Substance Abuse and Addiction Commons^™

Opioid Use In Rhode Island - Review And Suggestions, Vanessa S. Kolb

Senior Honors Projects

It is estimated that over two million Americans have an opioid-related substance abuse disorder. Nationally, 91 people die every day from an opioid overdose, and 60% of drug overdoses involve an opioid. Rhode Island has enacted some of the strictest opioid-prescribing guidelines in the country, but since 2011 the number of overdose deaths within the state that involve illicit opioids has increased by 250%. In 2015, Governor Gina Raimondo established a special task force whose goal is to reduce the number of opioid-related overdose deaths in Rhode Island by one-third by 2018.

In this project, I analyze and compare best …

Ua12/2/2 2017 Talisman: Well Being, Wku Student Affairs

WKU Administration Documents

2017 Talisman yearbook.

• Kaetzel, Kylee. Editor’s Note
• Upton, Jordan. His Hands
• Watkins, Abby. The Meal Plan – Recipes
• Eastham, Lillie. New Hieghts – Reed Mattison, Rock Climbing
• Robb, Hayley. A Life Transformed – Annabeth Welborn
• Robb, Hayley. 6:00 AM Bright & Early – Exercise
• Doyel, Rachael. Redifining Ability – Jacob Holt
• Upton, Jordan. Yom Kippur at Happy Hills Buddhist Temple
• Wegert, Sally. Inner Peace – Allison Adams, Yoga
• Mattingly, Evan. The Future’s in Your Hands – Bianca Williams, Psychics
• Frint, Hunter. Too Often Silenced – Unity Walk
• Doyel, Rachael. Changing Tides
• Wells, Spencer. Struggle & Rebirth – Trey Farlee, Musicians …

A Bottom-Up Approach To Effectively Implementing A Good Samaritan Policy At Bryant University, Jessica Fleet

Honors Projects in History and Social Sciences

The rising numbers of substance consumption on college campuses are becoming a public concern for higher educational institutions across the United States. The thesis studies the relationship between state laws and private higher education institution laws in regards to substance abuse. Examining state laws and private universities Medical Amnesty and Good Samaritan laws were used to determine what would effectively replace Bryant University’s current Substance Abuse Policy. The current policy lacks an educational element along with stressing the word of mouth ideology that students are protected when in need of drug or alcohol assistance in a medical situation. This is …

Bridging The Divide White Paper: Pregnant Women And Substance Use: Overview Of Research & Policy In The United States, Darla Bishop, Liz Borkowski, Megan Couillard, Amy Allina, Susanna Baruch, Susan Wood

Jacobs Institute of Women's Health

This paper examines the current literature and policy implications of substance use and substance use disorders among pregnant and parenting women. While this is not meant to serve as an exhaustive literature review on this topic, it seeks to describe: current research on health effects of substance use and substance use disorders on pregnant women1 and their children; policies and programs that help ensure that pregnant women who use substances have access to the highest quality healthcare, including prenatal care; the current barriers to accessing treatment for substance use disorders for pregnant women, including those who are incarcerated; and the …

Assessment Of The Use Of Overdose Education And Naloxone Distribution By Maine Buprenorphine/Naloxone Prescribers, Stephen Kirsch

Muskie School Capstones and Dissertations

Background: Overdose deaths, specifically related to opioids, have been identified as a public health problem both nationally and in the state of Maine. Overdose Education and Naloxone Distribution (OEND) is an innovative model of patient education that has been shown to be effective in increasing knowledge of overdose risk and has the potential to help reduce opiate related overdose deaths.

Methods: A 28-item web-based survey examining clinician attitudes, OEND practices and characteristics was distributed to 196 Maine based physicians with a Drug Enforcement Agency waiver to prescribe burprenorphine/naloxone. Facilitators and barriers to the provision of OEND were also assessed. Surveys …

Chemical Reactions: Marijuana, Opioids, And Our Families, Denise A. Hines Ph.D, Staci Gruber Ph.D, John F. Kelly Ph.D, Kathleen M. Palm Reed, Hilary Smith Connery M.D., Ph.D.

Mosakowski Institute for Public Enterprise

Chemical Reactions: Marijuana, Opioids, and Our Families is the seventh Massachusetts Family Impact Seminar. This seminar was designed to emphasize a family perspective in policymaking on issues related to the legalization of marijuana and managing the opioid abuse crisis in the Commonwealth. In general, Family Impact Seminars analyze the consequences an issue, policy, or program may have for families.

How Medicaid And Other Public Policies Affect Use Of Tobacco Cessation Therapy, United States, 2010-2014., Leighton Ku, Erin Brantley, Tyler Bysshe, Erika Steinmetz, Brian K. Bruen

Health Policy and Management Faculty Publications

INTRODUCTION: State Medicaid programs can cover tobacco cessation therapies for millions of low-income smokers in the United States, but use of this benefit is low and varies widely by state. This article assesses the effects of changes in Medicaid benefit policies, general tobacco policies, smoking norms, and public health programs on the use of cessation therapy among Medicaid smokers.

