Substance Abuse and Addiction Commons^™

Brief Report: Impact Of Classroom Presentations About Health And Help Seeking On Rural Australian Adolescents’ Intentions To Consult Health Care Professionals., Coralie J. Wilson

Coralie J Wilson

Building Bridges-GP-Team (Building Bridges-Team; Wilson et al., 2004c) is a variation of the Building Bridges to General Practice: GPs in Schools program (Building Bridges-GP; Wilson et al., 2004a), which promotes consultation with health care professionals who are local and available for rural and regional adolescent’ consultation. The first major component of Building Bridges-GP-Team involves structured health professional training that provides knowledge in three basic areas: (1) adolescents’ help seeking barriers and ways to address barriers in primary health care; (2) developmental issues relevant to adolescent’ help seeking; and (3) classroom management, presentation strategies, and elementary teaching skills. Training is based …

Depressive Symptoms And Help-Seeking Intentions In Young People., Coralie J. Wilson

Coralie J Wilson

Whether the help-negation effect as demonstrated for suicidal thoughts was also evident for depressive symptoms was investigated in three studies of young people from diverse urban areas. The studies comprised a large sample of younger high school students (years 7-10), a sample of older high school students (years 8-12), and first year university students. A self-report questionnaire that measured help-seeking intentions, prior help-seeking experiences, and depression was administered. Results revealed the strongest inverse association between level of depressive symptoms was with intentions to seek help from parents across all three samples. There was a consistent trend for students to report …

When And How Do Young People Seek Professional Help For Mental Health Problems?, Coralie J. Wilson

Coralie J Wilson

Despite the high prevalence of mental health problems and disorders that develop in adolescence and early adulthood, young people tend to not seek professional help. Young men and young people from Indigenous and ethnic minority groups tend to be those most reluctant to seek help. Young people are more inclined to seek help for mental health problems if they: have some knowledge about mental health issues and sources of help; feel emotionally competent to express their feelings; and have established and trusted relationships with potential help providers. Young people are less likely to seek help if they: are experiencing suicidal …

Supporting Young People To Seek Professional Help For Mental Health Problems: Cover Feature., Coralie J. Wilson

Coralie J Wilson

No abstract provided.

Can Hopelessness And Adolescents’ Beliefs And Attitudes About Seeking Help Account For Help Negation?, Coralie J. Wilson

Frank Deane

Avoidance of appropriate help is common in acutely suicidal samples and has been confirmed in nonclinical samples but factors that contribute to this help negation effect remain unclear. The current study is the second in series from the first author's larger PhD research program. In a sample of 269 nonclinical Australian high school students, the current study examines the impact of hopelessness, previous mental health care, beliefs, and attitudes toward professional psychological help on the help negation relationship. Results revealed that suicidal ideation significantly predicted lower help seeking intentions and that although hopelessness could not explain the help negation effect, …

Help Seeking For Mental Health Problems In Adolescence And Early Adulthood., Coralie J. Wilson

Coralie J Wilson

EXECUTIVE SUMMARY Adolescence and young adulthood are critical life stages for mental health, as this is the period when most mental health problems and mental disorders have their peak incidence. It is also a time of increased suicidal ideation and frequency of suicide attempts. Despite the importance of adolescence and young adulthood in the aetiology of mental disorders, there is evidence that young people may be poorly informed about mental health and are unlikely to consult a professional for their mental health problems. Help-seeking is a term used to refer to the behaviour of actively seeking help from other people. …

Measuring Help-Seeking Intentions: Properties Of The General Help-Seeking Questionnaire, Coralie J. Wilson

Coralie J Wilson

A clear understanding of help-seeking intentions and behavior is fundamental to the identification of factors that can be modified to facilitate young people’s help-seeking when they are psychologically distressed or suicidal. Despite considerable research on help-seeking intentions and behavior for personal-emotional or distressing problems, integrating prior research has been impeded by a lack of consistent and psychometrically sound help-seeking measures. The General Help-Seeking Questionnaire (GHSQ) was developed to formally assess two aspects of help-seeking: (1) current intentions to seek help from different sources for different problems; and (2) quantity and quality of previous professional psychological helping episodes. The current study …

Measuring Help-Seeking Intentions: Properties Of The General Help-Seeking Questionnaire, Coralie J. Wilson

Frank Deane

A clear understanding of help-seeking intentions and behavior is fundamental to the identification of factors that can be modified to facilitate young people’s help-seeking when they are psychologically distressed or suicidal. Despite considerable research on help-seeking intentions and behavior for personal-emotional or distressing problems, integrating prior research has been impeded by a lack of consistent and psychometrically sound help-seeking measures. The General Help-Seeking Questionnaire (GHSQ) was developed to formally assess two aspects of help-seeking: (1) current intentions to seek help from different sources for different problems; and (2) quantity and quality of previous professional psychological helping episodes. The current study …

