Social and Behavioral Sciences Commons^™

An Exploration Of The Available Services For Offenders With Mental Illness (Omi), Kaliah Moulton

Honors Projects

The study is an exploration of services available for offenders with mental illness (OMI) and obstacles to providing treatment. It aims to identify services and obstacles to delivering treatment for offenders with mental health and substance use disorders in Augusta and Rockingham Counties. Semi-structured interviews were conducted with representatives of local agencies. Based on the agencies interviewed, services for OMI vary across the Sequential Intercept Model, with services like Crisis Intervention Teams, Medication-Assisted Treatment, and supervisory housing. Participants reported that despite the variation in services, barriers in infrastructure due to poor funding, low staffing, and lack of housing were present. …

An Exploration Of The Available Services For Offenders With Mental Illness (Omi), Kaliah Moulton

ASPIRE 2024

The study is an exploration of services available for offenders with mental illness (OMI) and obstacles to providing treatment. It aims to identify services and obstacles to delivering treatment for offenders with mental health and substance use disorders in Augusta and Rockingham Counties. Semi-structured interviews were conducted with representatives of local agencies. Based on the agencies interviewed, services for OMI vary across the Sequential Intercept Model, with services like Crisis Intervention Teams, Medication-Assisted Treatment, and supervisory housing. Participants reported that despite the variation in services, barriers in infrastructure due to poor funding, low staffing, and lack of housing were present. …

Social Bonding In Social Isolation: Social And Religious Support For Substance Use Recovery During Covid-19, Lindsey Chapman

All Theses

The importance of social bonds in supporting those in substance use recovery is illustrious through applications of social bonding theory. However, the effect of COVID-19 restrictions on these essential relationships has not been widely studied. The initial survey instrument studying social support, religious support, and substance use patterns before, during, and after COVID-19 was met with methodological difficulty in reaching the target population through email. This instrument was adapted into a semi-structured interview guide and methodology evolved to include participation either in-person or over Zoom. Through 14 in-depth interviews with people in substance use recovery programs, themes of isolation, peer …

Social Spaces, Places, And Substance Use In Shaping Queer Identities, Alessandra Milagros Early

Dissertations

Research has suggested that queer people may be more likely than their cisgender heterosexual counterparts to use substances. Largely, these higher rates are commonly explained through frameworks of victimization or (ab)use that render substance use as a form of coping or inherently problematic. While some queer people do use substances to cope, the social spaces, places, and contexts in which use often occurs are often obscured or ignored. More recently, contemporary queer criminologists have explored queer substance use and have considered how it is intimately linked to social space, place, identity formation, and community building. This dissertation draws from queer …

A Collaborative Solution: Online Safety And Adolescent Trends, Loni L. Whiteman

IPS/BAS 495 Undergraduate Capstone Projects

This professional action project focused on addressing the risks and needs facing local adolescents in my community. I partnered with several professionals and community members to host a parent night presentation at Timberlake High School. The presentation included an overview of risks and trends affecting our local youth, as well as statewide statistics on social media, mental health, vaping, substance use, and other risky behaviors. At the conclusion of the presentation, attendees were invited to ask questions, network with professionals, peruse the “paraphernalia” table, and collect resource handouts from several different supporting agencies in the local area. The presentation was …

Keeping The Family: A Socio-Ecological Perspective On The Challenges Of Child Removal And Reunification For Mothers Who Have Experienced Substance-Related Harms, Julie Dare, Celia Wilkinson, Shantha P. Karthigesu, David A. Coall, Ruth Marquis

Research outputs 2022 to 2026

The challenges and experiences associated with child removal and reunification from the perspective of mothers experiencing substance-related harms is under-researched in Australia. Our qualitative study employed a socio-ecological model to better understand the background to child removal, and perceived barriers and facilitators to achieving reunification of mother and child. In-depth interviews were conducted with 16 women, 8 of whom self-identified as Australian First Nations People. At the time of the interviews, these women were either living in substance use rehabilitation facilities, their own home or with relatives. Findings highlighted a history of complex disadvantage and trauma among the women, along …

Social Vulnerability And The Prevalence Of Opioid Use Disorder Among Older Medicare Beneficiaries In U.S. Counties, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Department of Sociology: Faculty Publications