METHODS: We used longitudinal panel analysis, using 2-way fixed effects models, to examine the effects of changes in state policies and characteristics on state-level use of Medicaid tobacco cessation medications from 2010 through 2014.

RESULTS: Medicaid policies that require patients to …

Academic Medicine Responds To The Opioid Crisis, John Prescott

Marshall Journal of Medicine

Opioid dependence has devastated communities across the nation particularly in rural states and academic medicine has responded in a variety of ways. Through its tripartite mission of education, research, and clinical care, creative solutions are being implanted. Medical schools and teaching hospitals are partnering with public health and law enforcement agencies, as well as local healthcare providers to address the clinical, social, and rehabilitative challenges. Academic medicine continues to adapt to the needs of the nation and teach, train, and prepare the next generation of physicians to be at their best when things are at their worst.

Proses Disclosure Dan Kondisi Psikososial Anak Dengan Hiv/Aids, Arini Dwi Deswanti, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

HIV-infected children have a longer life expectancy after the invention of antiretroviral treatment. Therefore, a well-prepared HIV status disclosure become a significant issue for children living with HIV/AIDS (CLWHA). Previous studies have shown that disclosing a status of children with chronic illness helps them to cope with the illness. However, delayed disclosure for various reasons which often influenced by parents or caregivers consideration affect children’s psychosocial condition. This paper will illustrate the psychosocial condition of CLWHA in relation to the preparation of their disclosure process.This descriptive study used a qualitative approach with observations, in-depth interviews, and Focus Group Discussion on …

Lansia Anggota Kelompok Bina Keluarga Lansia (Bkl) Adalah Sebuah Aset (Potensi) Bagi Pembangunan Di Masyarakat Rw 04 Pancoran, Jakarta Selatan, Juli Yanto, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

This research depict a new paradigm of elderly. All this time, the elderly have been thouht as an unproductive age group, dependent to the family, consumptive, used up of the health budget, and useless jugment in the community. However, the existing of the BKL IMPALA group in the community indicates that the elderly in the BKL IMPALA group as an asset or potential human resources to participate in the development of RW 04 Pancoran, and they are not family’s or development’s burden. The result of this research that the elderly have been health, and active in every BKL IMPALA’s or …

Upaya Perusahan Pembiayaan Non Bank Dalam Mengembangkan Usaha Mikro, Kecil Dan Menengah : (Studi Deskriptif Pemberian Dan Pengembalian Kredit Oleh Pt "X"), Iman Syahrizal, Sari Viciawati Machdum

Jurnal Ilmu Kesejahteraan Sosial

Entrepreneurship basically is not an easy matter. Despite of the challenges, organizations of both government and non-governmental organizations have developed entrepreneurial development activities. As a non-governmental organization, profit-oriented PT “X” also plays a role in the process of entrepreneurship development by undertaking financing activities to micro enterprises. This article describes the efforts of PT “X” as a Non-Bank Company that implements the implementation of credit loan and return in UMKM. Based on qualitative research, the research result showed that PT “X” as a company has potential because it can give positive contribution to the development of UMKM in Indonesia. However, …

Pengembangan Umkm Olahan Pangan Lokal Dalam Gerakan One Day No Rice (Odnr) Di Kota Depok, Endar Purnawan, Fentiny Nogroho

Jurnal Ilmu Kesejahteraan Sosial

This thesis reveals the development of micro, small and medium local food entreprise. Furthermore, this descriptive research uses a qualitative approach. The result of this research show that ODNR action has encouraged the appearance of UMKM in a culinary sector and it also provided local food – non rice and non wheat. The roles of UMKM in a ODNR action is producing, supplying, distributing, marketing local food, conducting inovation, socializing ODNR action, creating new UMKM and job vacancies. Things supporting the development of UMKM are place, equipment, capital, human resources, skills, raw materials, and ODNR action itself. On the other …

Program Men Care Sebagai Upaya Pencegahan Kekerasan Dalam Rumah Tangga : (Studi Deskriptif Pada Yayasan Pulih, Jakarta), Clara Clara, Fentiny Nugroho

Jurnal Ilmu Kesejahteraan Sosial

Domestic violence is a delicate matter in our society. Many efforts have been made by many institutions to decrease the violence that continues to increase every year. One of them is a prevention effort through a Men Care program that presents the male-engagement. Therefore, this study specifically describes the Men Care program implemented by Yayasan PULIH in Jakarta. This research uses descriptive method with qualitative approach. The results is to describe the forms of male-engagement including advantages and disadvantages faced by Yayasan PULIH in disseminating those issue, as well as strategies undertaken to attract the public participation into the program.

