Substance Abuse and Addiction Commons^™

An Analysis Of Treatment Retention And Attrition In An Australian Therapeutic Community For Substance Abuse Treatment, Mark Robert Porter

Theses: Doctorates and Masters

Research undertaken in the last three decades has consistently reported that the length of time spent in inpatient and outpatient alcohol and other drug (AOD) treatment programs predicts treatment success (De Leon, Melnick, Kressel, & Jainchill, 1994; Hubbard, Craddock, & Anderson, 2003; Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999). However, treatment attrition rates are high and present a major problem for improving treatment outcomes. Various factors that have been reportedly associated with increased AOD treatment attrition rates include being female, younger clients, clients using methamphetamines, and clients with elevated psychopathology scores. The aim of this thesis is to improve understanding of various factors reported in the research ...

Supporting Transitionally Homeless Women In Rural Regions: The Need For Trauma-Informed Case Management, Yodit K. Betru

Doctorate in Social Work (DSW) Dissertations

Homeless women and female-headed homeless families represent 80% of the transitionally homeless population. Homelessness in rural and suburban regions has been increasing, and the use of homeless programs in rural and suburban areas has grown by 57% since 2007. Homeless women and their children come to shelters in vulnerable states with histories of complex and chronic trauma; they need strategic services delivered in a way that is sensitive and responsive to their experiences. Social-service providers who work with transitionally homeless women in rural and suburban regions have limited resources and growing demand for their services. The curriculum described is designed ...

Just Say No: The Case Against The Reclassification Of Buprenorphine, Ameet Sarpatwari

University of Maryland Law Journal of Race, Religion, Gender and Class

No abstract provided.

Traumatic Brain Injury: The Relationship Of Psychosocial Variables And Location Of Injury To Post-Injury Depression, Alicia L. Smith

Theses, Dissertations and Capstones

Traumatic Brain Injury (TBI) affects nearly 1.4 million people in the United States annually, and of these, 10% to 77% will experience post-injury depression. Psychosocial variables such as previous substance and alcohol abuse, prior mental illness, low educational attainment, and poverty have been identified as possible risk factors. Additionally, the location of injury appears to play a key role particularly if the injury occurs in the left hemisphere. This study examined archival data from brain-injured patients in an effort to better understand the factors related to post-TBI depression. Past medical records of brain-injured adults (N = 52) were reviewed and ...

Early Life Stress, Drug Abuse, Exercise Effects On Bdnf And Sex-Influenced Excercise Differences, Karissa Dold

UNLV Theses/Dissertations/Professional Papers/Capstones

In 2011, the U.S. reported 3 million child maltreatment cases, an uncomfortably high but recurring figure each year. Research shows exposure to early life stress (ELS) increases an individual’s susceptibility to substance abuse, specifically of nicotine, alcohol, and cocaine. Increased susceptibility may result from dysregulation of the HPA axis sustaining activation into adulthood after ELS. Hyperactivation of the HPA axis significantly reduces hippocampal BDNF, a neurotrophin involved in neuronal growth and plasticity. Reduced hippocampal BDNF may be a factor in substance abuse vulnerability. Additionally, research shows exercise protects hippocampal BDNF from stress induced down-regulation. To explore these relationships ...

Substance Abuse And Insecure Attachment Styles: A Relational Study, Yasmin Borhani

LUX: A Journal of Transdisciplinary Writing and Research from Claremont Graduate University

The attachment styles an individual forms while they are growing up can impact the type of relationships they form as adults. Research has shown insecure attachment styles can be correlated to substance abuse, emotional distress, and interpersonal problems. More specifically, this study focuses on the correlation between insecure attachment styles and substance abuse. Nineteen participants (nine male, ten female) between the ages of 18 to 32 were selected. Participants were given a 20-question survey that measured substance abuse and attachment styles. A t-test was conducted to compare the differences between participants who abuse substances and participants who do not abuse ...

What Aspect Of Dependence Does The Fagerström Test For Nicotine Dependence Measure?, Joseph R. Difranza, Robert J. Wellman, Judith A. Savageau, Ariel Beccia, W. W. Sanouri A. Ursprung, Robert Mcmillen

Family Medicine and Community Health Publications and Presentations

Although the Fagerström Test for Nicotine Dependence (FTND) and the Heaviness of Smoking Index (HSI) are widely used, there is a uncertainty regarding what is measured by these scales. We examined associations between these instruments and items assessing different aspects of dependence. Adult current smokers ( , mean age 33.3 years, 61.9% female) completed a web-based survey comprised of items related to demographics and smoking behavior plus (1) the FTND and HSI; (2) the Autonomy over Tobacco Scale (AUTOS) with subscales measuring Withdrawal, Psychological Dependence, and Cue-Induced Cravings; (3) 6 questions tapping smokers’ wanting, craving, or needing experiences in response ...

Long-Term Effects Of Alcohol Consumption [Annotated Bibliography], Polly Cowan

Undergraduate Research Award

No abstract provided.

A Critical Analysis Of Discursive Practices In Personal Accounts Of “Drug” Use: Implications For Health Professional Education, Niki Kiepek

Electronic Thesis and Dissertation Repository

In this thesis discourses of drug use are explored outside therapeutic and self-help settings to inform health professional education. A discursive narrative methodology identifies multiple discourses of drugs embedded in individual accounts. A critical analysis investigates how the concept of drugs is put into discourse and the influence of discursive practices on how people act and how they are acted upon.

The findings are presented in three sections: i) The term “hiding” conveys either “concealment” or “non-disclosure” of drug use. Being able to talk openly about drug use was desirable and has the potential to be beneficial; ii) Disclosing drug ...

Intimate Partner Violence (Ipv) And The Social Determinants Of Aboriginal Peoples’ Health: A Case Study Of First Nations Women’S Resilience, Resistance, And Renewal, Julie A. George

Electronic Thesis and Dissertation Repository

Worldwide, First Nations women are among the most vulnerable to Intimate Partner Violence (IPV); and yet, their lived experiences of violence are lacking in the literature. Using Photovoice methodology and a community-based, participatory action approach, this project addresses multiple questions pertaining to First Nations mothers’ experiences of IPV, including: What are the health and social consequences of IPV and how do the social determinants of Aboriginal peoples’ health shape the capacities of women survivors to manage and overcome IPV? Drawing on decolonization theory, a social determinants of Aboriginal peoples’ health framework, and aspects of feminist theory, this project was designed ...