Substance Abuse and Addiction Commons^™

Great Plains Behavioral Risk Factor Surveillance System Project, Florence G. Duran

Capstone Experience: Master of Public Health

Background: Great Plains American Indians/Alaska Natives (AI/ANs) experience higher mortality rates than Non-Hispanic Whites from the same region. The National Behavioral Risk Factors Surveillance System (BRFSS) survey can have limitations of the estimates the health risks behaviors and services from one Tribal community to another. Goals and Objectives: The goal of this project is to address the lack of Tribal specific data among AI/ANs in the Great Plains region (ND, SD, NE, IA) by using Great Plains Tribal BRFSS data that captured information for three tribes in the Great Plains region. Tribal specific data will allow tribes to access, …

Characteristics Of Inpatients With Opioid Use Disorder Seen By “Imat” Consult Service From 7/2016 - 6/2017, Katherine Nenninger, Jenny Carwile, Jonathan Fellers, Kinna Thakarar

MaineHealth Maine Medical Center

Introduction:

• For people with opioid use disorder (OUD), admission to the hospital can provide an opportunity to initiate substance use disorder (SUD) treatment and preventive care

• In 2016, a multidisciplinary “IMAT” (integrated medication for addiction treatment) inpatient team was established to help treat patients with SUD

Power Shift Within A Couple’S Journey Through Addiction, Carly Brack Marketto

Electronic Theses and Dissertations

Addiction is a rapidly growing problem for many couples, but most treatment plans focus solely on the individual with a substance abuse diagnosis rather than taking a systemic approach. Investigating the power dynamics of couples who have been through addiction and recovery could assist future treatment plans to include underlying factors in relationships instead of only addressing symptoms of the problem. This grounded theory research study strives to understand the power shift within couples when one partner goes from being in active addiction to being sober for one year or more. Power is viewed through the four aspects that Knudson-Martin …

The Self-Efficacy Of Biological Mothers And Foster Mothers Caring For Infants Prenatally Exposed To Drugs Or Treated For Nas : Examination Of Potentially Influencing Factors., Megan Kathleen Sherehiy

Electronic Theses and Dissertations

This study sought to identify demographic risk and protective factors that may relate to parental self-efficacy in biological and foster mothers caring for infants prenatally exposed to opioids. The study also examined whether participation in treatment for biological mothers and in training for foster mothers was associated with parental self-efficacy. Forty-nine women (21 biological mothers and 28 foster mothers) were surveyed. Measures included demographic, treatment, and training information. A single-item, self-report measure was used to assess satisfaction with support from friends using an item from the World Health Organization Quality of Life-Bref scale (Skevington, Lotfy, & O'Connell, 2004). The Karitane …

Poster: The Opioid Epidemic: Assessment Of Primary Prevention Interventions In Muskingum County Public Schools, Terra Armstead

Doctor of Nursing Practice Scholarly Projects

Understanding that the Opioid epidemic is much greater than an epidemic of mortality is critically important. This epidemic is also an epidemic of dependence, addiction, disability, and other severe adverse events affecting millions of people in the U.S. (Franklin, Sabel, Jones, Mai, & Baumgarter, 2015). The opiod epidemic is complex and can be considered a man made epidemic.

The Opioid Epidemic: Assessment Of Primary Prevention Interventions In Muskingum County Public Schools, Terra Armstead

Doctor of Nursing Practice Scholarly Projects

Understanding that the Opioid epidemic is much greater than an epidemic of mortality is critically important. This epidemic is also an epidemic of dependence, addiction, disability, and other severe adverse events affecting millions of people in the U.S. (Franklin, Sabel, Jones, Mai, & Baumgarter, 2015). The opiod epidemic is complex and can be considered a man made epidemic.

Editorial: Invertebrate Models Of Natural And Drug-Sensitive Reward, Moira J. Van Staaden, Robert Huber

Biological Sciences Faculty Publications

The relationship between insects and humans is a complex one, characterized biotically as commensalism, mutualism, or parasitism. This collection of papers reveals yet another dimension, in which shared history invests invertebrate models with the power to interrogate critical challenges to the human reward system. As humans we take pride in approaching a given scenario rationally, in considering the possible options, assigning them values, and then choosing that which maximizes one's individual outcomes. So, why do drug addicts make choices that inevitably lead to ruinous consequences? Fundamentally, addiction appears to impair the very ability to form considered judgments, as it strips …

