Substance Abuse and Addiction Commons^™

An E-Learning Adaptation Of An Evidence-Based Media Literacy Curriculum To Prevent Youth Substance Use In Community Groups: Development And Feasibility Of Real Media, Anne E. Ray, Kathryn Greene, Michael L. Hecht, Sarah C. Barriage, Michelle Miller-Day, Shannon D. Glenn, Smita C. Banerjee

Communication Faculty Articles and Research

Background: There is a need for evidence-based substance use prevention efforts that target high school-aged youth that are easy to implement and suitable for dissemination in school and community groups. The Youth Message Development (YMD) program is a brief, four-lesson, in-person curriculum that aims to prevent youth substance use through the development of youth media literacy. Specifically, YMD aims to increase understanding of advertising reach and costs, along with the techniques used to sell products; develop counterarguing and critical thinking skills in response to advertisements; and facilitate application of these skills to the development of youth-generated antisubstance messages. Although …

Evaluation Of An Underage Drinking And Driving After Drinking Intervention In Rusk County, Texas, Tim Sefa

Health and Kinesiology Theses

Background: Youth drinking and driving after drinking remains an important public health concern to this nation. Alcohol is the most frequently abused drug among youth. Alcohol-impaired-driving-fatalities are a significant mortality risk for youth. The average age of first consumption was 14.25 years in this study. A school-based intervention called Shattered Dreams was selected to address the problem of youth drinking, by educating high school juniors and seniors about the dangers of alcohol use through an intense, up-close vehicle crash simulation.

Purpose: The purpose of this study was to evaluate the effectiveness of this intervention in terms of changing student beliefs …

Opioid Withdrawal Post Incarceration, Samantha Spampinato

CURCE Annual Undergraduate Conference

This literature review attempts to provide a more complete understanding of the increasing opioid concern and its detrimental effects from withdrawal in incarcerated individuals. Opioid-related fatal overdoses will significantly decrease with the implementation of opioid treatment in jails and prisons nationwide. The incarcerated populations that are typically affected by Opioid Use Disorder (OUD) include about 8.5% of Hispanics and Whites, and about 7.4% of Blacks. One solution involves Medication-Assisted Treatment (MAT) with the use of opioid agonists, such as methadone and buprenorphine-naloxone. These medications offer a slow release of dopamine and can reduce the patient’s opioid withdrawal effects. However, fewer …

Understanding Substance Use And Recovery In Maine: A Culture-Centered Approach, Carter Hathaway

Electronic Theses and Dissertations

There is ever-increasing attention to Maine’s substance use problem, particularly in the case of opioid-related deaths. With yearly death tolls increasing, citizens of Maine wonder what the best methods are in approaching the issue and preventing further harm. While statistics about the issue are repeated in news coverage and by political figures, there is a need to understand what substance use and recovery actually mean to individuals who experience them on a daily basis. The following thesis uses Mohan J. Dutta’s (2008) culture-centered approach to health communication to explore the meanings of substance use and recovery as well as the …

Retrospective Analysis On The Susceptibility Of Opiate Addiction Based On Prescribed Medications And Chronic Pain Diagnoses, Momna Ayub, Richard Jermyn D.O.

Rowan-Virtua Research Day

Introduction: Opioid medications have been increasingly prescribed in recent years, particularly to treat individuals with chronic pain. In the U.S., opioid abuse has been declared an epidemic by the Department of Health and Human Services as the number of opioid-related overdoses in 2010 exceeded 16000 and alarmingly continued to rise 15% from 2015 to 2016. Due to opioid dependence and abuse, opioids are a gateway to subsequent drug addiction.

Objective: The goal of this project was to identify a link between certain prescribed opiates and a susceptibility for abuse or misuse in patients with chronic pain through a retrospective analysis. …

School Psychologists’ Current Practice, Training, And Interest In The Integration Of Substance Abuse Training As Part Of The Mental Health Profession, Margaret Dassira

Educational Specialist, 2009-2019

Adolescents’ suffering from substance abuse may also be experiencing academic, social, emotional, and behavioral difficulties. Substance abuse problems are difficult to address in schools due to barriers related to confidentiality, implementation, and resources. School personnel may also lack necessary experience or training to adequately provide these services to students’ suffering from substance abuse. School-based intervention programs have shown to be effective in helping to identify and support students with substance abuse issues (Mitchell et al., 2012; Winters et al., 2012). With both evidence-based intervention practices and competent mental health professionals, students experiencing substance abuse problems may receive needed services and …

