Open Access. Powered by Scholars. Published by Universities.®

Substance Abuse and Addiction Commons

Open Access. Powered by Scholars. Published by Universities.®

1160 Full-Text Articles 2028 Authors 250021 Downloads 121 Institutions

All Articles in Substance Abuse and Addiction

Faceted Search

1160 full-text articles. Page 1 of 38.

Treating Opioid Use Disorder And Co-Occuring Disorders, Amy L. Harrington 2017 University of Massachusetts Medical School

Treating Opioid Use Disorder And Co-Occuring Disorders, Amy L. Harrington

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

Harm reduction is a public health strategy that was developed initially for adults with substance use disorder for whom abstinence was not feasible. Harm reduction approaches have been effective in reducing morbidity and mortality in some adult populations. In this presentation "Treating Opioid Use Disorder and Co-Occuring Disorders" by Amy L. Harrington, MD, learn the specifics of what the term "harm reduction" means as it is applied in various settings. When a treatment plan is considered for a patient, it is important to understand if other medical conditions also exist in addition to the substance use disorder. How do co-morbid ...


Connecting Resources To A Community In Need: Worcester Police Addiction Recovery (Wpar) Program Webinar, Susan Halpin, Patricia Joy Cummings, Rebecca Zwicker 2017 University of Massachusetts Medical School

Connecting Resources To A Community In Need: Worcester Police Addiction Recovery (Wpar) Program Webinar, Susan Halpin, Patricia Joy Cummings, Rebecca Zwicker

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

Learn how to recognize the signs of substance use that are often overlooked. Communities often have resources available to help those with substance use disorder, as well as help for their families. Because of the stigma this disease carries, many people do not talk about their struggles or how they found help. A city police officer and a recovery coach from the city of Worcester will share the program they have developed to help those in need to find the pathway to recovery. Learn what you can do to alleviate the stigma associated with this disease.

Learning Objectives: Connecting Resources ...


Towards A Global Policy Against Alcohol Marketing To Youth: Challenges And Recommendations For Research., Alisa Padon, Rajiv N Rimal 2017 George Washington University

Towards A Global Policy Against Alcohol Marketing To Youth: Challenges And Recommendations For Research., Alisa Padon, Rajiv N Rimal

Prevention and Community Health Faculty Publications

No abstract provided.


Substance Use Disorder Treatment Confidentiality Boot Camp, Lucy C. Hodder, Stephanie Cameron, Marcy Doyle, Christina Muñiz, Jeanne Ryer 2017 University of New Hampshire School of Law

Substance Use Disorder Treatment Confidentiality Boot Camp, Lucy C. Hodder, Stephanie Cameron, Marcy Doyle, Christina Muñiz, Jeanne Ryer

Legal Scholarship

[Excerpt]: "INTRODUCTION: The Health Law and Policy Programs at UNH School of Law, Institute for Health Policy and Practice, and the NH Citizens Health Initiative have contracted with several of the New Hampshire Building Capacity for Transformation Delivery System Reform Incentive Payment (DSRIP) Integrated Delivery Networks (IDN) to provide technical assistance to the IDNs as they develop confidentiality tools related to substance use disorder services projects.

A UNH Team assisted the IDNs by providing an educational summary of federal and state confidentiality requirements, focusing on 42 CFR Part 2, and hosting IDN interdisciplinary teams in three Substance Use Disorder (SUD ...


Clinicians’ Perspectives And Utilization Regarding Harm Reduction In Nursing Practice In Care Of Persons With Addiction: A Literature Review, Audrey Killarney 2017 DePaul University

Clinicians’ Perspectives And Utilization Regarding Harm Reduction In Nursing Practice In Care Of Persons With Addiction: A Literature Review, Audrey Killarney

Grace Peterson Nursing Research Colloquium

Clinicians’ perspectives and utilization regarding harm reduction in nursing practice in care of persons with addiction: A literature review

Audrey Killarney, BS

Prof. Michelle Neuman, MSN, APN, RN

NSG 598: Graduate Research Synthesis

18 August 2017

Introduction

Background & Significance

Harm reduction is a concept best described as the recognition that individuals will engage in unhealthy behaviors, and the goal is to minimize the associated potential harm. (Stockwell, Reist, Macdonald, Benoit, & Jansson, 2010). Classically, it was used an alternative model of care for treating smokers and controlling the spread of HIV and hepatitis B (Henwood, Padgett, & Tiderington, 2014). However, in the context of medicine, harm reduction allows the clinician to accept that the patient may continue a harmful behavior, and their duty as a clinician is to minimize the relative risks and harms associated with that behavior (Öztuna et al., 2014). Most recently, harm reduction has been introduced as a means to address treatment for persons with addiction (Aldridge, 2012). These patients carry complex medical and social histories, for which traditional “treatment first” approaches may not be appropriate (Henwood et al., 2014). For example, Draanen et al. (2013) found an associated mental disorder in over 1/3 of patients who abuse alcohol, and over half of patients who abuse drugs. This finding supports the hypothesis that patients with severe mental illness often self-medicate with drugs and/or alcohol to control their psychosis (Henwood et al., 2014).

