Medicine and Health Sciences Commons^™

An Evidence-Based Approach To Address Tobacco Dependence Treatment In Mental Health And Addictions Settings, Chizimuzo T.C. Okoli

Nursing Presentations

Purpose: To examine the program completion and smoking cessation outcomes of a tobacco dependence treatment program for individuals with a history of substance use (SUD) and/or psychiatric disorders (PD). Despite the steady decline in the overall smoking prevalence in North America during the last decade some subsets of the population continue to smoke at high rates, particularly individuals with a SUD and/or PD. Among clinical samples, an estimated 75% of individuals with SUD and up to 90% of individuals with PD concurrently smoke. Such findings have prompted the need for tailored tobacco dependence treatment approaches in this population.

Methods: The …

Effects Of Methamphetamine On Sexual Behavior, Karla S. Frohmader

Electronic Thesis and Dissertation Repository

Methamphetamine (Meth) is a highly addictive psychostimulant associated with enhanced sexual desire, arousal, and sexual pleasure. Moreover, Meth abuse is frequently linked with the practice of sexual risk behavior and increased prevalence of Human Immunodeficiency Virus (HIV). Currently, the neurobiological basis for this drug-sex nexus is unknown. Moreover, there is a lack of studies investigating the effects of Meth on sexual behavior and more importantly, compulsive sex-seeking behavior, under controlled experimental settings in animal models. First, using immuhistochemistry for mating- and Meth-induced neural activation it was demonstrated that Meth administration in male rats activates neurons in brain regions of the …

State-Level Influences On Buprenorphine Utilization: Variations In Opioid Addiction Treatment, Lisa M. Lines Mph, Robin E. Clark Phd

Lisa M. Lines

Research Objective: Buprenorphine is a medication used to treat opioid addiction. Physicians are required to have special Drug Enforcement Agency certification to prescribe buprenorphine. Although it is more accessible and potentially safer than methadone, the leading opioid addiction treatment modality, there appear to be state-to-state variations in rates of buprenorphine adoption and use. The purpose of this study was to identify state-level influences on the volume of buprenorphine prescribed, using a limited set of supply and demand measures. Study Design: We developed a database using data on buprenorphine prescribing and factors hypothesized to influence variations in prescribing obtained from the …

Brief Screening For Co-Occurring Disorders Among Women Entering Substance Abuse Treatment, Alisa K. Lincoln, Jane M. Liebschutz, Miriam Chernoff, Dana Nguyen, Hortensia Amaro (1950-)

Hortensia Amaro

BackgroundDespite the importance of identifying co-occurring psychiatric disorders in substance abuse treatment programs, there are few appropriate and validated instruments available to substance abuse treatment staff to conduct brief screen for these conditions. This paper describes the development, implementation and validation of a brief screening instrument for mental health diagnoses and trauma among a diverse sample of Black, Hispanic and White women in substance abuse treatment. With input from clinicians and consumers, we adapted longer existing validated instruments into a 14 question screen covering demographics, mental health symptoms and physical and sexual violence exposure. All women entering treatment (methadone, residential …

Mr. Atod’S Wild Ride: What Do Alcohol, Tobacco, And Other Drugs Have In Common?, David T. Courtwright

David T. Courtwright

All researchers agree that individuals can become intoxicated by and dependent on alcohol, tobacco, and other psychoactive drugs. But they have disagreed over whether, and to what extent, drug pathologies comprise a unitary medical problem. Most critically, does addiction have a biological common denominator? Consensus on this question has shifted back and forth. In the late nineteenth and early twentieth centuries, physicians often studied and treated various drug addictions together, working under the “inebriety” paradigm. By the mid-twentieth century the inebriety paradigm had collapsed. Tobacco and alcohol had split off, both in the medical research community and in western popular …

U.S. Cultural Involvement And Its Association With Co-Occurring Substance Abuse And Sexual Risk Behaviors Among Youth In The Dominican Republic, Elián P. Cabrera-Nguyen, Juan B. Peña

Elián P. Cabrera-Nguyen

We examined the relationship of US cultural involvement with substance abuse and sexual risk behavior profiles from our nationally representative sample of public high school students in the Dominican Republic. Using a novel methodological approach to control for selection bias, we examined explanations for the so-called Latino or Hispanic immigrant paradox. A latent class regression analysis with manifest and latent covariates found that US cultural involvement indicators were independent and robust predictors of increased risk of co-ocurring substance abuse and sexual risk behaviors. Implications for prevention efforts targeting risk behaviors among Latino/a adolescents in the US and abroad are considered.

Substance Abuse Treatment Utilization Among Adults Living With Hiv/Aids And Alcohol Or Drug Problems, John Orwat, Richard Saitz, Christopher Tompkins, Debbie Cheng, Michael Dentato, Jeffrey Samet

Michael P. Dentato, PhD, MSW

Intercountry Prevalences And Practices Of Betel-Quid Use In South, Southeast And Eastern Asia Regions And Associated Oral Preneoplastic Disorders: An International Collaborative Study By Asian Betel-Quid Consortium Of South And East Asia, Lee C. H., Ko A. M. S., Warnakulasuriya S., Yin B. L., Rosnah Binti Zain, Ibrahim S. O., Liu Z. W., Li W. H., Zhang S. S., Utomo B., Rajapakse P. S., Warusavithana S. A., Abdul Razak I., Abdullah N., Shrestha P., Kwan A. L., Shieh T. Y., Chen M. K., Ko Y. C.

Prof. Dr. Rosnah Binti Zain

Health risks stemming from betel-quid (BQ) chewing are frequently overlooked by people. Updated epidemiological data on the increased BQ use among Asian populations using comparable data collection methods have not been widely available. To investigate the prevalence, patterns of practice and associated types of oral preneoplastic disorders, an intercountry Asian Betel-quid Consortium study (the ABC study) was conducted for Taiwan, Mainland China, Malaysia, Indonesia, Nepal and Sri Lanka. A random sample of 8,922 subjects was recruited, and the data were analyzed using survey-data modules adjusted for the complex survey design. Chewing rates among men (10.7-43.6%) were significantly higher than women …

All-Terrain Vehicle-Related Injuries And Hospitalization: An Examination Of The Influence Of Age And Alcohol Or Drugs, Shelby Bohl, Manoj Sharma, Chester Jones

Walden Faculty and Staff Publications

All-terrain vehicle (ATV) related injuries are a significant source of morbidity, mortality, disability, and hospitalization, and serious injuries among the elderly are increasing. In addition, alcohol and drug use are prevalent among those injured in ATV-related incidents. However, studies indicate varying alcohol and drug use patterns among age groups and less attention has been paid to the experience of older adults and to the influence of substance abuse (alcohol or drug involvement). Therefore, the purpose of this study was to examine the relationship between age, substance abuse and hospitalization resulting from ATV incidents among injured adults over the age of …

Best Practices For Treating Co-Occuring Disorders In A Chemical Dependency Treatment Setting, Michelle Dick

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to identify best practices for treating co-occurring disorders that could be utilized with adult males being treated for chemical dependency at the House of Hope, Inc. Identification of these practices will more effectively meet the needs of the clients served at House of Hope, Inc. and allow the agency to increase their capacity to better service clients with co-occurring disorders.