The Effect Of Omm On Opioid Users With Chronic Low Back Pain, Danielle Cooley D.O., James Bailey D.O., Deanna Janora M.D., Catherine Fusco D.O., Kishan Patel

Rowan-Virtua Research Day

In the United States, approximately 100 million adults are affected by chronic pain, which reduces their quality of life and productivity, while accounting for billions in health care costs and lost revenue. (1) Opioids are considered the gold standard in the pharmacological treatment for chronic pain conditions, and prescriptions for opiates/opioids increased by 400% from 1999 to 2010. (1,2) Although opioid treatment is warranted during postsurgical and active cancer pain, physicians still commonly overprescribe opioids, which has led to addiction, high deaths rates by overdose, and the spread of communicable diseases. (1)

Since chronic pain is sustained by noxious sensory …

Safe Injection Facilities, Timothy Kwong

Honors Theses

According to the Center of Disease Control and Prevention (CDC), “In 2016, a total of 63,632 persons in the United States died from drug overdoses; the age-adjusted rate was 19.8 deaths per 100,000 persons.” There have been countless programs with the sole purpose of reducing the amount of drug related deaths. Some with positive outcomes and others with negative outcomes. Since there is no feasible method of eradicating the problem as a whole, the next logical thing to do would to be creating effect prevention programs.

Safe Injection Facilities (SIFs) have been around for over three decades. They are widespread …

The Self-Efficacy Of Biological Mothers And Foster Mothers Caring For Infants Prenatally Exposed To Drugs Or Treated For Nas : Examination Of Potentially Influencing Factors., Megan Kathleen Sherehiy

Electronic Theses and Dissertations

This study sought to identify demographic risk and protective factors that may relate to parental self-efficacy in biological and foster mothers caring for infants prenatally exposed to opioids. The study also examined whether participation in treatment for biological mothers and in training for foster mothers was associated with parental self-efficacy. Forty-nine women (21 biological mothers and 28 foster mothers) were surveyed. Measures included demographic, treatment, and training information. A single-item, self-report measure was used to assess satisfaction with support from friends using an item from the World Health Organization Quality of Life-Bref scale (Skevington, Lotfy, & O'Connell, 2004). The Karitane …

Great Plains Behavioral Risk Factor Surveillance System Project, Florence G. Duran

Capstone Experience

Background: Great Plains American Indians/Alaska Natives (AI/ANs) experience higher mortality rates than Non-Hispanic Whites from the same region. The National Behavioral Risk Factors Surveillance System (BRFSS) survey can have limitations of the estimates the health risks behaviors and services from one Tribal community to another. Goals and Objectives: The goal of this project is to address the lack of Tribal specific data among AI/ANs in the Great Plains region (ND, SD, NE, IA) by using Great Plains Tribal BRFSS data that captured information for three tribes in the Great Plains region. Tribal specific data will allow tribes to access, …

Power Shift Within A Couple’S Journey Through Addiction, Carly Brack Marketto

Electronic Theses and Dissertations

Addiction is a rapidly growing problem for many couples, but most treatment plans focus solely on the individual with a substance abuse diagnosis rather than taking a systemic approach. Investigating the power dynamics of couples who have been through addiction and recovery could assist future treatment plans to include underlying factors in relationships instead of only addressing symptoms of the problem. This grounded theory research study strives to understand the power shift within couples when one partner goes from being in active addiction to being sober for one year or more. Power is viewed through the four aspects that Knudson-Martin …

Characteristics Of Inpatients With Opioid Use Disorder Seen By “Imat” Consult Service From 7/2016 - 6/2017, Katherine Nenninger, Jenny Carwile, Jonathan Fellers, Kinna Thakarar

Maine Medical Center

Introduction:

• For people with opioid use disorder (OUD), admission to the hospital can provide an opportunity to initiate substance use disorder (SUD) treatment and preventive care

• In 2016, a multidisciplinary “IMAT” (integrated medication for addiction treatment) inpatient team was established to help treat patients with SUD

The Opioid Epidemic: Assessment Of Primary Prevention Interventions In Muskingum County Public Schools, Terra Armstead

Doctor of Nursing Practice Scholarly Projects

Understanding that the Opioid epidemic is much greater than an epidemic of mortality is critically important. This epidemic is also an epidemic of dependence, addiction, disability, and other severe adverse events affecting millions of people in the U.S. (Franklin, Sabel, Jones, Mai, & Baumgarter, 2015). The opiod epidemic is complex and can be considered a man made epidemic.