Research On Problem Gambling Websites, Chang Boon Patrick Lee

International Conference on Gambling & Risk Taking

This is a continuation of a series of studies on problem gambling websites. It has been noted in prior studies that one avenue problem gamblers might look for help was to go online to perform a web search. Online help is practical as help can be located immediately and this can help to ease the gamblers’ concerns that they are left alone to handle their own problems. While there are some anecdotal evidences regarding the success of problem gambling websites, there have been few empirical studies that relate directly to the perceptions and usefulness of the websites for the problem …

An Empirical Evaluation Of The Clubsnsw (Australia) Multi-Venue Self-Exclusion Program, Dylan A. Pickering, Alexander Blaszczynski, Sally Gainsbury, Rowan Cameron

International Conference on Gambling & Risk Taking

Few empirical studies have evaluated the effectiveness of self-exclusion programs. Research is required to identify factors contributing to decisions to enter and/or breach self-exclusion orders, or to self-excluded gamblers to seek additional treatment. Clinical characteristics of self-excluders remain relatively unknown in addition to factors that differentiate gamblers who do or do not breach. Limitations of current programs are that gamblers can self-exclude from only one or a limited number of venues. The Multi-venue Self-exclusion program, developed and implemented by ClubsNSW (Australia), is a centralised web-based system designed to help problem gamblers self exclude from up to 35 venues at a …

Mandatory Pre-Commitment Loss Limits: Six Years’ Experience Shows It Works, Bjorn H. Hoffmann

International Conference on Gambling & Risk Taking

The Norwegian state owned company Norsk Tipping is a pioneer in the gambling indusrty with its secure player identification and mandatory registered play across all channels. Knowing who your player is and having a strong link between the player and his consumption of games across all channels (land based, EGM, web and mobile) is an important premise for having a credible responsible gaming platform.

Norsk Tipping introduced in 2009 EGM’s with both pre commitment tools and maximum loss limits. In 2014 we introduced our Internet casino with probably the best responsible gambling platform in the world, including mandatory loss limits. …

Best Practices For Self-Exclusion Reinstatement And Renewal, Alex Price

International Conference on Gambling & Risk Taking

While many studies have examined self-exclusion few have focused on the processes through which gamblers return at the end of their agreements. In 2014, the RGC Centre for the Advancement of Best Practices examined voluntary self-exclusion reinstatement and renewal in an effort to develop evidence-informed best-practices for both land-based and online gambling operations. The presentation outlines the findings of the study and the recommended best practices for reintegration and ban renewal.

The study examined a range of practices around the world. In the end the study recommended an active reinstatement process in which all participants are required to apply to …

A Public Health-Based Approach To German Gaming Regulation, Knut Walter, Gerhard Buehringer

International Conference on Gambling & Risk Taking

The current situation of the German gambling market can be characterized by an unrelated framework of different legal systems, different regulatory authorities and different control principles, and has led to (1) an increasing number of court decisions and information requests by European Commission questioning parts of that regulatory system, (2) public tolerance of illicit gambling, and consequently (3) a lack of consumer protection.

Taking RENO Model 1.0 and 2.0 seriously, a new and comprehensive regulatory framework based on common consumer protection standards for all types of gambling – land-based and online, state-owned and private operated – has been developed and …

A Behavioural Account Of Mobile Gambling, Richard James, Richard Tunney, Claire O'Malley

International Conference on Gambling & Risk Taking

Mobile gambling is an emerging market in which there is evidence that some gamblers are introduced to gambling through their mobile device, and that mobile gambling does not ‘cannibalise’ participation with other forms of gambling. There is a concern that mobile gamblers face distinct risks from other forms of gambling, particularly for harmful behaviours. This paper presentation outlines a behavioural account of mobile gambling that combines both the learned characteristics of problem gambling with how individuals interact with their mobile devices. This hypothesizes that the extended gaps between plays or sessions potentially attracts extended play, even in the face of …

Ready, Set, And Go Back: The Role Of The Judiciary In Brazil’S Bingo Ban, Luiza Jobim Llm, Toni Williams

International Conference on Gambling & Risk Taking

Brazil, the host of the 2014 World Cup and the 2016 Olympics, is known for strong competitive traditions in sports and games. It is also one of only three G-20 countries (together with Saudi Arabia and Indonesia) that currently bans non-state provision of gambling products. Bingo was a notable exception to this prohibition, after enabling legislation was enacted in 1993, with the intention that proceeds would help fund national sports development. The game quickly became very popular but there were persistent questions about, and contestations over, the capacity of the regulatory framework to control the dual risks of exploitation of …