Objectives: Recent research has investigated the factors associated with the prevalence of opioid use disorder (OUD) among older adults (65+), which has rapidly increased in the past decade. However, little is known about the relationship between social vulnerability and the prevalence of OUD, and even less about whether the correlates of the prevalence of OUD vary across the social vulnerability spectrum. This study aims to fill these gaps. Methods: We assemble a county-level data set in the contiguous United States (U.S.) by merging 2021 Medicare claims with the CDC’s social vulnerability index and other covariates. Using the total number of …

Lesbian, Gay, And Bisexual Students Experiencing Homelessness And Substance Use In The School Context: A Statewide Study, Hadass Moore, Kris De Pedro

Education Faculty Articles and Research

PURPOSE

This study explored differences between lesbian, gay, and bisexual (LGB)-housed and homeless students regarding substance use patterns on and off school grounds and the unique contribution of homelessness to substance use in school.

METHODS

Data were from the 2013-2015 California Healthy Kids Survey, a statewide survey of school protective factors and risk behaviors. A representative sample of 9th- and 11th-grade students (N = 20,337) was used. Comparisons between housed (n = 19,456) and homeless (doubled up: n = 715; acute homeless: n = 166) LGB students were conducted. We used chi-square tests to compare rates of lifetime, past-30-day, and …

Gendered Differences In The Effects Of Adverse Childhood Experiences On Adolescent Substance Use, Emley A. Holcombe

Theses and Dissertations

Adolescence is a high-risk period for substance use, and the prevalence of adolescent substance use is a public health concern. Contributing factors for adolescent substance use are adverse childhood experiences (ACEs). ACEs are potentially traumatic childhood events that have negative associations with health and risk behaviors. The purpose of this study is to examine how the accumulation, timing, and duration of early ACEs (by age 5) impacts adolescent substance use. In addition, this study examines differences in these relationships by gender. Data from the Fragile Families and Child Wellbeing Study (FFCW) were used for the logistic regression analyses. The results …

Mental Illness, Substance Use, And Co-Occurring Disorders Among Jail Inmates: Prevalence, Recidivism, And Gender Differences, Nicky Dalbir, Emily M. Wright, Benjamin Steiner

Criminology and Criminal Justice Faculty Publications

Mental illnesses, substance use, and their co-occurrence are significant predictors of maladaptive outcomes such as aggression, criminal behavior, and recidivism. These problems are theorized to be more prevalent and problematic among female inmates than male inmates and may be more relevant in jail settings. However, few studies have examined the relationship between these factors, including gender differences among the jail population. This study seeks to fill these gaps by examining – a) the prevalence of these problems, b) their effects on recidivism, and c) gender differences in these relationships – among jail inmates. Results indicate that mental illness significantly increased …

Adolescent Maltreatment, Substance Use, And Self-Efficacy : A Test Of General Strain Theory Among A Sample Of Clinical Youth, Sonya Worthington

Legacy Theses & Dissertations (2009 - 2024)

The relationship between adolescent maltreatment and delinquency has been of growing interest to social control, social learning, strain, and family-oriented theorist since the 1980’s. While ‘social control’, ‘social learning’, and ‘traditional strain’ theories dominated early delinquency research literature surrounding the association, the past few decades have experienced a shift from these sociological theories to those more social-psychological in nature, lending much support, credibility, and acceptance of Agnew’s General Strain Theory (GST). GST offers a theoretical framework for understanding micro-level and macro level factors that influence the likelihood of delinquency. In short, GST contends some individuals engage in criminal and deviant …

Substance Use Awareness: A Unique Look At Social Policy For Children And Families, Malik Hamm

Community Engagement Student Work

This work is a collection of substance use and addiction research gathered in order to assess substance abuse treatment and services in regard to equity and inclusion. The history of the U.S. government’s approach to substance use policy has led to stigma, criminality, and marginalization between groups in our community. Youth and families of all demographics are looking for ethical, informed mental health and substance use services to provide the best outcomes. Stigmatizing language, overly marketed tobacco and alcohol products, restrictive policy, and rigid law-enforcement tactics promoting the criminality of both adults and juveniles for possession, trafficking, and operating under …

Pharmakon In The Firelands: Connecting Historical Discourses And Small-Town Social Contexts With Substance Use Experience, Andrew Robert Burns