Poster: The Opioid Epidemic: Assessment Of Primary Prevention Interventions In Muskingum County Public Schools, Terra Armstead

Doctor of Nursing Practice Scholarly Projects

Understanding that the Opioid epidemic is much greater than an epidemic of mortality is critically important. This epidemic is also an epidemic of dependence, addiction, disability, and other severe adverse events affecting millions of people in the U.S. (Franklin, Sabel, Jones, Mai, & Baumgarter, 2015). The opiod epidemic is complex and can be considered a man made epidemic.

Editorial: Invertebrate Models Of Natural And Drug-Sensitive Reward, Moira J. Van Staaden, Robert Huber

Biological Sciences Faculty Publications

The relationship between insects and humans is a complex one, characterized biotically as commensalism, mutualism, or parasitism. This collection of papers reveals yet another dimension, in which shared history invests invertebrate models with the power to interrogate critical challenges to the human reward system. As humans we take pride in approaching a given scenario rationally, in considering the possible options, assigning them values, and then choosing that which maximizes one's individual outcomes. So, why do drug addicts make choices that inevitably lead to ruinous consequences? Fundamentally, addiction appears to impair the very ability to form considered judgments, as it strips …

Facing Addiction In College: The Effects On Alcohol, Drugs, And Academics, Alexis Frazier

Honors Theses

The goal of this thesis is to provide a comprehensive overview of collegiate recovery communities (CRCs) and collegiate recovery programs (CRPs) across the U.S for high risk students that suffer from alcohol and drug abuse. After finding the effectiveness of these programs and assessing the students’ needs in college, this research makes a recommendation for Western Michigan University to create a collegiate recovery program. A collegiate recovery program (CRP) is a college or university that provides a supportive environment within the campus culture that reinforces the decision to engage in a lifestyle of recovery from substance use (ARHE, 2019). This …

Religious Coping And Christ-Centered Recovery For Women With Substance Use Disorders, Mary Beth Bever

DNP Scholarly Projects

Women have unique risk factors for the development of substance use disorder (SUD), barriers to SUD treatment, and risk factors for SUD relapse that require holistic care models and provide trauma-informed care approaches that address effective coping strategies. The use of religion and spirituality has been commonplace in many SUD programs to inspire the use of positive religious coping; however, negative religious coping may also be drawn on which poses a potential harm for women with SUD. The aim of this project was to assess for a correlation in positive and negative religious coping scores and program completion rates in …

Contraception Utilization Among Women, Ages 18-45, Receiving Medication Assisted Therapy For Opioid Use Disorder In Middle Tennessee, Kerry J. Ternes

DNP Scholarly Projects

The prevalence of unintended pregnancy among women receiving medication assisted treatment (MAT) for opioid use disorder (OUD) exceeds 80%. While much of the existing literature has focused on the consequences of substance use in pregnancy, few have focused on the prevention of unintended pregnancy. This study explored barriers and facilitating factors impacting contraception use among women, ages 18-45, receiving MAT for OUD in Middle Tennessee. A cross-sectional survey design was used to describe the women’s sociodemographic and health characteristics; report their knowledge, attitudes, and behaviors; and to assess if these variables are associated with current use of contraception. Among survey …

Responding To Opioid Use Disorder: Identifying The Therapeutic Commitment Of Maine Nurse Practitioners, Jordan S. Porter

DNP Scholarly Projects

Background: Buprenorphine, an underutilized pharmacotherapy, can play a key role in closing the substantial opioid use disorder (OUD) treatment gap in the United States. Although 2016 US legislation authorized trained nurse practitioners (NPs) to obtain the Drug Enforcement Agency waiver to prescribe buprenorphine for OUD, many NPs do not have the waiver, and a large proportion of waivered NPs do not prescribe to capacity. Purpose: To identify the therapeutic commitment of Maine NPs to OUD as well as understand why Maine NPs do not adopt and utilize buprenorphine for the treatment of OUD. Review of Evidence: Commitment …

The Increase In Neonatal Abstinence Syndrome From Opioids Affects Us All, Sean Withington, Shannon M. Monnat

Population Health Research Brief Series

Opioid use during pregnancy has increased dramatically in the U.S. over the past decade, leading to a surge in cases of neonatal abstinence syndrome (NAS) – babies born dependent on opioids. This issue brief discusses the impacts of NAS in the U.S. and ways we can address this important population health problem.