Previous studies have consistently reported that patients with addiction are more likely to be immune-compromised and have poor nutritional status, which can greatly affect their response to medical treatment (Bartlett, Brown, Shattell, Wright, & Lewallen, 2013). These individuals are also more likely to delay seeking medical treatment for acute issues, resulting in hospital visits for far more severe and advanced illnesses (Ford, Bammer, & Becker, 2008). Harm reduction allows for clinicians to assess other aspects of a patient’s well-being, such as secure housing, employment, and social support, which may contribute to recovery and/or relapse (Henwood et al., 2014).

Harm reduction holds great significance in current nursing practice given the recent rise of substance abuse and overdose deaths in the United States. In 2014, it was estimated that abuse of tobacco, alcohol and drugs cost the United States over $700 billion in loss of productivity, healthcare, and crime (National Institute on Drug Abuse, 2015). These numbers are significant, as harm reduction interventions in Canada have been able to alleviate hospital-based costs, reduce ED visits, as well as reduce overnight hospital stays (Draanen et al., 2013). A growing problem in the United States surrounds the epidemic of opioid overdose. Heroin overdoses account for the fastest growing group of overdose deaths, with a 6-fold rise over the period of 2001-2013 (National Institute on Drug Abuse, 2015). In response to rising heroin overdose rates, overdose education and naloxone distribution (OEND) programs are increasing nationwide. These types of programs are commonly sponsored by the Harm Reduction Coalition, as they seek to reduce potential risks and mortality associated with drug use. This finding further supports the argument for inclusion of harm reduction in the care of persons with addiction (Lewis et al., 2016).

Nurses in particular, are positioned to experience situations in which harm reduction strategies may be appropriate. Nursing staff are frequently involved in patient education, and re-education, of hospitalized patients; while an individual may not be ready to receive treatment, nursing staff could be qualified to provide information regarding self-help groups (Bartlett et al., 2013). Additionally, nurses conduct many of the initial screenings during hospitalization; these screenings include alcohol and drug abuse questionnaires that provide a bridge to discussions regarding use and healthy use of alcohol, prescription drugs and illicit substances (Bartlett ...


Barriers To Medication-Assisted Opioid Recovery: An Integrative Review Of Literature, Emily Miller 2017 DePaul University

Barriers To Medication-Assisted Opioid Recovery: An Integrative Review Of Literature, Emily Miller

Grace Peterson Nursing Research Colloquium

Abstract

Background: Opioid addiction has become one of the fastest growing epidemics sweeping the world, but despite the use of opioid agonist medication-assisted treatment (MAT) with methadone or buprenorphine having been found to be one of the most effective methods for treatment of this epidemic, there is still a significant gap between the number of people that need MAT and the number of people that actually receive MAT.

Objective: The purpose of this integrative literature review is to explore the barriers that prevent many addicts from receiving MAT and to identify strategies that may assist in eliminating these barriers in ...


Effective Methods For Domestic Violence Screening In The Emergency Department, Megan Bryan 2017 DePaul University

Effective Methods For Domestic Violence Screening In The Emergency Department, Megan Bryan

Grace Peterson Nursing Research Colloquium

Abstract

Background: The CDC reports that one in four women and one in ten men will experience some form of domestic violence in their lifetime that will have either a short-term or long-term impact on their well-being. Often the first place these victims are seen where they can receive help is the emergency department. Objectives: The goal of this systematic integrative literature review was to explore existing literature on domestic violence screening methods used in the emergency department and determine which methods prove most effective. Concurrently, this review examined the barriers to effective domestic violence screening and how nursing education ...


Misperceptions And The Misused Language Of Addiction: Words Matter, Richard Saitz 2017 Boston University School of Public Health

Misperceptions And The Misused Language Of Addiction: Words Matter, Richard Saitz

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

Despite recognition of addiction as a health condition, terminology used in both layperson and scientific publications is often inaccurate and stigmatizing. National and international efforts are now afoot to encourage the use of terminology that can improve accuracy, reduce stigma, and even improve care. Dr. Richard Saitz from the Boston University School of Public Health will discuss the rationale for terms that should and should not be preferred.