LSU Doctoral Dissertations

The ongoing increase in opioid and polysubstance-related overdoses and mortality in United States coincides with a shift in the ways substance use is understood. Once almost exclusively treated as a criminal problem, substance use, and overdose is increasingly viewed in terms of public health and from an urban to rural issue. The discourse surrounding the use of psychoactive substances largely omits the voices of the very people who use them. Likewise, the social context of small towns, at once not quite rural nor entirely urban, is generally given little consideration. To address these gaps in the research, I conduct two …

Co-Use Among Confidants: An Examination Of Polysubstance Use And Personal Relationships In Southeastern Nebraska, G. Robin Gauthier, Kelly Markowski, Jeffrey A. Smith, Sela R. Harcey, Bergen Johnston

Department of Sociology: Faculty Publications

This study examines the relationship between personal networks and polysubstance use among people who use drugs (PWUD) in a medium sized city in the Midwest. A large body of work has demonstrated that personal relationships have an ambivalent association with substance use. On the one hand, a supportive network is associated with safer drug use practices and dramatically improves the outlook for recovery. However, individuals whose personal networks are composed of co-drug use partners are more likely to engage in risky practices. We argue that this notion of “supportive” social contacts and “risky” social contacts is ultimately incomplete: risky behaviors …

Childhood Trauma And Substance Use: Differences By Race And Sex In Juvenile Justice Prevention Programs In Nebraska, Sophie Holtz

Honors Theses

This study seeks to analyze whether demographic factors such as gender and race have a relationship to the reporting of trauma symptoms in juveniles. This study also examines whether higher substance use has a relationship to higher reports of trauma symptoms. To gather this data, surveys were administered to juveniles involved in juvenile justice prevention programs across the state of Nebraska. Overall, we found that juvenile girls reported significantly higher amounts of trauma symptoms than boys do. There was also a significant difference in how much juvenile girls report using cannabis compared to juvenile boys. Furthermore, there was not a …

Understanding The Stigma And Feasibility Of Opening A Safe Injection Facility In Baltimore City: A Qualitative Case Study, Timothy Dupree, Caroline I. Wood, Andrea M. Brace

The Qualitative Report

Supervised injection facilities (SIFs) are medically supervised facilities designed to provide a hygienic environment in which drug users can consume illicit drugs intravenously. SIFs can be cost saving, help to reduce transmission of disease, and decrease drug overdoses. There are no SIFs in the United States. In this study we used a multiple case study design to understand the stigma surrounding the use of a SIF and the feasibility of implementing the drug prevention strategy in Baltimore City by comparing experiences with opening a SIF in Sydney, Australia. We interviewed one healthcare worker at the Sydney SIF and ten community …

Tracking The Impact Of Diseases Of Despair In Appalachia—2015 To 2018, Megan Heffernan, Michael Meit, Margaret Cherney, Victoria A. Hallman

Journal of Appalachian Health

Introduction: This study provides an update on mortality due to diseases of despair within the Appalachian Region, comparing 2015 to 2018.

Methods: Diseases of despair include: alcohol, prescription drug and illegal drug overdose, suicide, and alcoholic liver disease/cirrhosis of the liver. Analyses are based on National Vital Statistics System (NVSS) mortality data for individuals aged 15-64.

Results: Between 2015 and 2017, the diseases of despair mortality rate increased in both Appalachia and the non-Appalachian U.S., and the disparity grew between Appalachia and the rest of the county. In 2018, the disease of despair mortality rate declined by …

Peer Conversation About Substance Use, Danielle M. Pillet-Shore

Communication

What happens when a friend starts talking about her own substance use and misuse? This article provides the first investigation of how substance use is spontaneously topicalized in naturally occurring conversation. It presents a detailed analysis of a rare video-recorded interaction showing American English-speaking university students talking about their own substance (mis)use in a residential setting. During this conversation, several substance (mis)use informings are disclosed about one participant, and this study elucidates what occasions each disclosure, and how participants respond to each disclosure. This research shows how participants use casual conversation to offer important substance (mis)use information to their friends …

Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter

Antioch University Dissertations & Theses

This dissertation aimed to adapt Circles of Support and Accountability (CoSA) to a substance-involved population in New Hampshire (NH). CoSA is a volunteer-based community program that provides accountability and various forms of support to previously incarcerated individuals rejoining the community. Program recommendations were created through qualitative realist thematic analysis of a literature review and interviews. Recommendations were integrated with existing CoSA manuals to create the proposed program. NH CoSA, through the principles of narrative reconstruction, risk-need-responsivity, and the Good Lives Model, aims to help individuals successfully re-integrate into their community over a period of about a year. The program will …

Aces And Substance Use: Understanding The Influence Of Childhood Experiences On Substance Use In Adolescence Across Race And Ethnicity, Tacey Micole Matheson Shurtliff

Theses and Dissertations

Adverse Childhood Experiences (ACEs) affect numerous outcomes in adulthood, but relatively few studies examine their implications for adolescents. Understanding the effects of ACEs is important since adolescent behaviors affect subsequent life course milestones and transitions. One area of the ACEs research that is deficient involves adolescent substance use. In addition, there is a paucity of studies addressing whether the association between ACEs and substance use differs by race/ethnicity. Using data from the Fragile Families and Child Wellbeing Study, this study aims to fill these gaps by (a) examining whether adolescents who experience more ACEs tend to be at higher risk …

Health Behaviors In The Service Sector: Substance Use Among Restaurant Employees, Amanda Michiko Shigihara

Journal of Social, Behavioral, and Health Sciences

Restaurant workers in the United States exhibit high levels of alcohol and drug use. However, there is a scant amount of qualitative research uncovering how and why restaurant employees use and abuse legal and illegal substances. Examining restaurant workers’ self-reported risky health behaviors is important for improving employee and occupational quality of life. The purpose of this article is to investigate the health behaviors of restaurant workers and pathways to such outcomes. Specifically, this article explores the question of what social conditions and processes within restaurants relate to employee adverse health behaviors. Drawing on qualitative data collected between 2009 and …

Mandatory, Fast, And Fair: Case Outcomes And Procedural Justice In A Family Drug Court, Melanie Fessinger, Katherine Hazen, Jamie Bahm, Jennie Cole-Mossman, Roger Heideman, Eve Brank

Center on Children, Families, and the Law: Faculty Publications

Objectives: Problem-solving courts are traditionally voluntary in nature to promote procedural justice and to advance therapeutic jurisprudence. The Family Treatment Drug Court (FTDC) in Lancaster County, Nebraska, is a mandatory dependency court for families with allegations of child abuse or neglect related to substance use. We conducted a program evaluation examining parents’ case outcomes and perceptions of procedural justice to examine whether a mandatory problem-solving court could replicate the positive outcomes of problem-solving courts. Methods: We employed a quasi-experimental design that compared FTDC parents to traditional dependency court parents (control parents). We examined court records to gather court orders, compliance …

Therapeutic Approaches To Recovery In West Virginia, Rachel A. Wattick

Graduate Theses, Dissertations, and Problem Reports

Substance use disorder (SUD) is a prevalent problem in the United States, with 19.7 million Americans aged 12 and older battling an SUD in 2017. Multiple factors influence the risk that someone will develop an SUD, including family history, childhood trauma, community factors, and poverty. West Virginia has the highest rate of overdose deaths in the nation, and individuals in WV are at high risk of SUD due to the aforementioned risk factors. There are a variety of treatment options available to someone with an SUD. These include outpatient or inpatient treatment, detoxification, therapeutic communities, and collegiate recovery programs. Despite …

Understanding Opioid Users’ Views On Fentanyl Could Help Reduce Overdoses, Kate Mclean, Shannon M. Monnat, Khary Rigg, Glenn Sterner, Ashton Verdery

Population Health Research Brief Series

The opioid overdose crisis is a national public health emergency, made much worse in recent years by the widespread emergence of fentanyl – a highly potent synthetic opioid. This research brief summarizes the findings from their research conducted in southwestern Pennsylvania in 2017 and 2018. Results show that the majority of interviewees who use opioids are fearful of and want to avoid fentanyl and would utilize harm reduction strategies such as fentanyl test strips if they were made more widely available.

