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Substance abuse

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Full-Text Articles in Social Work

Enhancing Recovery With The Use Of Animals, Christina Martinez Dec 2023

Enhancing Recovery With The Use Of Animals, Christina Martinez

Capstone Projects and Master's Theses

Avenues is a program designed to help adults lead happier and more productive lives by overcoming mental health and chemical dependency challenges. The problem is, participants are not fully prepared for independent living following these programs. The plan was to provide participants a therapeutic approach to gaining hands-on experience while combating symptoms of mental illness with the use of animals, with hopes that participants would be better prepared for life after leaving the program. If the project met the expected outcome, the agency would see a lower rate of participants returning to the program and a higher success rate of …


Interprofessional Collaboration For Addiction Intervention In A Community College Setting, Cathi Smith May 2023

Interprofessional Collaboration For Addiction Intervention In A Community College Setting, Cathi Smith

Social Work Masters Capstone Projects

Substance abuse has become a major problem in our nation. It is no surprise that a great percentage of people have admitted that prior to their arrest they had either been drinking or using illicit drugs. When they commit these illegal acts, they then begin to cycle through the criminal justice system. It is also not obvious whether they have an AUD or SUD or that they are chemically dependent. In fact, some of them at this stage will still be in denial that there is even a problem, especially if the offense is something that does not come with …


Support For Social Workers Treating Adolescent Substance Abusers, Monica Delucia, Kethura Solano May 2023

Support For Social Workers Treating Adolescent Substance Abusers, Monica Delucia, Kethura Solano

Electronic Theses, Projects, and Dissertations

This study examines the barriers social workers experience when working with adolescent substance users. Research has not fully explored if intervention techniques are effective or suggest other approaches that may support substance use disorder professionals including supervisor support, training, and intervention. The purpose of this study was to evaluate if social workers who provide interventions to adolescent substance users have the adequate resources to be successful in their field. The literature review provides a better understanding of the common themes social workers experience when working with adolescent substance users.

This study used a qualitative design and interviewed 8 professional social …


Developing The Weaving Healthy Families Program To Promote Wellness And Prevent Substance Abuse And Violence: Approach, Adaptation, And Implementation, Catherine E. Mclinley, Jenn M. Lilly, Jessica L. Liddell, Hannah Knipp, Tamela Autumn Solomon, Nikki Comby, Harold Comby, Patricia Haynes, Kathleen Ferris, Maple Goldberg Jan 2023

Developing The Weaving Healthy Families Program To Promote Wellness And Prevent Substance Abuse And Violence: Approach, Adaptation, And Implementation, Catherine E. Mclinley, Jenn M. Lilly, Jessica L. Liddell, Hannah Knipp, Tamela Autumn Solomon, Nikki Comby, Harold Comby, Patricia Haynes, Kathleen Ferris, Maple Goldberg

Social Service Faculty Publications

Family prevention programs that enhance mental health, wellness, and resilience—while simultaneously addressing violence and alcohol and other drug (AOD) abuse—among Indigenous families are scarce. This gap in culturally grounded and community-based programs creates a critical need to develop and evaluate the efficacy of such prevention programs. This article fills this gap, with the purpose of describing the structure and content of the Weaving Healthy Families (WHF) program, a culturally grounded and community-based program aimed at preventing violence and AOD use while promoting mental health, resilience, and wellness in Indigenous families. The focus then turns to how to approach this process …


Family Drug Treatment Court Program Effectiveness As A Protective Factor For Parents In Prevention Of Substance Abuse Foster Care Re-Entries: A Mixed Methods Study, Eugenia Ann Richardson Jan 2023

Family Drug Treatment Court Program Effectiveness As A Protective Factor For Parents In Prevention Of Substance Abuse Foster Care Re-Entries: A Mixed Methods Study, Eugenia Ann Richardson

MSU Graduate Theses

Foster care re-entry rates are high. Studies show that many foster care entries are due to substance abuse. These parents may enter a Family Drug Treatment Court Program that offers intensive therapy for the parent as well as services for the family. This study looks at the effectiveness of a Missouri County Family Drug Treatment Court Program at preventing foster care re-entry for those who graduate the program. This study uses a mixed methods research design. Caseworkers for the Missouri County Family Drug Treatment Court were interviewed. Quantitative secondary data was also obtained from the Missouri County Juvenile Office. Results …


Clark/Floyd Crisis Intervention Team Capstone Project, Troy L. Mansfield Dec 2022

Clark/Floyd Crisis Intervention Team Capstone Project, Troy L. Mansfield

Social Work Masters Capstone Projects

No abstract provided.