The Impact Of Neonatal Abstinence Syndrome: The View From A Rural Kentucky Hospital, Sydni Fazenbaker Crowell, Allison M. Crump-Rogers, William Crump, LeAnn Langston 2017 University of Louisville School of Medicine Trover Campus at Baptist Health Madisonville

The Impact Of Neonatal Abstinence Syndrome: The View From A Rural Kentucky Hospital, Sydni Fazenbaker Crowell, Allison M. Crump-Rogers, William Crump, Leann Langston

Marshall Journal of Medicine

Abstract

Introduction

Cases of neonatal abstinence syndrome (NAS) increased 3-fold in the United States from 2000 to 2009, with some indication that the problem may be worse in rural areas. The purpose of our study was to report the incidence of NAS in a small rural community with a regional referral hospital and describe aspects of these infants’ NICU stay.

Methods

Using maternal prenatal positive urine drug screens (UDS) as our initial focus, deliveries at 35 weeks or beyond between March 2015 and May 2016 were included. NAS severity score, length of NICU stay, and hospital charges for each infant ...


Using Timelines To Visualize Service Use Pathways To Alcohol Treatment, Lynda Berends, Michael Savic 2017 University of New South Wales

Using Timelines To Visualize Service Use Pathways To Alcohol Treatment, Lynda Berends, Michael Savic

The Qualitative Report

Many people in alcohol and other drug treatment are clients of other services, however there is limited consideration of the combinations and sequences of services and systems that they use. We used data visualization to analyze and re-present findings from a large research project on clients’ service use and referral sources in the year preceding alcohol treatment entry. Data were from 16 “high-end” service users with alcohol problems and analysis involved constructing individual text and timeline summaries and a visual encoding system to show service type and referral source. Three distinct service use pathways were identified and a visual model ...


Reduced Nicotine Content Cigarettes In Smokers Of Low Socioeconomic Status: Study Protocol For A Randomized Control Trial., Nicolle M Krebs, Sophia I Allen, Susan Veldheer, Diane J Martinez, Kimberly Horn, Craig Livelsberger, Jennifer Modesto, Robin Kuprewicz, Ashley Wilhelm, Shari Hrabovsky, Abid Kazi, Alyse Fazzi, Jason Liao, Junjia Zhu, Emily Wasserman, Samantha M Reilly, Lisa Reinhart, Neil Trushin, Robinn E Moyer, Rebecca Bascom, Jonathan Foulds, John P Richie, Joshua E Muscat 2017 George Washington University

Reduced Nicotine Content Cigarettes In Smokers Of Low Socioeconomic Status: Study Protocol For A Randomized Control Trial., Nicolle M Krebs, Sophia I Allen, Susan Veldheer, Diane J Martinez, Kimberly Horn, Craig Livelsberger, Jennifer Modesto, Robin Kuprewicz, Ashley Wilhelm, Shari Hrabovsky, Abid Kazi, Alyse Fazzi, Jason Liao, Junjia Zhu, Emily Wasserman, Samantha M Reilly, Lisa Reinhart, Neil Trushin, Robinn E Moyer, Rebecca Bascom, Jonathan Foulds, John P Richie, Joshua E Muscat

Prevention and Community Health Faculty Publications

BACKGROUND:

The Family Smoking Prevention and Tobacco Control Act gave the Food and Drug Administration jurisdiction over the regulation of all tobacco products, including their nicotine content. Under this act, a major strategy to reduce harm from cigarette tobacco is lowering the nicotine content without causing unintended adverse consequences. Initial research on reduced nicotine content (RNC) cigarettes has shown that smokers of these cigarettes gradually decrease their smoking frequency and biomarkers of exposure. The effectiveness of this strategy needs to be demonstrated in different populations whose response to RNC cigarettes might be substantially mediated by personal or environmental factors, such ...


Twisting Masculinity: Harms Of Pornography To Young Boys And Men, Gabe Deem 2017 Reboot Nation

Twisting Masculinity: Harms Of Pornography To Young Boys And Men, Gabe Deem

Dignity: A Journal on Sexual Exploitation and Violence

No abstract provided.


Predictive Value Of Adhd Symptomatology On Motives And Outcomes Of Stimulant Misuse, Alexander Laszlo Peterkin 2017 Old Dominion University

Predictive Value Of Adhd Symptomatology On Motives And Outcomes Of Stimulant Misuse, Alexander Laszlo Peterkin

Psychology Theses & Dissertations

ADHD stimulant misuse is defined as taking a stimulant used to treat ADHD either without having a prescription for that stimulant or in a manner that deviates from the prescription’s instructions. This has been a growing trend among undergraduate students over recent years. Prior research has found that misusers are likely to have severe symptoms of ADHD, misuse for primarily academic reasons, and display problems associated with substance abuse. The current study aimed to determine the predictive value of ADHD symptomatology on frequency of ADHD stimulant misuse, mediated by academic motives for misuse and substance abuse problems. The survey ...


The Public Health Harms Of Pornography: The Brain, Erectile Dysfunction, And Sexual Violence, John D. Foubert 2017 Oklahoma State University

The Public Health Harms Of Pornography: The Brain, Erectile Dysfunction, And Sexual Violence, John D. Foubert

Dignity: A Journal on Sexual Exploitation and Violence

No abstract provided.


