Medicine and Health Sciences Commons^™

Contraception Choice And Compliance Among Mothers With Opioid Addiction: Identifying Barriers To Care, Robert C. Bowers, Catherine Waldron, Jennie Yoost, Hayley Weese, Amy Roy

Marshall Journal of Medicine

Introduction

West Virginia leads the nation in substance abuse deaths per capita. This epidemic has given rise to a novel population of high-risk, obstetric patients with opiate abuse. Appropriate education, counseling, and implementation of contraception are of extreme importance among this population, due to the risks of unintended pregnancy.

Methods

This study was a retrospective chart review to determine compliance and uptake of contraceptive methods by patients in a maternal buprenorphine maintenance program prior to and following implementation of standardized contraception education and Medicaid coverage of immediate postpartum long-acting reversible contraceptives (LARC). Rates of planned contraception and rates of actual …

Interview Of Kate Ward-Gaus Avp Of Student Wellness, Kate Ward-Gaus, Wendy Stanley

All Oral Histories

Kate Ward-Gaus was the Assistant Vice President of Student Wellness at La Salle University. She retired in January 2021. Prior to retiring, Kate worked in substance abuse counseling and wellness for more than forty years. She joined La Salle in 2006 and became the Director of the Alcohol and Other Drug Education Center prior to becoming Assistant VP in 2017. Kate was part of the leadership team that prepared for the COVID-19 pandemic outbreak in February 2020.

Increasing Staff Awareness And Screening Practices For Adverse Childhood Experiences At A Primary Care Clinic, Kayla Wright

Doctor of Nursing Practice Projects

Adverse childhood experiences (ACEs) are present in approximately 60% of the adult population in the United States. There is a correlation between adverse childhood experiences and chronic health conditions as adults. Despite the evidence showing this correlation, there is a lack of screening for ACEs in the primary care setting. Many primary care providers and staff are unaware of ACEs or the correlation with chronic health conditions and substance abuse and, therefore, do not understand how to or recognize the benefits of screening in primary care. With education for providers and staff, primary care is the ideal setting to perform …

Anasam: A Novel Approach To Suds Anamnesis For Medical Students, Mirna Law, Sarah Glisan, Devon Player, Adrienne Fraczkowski, Kaitlyn Blair, Bettina Bernstein

Research Day

Training in substance use disorders and their treatment is important for medical students to develop positive attitudes towards patients struggling with substance abuse. There is substantial evidence demonstrating that physicians in practice fail to recognize a large percentage of patients suffering from substance abuse conditions. Historically, a “negative attitude” of health care providers towards patients struggling with substance abuse may have originated from the lack of recognition of these issues as chronic medical conditions during training. Thus, substance abuse education early in medical training is impactful and should be considered. The proposed curriculum consists of four sessions and aims to …

Neonatal Abstinence Syndrome Nonpharmacological Intervention Education For Healthcare Professionals Caring For Newborns, Darby Harvey

Doctor of Nursing Practice Scholarly Project

Neonatal abstinence syndrome has increased significantly in the United States over the past few decades due to the increase of maternal substance abuse. The overall goal of caring for these infants is effective management of the withdrawal symptoms, including both pharmacological and nonpharmacological interventions. However, nonpharmacological interventions have been shown to improve infant outcomes and reduce length of hospitalization. This project sought to increase healthcare professionals’ knowledge and confidence regarding neonatal abstinence syndrome and the utilization of nonpharmacological interventions when caring for infants diagnosed with neonatal abstinence syndrome through the provision of an educational presentation. This study utilized a one-group …

Neuroactivational And Behavioral Correlates Of Psychosocial Stress-Induced Cocaine Seeking In Rats, Nicole M. Hinds, Ireneusz D. Wojtas, Desta M. Pulley, Stephany J. Mcdonald, Samantha De Guzman, Nicole E. Hubbard, Colin M. Kulick-Soper, Jessica J. Debski, Bianca Patel, Daniel Manvich

Rowan-Virtua Research Day

A prominent feature of cocaine abuse is a high risk of relapse even despite prolonged periods of abstinence. Psychosocial stress is thought to be a major contributor to the onset of cocaine craving and relapse in human substance abusers, yet most preclinical models of stress-induced relapse employ physical stressors (e.g., unpredictable footshock) or pharmacological stressors (e.g., yohimbine to elicit a drug seeking response) and do not rely upon psychosocial stress per se. Importantly, social stressors are well known to activate distinct neural circuits within the brain as compared to other stressors. It is therefore possible that currently available animal models …