Assessing Student Readiness To Work With People Who Use Drugs: Development Of A Multi-Disciplinary Addiction Educational Survey, Patrick C.M. Brown, Dana Button, Danika Bethune, Emily Kelly, Hannah R. Tierney, Rahee M. Nerurkar, Christina Nicolaidis, Rebecca Harrison, Ximena Levander Apr 2022

Assessing Student Readiness To Work With People Who Use Drugs: Development Of A Multi-Disciplinary Addiction Educational Survey, Patrick C.M. Brown, Dana Button, Danika Bethune, Emily Kelly, Hannah R. Tierney, Rahee M. Nerurkar, Christina Nicolaidis, Rebecca Harrison, Ximena Levander

School of Social Work Faculty Publications and Presentations

Background: As health profession schools implement addiction curricula, they need survey instruments to evaluate the impact of the educational interventions. However, existing measures do not use current non-stigmatizing language and fail to capture core concepts.

Objective: To develop a brief measure of health profession student readiness to work with people who use drugs (PWUDs) and establish its content validity.

Methods: We conducted a literature review of existing instruments and desired clinical competencies related to providing care to PWUD and used results and expert feedback to create and revise a pool of 72 items. We conducted cognitive interviews …


Adverse Childhood Experiences And Adult Substance Use, Mariah Garcia, Melissa Berry May 2021

Adverse Childhood Experiences And Adult Substance Use, Mariah Garcia, Melissa Berry

Electronic Theses, Projects, and Dissertations

This study sets out to contribute to the already existing data on ACEs as well as substance use in adulthood. In this quantitative descriptive study, the researchers addressed the relationship of adverse childhood experiences (ACEs) and adult substance use. Psychological, physical, and cognitive health issues may occur in adulthood due to ACEs (Shin et al., 2017). Being exposed to one or more ACE during childhood can cause poor coping skills and result in adult substance use (Shin et al., 2017). Bringing greater attention to the prevalence of ACEs can help social workers create more sensitive assessments, screening tools, and treatment …


Psychological Coercion Among Trafficked Sex Workers: A Grounded Study Approach, Rebecca Ann Laurento Jan 2021

Psychological Coercion Among Trafficked Sex Workers: A Grounded Study Approach, Rebecca Ann Laurento

Walden Dissertations and Doctoral Studies

AbstractMillions of individuals have become involved in human sex trafficking (HST) each year. This study involved an exploration of how these individuals became victims to psychological coercion and their experiences with HST. The purpose of this qualitative grounded theory study was to add to the current literature and provide a foundation for future researchers. Given the lack of literature on this topic, professional practitioners may not understand this problem or know how to support these victims of HST. The gap in literature this study addressed pertained to the processes and dynamics of psychological coercion for individuals involved with HST. Oppression …


The Exploration Of Clinical Supervision For Substance Abuse Social Workers In Bermuda, Steva Aria Bean Jan 2021

The Exploration Of Clinical Supervision For Substance Abuse Social Workers In Bermuda, Steva Aria Bean

Walden Dissertations and Doctoral Studies

As specialists who bridge the gap between the social work and substance abuse treatment fields, substance abuse social workers are expected to develop themselves as social workers by designation, substance abuse counselors by occupation, and deliver competent therapeutic services that align both professions seamlessly. As documented in the National Association of Social Workers Code of Ethics, their support in achieving this feat is clinical supervision. Despite this documentation, a review of the social work literature revealed an absence of information on clinical supervision between the social work and substance abuse fields, their supervisory alliance, and outcomes. Accordingly, this project was …


"My Head Was Like A Washing Machine On Spin": (Improving) Women’S Experiences Of Accessing Support, Jo Neale, Kathryn Hodges Dec 2020

"My Head Was Like A Washing Machine On Spin": (Improving) Women’S Experiences Of Accessing Support, Jo Neale, Kathryn Hodges

Dignity: A Journal of Analysis of Exploitation and Violence

This paper draws on data collected as part of two larger studies to set out the differences, according to women seeking support, between the feminist responses of the specialist women’s sector and the issues-led responses of other agencies. The first study examined the processes by which women enter, endure, and exit relationships with abusive men. The second study explored the barriers to help-seeking for those accessing a service for women involved in prostitution. Taking a feminist poststructuralist approach, the authors point to the gendered nature, both of the experiences that propel women toward help-seeking and of the responses they receive …


Substance Abuse And Family Reunification: Perceptions And Potential Contributing Factors To Family Reunification, Ashley Odam, Tina Macmaster Jun 2020

Substance Abuse And Family Reunification: Perceptions And Potential Contributing Factors To Family Reunification, Ashley Odam, Tina Macmaster

Electronic Theses, Projects, and Dissertations

The purpose of this study was to examine the contributing factors of family reunification (FR) according to social workers and other professionals working in child welfare. Existing research highlights the importance of the social worker’s relationship with the person with substance abuse as a contributing factor to FR; however, there is little research as to what influenced the social worker and other professionals from their perspective.

