Social Work Commons^™

Trust In Hospital Physicians Among Patients With Substance Use Disorder Referred To An Addiction Consult Service, Caroline King, Devin Collins, Alisa Patten, Christina Nicolaidis, Honora Englander

School of Social Work Faculty Publications and Presentations

Background: Trust is essential in patient-physician relationships. Hospitalized patients with substance use disorders (SUDs) often experience stigma and trauma in the hospital, which can impede trust. Little research has explored the role of hospital-based addictions care in creating trusting relationships with patients with SUDs. This study describes how trust in physicians changed among hospitalized people with SUDs who were seen by an interprofessional addiction medicine service.

Methods: We analyzed data from hospitalized patients with SUD seen by an addiction consult service from 2015 to 2018. Participants completed surveys at baseline and 30 to 90 days after hospital discharge. Follow-up assessments …

Patterns Of Substance Use Before And After Hospitalization Among Patients Seen By An Inpatient Addiction Consult Service: A Latent Transition Analysis, Caroline King, Christina Nicolaidis, P. Todd Korthuis, Kelsey C. Priest, Honora Englander

School of Social Work Faculty Publications and Presentations

Background and aims: Polysubstance use is common and contributes to morbidity and mortality of hospitalized patients, and yet little is known about patterns of substance use among hospitalized patients, or how an addiction consult service (ACS) might impact polysubstance use after discharge. The objective of this study was to identify patterns of substance use at admission and after discharge among hospitalized patients with substance use disorders who saw an ACS.

Design: Prospective cohort study. We used latent transition analysis of substance use scores at the time of hospital admission and 30 to 90 days posthospitalization.

Setting: Single, …

Recommendations For Integrating Peer Mentors In Hospital-Based Addiction Care, Honora Englander, Jessica Gregg, Janie Gullickson, Onesha Cochran-Dumas, Chris Colasurdo, Juliet Alla, Devin Collins, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

Legislators and health systems have recently begun to explore the use of peer mentors as part of hospital-based addiction teams. Integrating peers into hospitals is a complex undertaking still in its infancy. Peers’ lived experience of addiction and its consequences, combined with their distance from medical culture and hierarchy, is at the core of their power – and creates inherent challenges in integrating peers into hospital settings. Successful integration of peers in hospitals has unique challenges for individual providers, health systems, and the peers themselves. We have included peers as part of a hospital-based addiction medicine team at our hospital …

Planning And Designing The Improving Addiction Care Team (Impact) For Hospitalized Adults With Substance Use Disorder, Honora Englander, Melissa B. Weimer, Rachel Solotaroff, Christina Nicolaidis, Benjamin Chan, Christine M. Velez, Alison Noice, Tim Hartnett, Ed Blackburn, Pen Barnes, P. Todd Korthuis

School of Social Work Faculty Publications and Presentations

People with substance use disorders (SUD) have high rates of hospitalization and readmission, long lengths of stay, and skyrocketing healthcare costs. Yet, models for improving care are extremely limited. We performed a needs assessment and then convened academic and community partners, including a hospital, community SUD organizations, and Medicaid accountable care organizations, to design a care model for medically complex hospitalized patients with SUD. Needs assessment showed that 58% to 67% of participants who reported active substance use said they were interested in cutting back or quitting. Many reported interest in medication for addiction treatment (MAT). Participants had high rates …

Demographic Differences In Drug Dependency: Implications For Policy, Practice, And Research, Charles D. Baker

Honors Theses

The purpose of this research study was to examine whether there are differences in drug dependency based on demographic characteristics. The four most commonly used or abused drugs were included in this analysis (i.e., nicotine, alcohol, pain relievers, and marijuana). The secondary purpose is to explore whether there were demographic differences in mental health and drug treatment among those with a substance use disorder. Substance dependence is a state in which someone can only function normally with the presence of a drug. Past research has examined this topic to some degree; however, trends often change over time. This study found …

Strengthening A Social Justice Lens For Addictions Practice: Exploration, Reflections, Possibilities And A Challenge To Our Shared Work To Promote Recovery Among The Most Vulnerable, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addiction is commonly conceptualized as a personal problem, a family problem, a neighborhood problem, a community problem, and even a social problem. But how might addiction be understood as a social justice problem?