Facing Addiction In College: The Effects On Alcohol, Drugs, And Academics, Alexis Frazier

Honors Theses

The goal of this thesis is to provide a comprehensive overview of collegiate recovery communities (CRCs) and collegiate recovery programs (CRPs) across the U.S for high risk students that suffer from alcohol and drug abuse. After finding the effectiveness of these programs and assessing the students’ needs in college, this research makes a recommendation for Western Michigan University to create a collegiate recovery program. A collegiate recovery program (CRP) is a college or university that provides a supportive environment within the campus culture that reinforces the decision to engage in a lifestyle of recovery from substance use (ARHE, 2019). This …

Contraception Utilization Among Women, Ages 18-45, Receiving Medication Assisted Therapy For Opioid Use Disorder In Middle Tennessee, Kerry J. Ternes

DNP Projects

The prevalence of unintended pregnancy among women receiving medication assisted treatment (MAT) for opioid use disorder (OUD) exceeds 80%. While much of the existing literature has focused on the consequences of substance use in pregnancy, few have focused on the prevention of unintended pregnancy. This study explored barriers and facilitating factors impacting contraception use among women, ages 18-45, receiving MAT for OUD in Middle Tennessee. A cross-sectional survey design was used to describe the women’s sociodemographic and health characteristics; report their knowledge, attitudes, and behaviors; and to assess if these variables are associated with current use of contraception. Among survey …

Responding To Opioid Use Disorder: Identifying The Therapeutic Commitment Of Maine Nurse Practitioners, Jordan S. Porter

DNP Projects

Background: Buprenorphine, an underutilized pharmacotherapy, can play a key role in closing the substantial opioid use disorder (OUD) treatment gap in the United States. Although 2016 US legislation authorized trained nurse practitioners (NPs) to obtain the Drug Enforcement Agency waiver to prescribe buprenorphine for OUD, many NPs do not have the waiver, and a large proportion of waivered NPs do not prescribe to capacity. Purpose: To identify the therapeutic commitment of Maine NPs to OUD as well as understand why Maine NPs do not adopt and utilize buprenorphine for the treatment of OUD. Review of Evidence: Commitment …

Religious Coping And Christ-Centered Recovery For Women With Substance Use Disorders, Mary Beth Bever

DNP Projects

Women have unique risk factors for the development of substance use disorder (SUD), barriers to SUD treatment, and risk factors for SUD relapse that require holistic care models and provide trauma-informed care approaches that address effective coping strategies. The use of religion and spirituality has been commonplace in many SUD programs to inspire the use of positive religious coping; however, negative religious coping may also be drawn on which poses a potential harm for women with SUD. The aim of this project was to assess for a correlation in positive and negative religious coping scores and program completion rates in …

The Increase In Neonatal Abstinence Syndrome From Opioids Affects Us All, Sean Withington, Shannon M. Monnat

Population Health Research Brief Series

Opioid use during pregnancy has increased dramatically in the U.S. over the past decade, leading to a surge in cases of neonatal abstinence syndrome (NAS) – babies born dependent on opioids. This issue brief discusses the impacts of NAS in the U.S. and ways we can address this important population health problem.

Prescription Medication Misuse Among American Indians In The Midwestern Us, Charley S. Lewis, Jordyn Gunville, Ryan Goeckner, Brian Chase, Lauren Clark, Jianghua He, Won S. Choi, Christine M. Daley

Journal of Health Disparities Research and Practice

Background: Prescription medications, particularly opioids, are often abused rather than used as intended by the prescribing physician. This is well-documented, though little data are available on American Indians. Misuse of other prescription medications is far less documented, but does occur and can have wide-spread effects.

Methods: We used a cross-sectional survey of American Indians in the Midwestern US (N=361) to begin to understand misuse of prescription medications, not necessarily to get high, but for any reason. Participants were recruited for this touchscreen computer-based survey at powwows, health fairs, and other community events through a convenience sample. We asked questions …

Drugs And Mental Health, Peyton Mcclellan

Show Your Stripes Research and Creative Showcase

My study focuses on drug abuse as it relates to mental health. One study was conducted where people were asked about all the prescribed medications they were on for a month or longer, and the correlation between mental health disorders and opioid use was much more direct for those who were on them for longer. Another study found that it became common for adolescents to self- medicate, and that these adolescents believed that they were curing their own mental health issues by doing so. In my study, I found several factors to contribute to this correlation.