A quantitative self-administered survey was distributed to social workers and professionals in San Bernardino County and Riverside County that included questions about the participant’s background, experience, possible contributing factors, and influences potentially impacting family …


Prevalence And Correlates Of Transactional Sex Among Women Of Low Socioeconomic Status In Portland, Or, Timothy Menza, Lauren Lipira, Amisha Bhattarai, Victoria Cali-De Leon, E. Roberto Orellana Jan 2020

Prevalence And Correlates Of Transactional Sex Among Women Of Low Socioeconomic Status In Portland, Or, Timothy Menza, Lauren Lipira, Amisha Bhattarai, Victoria Cali-De Leon, E. Roberto Orellana

School of Social Work Faculty Publications and Presentations

Background: Women who report transactional sex are at increased risk for HIV and other sexually transmitted infections (STIs). However, in the United States, social, behavioral, and trauma-related vulnerabilities associated with transactional sex are understudied and data on access to biomedical HIV prevention among women who report transactional sex are limited.

Methods: In 2016, we conducted a population-based, cross-sectional survey of women of low socioeconomic status recruited via respondent-driven sampling in Portland, Oregon. We calculated the prevalence and, assessed the correlates of, transactional sex using generalized linear models accounting for sampling design. We also compared health outcomes, HIV screening, and knowledge …


Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong Aug 2019

Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong

Jeanette Harder

This report on best practices informs a needs assessment on the capacity of Nebraska systems to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high burden areas and with a focus on opioids.


Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain Aug 2019

Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain

Jeanette Harder

Purpose and Background
The Nebraska Department of Health and Human Services (DHHS) partnered with Support and Training for the Evaluation of Programs (STEPs) at the University of Nebraska at Omaha, Grace Abbott School of Social Work, to complete a statewide needs assessment between October 2018 and April 2019. The purpose of this needs assessment was to gauge the capacity of statewide systems in Nebraska to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high-burden areas and with a focus on opioids. The hope of the results from this needs assessment is to inform DHHS …


The Relationship Between Substance Abuse, Intimate Partner Violence And Sexual Assault In College Students, Erin K. Deotte May 2019

The Relationship Between Substance Abuse, Intimate Partner Violence And Sexual Assault In College Students, Erin K. Deotte

Electronic Theses and Dissertations

Numerous studies demonstrate linkages between substance abuse, intimate partner violence (IPV), and/or sexual assault (e.g., Nabors, 2009; Rivera, Phillips, Warshaw, Lyon, Bland, & Kaewken, 2015; Santana, Raj, Decker, & Silverman, 2006). For ages, college students have been associated with substance abuse (e.g., Hingson, Zha, and Weitzman, 2009; O’Malley & Johnston, 2002). Substance abuse has been associated with IPV and sexual assault (Nabors, 2009; Rivera, Phillips, Warshaw, Lyon, Bland, & Kaewken, 2015; Santana, Raj, Decker, & Silverman, 2006). Although much research has been conducted on the relationships between substance abuse and intimate partner violence (including sexual violence), little research has been …


Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain Apr 2019

Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain

Reports

Purpose and Background
The Nebraska Department of Health and Human Services (DHHS) partnered with Support and Training for the Evaluation of Programs (STEPs) at the University of Nebraska at Omaha, Grace Abbott School of Social Work, to complete a statewide needs assessment between October 2018 and April 2019. The purpose of this needs assessment was to gauge the capacity of statewide systems in Nebraska to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high-burden areas and with a focus on opioids. The hope of the results from this needs assessment is to inform DHHS …


Mindful Awareness Training: A Pilot Study Integrating Mindfulness Practices Into A Rural Jail-Based Substance Abuse Program, John Paulson, Veronica Huggins, Douglas A. Gentile Jan 2019

Mindful Awareness Training: A Pilot Study Integrating Mindfulness Practices Into A Rural Jail-Based Substance Abuse Program, John Paulson, Veronica Huggins, Douglas A. Gentile