Substance abuse problems, addictions, and addiction treatment and the related preparation of professionals to fill its treatment ranks exist within an ideological and political infrastructure. Issues of social justice are often conspicuously absent as a primary consideration of the experience of people seeking treatment (acknowledging the treatment gap that impacts some people more than others), for communities ravaged by addiction (acknowledging that some communities are affected more …

Treating Young People With Co-Occurring Disorders: What Works?, Molly Oberweiser Kennedy, L. Kris Gowen

School of Social Work Faculty Publications and Presentations

Youth with substance use disorders often also face mental health challenges. Two recent studies analyzed two different treatment approaches for co-occurring substance use and mental health disorders: (1) a standardized therapy approach and (2) 12-step support groups, as modalities for effectively treating and continuing positive outcomes for young people with co-occurring mental health and substance use issues. The findings from these studies are summarized below.

Alcohol And Drug Prevention, Intervention, And Treatment Literature: A Bibliography For Best Practices, Laura Burney Nissen

School of Social Work Faculty Publications and Presentations

Addictions remain a persistent challenge to mental health practice. There is a need for mental health educators, students, and practitioners to be aware of, critique, contribute to, and, where relevant, utilize emerging scholarly literature to inform their intervention strategies. This comprehensive addictions bibliography draws from a wide variety of sources, perspectives, and ideologies to hasten the rate at which academics and practitioners can more meaningfully participate in this rapidly developing field of practice.

Adolescents Growing Up In Stressful Environments, Dual Diagnosis, And Sources Of Success, Albert R. Roberts, Kevin Corcoran

School of Social Work Faculty Publications and Presentations

This article considers the social and psychological challenges to youth in contemporary society. The authors examine the variety of social impediments that face youths in most of our social institutions, from schools and the juvenile justice system to the family. They underscore the need for prevention, health promotion, and comprehensive assessment. Further, they assert that ‘‘dual diagnosis’’ needs to be considered not as a ‘‘special population’’ but as the typical or common experience of at-risk youths once they are diagnosed at mental health centers or juvenile justice reception and diagnostic centers. They conclude that evidence-based assessment, intervention, prevention, and health …

Causes Of Substance Abuse Relapse Among Mexican American And Anglo Males, Carlos Alberto Mauriz

Theses Digitization Project

No abstract provided.

Substance Abuse Treatment For Single Mothers: A Needs Assessment, Leslie Hoskin

Theses Digitization Project

This project assesses the feasibility of establishing a substance abuse treatment program that provides services to women and their children in the Morongo Basin area of the California Desert.

Depression And Its Causes In Women Recovering From Substance Abuse, Angelica Silvia Garcia, Coralyn Finlayson Mccabe

Theses Digitization Project

The purpose of the study was to determine the extent environmental problems such as family history of substance abuse, loneliness and lack of support contribute to high levels of depression for substance abusing women seeking recovery in residential treatment facilities.

The Effect Of Substance Abuse On Nonverbal Emotional Expressiveness, Amy Lee Gnade

Theses Digitization Project

The purpose of this study was to compare nonverbal emotional expressiveness between substance users and nonsubstance users.

Perceived Social Support: Its Impact On Length Of Sobriety, Carol Richert Guy

Theses Digitization Project

This study examined the relationship between perceived social support and length of sobriety. In particular this study investigated whether higher reports of perceived social support had an effect on an individual's length of sobriety. Sixty-seven male and female residents of an inpatient alcohol and drug treatment center participated in this study.

Evaluating Program And Client Characteristics Associated With Early Dropout In An Outpatient Drug And Alcohol Clinic: A Restrospective Study, Marlene Fern Clark

Theses Digitization Project

No abstract provided.

Recognizing Gender Differences: A Comparative Analysis Of Two Substance Abuse Treatment Programs, Judyth Lynne Scott, Linda Diane Pettine

Theses Digitization Project

This study explored the treatment of women's substance abuse from a critical theory perspective. The literature indicates that, within substance abuse treatment programs and in the research world, few treatment programs are sensitive to women's specific needs.

A Pre-Test/Post-Test Analysis Of Value, Behavioral And Spritual Changes In Drug Treatment, Ralph Olav Jacobsson

Theses Digitization Project

No abstract provided.

A Correlation Study Between Adult Women Substance Abusers And A History Of Childhood Incest, Paula Rutten Freeland

Theses Digitization Project

A study of women who are childhood sexual abuse survivors and have been affected by chemical dependency.

Stereotypical Sex-Roles: A Barrier To Success In Addiction Treatment?, Paul Walter Sharpe

Theses Digitization Project

Hypothesis on success in addiction treatment programs as measured by BEM Sex-Role Inventory.