Take Control: A Proposed Mental Health Treatment Program To Be Implemented In Youth Correctional Facilities Around Oregon Based On The Evidence-Based Target Program, Zoey S. Rochefort

OHSU-PSU School of Public Health Annual Conference

70% of youth in state and local juvenile justice systems exhibit symptoms of one or more mental health disorders and are not receiving adequate treatment. Currently, in Oregon, there is no mental health-screening requirement for youth admitted into detention centers or correctional facilities. Though this doesn’t mean kids never get diagnosed, it does mean there is a large delay in time before treatment begins where they could be receiving care. The Take Control program is working to mitigate wasted time and improve mental health treatment for youth inmates through a seven-step treatment program that provides youth with steps and strategies …

Experiences Of Veterans With Ptsd And Sud In An Outpatient Setting, Andrew Breault, Hannah Shifflett-Kohler

Thinking Matters Symposium Archive

In 2014, there were approximately 7.9 million adults in the United States with co-occurring Post Traumatic Stress Disorder (PTSD) and Substance Use Disorders (SUD) (SAMHSA, 2014). Of the veterans who served in the conflicts in Iraq and Afghanistan alone, 30% of those in SUD treatment also meet the criteria for PTSD (Seal et al, 2008, pp. 476). Furthermore, statistics show that about 20 Veterans in the United States complete suicide daily (Spiva, 2019, p. 8). The Department of Veterans Affairs is urgently seeking successful approaches to addressing the high incidence of suicides among all veterans along with the low retention …

The Effects Of Alchoholism Within Family Structures, Abbey Westmoreland, Eva Cumpton, Hyejoon Park

Posters

Employing qualitative study with purposive sampling methods, we want to study family mechanism exposed alcoholic consumption. Testing the effects of alcoholism within family structures, we examined whether children and the spouse of the alcoholic displayed any signs of emotional or physical abuse after treatment had been in place. The number of years post treatment varied upon different individuals. We also tested whether the different treatment options such as AA or in-patient treatment had longer lasting effects. The sample size included 10 white males from different backgrounds. Family sample size includes 5 white individuals, 4 females and 1 male. Outcomes were …

The Correlation Between Stress And Alcohol Consumption In College Students, Christian Dowling, Sarah Cass, Morgan Hensley, Hyejoon Park

Posters

Stress levels in the life of a college student can be extreme. Sometimes the only way that the student knows how to cope with the high levels of stress is to consume alcohol. This coping strategy is not healthy and unfortunately, the use of alcohol as a coping strategy can lead to more harm than good. Recent studies have shown that 80 percent of all college students in America consume alcohol and that almost half of those students have binge drank in the past two weeks. This study evaluates the relationship between stress levels and the level of alcohol consumption …

Ua12/2/2 2019 Talisman: Paradise, Wku Student Life

WKU Administration Documents

2019 Talisman yearbook.

• Good, Hannah. Paradise
• Morgan, Chelsea. What’s Your Paradise – Caden Dosier, Kenny Ott, Renesha Griffin, Jade Grabeel
• Rzayeva, Manzar. Don’t Wake Me Up Yet
• Fletcher, Griffin. Meet the Parrot Heads – Jimmy Buffett
• McCormick, Dillon. The Birds & the Bees – Sex Education
• Mohr, Olivia. The Gods Aren’t Dead – Samantha Williams, Paganism
• Robb, Hayley. Beyond the Rep – John Huffman, Buddy House, CrossFit
• Frodge, Jordan. Darkness Has Enveloped Me
• Baumgarten, Alex. Make Room – Bedrooms
• Brett, Amelia. A Place to Grow – Baker Arboretum
• Gordon, Zora. Backyard Attractions – Lost River Cave, Flea Land, Historic Railpark …

Increasing Hepatitis C Infection Related To Growing Opioid Epidemic, Chelsea Poell, Barbara Mcclaskey

Posters

Hepatitis C (HCV) is rapidly growing and has become the most common blood-borne infection throughout the United States. The objective of this study was to compare trends in rates of injection drug use (IDU), spe­cifically opioid injection, with national trends in the incidence of acute HCV infection to assess whether these events correlated over time. The methodology was a literature review. To test for trends researchers calculated the annual incidence rate, demographics, and risk characteristics of reported cases of acute HCV infection using surveillance data from 2004 to 2014. They also analyzed the annual percentage of admissions to substance use …