Can Hopelessness And Adolescents’ Beliefs And Attitudes About Seeking Help Account For Help Negation?, Coralie J. Wilson

Coralie J Wilson

Avoidance of appropriate help is common in acutely suicidal samples and has been confirmed in nonclinical samples but factors that contribute to this help negation effect remain unclear. The current study is the second in series from the first author's larger PhD research program. In a sample of 269 nonclinical Australian high school students, the current study examines the impact of hopelessness, previous mental health care, beliefs, and attitudes toward professional psychological help on the help negation relationship. Results revealed that suicidal ideation significantly predicted lower help seeking intentions and that although hopelessness could not explain the help negation effect, …

Review Of Handbook Of Drug Abuse Prevention: Theory Science And Practice. Zili Sloboda & William J. Bukowski (Eds). Reviewed By Sean R. Hogan., Sean R. Hogan

The Journal of Sociology & Social Welfare

Book review of Zili Sloboda and William J. Bukoski (Eds.), Handbook of Drug Abuse Prevention: Theory, Science, and Practice. New York: Kluwer Academic Publishers, 2003. $150.00 hardcover.

Review Of Addiction Treatment: A Strengths Perspective. Katherine Van Wormer & Diane Rae Davis. Reviewed By Mike Gorman., Mike Gorman

The Journal of Sociology & Social Welfare

Book review of Van Wormer, Katherine and Davis, Diane Rae, Addiction Treatment A Strength's Perspective, Pacific Grove, CA: Thomson Brooks Cole, 2003. $ 51.92 papercover.

Alex Bradley, Carl Milofsky

Northern Ireland Archive

Bradley is a psychotherapist based in a religious NGO. His talk primarily involves general comments and observations about the events of Bloody Sunday, sectarian conflicts in general, and values statements from Bradley offered in response to student questions about the conflict in Northern Ireland. He continues to talk about the White Oak Center in Donegal, which is a residential treatment center that in this account it heavily concerned with treating alcohol abuse. The tape shifts to talk about Bradley's work treating trauma experiences related to the Troubles. He began working in the Catholic community but then was asked to work …

The Disease Model Of Alcoholism: A Kuhnian Paradigm, Brian E. Bride, Larry Nackerud

The Journal of Sociology & Social Welfare

Despite the fact that the disease model of alcoholism has lost its status as paradigm in international circles, the alcoholism research and treatment community in the United States maintains steadfast allegiance to the tenets of the disease model. The disease model and the related treatment goal of abstinence continue to overwhelmingly dominate the treatment of alcoholism in the U.S. Critics have suggested that financial and political motives have served to maintain the dominance of the disease model, despite findings that violate its basic tenets. This paper presents an alternative explanation of the reluctance of the alcoholism treatment community to relinquish …

Adolescent And Young Adult Substance Use: Association With Sensation Seeking, Self Esteem And Retrospective Report Of Early Pubertal Onset. A Preliminary Examination, Catherine A. Martin, T. K. Logan, Carl Leukefeld, Rich Milich, Hatim Omar, Richard Clayton

Psychology Faculty Publications

Structured questionnaires were administered to investigate the relationship between early pubertal onset, substance abuse, sensation seeking, and self-esteem. The current study presents data from 1,002 subjects, who were followed from the 6th to the 10th grades and again at the age of 20. In females, early pubertal onset was associated with greater cigarette use and lower self-esteem. Further the interaction of early pubertal onset and low self-esteem was predictive for cigarette use in females, as was early pubertal onset and high sensation seeking. Late pubertal onset was associated with decreased alcohol use and lower sensation seeking in males, with the …

Suicidal Ideation And Help-Negation: Not Just Hopelessness Or Prior Help., Coralie Wilson

Coralie J Wilson

Few distressed young people seek professional psychological help and little is known about what sources of help young people seek for different problems. In suicidal youth, poor help-seeking may be exacerbated by the process of help-negation. The current study is the first of a larger program of PhD research developed and led by the second author. In the current study, three hundred and two undergraduate university students completed a questionnaire measuring suicidal ideation, hopelessness, prior help-seeking experience, and help-seeking intentions. Participants indicated they would seek help from different sources of help for different types of problems, but friends were consistently …

Adolescent Opinions About Reducing Help-Seeking Barriers And Increasing Engagement., Coralie Wilson

