Medicine and Health Sciences Commons^™

Understanding The Perspectives And Attitudes Of 12-Step Participants Towards Medication-Assisted Treatment, Christopher Scott

Electronic Theses, Projects, and Dissertations

Background: The effects of living with a substance use disorder (SUD) are vast. Medication-assisted treatment (MAT) has grown increasingly popular as a recovery tool among substance users but does not align with the popular 12-step model, which demands complete abstinence from narcotics and mind-altering substances. Objective: The primary aim of this phenomenology study was to explore the perspectives and attitudes towards MAT among 12-step participants. The secondary aim was to compare the responses of treatment and non-treatment professionals. Methods: This study used non-probability sampling methods to recruit participants who reported regular participation in a 12-step program. Semi-structured …

Support For Social Workers Treating Adolescent Substance Abusers, Monica Delucia, Kethura Solano

Electronic Theses, Projects, and Dissertations

This study examines the barriers social workers experience when working with adolescent substance users. Research has not fully explored if intervention techniques are effective or suggest other approaches that may support substance use disorder professionals including supervisor support, training, and intervention. The purpose of this study was to evaluate if social workers who provide interventions to adolescent substance users have the adequate resources to be successful in their field. The literature review provides a better understanding of the common themes social workers experience when working with adolescent substance users.

This study used a qualitative design and interviewed 8 professional social …

Social Worker Student’S Anxiety, And Alcohol Consumption During The Covid-19 Pandemic, David Adler

Electronic Theses, Projects, and Dissertations

The COVID-19 pandemic has been extremely impactful on a vast majority of the population, either from losing a possible loved one, or the pandemonium that arose in its wake. The purpose of this study is to better understand how much of an impact the COVID-19 pandemic has had on social worker students’ mental health, specifically, how it has affected their levels of stress, anxiety, and levels of alcohol consumption. This study is significant because the pandemic has had a substantial impact on the mental health of so many individuals, and it is important to research just how large these effects …

Pandemic And Substance Use: A Cross-Sectional Analysis, Vanessa E. Ermilio

Electronic Theses, Projects, and Dissertations

Background: The COVID-19 Pandemic called individuals to stay at home which may have impacted individuals to become not only physically, but socially isolated as well. With social isolation, comes an increase in mental health complications which may lead to an increase in substance use. The purpose of this study was to evaluate the potential association between COVID-19 social isolation and substance use among college students.

Method: The present study’s data was collected from a public, four-year university located in Southern California. The survey was disseminated through instructors at the university and students were incentivized with extra course credit to participate. …

The Effectiveness Of Alcoholics Anonymous In Helping Adult Men Recover From Alcohol Use Disorder, Kenneth Aurthir Wiggins

Electronic Theses, Projects, and Dissertations

This research project explored the effectiveness of the Alcoholics Anonymous (AA) 12-Step recovery process among males ages 21 to 67 who have abstained from using alcohol for more than one year following residential treatment while using all the suggested AA 12-Step program concepts as their base. This study also examined males ages 21 to 67 that have been unable to maintain sobriety for a year or more following residential treatment while partially using the suggested AA 12-Step program concepts as a base. Participants in the study were enlisted from the recovery community in Southern California, and qualitative interviews were conducted …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

What Are The Relationships Between Adverse Childhood Experiences And Age Of Initiaton Of Substance Use?, Alisha Dozier

Electronic Theses, Projects, and Dissertations

ABSTRACT

Child abuse and substance abuse are significant health problems in the United States and they negatively impact the physical, emotional, and biological health of millions of individuals. It is estimated that one in four children experience child abuse, which is a risk factor for the development of substance abuse problems later in life (U.S. Department of Health and Human Services [HHS], 2018). Rates of substance abuse are increasing nationally, making the relationship between child abuse and the development of substance abuse problems important to study.

This research project analyzes the relationship between adverse childhood experiences and subsequent age of …

Gender Differences In Harmful Use Of Alcohol Among Korean Adults, Eunok Park, Yeon Sook Kim

Nursing Faculty Publications

Objectives: Harmful alcohol consumption is associated with considerable social and economic damage to individuals and society. Because gender and ethnic background influence alcohol intake differently, examining gender specific factors influencing harmful drinking is necessary. This study investigated gender differences in alcohol consumption, harmful drinking, and the associated factors among Korean adults. Methods: We analyzed the data from the 2012–2015 Korean National Health and Nutrition Examination Survey. Data from survey participants aged 20–64 years (N = 18,581) were included. The Alcohol Use Disorders Identification Test was used for alcohol dependence, and pooled weights were used. Chisquared tests and multiple logistic regression …

Understanding The Link Between Substance Abuse And Mental Health, Crystal Ann Horton

Electronic Theses, Projects, and Dissertations

Treating people with co-occurring or dual diagnosis disorders requires an integrated treatment approach due to the complex health and social needs of people who suffer from mental illness and drug addiction. An integrated approach is not only necessary but crucial to treat both the drug addiction and mental illness concurrently. The aim of this study is to explore the impact that non- integrated care can have on the number of relapses that dually diagnosed people can have. The study found that there is no correlation between concurrent treatment and the number of relapses that dually diagnosed people may have. Social …