Robotripping: The Dangers Of Abusing Dextromethorphan, Tiffany Sin, James Espinosa, Dana Fichter

Rowan-Virtua Research Day

Dextromethorphan (3-methoxy-N-methylmorphinan), also known as “DXM,” is a synthetically produced drug available in many over-the- counter (OTC) cough and cold medications as a centrally acting cough suppressant that binds to NMDA receptors. In a 2006 national survey of 50,000 students, 4, 5, and 7% of 8, 10, and 12th graders reported DXM abuse in the past year. In high doses, DXM can cause euphoria, hallucinations, dissociations, and distortion of cognition and perception. DXM abuse is also known as “Robotripping,” “Robodosing,” “Dexing,” “Tussin,” or “Triple Cs” because Robitussin® and Coricidin® Cough and Cold are most frequently abused. DXM has replaced codeine …

To What Extent Are Appropriate Resources Provided To Veterans With Mental Illness To Prevent Contact With The Criminal Justice System?, Riley Christine Doyle

Master’s Theses and Projects

United States military veterans are a special population of men and women that have willingly sacrificed their lives to serve their country. They are perceived to be patriotic, honorable, strong, and disciplined people. Unfortunately, veterans are not exempt from committing criminal acts that land them in the criminal justice system. In fact, veterans are highly susceptible to developing mental illnesses and substance use disorders which can ultimately lead to criminal behavior. The purpose of this study was to examine to what extent available resources are provided to veterans to help them prevent contact with the criminal justice system. This study …

An Occupational Therapy Approach To Developing Empowerment: Supporting The Recovery Of Women Affected By Substance Abuse In A Residential Treatment Facility, Margaret Schneider-Adams, Molly Schneider-Adams

OTD Capstone Projects

An Occupational Therapy Approach to Developing Empowerment: Supporting the Recovery of Women Affected by Substance Abuse in a Residential Treatment Facility Capstone project poster and presentation in fulfillment of Doctorate of Occupational Therapy Program at Belmont University.

The Struggle Of Mental Health Within College Students, Skyler R. West

English Department: Research for Change - Wicked Problems in Our World

One in five college students have thoughts of committing suicide daily. We often wonder what may lead to thoughts like this. This essay uses a subjective approach to broaden the knowledge of readers regarding mental health problems within college students. In this essay, readers discover the statistical findings of factors like alcohol, nicotine, schoolwork and athletics factoring into a student's psychological destressed mental state. Without having available and anonymous resources accessible to them, students are not able to get the help they need.

Smart Brain Of India Vs. Tricky Drugs, Rashmii K.S.

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

The Policy Of Substance Abuse In Liberia: Analysis And Recommendations, Yamah Dolo

Community Engagement Student Work

Countries all over the globe are affected by substance abuse. Substance abuse is a traumatic issue that people around the world battle. Substance use has occurred for many years and seems to keep increasing. According to Parekh, “Substance use disorder (SUD) is complex a condition in which there is uncontrolled use of a substance despite harmful consequence.” (Parekh, 2017). Substance abuse has a significant effect on health, an individual’s well-being, families, relationships, and the post-war community. However, with the information on Liberia, little is known about the substance abuse cases. Liberia is a country that has no health, and there …

Food Insecurity Is Associated With Nonalcoholic Fatty Liver Disease, Cognitive Impairment, And Immune Activation In People Living With Hiv, Javier A. Tamargo

FIU Electronic Theses and Dissertations

Food insecurity (FI) is a socioeconomic condition characterized by inadequate access to enough food and nutrition to sustain health and wellbeing. Food insecurity is a risk factor for chronic and age-related conditions, raising concerns for the aging population of people living with HIV (PLWH), in whom food insecurity is disproportionately prevalent. PLWH are at increased risk of nutrition-related complications and chronic co-morbidities, thus food insecurity may exacerbate adverse health outcomes in this population. This study investigated whether food insecurity was associated with nonalcoholic fatty liver disease (NAFLD), cognitive impairment, and immune activation among socioeconomically disadvantaged adults living with and without …

Understanding Clinical Staff Attitudes Towards Patients Presenting To The Emergency Department With Opioid Use Disorder, Benjamin Finard, Joseph Arciprete, Madalene Zale, Mph, Carissa Walkosak, Benjamin Slovis, Md, Ma, Dimitrios Papanagnou, Md, Hannah Smith, Phd

Phase 1

Purpose: Significant stigma surrounds patients with opioid use disorder (OUD). This stigma repeatedly follows patients into the ED and negatively influences care. All ED staff impact the patient journey in the ED and the success with which OUD patients receive a warm handoff to a recovery organization. What is the current attitude of Jefferson’s clinical staff towards patients with OUD?