Coralie J Wilson

Effective mental illness prevention programs are important for the safety of youth and adolescents. Research suggests that programs should facilitate appropriate help-seeking by lowering help-seeking barriers. This study used focus groups to obtain high school student opinions about actual help-seeking behaviors, reducing adolescent help-seeking barriers, raising sensitive issues with adolescents, and increasing appropriate help-source engagement. Transcript analysis revealed several themes. Relationship and trust were key approach factors for current help-seeking. Memories of successful prior helping episodes were also important. Education about appropriate help-seeking, presented in ways consistent with those currently used by adolescents (e.g., through peer networks), might reduce help-seeking …

Suicidal Ideation And Help-Negation: Not Just Hopelessness Or Prior Help., Coralie J. Wilson

Frank Deane

Few distressed young people seek professional psychological help and little is known about what sources of help young people seek for different problems. In suicidal youth, poor help-seeking may be exacerbated by the process of help-negation. The current study is the first of a larger program of PhD research developed and led by the second author. In the current study, three hundred and two undergraduate university students completed a questionnaire measuring suicidal ideation, hopelessness, prior help-seeking experience, and help-seeking intentions. Participants indicated they would seek help from different sources of help for different types of problems, but friends were consistently …

Adolescent Opinions About Reducing Help-Seeking Barriers And Increasing Engagement., Coralie J. Wilson

Frank Deane

Effective mental illness prevention programs are important for the safety of youth and adolescents. Research suggests that programs should facilitate appropriate help-seeking by lowering help-seeking barriers. This study used focus groups to obtain high school student opinions about actual help-seeking behaviors, reducing adolescent help-seeking barriers, raising sensitive issues with adolescents, and increasing appropriate help-source engagement. Transcript analysis revealed several themes. Relationship and trust were key approach factors for current help-seeking. Memories of successful prior helping episodes were also important. Education about appropriate help-seeking, presented in ways consistent with those currently used by adolescents (e.g., through peer networks), might reduce help-seeking …

Coherency Among Substance Abuse Models, Stephen Kauffman, John Poulin

The Journal of Sociology & Social Welfare

Social policy decisions are often made based upon socially constructed models of human behavior. As such, understanding the social constructions in a given policy area is of utmost importance. This study examines three competing models within the substance abuse area: the moral model, the disease model, and the biopsychosocial model. Utilizing survey data from a random sample telephone survey of 1,019 residents of Delaware County, Pennsylvania, the study examines a) the degree to which individual models are internally consistent between beliefs about causes and beliefs about solutions, b) whether the assumptions in competing models are in fact different; and c) …

Defining Success: The Politics Of Evaluation In Alcohol And Drug Abuse Treatment Programs, James L. Wolk, David J. Hartmann, William P. Sullivan

The Journal of Sociology & Social Welfare

Alcohol and drug abuse treatment programs must respond to several important stakeholders or beneficiaries of services who have an investment in how success is defined. Utilizing data from recent statewide studies of treatment outcomes of alcohol and drug abuse services, this paper concludes that a strict adherence to an abstinence-only model of success, rigidly adopted by many in the treatment industry is counterproductive. Multiple measures of success are essential to fully understand and assess a changing model of intervention in the chemical dependency field.

Social Work, Social Science And The Disease Concept: New Directions For Addiction Treatment, Douglas Frans

The Journal of Sociology & Social Welfare

The perception of alcoholism and other substance abuse disorders as disease entities is a view ardently defended not only among chemical dependency professionals but, increasingly, by the general public as well. Over the past two decades, this perspective has also become so ensconced within the addiction treatment industry that alternative interventions are almost nonexistent even though evidence of their effectiveness is available (Miller & Hester, 1989). And yet, "no leading research authorities accept the classic disease concept" (Fingarette, 1988, p. 3). Competing views are generally characterized as irresponsible, and their sponsors summarily dismissed as dangerously uninformed by disease view proponents …

Mental Health Crises As A Regional Problem, Roger A. Lohmann

Faculty & Staff Scholarship

Mental health crises are often presented and thought about as individual problems, activities going on only within the minds of individuals. This presentation considers mental health crisis as a regional problem. It discusses the four county region of North Central West Virginia which is the catchment area for Valley Community Mental Health Center. It is based on a study conducted by the author of the need for a revised and integrated crisis management system for the region.

Differential Perception And Adolescent Drinking In The United States: Preliminary Considerations, John B. Harms, James L. Wolk

The Journal of Sociology & Social Welfare

This paper addresses adolescent drinking from a perspective very similar to Sutherland's differential association theory. Drinking occurs when positive perceptions of drinking outweigh or outnumber negative ones. Our research focuses on images of drinking communicated by rationalized sources organized specifically to shape perceptions of drinking. We call these organizations "agencies" and assess their impact on perceptions of drinking. It is our contention that the political economic context of the United States in which these agencies function is such that positive images of drinking outnumber and outweigh negative ones, and that this is an important factor contributing to adolescent drinking.