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …

Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer

Electronic Theses, Projects, and Dissertations

This purpose of this study was to explore social workers’ perspectives of drug-induced psychosis. More specifically, it sought to determine how knowledgeable clinical social workers are on the impact illicit drug use on the development of psychotic disorders. The study also aimed to discover clinical social workers’ perspectives regarding the influence of illicit drug use on the development of psychotic illnesses. This study used mixed methods approach in attempt to solve the research question. The quantitative portion of the research, an anonymous survey, allowed for the assessment of social workers’ knowledge of drug-induced psychosis. The qualitative portion of the research, …

Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli

Electronic Theses, Projects, and Dissertations

Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with …

The Relationship Between Self-Determination And Client Outcomes Among The Homeless, Samuel M. Hanna

Electronic Theses, Projects, and Dissertations

This paper has attempted to determine if there is a significant relationship between self-determination and client outcomes among the homeless. The study has been based upon the conceptual framework set forth in Self-Determination Theory. The purpose of the study was to explore the relationship between self-determination and client outcomes among the homeless. Using a data collection instrument, based on empirically validated instrumentation, clients from several homeless service providers in the City of San Bernardino were assessed for the level of self-determination and autonomy support they experience within these agencies. Outcome measures included such things as whether the client was going …

The Influences On Job Search Behaviors Among Convicted Felons With Substance Abuse Disorders, Anthony Raymond Saldana

Theses Digitization Project

This study examined job search intensity among felony-convicted, substance-abusing individuals who have been court mandated to attend community based treatment. Drug courts provide counseling and other services to help convicted felons become productive members of society. Studies show that if released prisoners become employed, they are less likely to return to prison.

Adolescent And Adult Nicotine Exposure On The Acquisition Of Methamphetamine Self-Administration And The Reinstatement Of Extinguished Methamphetamine-Seeking In Male Rats, Joseph Allan Pipkin

Theses Digitization Project

This study sought to determine the individual and combined contribution of adolescent and adult nicotine exposure on METH self-administration and METH-seeking behavior in male rats. Nicotine is a commonly abused substance among adolescents and is believed to be a "gateway" to other drugs of abuse. In support of the gateway hypothesis, cigarette smoking during adolescence is related to increased methamphetamine (METH) use in adulthood.

Preweanling Exposure To Selective Catecholamine Transporter Inhibitors Differentially Effects Morphine-Induced Antinociception In Adulthood, Joseph Marco Valentine

Theses Digitization Project

The purpose of this project is to determine how early methylphenidate exposure alters opioid receptor functioning in adulthood. To this end, we will administer selective monoamine transporter inhibitors for dopamine and norepinephrine (GBR-12904 and atomoxetine) during preweanling period and assess opioid function in adult rats by testing morphine-induced antinociception using the hot-plate and tail-flick tasks. In order to assess the effects of methylphenidate use on brain functions during development, investigations have been conducted in rats using ages roughly analogous to early and late childhood.

Social Workers' Perceptions Of Psychotropic Medication Use On Children And Adolescents In Foster Care, Tina Latrice Johnson Hollman, Dominic Marcus Ruffin

Theses Digitization Project

The purpose of this study was to evaluate the attitudes of social workers' regarding psychotropic medication use on children in foster care. This study also addressed any prospective concerns that social workers may have had as they relate to psychotropic medications being administered to children in foster care.

Predictors Of Treatment Outcome For Contingency Management Of Stimulant Abstinence In Severely Mentally Ill Outpatients, Frank Albert Nowland Angelo

Theses Digitization Project

This study will investigate the impact of client variables on in-treatment performance, in a contingency management intervention. Co-occurring disorders (COD) is a prolific problem with the severely mentally ill (SMI) population. People with both severe mental illness and substance abuse disorder suffer greater negative consequences of drug use than do populations with only one of these issues. This can be seen in greater levels of psychiatric symptoms, higher levels of interpersonal violence, and increased homelessness. Drug use has been found to exacerbate psychotic symptoms and relapses in schizophrenic patients, when compared to schizophrenic persons without drug use.

The Impact Of Treatment On Parental Substance Misuse And Parenting Capacity, Dommonique Juanita Nichol Knox, Jennifer Leah Miller

Theses Digitization Project

This study assessed the parenting capacity of parents who have received various forms of substance abuse treatment and interventions throughout San Bernardino County. The study hoped to attain useful data on how these services have contributed to the parents' parenting capacity now that they are free from substance abuse and/or misuse.

Clients' Perceptions Of Protective And Risk Factors Influencing Substance Abuse Recovery, Bev Nora-Lea Scott

Theses Digitization Project

The purpose of this study was to identify client perceptions of protective and risk factors that might influence recovery from substance abuse. Fifty clients in an outpatient drug treatment program in San Bernardino, California completed a survey containing both multiple choice and open-ended questions related to protective and risk factors the literature suggested might be related to recovery.