Contemporary Rural Social Work Journal

Mindfulness practices are now utilized in a variety of behavioral healthcare settings, including the criminal justice system. This article summarizes the findings of a pilot project incorporating mindfulness practices into a jail-based substance abuse program in a rural county jail. Participants that engaged in a psychoeducational mindfulness group that utilized practices adapted from the Mindfulness-Based Relapse Prevention (MBRP) curriculum had improved scores on measures of mindfulness, self-compassion, and quality of life. A mediated path model suggested that the length of time participants were involved in the group and their estimated amount of mindfulness practice outside the group was related to …


Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes Jan 2019

Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes

Theses and Dissertations--Social Work

Military veterans are disproportionately represented in United States (U.S.) jails and prisons, with nearly 10% of current inmates being veterans. Veterans’ criminal justice involvement is often precipitated by underlying mental health and substance abuse that are connected to their military service. Veterans’ treatment courts are the judicial response to a need for more coordinated provision of mental health and substance abuse services to veterans involved in the criminal justice system. Modeled after drug courts and mental health courts, veterans treatment courts are a judicial innovation that aim to honor the service of veterans by providing them an alternative to incarceration. …


Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong Dec 2018

Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong

Reports

This report on best practices informs a needs assessment on the capacity of Nebraska systems to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high burden areas and with a focus on opioids.


A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse May 2018

A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse

Electronic Theses and Dissertations

This study is a systematic review to examine homeless veterans identified to be most at risk of unsuccessfully completing the VA’s housing program (HUD-VASH), which promotes the use of Housing First (HF) as it’s model for treating homelessness. The literature review identified those who were rural and experiencing comorbid substance use disorders (SUD) and mental health issues to likely be those who were most at risk. There were multiple reasons why this subgroup was most vulnerable including limited access to resources, higher levels of substance use and more serious mental health diagnoses, and chronic health needs. Both the literature review …


Program Evaluation Of A Transitional Age Youth Program : A Project Based Upon An Investigation At Servicenet, Northampton, Massachusetts, Andrea Carnegie Chester Jan 2018

Program Evaluation Of A Transitional Age Youth Program : A Project Based Upon An Investigation At Servicenet, Northampton, Massachusetts, Andrea Carnegie Chester

Theses, Dissertations, and Projects

This study was designed to survey participants of ServiceNet’s Transitional Age Youth (TAY) program to solicit feedback regarding program effectiveness in meeting their needs. Surveys were designed with ServiceNet staff to solicit participant perspectives on the importance of program goals, and satisfaction with program services in meeting those goals. Surveys included quantitative and qualitative questions, and were distributed to all active TAY program participants. Respondents placed the greatest emphasis on TAY program goals regarding living independently and housing. Subjects were somewhat less satisfied with program services geared towards employment services. Overall, subjects were very positive about TAY staff, particularly regarding …


Eastern Nebraska Community Action Partnership (Encap), Community Needs Assessment: Douglas And Sarpy Counties, Jeanette Harder, Tova Hettinger, Keyonna King, Jerry Deichert Aug 2017

Eastern Nebraska Community Action Partnership (Encap), Community Needs Assessment: Douglas And Sarpy Counties, Jeanette Harder, Tova Hettinger, Keyonna King, Jerry Deichert

Reports

The mission of ENCAP is “to eliminate the causes of poverty by strengthening individuals, families, and communities through self-sufficiency initiatives in Douglas and Sarpy counties.”

As shown in the logic model below, ENCAP currently provides behavioral health, nutrition, family development, and transportation services. The logic model shows outputs and short-term outcomes as expected results of providing these services, as well as the resources needed to accomplish these outcomes. Serving people at 125% of the poverty line and below, ENCAP’s long-term outcomes are to assist individuals and families in achieving economic security, having improved mental health, increased access to food, having …


2017 Final Evaluation Report For Better Together, Jeanette Harder, Heather Bird, Jodi Mcquillen, Jieru Bai, Pamela Ashley, Joseph Forrest, Natalie Scarpa Jun 2017

2017 Final Evaluation Report For Better Together, Jeanette Harder, Heather Bird, Jodi Mcquillen, Jieru Bai, Pamela Ashley, Joseph Forrest, Natalie Scarpa

Reports

Program Description
Heartland Family Service (HFS) partnered with Nebraska Families Collaborative (NFC) and the Nebraska Department of Health and Human Services (NDHHS) to begin Better Together, a comprehensive support service program for families affected by substance abuse in Omaha, Nebraska. Better Together seeks to prevent infant abandonment by increasing wellbeing, improving permanency, and enhancing the safety of infants and young children who have been exposed to dangerous drugs.