Methods: The authors developed and deployed a survey to Jefferson’s ED clinical staff members through Qualtrics. The survey was informed by the validated Medical Condition Regard Scale (MCRS) to capture staff sentiments towards patients with OUD. Respondents job category, job …

Making Deflection The New Diversion For Drug Offenders, Kay L. Levine, Joshua C. Hinkle, Elizabeth Griffiths

Faculty Articles

The argument unfolds as follows. In Part I, we describe the origins and operation of deflection programs that currently exist in the United States and present the published empirical evidence about their effect on recidivism rates, as well as police and user population responses to them. We specifically discuss the LEAD template from Seattle, in addition to other models in Massachusetts and Texas. In Part II, we take a closer look at how conventional policing differs from the pre-arrest diversion program that was recently instituted in Atlanta. Using data from an original dataset of all 2012 felony drug arrests in …

Substance Use Among Rural And Urban Youth And Young Adults, Jennifer D. Lenardson Mhs, Nathan Paluso Mph, Erika C. Ziller Phd

Mental Health / Substance Use Disorders

Rural youth and young adults have historically had higher use rates of alcohol and other substances than their urban counterparts. Recent research suggests that rates of youth and young adult alcohol and other substance use have declined over the past two decades, but we have limited knowledge of whether and how current rural and urban substance use patterns may differ. As national substance use rates decline, it is important to re-assess differences in use among rural versus urban youth and young adults. This study uses data from the National Survey of Drug Use and Health (NSDUH) to examine rural-urban differences …

Singing Through Change: A Community Engagement Project For Women In Recovery Performing With The Purdue Fort Wayne Choral Union Choir, Madison Boyden

Purdue Journal of Service-Learning and International Engagement

Hope & Harriet is an intensive residential treatment program in a subacute medical facility for women 18 years and older that specializes in the pursuit of recovery from chemical dependency. PFW music therapy students have been given the unique opportunity to work with the women as part of their music therapy clinical practicum experiences. The author's final music therapy practicum, in partial fulfillment of her bachelor’s degree in music therapy, began her path forward into this project.

Appalachian Regional Commission Recovery Ecosystem Background And Overview, Kostas Skordas, Andrew Howard

Journal of Appalachian Health

The Appalachian Regional Commission (ARC) has long addressed issues of substance abuse through funded community-based interventions, research, and sponsored conferences. Recently, the opioid crisis created a new urgency for cross-sector collaboration among various partners and funders dealing with this issue. This commentary provides an overview of recent efforts by the ARC to convene stakeholders to focus on assisting individuals with substance abuse disorder to access recovery services while pursuing education and training necessary to reenter the workforce and gain employment. Two papers have been prepared to describe this year-long effort. One paper focuses on the participatory methods used to gather …

Perspective On Substance-Abuse Recovery Ecosystem From The Appalachian Regional Commission Federal Co-Chair, Tim Thomas

Journal of Appalachian Health

The Appalachian Regional Commission (ARC) is a local, state, and federal partnership focused on economic development in the communities of the Appalachian Region. ARC Federal Co-Chairman Tim Thomas provides his perspective on how an economic development entity, such as ARC, can support efforts to address the Region’s drug crisis in a way that both saves lives and strengthens economic opportunity in communities throughout Appalachia.

2020 County Health Rankings Tennessee Data And Updated Substance Abuse 2005-2019, Kelsey L. Grabeel, Jenny Moore

Faculty Publications

No abstract provided.

Drug Courts And The Following Of The Federal Guidelines, Charles James Souza

Master’s Theses and Projects

During the 1980’s, drug offense were running high within the United States. The court system along with the police and other fields were forced to form other methods of dealing with offenders who have a substance abuse problem. In 1989, the first drug court in the United States was formed in the state if Florida. The idea was to create a therapeutic method to help those who are committing non-violent criminal acts due to their addiction. The goal of drug court was to get offenders the treatment they needed so they would not resort to criminal activity. Drug court personal …

Stronger Together: A Case For Partnering Dance/Movement Therapy And Medically Assisted Treatment For A Comprehensive Embodied Approach To The Opioid Crisis, Jayann Chipman