Reconsidering Drug Involvement Among Youth And Young Adults: Implications For Targeted Primary Prevention, Mark W. Fraser

The Journal of Sociology & Social Welfare

The purpose of this; paper is to review two dominant social perspectives on the etiology of substance abuse among youths and young adults-the stage and risk factor outlooks-and to discuss them in light of recent demographic and ecological research. The differential demography of drug abuse strongly suggests that the environmental context influences the use and abuse of substances. In an era of great public concern about substance abuse, the use of individually-focused perspectives appears to have resulted in person-centered skills training programs and "say no" media campaigns. Consideration of community-level factors in the etiology of drug abuse permits the identification …

Measuring Domestic Violence In An Alcoholic Population, Larry R. Livingston

The Journal of Sociology & Social Welfare

A survey of 107 adults receiving residential treatment for substance abuse was conducted, to determine characteristics of domestic violence in relationships. The survey incorporated instruments to measure the degree of substance abuse (the Michigan Alcoholism Screening Test or MAST) as well as types and frequencies of domestic violence (the Conflict Tactics Scale or CTS-N). Findings are then compared to a national study of 2143 normals (Straus, Gelles, & Steinmetz, 1980) to ascertain differences in domestic violence.

Findings indicate that 83% of alcoholic subjects behaved violently in past relationships, compared to 28% of the normal population. Fifty-five percent of the alcoholics …

The Sociology Of Alcoholism Counseling: A Social Worker's Perspective, Katherine Van Wormer

The Journal of Sociology & Social Welfare

An occupation - alcoholism counseling - strives to gain professional status. Still a field largely dominated by counselors who derive their status more from personal attributes - the fact of being recovering alcoholics - rather than from achievement of impersonally applied standards, chemical dependency counseling is in a state of flux. This sociological analysis examines recent developments in the field. Special emphasis is on roles for social workers.

Scientific Ideologies And Conceptions Of Drinking Behavior And Alcoholism, Keith M. Kilty

The Journal of Sociology & Social Welfare

Conventional explanations of drinking behavior and alcoholism suffer from serious inadequacies, due in large part to their unquestioning acceptance of certain assumptions about the effects of alcohol on human behavior that are rooted in moral prescriptions. That is, most contemporary models of drinking behavior assume that the consumption of alcohol leads to the loss of inhibitions or self-control, ultimately leading to behaviors that are not predictable by either the drinker or society. This perspective has become so deeply ingrained in the social scientific literature that it is no longer even perceived as hypothetical; instead, it has taken on the character …

The Transition To Medicalized Views: Alcoholism And Social Workers, H. Paul Chalfant, Dorinda N. Noble

The Journal of Sociology & Social Welfare

More deviant behaviors in our society are coming to be defined as medical rather than criminal, so that more control of such behavior is coming under medical and helping professions. Some conditions, e.g., alcoholism, seem to be caught "in between," with serious consequences. This paper looks at social worker perception of the alcoholic as "sick," in terms of a sociological conception of sickness as a social role. A bi-mdal distribution is found for acceptance and nonacceptance. Also, a significant number are ambivalent. The implications of this lack of consensus are discussed.

Client Costs And Early Discontinuance From A Community-Based Treatment Program, Ronald A. Feldman, Mortimer Goodman, John S. Wodarski, Wallace J. Gingerich

The Journal of Sociology & Social Welfare

In social work circles client withdrawal from a treatment program commonly has been labeled as "discontinuance". Discontinuance rates have been inordinately high for both casework and group work endeavors, ranging in some instances to 59Z of all clients following the first interview (Aronson and Overall, 1966; Empey and Erickson, 1972; Goldstein, Heller, and Sechrest, 1966; Levinger, 1960; Overall and Aronson, 1963). Discontinuance represents an obvious and essential concern for social work for one overarching reason, to wit, treatment interventions cannot be implemented should the client(s) withdraw from the therapeutic relationship. Additionally, as some investigators have shown, discontinuance represents a focal …

The Application And Evaluation Of Goal Attainment Scaling To The Janis Drug Treatment Program, Steven W. Kilber, Carol E. Swanson

Dissertations and Theses

Janis is a residential drug treatment program for drug abusers between the ages of twelve and eighteen deigned to rehabilitate the participants. Five homes, each staffed by two trained residential coordinators and one student accommodate a total of thirty patients at a time. The treatment program consists of daily house meetings led by the residential coordinators, one group therapy session per week led by a psychiatric social worker, and individual therapy sessions with a psychiatrist as needed, as well as regular consultation with a psychologist and psychiatrist. The adolescents enrolled in the program are referred from a variety of agencies, …