Problem Gambling Prevalence And Risk Factors Among Older Adults, Nigel E. Turner Ph.D., John Mccready, Robert Mann Ph.D., Mark Van Der Maas, Hayley Hamilton, Tracy Schrans

International Conference on Gambling & Risk Taking

Reports on the results of a study that interview older adults at casinos and racetrack slot machine venues (racinos) in Ontario. The study used an intercept survey employing cluster sampling methods to obtain a random sample of 2,103 Ontario older adults (aged 55 and older) gambling at seven sites across the province. Older adults exiting the gaming floor were randomly selected to be invited to participate in an interview / survey, which required about 15-20 minutes of their time. Participants provided information about their own gambling behavior and gambling-related problems, attitudes toward gambling, gambling and gambling problems in their community, …

Profiling At-Risk Gamblers, Tapio Jaakkola, Kari Vuorinen, Mirka Smolej

International Conference on Gambling & Risk Taking

The majority of gambling research has been concentrating on problem gambling and on the association between gambling behavior, game design and gambling harm. Much less attention has been directed at recreational gambling or on players that do not suffer from any gambling related problems. However, when it comes to preventing gambling harm we should also target those at risk as well those who are gambling moderately.

As a part of a project on prevention of adult gambling harm we did a study of at-risk gamblers in order to recognize and to define the socio-economic background of our target group. Prior …

Measuring Market Saturation In The U.S. Casino Industry: An Analytical And Empirical Analysis, Clyde W. Barrow, Alan P. Meister, David R. Borges

International Conference on Gambling & Risk Taking

The national and regional economies in the U.S. remain on a slow growth trajectory, while the casino gaming industry has seen a rapid and ongoing expansion. Consequently, states, Native American tribes, and gaming operators have increasingly shifted their attention from gaming expansion to the problems of regional competition, cannibalization, market maturation, and market saturation. The question of “market saturation” has become a salient point of public policy debate and a topic that is now frequently raised in the industry and media. This paper analyzes the concept of saturation in the context of casino gaming markets and compares several metrics for …

Gambling-Related Problems Of Self-Excluders In Swiss Casinos, Suzanne Lischer

International Conference on Gambling & Risk Taking

No abstract provided.

Interventions For Problem Gamblers In The Correctional System, Nigel E. Turner Ph.D., Flora Matheson

International Conference on Gambling & Risk Taking

The prevalence rates of problem gambling in the adult correctional population are 5 to 10 times higher than those found in the general population. The purpose of this study is to examine the type of interventions used to deal with this population. We conducted a combination of literature review and key informant study to examine the state of programming for problem gambling for clients who experience incarceration. The published literature on this topic is remarkably sparse. In fact only two peer reviewed published studies were identified that formally evaluated a treatment program for problem gambling for clients in these settings. …

Gamblerization Of Post-Communist Society In Central Europe, Zdeněk Szczyrba, David Fiedor, Irena Smolová

International Conference on Gambling & Risk Taking

Countries of Central European region (Czech Republic, Slovakia, Poland and Hungary) joined a new stage of their development after 1989. In these countries, there was a building process of capitalism which went in parallel with far-reaching structural economic and social changes; such as the privatization of economies, de-industrialization but also gamblerization of society. Clarifying this term, gamblerization, it could be described as the process of a continuous penetration of gaming facilities in the area accompanied by an increased availability and accessibility of gaming machines in the society. It is important to say that this process was particularly allowed owing to …

Generational Differences In Gambling Behavior And Attitudes, Don Feeney, Todd Maki

International Conference on Gambling & Risk Taking

The five generations that make up the adult population of North America and Europe differ greatly in their gambling behavior and their beliefs and attitudes towards gambling. This presentation will discuss data that demonstrate the extent of these differences as well as the cultural background and formative experiences that led to them. It will conclude with a discussion of implications for the gambling industry, responsible gambling, public policy, and for those concerned with the prevention and treatment of gambling problems.

Etiology And Stability Of Problem Gambling, Robert Williams, Rachel A. Volberg

International Conference on Gambling & Risk Taking

Prevention of problem gambling hinges on having research that clearly identifies the variables that are etiologically involved, their temporal sequence, and their causal connections. Longitudinal research is the best way of disentangling the chronology and causal relationships between variables. The present research describes the results of the two major longitudinal studies of gambling in Canada: the Quinte Longitudinal Study (QLS) (n = 4,121) and the Leisure, Lifestyle, Lifecycle Project (LLLP) (n = 1,808). The first part of the presentation describes the stability of gambling classifications over a 5 year period. This is followed by an identification of the univariate and …

A Critical Conversation On Responsible Gaming In Canada And Beyond, Lena Quilty

International Conference on Gambling & Risk Taking

No abstract provided.

Responsible Gambling Training In Ontario Canada, Janine Robinson

International Conference on Gambling & Risk Taking

No abstract provided.