Dance/Movement Therapy Theses

An estimated 2.1 million people in the US are estimated to have opioid use disorder. Medically assisted treatment as an approach utilizes medication, counseling, and group therapy for treatment of opioid use disorder and increases the effectiveness of other therapeutic interventions. It has positive effects on treatment retention, and doubles the probability that an individual will one day achieve abstinence. Medically assisted treatment addresses physical symptoms of withdrawal, but it does not include the embodied experience. Dance/movement therapy addresses the multilevel human experience in an approach to wellness. Dance/movement therapy as a bidirectional modality uses movement and body-mind connectivity to …

Nevada’S Secret Killer: Opioid Deaths, Vanessa Marie Booth

Calvert Undergraduate Research Awards

Emerging Scholars Winner

Presented in this study is an analysis of the Nevada opioid crisis and how a viable solution can impact its severity. It does so in a public policy environment while synthesizing outside sources to support the presented claims. The scope of this study is to present a problem, cause, solution scenario on how to solve this policy problem. This study also takes into consideration Nevada’s current economic state amid the coronavirus (COVID-19). In addition, this analysis also addresses the history behind the opioid epidemic across the United States and how it is impacting Nevada in present times. …

Inter-Disciplinary Team Work With Substance Use And Recovery, Sandra Wagner, Meghan Mosser, Marc Sweeney, Val Czyzewksi, Cynthia Yu

Scholars Symposium

Purpose. Homeless women who struggle with substance use disorder have a difficult time finding inpatient treatment. Her Story provides these women with housing, support and health care until they are connected to inpatient rehabilitation. Upon graduating from inpatient rehabilitation, continuity of care and support are lacking. The collaborative practice model aims to fill the gaps in health care coordination and community involvement before and after inpatient rehabilitation for women in recovery.

Methods. Multiple disciplines including social work, occupational therapy and pharmacy are working together to provide women with the opportunity to take control of their care. Through an innovative patient-centered …

State Regulatory Responses To The Prescription Opioid Crisis: Too Much To Bear?, Lars Noah

Dickinson Law Review (2017-Present)

In order to prevent further overuse of prescription opioids, states have adopted a variety of strategies. This article summarizes the growing use of prescription drug monitoring programs, crackdowns on “pill mills,” prohibitions on the use of particularly hazardous opioids, limitations on the duration and dosage of prescribed opioids, excise taxes, physician education and patient disclosure requirements, public awareness campaigns, and drug take-back programs. Although occasionally challenged on constitutional grounds, including claims of federal preemption under the Supremacy Clause, discrimination against out-of-state businesses under the dormant Commerce Clause doctrine, and interference with rights of commercial free speech, this article evaluates the …

Reflections On The Effects Of Federalism On Opioid Policy, Matthew B. Lawrence

Dickinson Law Review (2017-Present)

No abstract provided.

Mhpaea & Marble Cake: Parity & The Forgotten Frame Of Federalism, Taleed El-Sabawi

Dickinson Law Review (2017-Present)

No abstract provided.

The Opioid Litigation: The Fda Is Mia, Catherine M. Sharkey

Dickinson Law Review (2017-Present)

It is readily agreed that federal preemption of state tort law alters the balance between federal and state power. Federal preemption is a high-profile defense in almost all modern products liability cases. It is thus surprising to see how little attention has been given to federal preemption by courts and commentators in the opioid litigation. Opioid litigation provides a lens through which I explore the role of state and federal courts and the Food and Drug Administration (FDA) in striking the right balance of power. My purpose here is not to resolve the divide among the few courts that have …

Experiences Of Caregivers And Healthcare Practitioners Working With Children With Histories Of Family Trauma And Substance Abuse, Alexandra Contreras

OT Student Capstones

While the number of infants born with substance abuse exposure continues to grow, the United States lacks a national monitoring system (CDC, 2019). This may contribute to the discrepancy of services and supports available to those working with children with histories of family trauma and substance abuse. The purpose of this study was to investigate the needs and challenges of caregivers and healthcare practitioners working with children with histories of family trauma and substance abuse. To obtain a better understanding and well-rounded image of the challenges and needs, information was gathered from various perspectives of those involved. This OT doctoral …

A Comparison Of Populations: Formerly Incarcerated Men With Substance Use Disorder And Adolescent Psychiatric Patients, Jeanie Fairchild

OT Student Capstones

Aims of the project:

• Equip Maricopa Reentry Center (MRC) residents with life skills necessary for successful reentry.
• Utilize knowledge gained at MRC to teach life skills to adolescents patients at St. Luke’s Behavioral Center (SLBC).