Local Policy Stakeholder Attitudes About Implementing And Sustaining Needle Exchange Programs In The Inland Empire, Katarina Kucavikova-Fillippelli

Theses Digitization Project

The purpose of this study was to explore attitudes of local policy stakeholders in regards to needle exchange programs (NEPs), focusing on Riverside Council Members to conduct face-to-face interviews using nine closed and open-ended questions. The majority are opposed to implenting NEP's in their ward. Additionally, the majority of participants are opposed to the idea of harm reduction approach with intravenous drug users. This study may be helpful to anyone attempting to establish NEPs in Riverside in designing a public relations campaign that would effectively address the stigma associated with intravenous drug use, HIV/AIDS and needle exchange services.

Substance Abuse Services And Their Effects On Parental Reunification With Children Within The Child Welfare System, Jacqueline Ann Myers

Theses Digitization Project

This study explained the affect of the parental substance abuse services on the reuniting of the parents with their children. Understanding the significance of parental substance abuse treatment services in regards to reunification with children within the child welfare system is necessary in providing children with a healthy and safe environment.

Effects Of Substance Abuse Services On Child Reunification, Peter Charles Shorts

Theses Digitization Project

The purpose of this study was to conduct a descriptive and inferential analysis of the effect of substance abuse treatment upon the family reunification process. The research revealed a significant relationship between the median age of custodial parents whose parental rights were terminated and the median age of parents whose parental rights were not terminated.

Court Mandated Treatments: Participation In Alcoholics Anonymous, Ruth Sophia Guerrero

Theses Digitization Project

This study provides a building block for future studies to further explore the meanings of Alcholics Anonymous (A.A.) and what makes it work. It specfically focused on the effects of A.A. on court mandated substance abuse treatment programs. Social workers may not always understand A.A.'s impact because there are no 'experts' providing services, yet it works because of the peer support system within the group and Social Workers need to encourage clients to participate in the court mandated treatment as part of their recovery.

Gratitude Intervention And Its Effect On Substance Abusers, Patricia Kelleen Mcclanahan

Theses Digitization Project

The purpose of this study is to investigate the effects of an intervention seen to increase life satisfaction in substance abuse treatment. While treatment models have improved, results remain low for long-term abstinence. The study participants were substance-abuse treatment clients at Mental Health Systems (MHS). This study will measure, in terms of increased life satisfaction, the effectiveness of a daily gratitude list on the negative mindset of substance abusers in treatment. The focus of this study will be the use of intervention that has been seen as beneficial in enhancing personal well-being.

The Stigmatization Of Methadone Maintenance Treatment And Its Effect On Social Support, Kenia Gabriela Rivas, Franceen Mary Rosales

Theses Digitization Project

The purpose of this study was to explore the correlation between perceived stigmatization from family as well as friends and its probable effects on social support from the same. Methadone Maintenance Treatment (MMT) is a treatment modality that has been proven to help achieve abstinence. However, due to controversy over MMT, this has brought stigmatization, social injustice and powerlessness to those who seek out treatment.

Social Workers' Perceptions Regarding "At Risk" And Delinquent Foster Care Youth, Laura June Deluca, Mallory Michelle Flores

Theses Digitization Project

This thesis explores the experiences of social workers within San Bernardino County's Children and Family Services who are working with delinquent and high-risk youth within foster care. Social workers were asked to describe services that are available and the potential protective risk factors that may exist. It is imperative to understand this population and the services that exist in order to address this problem and better meet the needs of youth.

The Effects Of Childhood Sexual Abuse On Women In Recovery For Substance Abuse, Barbara Eileen Egan

Theses Digitization Project

This study assessed if women who are survivors of Childhood Sexual Abuse and receive treatment for this issue, when they were in treatment for substance abuse, stayed sober longer and thus experienced a healthier and happier recovery. The benefit of this research is two-fold as it not only leads to better treatment programs for women who have this co-occurring condition, it also allows for better treatment outcomes and as a result is more cost effective for treatment agencies. The data was collected confidentially through surveys that were distributed at 10 local Alcoholic's Anonymous meetings in the Inland Empire area.

The Relative Importance Of Risk Factors Leading To Relapse Among Individuals Recovering From Substance Abuse, Norma America Likens

Theses Digitization Project

The purpose of this study is to help social workers by determining the relative importance of relapse warning signs that have been identified by the addiction treatment professionals.

Substance Abuse: A Chronic Care Perspective, Michael James Sweitzer

Theses Digitization Project

This study provides an examination of the Chronic Care Model and its application to the treatment of substance abuse disorders. The hypothesis of the study was that elements of the Chronic Care Model are not being utilized within San Bernardino County's system of care. The study was conducted by having Alcohol and other Drug Counselors throughout San Bernardino County complete the study's 24-question quantitative survey. The purpose of this study is to add to the sparse literature related to the Chronic Care Model and its application to the alcohol and other drug (AOD) field. At this time the AOD field …