


Drop Out From Residential Treatment: Is It All Bad News?, C Morgan, Peter Kelly, Frank Deane, Trevor Crowe Jul 2012

Drop Out From Residential Treatment: Is It All Bad News?, C Morgan, Peter Kelly, Frank Deane, Trevor Crowe

Peter Kelly

No abstract provided.


Benchmarking Client Improvement Within Substance Abuse Treatment, Peter Kelly, Frank Deane Jul 2012

Benchmarking Client Improvement Within Substance Abuse Treatment, Peter Kelly, Frank Deane

Peter Kelly

No abstract provided.


Faith-Based Substance Abuse Treatment: Is It Just About God? Exploring Treatment Providers' Attitudes Toward Spirituality, Forgiveness And Secular Components Of Treatment, Geoffrey Lyons, Frank Deane, Peter Kelly Jul 2012

Faith-Based Substance Abuse Treatment: Is It Just About God? Exploring Treatment Providers' Attitudes Toward Spirituality, Forgiveness And Secular Components Of Treatment, Geoffrey Lyons, Frank Deane, Peter Kelly

Peter Kelly

Although spirituality and forgiveness components of substance abuse treatment programs ar'e viewed as important by faithbased substance abuse treatment providers researchers have not compared their relative importance to other treatment components. This study evaluated the perceived importance of spiritually and forgiveness-based treatment components in comparison to other secular psycho-educational components in faith-based treatment programs. A brief survey was completed by 99 Salvation Army drug and alcohol treatment providers employed within Australian residential rehabilitation programs. The survey examined the relative importance treatment providers' placed on spiritual and secular components of treatment. Attitudes towards spiritual components of treatment, such as Christian education …


Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe Jul 2012

Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe

Peter Kelly

There has been limited research examining the impact of clients’ behavioural beliefs on whether they intend to access further treatment following residential drug and alcohol detoxification. Treatment post-detoxification is generally recommended to reduce relapse and for more sustained positive outcomes. The present pilot study examined the extent to which (1) primary components of the Theory of Planned Behaviour (TPB), (2) perceived barriers to accessing treatment and (3) the participants’ previous involvement in substance abuse treatment predicted intentions to enter further treatment following residential detoxification. One hundred and sixty eight participants accessing Salvation Army detoxification units in Australia completed a survey …