There Are Multiple And Geographically Distinct Opioid Crises In The U.S., Shannon M. Monnat

Population Health Research Brief Series

Rates of fatal drug overdose increased 250% in the U.S. between 1999 and 2017, due in large part to a massive surge in overdoses involving opioids. However, there is substantial geographic variation in fatal opioid overdoses, and prescription opioids, heroin, and fentanyl are differentially responsible for high overdose rates across different parts of the U.S. This research brief summarizes the findings from a study just published in the American Journal of Public Health. The study shows that there are at least four geographically distinct opioid overdose crises in the U.S.

Psychosocial Differences In Far Right, Far Left, Islamic, And Single Issue Lone Extremists, Tamara Marie Lamontagne

Walden Dissertations and Doctoral Studies

Acts of lone extremism are on the rise, yet little is known about who commits these acts. Research in this area has failed to delineate by extremist subtype. This has led to the misconception these acts and actors present with such variance psychosocially that they cannot be predicted. The purpose of this research was to assess whether statistically significant relationships exist between lone extremist subtypes on the psychosocial variables of mental illness, substance use, and having radicalized friends or family members. The conceptual framework for this study was De La Corte's psychosocial principles of terrorism, which addressed the social and …

Preventing Substance Use Among Hispanic Urban Youth: Valuing The Role Of Family, Social Support Networks, School Importance, And Community Engagement, David T. Lardier, Veronica R. Barrios, Pauline Garcia-Reid, Robert Reid

Department of Family Science and Human Development Scholarship and Creative Works

Hispanic urban youth experience high levels of violence, access to drugs and alcohol, and limited access to quality educational institutions, as well as a disproportionate use of substances. However, youth exposed to multiple sources of support, such as values related to family centrality (e.g., family cohesion or familismo) and positive social networks, are less likely to use substances, and more likely to value school and participate in community activities. The present study examines substance use and empowering-protective resources among a cohort of Hispanic students (N = 538) from a northeastern United States urban community. We also assessed the moderating influence …

Exposure To Community Violence And Substance Use Among Black Men Who Have Sex With Men: Examining The Role Of Psychological Distress And Criminal Justice Involvement, Dexter R. Voisin

Faculty Scholarship

Young Black MSM (YBMSM) are disproportionately affected by violence, criminal justice involvement, and other structural factors that also increase vulnerability to HIV. This study examined associations between exposure to community violence (ECV) and substance use, psychological distress, and criminal justice involvement (CJI) among YBMSM in Chicago, IL. Respondent driven sampling was used to recruit a sample of 618 YBMSM (aged 16–29) from the South Side of Chicago between June 2013 and July 2014. Weighted logistic regression assessed the direct effects of ECV, CJI, and psychological distress on substance use outcomes. Indirect effects were assessed via path analysis with mean and …

Designed Cultural Adaptation And Delivery Quality In Rural Substance Use Prevention: An Effectiveness Trial For The Keepin’ It Real Curriculum, Michael L. Hecht, Youngju Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger

Communication Faculty Articles and Research

This study examined how cultural adaptation and delivery quality of the school-based intervention keepin’ it REAL (kiR) influenced adolescent substance use. The goal of the study was to compare the effectiveness of the multi-cultural, urban (non-adapted) kiR intervention, a re-grounded (adapted) rural version of the kiR intervention and control condition in a new, rural setting. A total of 39 middle schools in rural communities of two states in the USA were randomly assigned to one of three conditions (i.e., control, non-adapted urban kiR, and adapted rural kiR). Data included adolescent self-reported lifetime substance use and observers’ ratings of delivery quality …

The Double Bind Of Siblings In Adolescent Substance Abuse Treatment, Jonathan Caspi, David T. Lardier, Veronica R. Barrios

Department of Family Science and Human Development Scholarship and Creative Works

Siblings have been found to be perhaps the greatest source of social risk for adolescent substance abuse, particularly when the relationship is close. But, close sibling relationships are also linked to an array of important developmental and lifelong protective benefits. Sibling closeness simultaneously poses considerable risks and benefits. These conflicting findings suggest opposite treatment directions, or a “double bind” for practice. That sibling closeness risks contagion suggests treatment that aims to decrease sibling closeness. On the other hand, the many lifelong and protective benefits of close sibling relationships suggests increasing sibling closeness when possible. Family-based treatment is recommended for adolescent …