Comparison Of Characteristics Among Korean American Male Smokers Between Survey And Cessation Studies, Sun S. Kim, Seongho Kim, Colleen E. McKay, Douglas M. Ziedonis 2017 University of Massachusetts Medical School

Comparison Of Characteristics Among Korean American Male Smokers Between Survey And Cessation Studies, Sun S. Kim, Seongho Kim, Colleen E. Mckay, Douglas M. Ziedonis

Douglas M. Ziedonis

This study compared characteristics of Korean American men in two studies: a telephone survey with a random sample of Korean American men who reported daily smoking versus a smoking cessation clinical trial with a convenience sample of Korean American men who reported smoking at least 10 cigarettes a day. Guided by the Theory of Planned Behavior (TPB), both studies attempted to explain how much its theoretical variables (attitudes, perceived social norms, and self-efficacy) would explain quit intentions in Korean American men. Participants in the cessation study were less likely to have health insurance coverage (χ2 [2, 271] = 138.31, p ...


Comparison Of Characteristics Among Korean American Male Smokers Between Survey And Cessation Studies, Sun S. Kim, Seongho Kim, Colleen E. McKay, Douglas M. Ziedonis 2017 University of Massachusetts Medical School

Comparison Of Characteristics Among Korean American Male Smokers Between Survey And Cessation Studies, Sun S. Kim, Seongho Kim, Colleen E. Mckay, Douglas M. Ziedonis

Colleen E. McKay

This study compared characteristics of Korean American men in two studies: a telephone survey with a random sample of Korean American men who reported daily smoking versus a smoking cessation clinical trial with a convenience sample of Korean American men who reported smoking at least 10 cigarettes a day. Guided by the Theory of Planned Behavior (TPB), both studies attempted to explain how much its theoretical variables (attitudes, perceived social norms, and self-efficacy) would explain quit intentions in Korean American men. Participants in the cessation study were less likely to have health insurance coverage (χ2 [2, 271] = 138.31, p ...


Prevalence Of Prescription Opioid Abuse In Patients With Pain, Samuel Godana, Ankoor Biswas, Nebiyu Biru, Abraham Getenet, Biana Leybishkis 2017 Department of Internal Medicine, Aurora Sinai Medical Center

Prevalence Of Prescription Opioid Abuse In Patients With Pain, Samuel Godana, Ankoor Biswas, Nebiyu Biru, Abraham Getenet, Biana Leybishkis

Aurora Internal Medicine Residents

Background: Studies showed that 20% to 30% of opioid analgesic drugs prescribed for chronic pain in the United States are misused, while the rate of opioid addiction is approximately 10%. The study describes methods to identify high-risk behavior and forward recommendations to decrease opioid abuse. Purpose: To assess prevalence and correlate multiple variables with opioid abuse and to forward appropriate recommendation to decrease the prevalence of opioid abuse in the primary care setting. Methods: A prospective study was conducted at a primary health care clinic, Aurora Sinai Medical Center (Milwaukee, WI). Over 6 months, a total of 49 consecutive patients ...


Behavioral Activation For Smoking Cessation And Mood Management Following A Cardiac Event: Results Of A Pilot Randomized Controlled Trial, Andrew Busch, Erin M. Tooley, Shira Dunsiger, Elizabeth A. Chattillion, John Fani Srour, Sherry L. Pagoto, Christopher W. Kahler, Belinda Borrelli 2017 Alpert Medical School of Brown University

Behavioral Activation For Smoking Cessation And Mood Management Following A Cardiac Event: Results Of A Pilot Randomized Controlled Trial, Andrew Busch, Erin M. Tooley, Shira Dunsiger, Elizabeth A. Chattillion, John Fani Srour, Sherry L. Pagoto, Christopher W. Kahler, Belinda Borrelli

Sherry L. Pagoto

BACKGROUND: Smoking cessation following hospitalization for Acute Coronary Syndrome (ACS) significantly reduces subsequent mortality. Depressed mood is a major barrier to cessation post-ACS. Although existing counseling treatments address smoking and depression independently in ACS patients, no integrated treatment addresses both. We developed an integrated treatment combining gold standard cessation counseling with behavioral activation-based mood management; Behavioral Activation Treatment for Cardiac Smokers (BAT-CS). The purpose of this pilot randomized controlled trial was to test feasibility, acceptability, and preliminary efficacy of BAT-CS vs. Standard of Care (SC). METHODS: Participants were recruited during hospitalization for ACS and were randomly assigned to BAT-CS or ...


Understanding The Link Between Substance Abuse And Mental Health, Crystal Ann Horton 2017 California State University - San Bernardino

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 ...


Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer 2017 California State University - San Bernardino

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 ...


Digital Commons powered by bepress