Utilizing a community-based treatment setting, Better Together provides intensive outpatient and outpatient substance abuse treatment to families impacted by substance abuse. NDHHS and NFC identify families as being at risk for out-of-home …


Beliefs About Substance Abusing Parents Among California State University Master Of Social Work Students, Angela R. Golden Jun 2017

Beliefs About Substance Abusing Parents Among California State University Master Of Social Work Students, Angela R. Golden

Electronic Theses, Projects, and Dissertations

The purpose of this study was to examine the beetles about substance abusing parents from California State University San Bernardino (CSUSB) NEW students. The biases that human device professionals hold toward substance abusers have the potential to negatively impact clients' health, well- being, and access to services. Understanding future social workers ' biases towards substance abusing parents is key as these future professionals are likely to serve families impacted by substance abuse in their future roles. This quantitative study used a self-administered, online survey to assess the beliefs of foundation and advanced-year MSW students from CSUSB. In general, the findings …


“In A Way It’S A Violation”: Pap Smear Knowledge And Beliefs Among Underserved Women In Substance Abuse Treatment, Amberly R. Prykhodko May 2017

“In A Way It’S A Violation”: Pap Smear Knowledge And Beliefs Among Underserved Women In Substance Abuse Treatment, Amberly R. Prykhodko

Social Work Theses

Due to many factors, women in substance abuse treatment are at high risk of contracting the human papillomavirus (HPV) and developing cervical cancer. Despite this, the likelihood of accessing preventative healthcare, such as a Pap exam, is low. Substance abuse treatment facilities may be suitable access points for preventative cervical cancer screening. Using secondary focus group data, this qualitative narrative analysis examines answers given by women in substance abuse treatment regarding knowledge, experiences, barriers, and facilitators to Pap exams. The purpose of this analysis was to further understand how this population views Pap smears in order to guide best practices …


Demographic Differences In Drug Dependency: Implications For Policy, Practice, And Research, Charles D. Baker May 2017

Demographic Differences In Drug Dependency: Implications For Policy, Practice, And Research, Charles D. Baker

Honors Theses

The purpose of this research study was to examine whether there are differences in drug dependency based on demographic characteristics. The four most commonly used or abused drugs were included in this analysis (i.e., nicotine, alcohol, pain relievers, and marijuana). The secondary purpose is to explore whether there were demographic differences in mental health and drug treatment among those with a substance use disorder. Substance dependence is a state in which someone can only function normally with the presence of a drug. Past research has examined this topic to some degree; however, trends often change over time. This study found …


The Surgeon General's Facing Addiction Report: An Historic Document For Healthcare, S. Levy, J. P. Seale, Victoria A. Osborne, K. L. Kraemer, D. P. Alford, J. Baxter, D. S. Finnell, H. Kunins, A. Y. Walley, D. C. Lewis, D. Maclane-Baeder, A. J. Gordon Apr 2017

The Surgeon General's Facing Addiction Report: An Historic Document For Healthcare, S. Levy, J. P. Seale, Victoria A. Osborne, K. L. Kraemer, D. P. Alford, J. Baxter, D. S. Finnell, H. Kunins, A. Y. Walley, D. C. Lewis, D. Maclane-Baeder, A. J. Gordon

School of Social Work Faculty Publications

The publication of Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health presents an historic moment not only for the field of addiction medicine, but also for the United States as a nation. The Board of Directors of the Association for Medical Education and Research in Substance Abuse (AMERSA), on behalf of our organization, would like to express our appreciation of the efforts of Dr. Vivek Murthy and the Surgeon General's Office to publish the first surgeon general's report covering substance misuse and substance use disorders.


"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield Jan 2017

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …


Substance Abuse Cycle Intervention And Prevention For Children Of Substance Abusers, Charleena Sharon Chagoya Jun 2016

Substance Abuse Cycle Intervention And Prevention For Children Of Substance Abusers, Charleena Sharon Chagoya

Electronic Theses, Projects, and Dissertations

This research project addresses the substance abuse cycle intervention and prevention strategies used amongst individuals who are a part of generational substance abuse. Participants were recruited from an inpatient drug rehabilitation center in Southern California. Qualitative interviews were conducted in order to gain additional knowledge on this topic. The interviews were audio recorded, transcribed, and then analyzed by the researcher. Participants’ first hand experiences contributed to a better understanding of effective ways to address this cycle. The results consisted of the following themes: childhood substance abuse, environmental influence, Child Protective Services involvement, problem recognition, structure, counseling, relationships, higher power, positive …