scholarly journals Making Choices and Reducing Risk (MCARR): School Counseling Primary Prevention of Substance Use

2021 ◽  
Vol 11 (3) ◽  
pp. 352-369
Author(s):  
Louisa L. Foss-Kelly ◽  
Margaret M. Generali ◽  
Michael J. Crowley
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Student Attitudes ◽  
School Community ◽  
Longitudinal Impact ◽  
Addictive Behaviors ◽  
Making Choices ◽  
Drug And Alcohol Use ◽  
The Impact ◽  
Drug And Alcohol

The consequences of adolescent drug and alcohol use may be serious and far-reaching, forecasting problematic use or addictive behaviors into adulthood. School counselors are particularly well suited to understand the needs of the school community and to seamlessly deliver sustainable substance use prevention. This pilot study with 46 ninth-grade students investigates the impact of the Making Choices and Reducing Risk (MCARR) program, a drug and alcohol use prevention program for the school setting. The MCARR curriculum addresses general knowledge of substances and their related risks, methods for evaluating risk, and skills for avoiding or coping with drug and alcohol use. Using a motivational interviewing framework, MCARR empowers students to choose freely how they wish to behave in relation to drugs and alcohol and to contribute to the health of others in the school community. The authors hypothesized that the implementation of the MCARR curriculum would influence student attitudes, knowledge, and use of substances. Results suggest that the MCARR had a beneficial impact on student attitudes and knowledge. Further, no appreciable increases in substance use during the program were observed. Initial results point to the promise of program feasibility and further research with larger samples including assessment of longitudinal impact.

scholarly journals Use of Alcohol and Unprescribed Drugs after Suicide Bereavement: Qualitative Study

2019 ◽  
Vol 16 (21) ◽  
pp. 4093 ◽  
Author(s):  
Jessica Eng ◽  
Lauren Drabwell ◽  
Fiona Stevenson ◽  
Michael King ◽  
David Osborn ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Online Survey ◽  
Free Text ◽  
Alcohol And Drugs ◽  
Suicide Bereavement ◽  
Drug And Alcohol Use ◽  
Relationship Of ◽  
The Impact ◽  
Drug And Alcohol ◽  
The Relationship

Studies describing the impact of suicide bereavement report an excess risk of suicide, suicide attempt, psychiatric illness, and drug and alcohol use disorders compared with the general population. However, the nature of patterns of drug and alcohol use after suicide bereavement is unclear. We used an online survey to collect qualitative data to understand whether and how drug and alcohol use changes after suicide bereavement. We conducted thematic analysis of free-text responses to a question capturing their use of alcohol and drugs after the suicide of a family member or a close friend. Analysing data from 346 adults in Britain aged 18–40, we identified three main themes describing the relationship of suicide bereavement to alcohol or drug use: (1) control over drug or alcohol use, (2) the perceived purpose of using drugs or alcohol, and (3) the attribution of drug or alcohol misuse to external factors. Overlying these themes were dimensions of control and of awareness of potential harms. This study highlights that increased use of drugs and alcohol after suicide bereavement may form part of a bereaved person’s coping strategies, and that sensitive approaches are needed when judging whether and when to intervene.

scholarly journals Framing drug and alcohol use as a public health problem in Britain

2018 ◽  
Vol 35 (2) ◽  
pp. 93-99 ◽  
Author(s):  
Alex Mold
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Alcohol Use ◽  
Health Problem ◽  
Public Health Problem ◽  
Alcohol Problems ◽  
Drugs And Alcohol ◽  
Drug And Alcohol Use ◽  
The Uk ◽  
Drug And Alcohol

Recent attempts to approach drug and alcohol problems as a public health issue in the UK and globally have begun to achieve some success. Yet, in historical terms, the idea that the use of psychoactive substances should be regarded as a public health problem is a relatively new one. In the UK, it was only in the latter half of the 20th century that what were termed “public health” approaches to alcohol and drugs began to gain purchase. Moreover, what was meant by a “public health” framing of psychoactive substance use changed over time and between substances. This article examines the development of public health approaches to drugs and alcohol in Britain since the 19th century. It suggests that a public health view of substance use existed alongside, and interacted with, other approaches to drug and alcohol use. To understand the meaning of a “public health” framing of drugs and alcohol we need to locate this in historical and geographical context.

Variation in Drug and Alcohol Use among Agricultural Laborers: Watermelon Men in the Rural South

2009 ◽  
Vol 68 (2) ◽  
pp. 115-128 ◽  
Author(s):  
Keith Bletzer ◽  
Norman Weatherby
Keyword(s):  
Alcohol Use ◽  
Symbolic Violence ◽  
Home Base ◽  
Rural South ◽  
Drugs And Alcohol ◽  
Agricultural Laborers ◽  
Short Season ◽  
Drug And Alcohol Use ◽  
The Impact ◽  
Drug And Alcohol

Agricultural workers in general face the impact of daily structural and symbolic violence, which can lead to excessive use of drugs and alcohol. "Watermelon Men" who dedicate themselves to watermelon harvesting have high use levels owing to the way that accommodations and work are organized over a labor-intensive short season. This article combines data from a risk assessment of 681 individuals in a winter home-base community and multi-site ethnography that generated interviews with 140 individuals to discuss factors that lead to excessive drug and alcohol use during peak season in high-wage crops such as watermelon.

scholarly journals Literary and biographical perspectives on substance use

2003 ◽  
Vol 9 (1) ◽  
pp. 62-68 ◽  
Author(s):  
Ed Day ◽  
Iain Smith
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Psychoactive Substances ◽  
Addictive Disorders ◽  
Current Drug ◽  
Drug Culture ◽  
Literary Process ◽  
Drug And Alcohol Use ◽  
Drug And Alcohol

This article attempts to give a flavour of the influence that psychoactive substances have had on many authors and the literary process. It explores the idea of the narrative as it is applied to addictive disorders and gives a range of examples of writing about different substances that might enhance the reader's knowledge of current drug culture. The portrayal in literature of doctors with addictions is presented as a warning against the development of such problems in psychiatrists. The authors hope to have demonstrated that literature can be a valuable tool in understanding the experience of drug and alcohol use and addiction.

scholarly journals P123 Drug and alcohol use in GU medicine attendees – what is the impact on sexual health?

2016 ◽  
Vol 92 (Suppl 1) ◽  
pp. A62.3-A62
Author(s):  
Iona Maxwell ◽  
Jennifer Akerman ◽  
Raj Patel ◽  
Elizabeth Foley
Keyword(s):  
Alcohol Use ◽  
Sexual Health ◽  
Drug And Alcohol Use ◽  
The Impact ◽  
Drug And Alcohol

Improving lives not just saying no to substances: Evaluating outcomes for a young people’s substance use team trained in the AMBIT approach

2021 ◽  
Vol 26 (2) ◽  
pp. 490-504
Author(s):  
Peter Fuggle ◽  
Laura Talbot ◽  
James Wheeler ◽  
Jessica Rees ◽  
Emily Ventre ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Alcohol Use ◽  
Young People ◽  
Peer Relationships ◽  
Functional Outcomes ◽  
Daily Living ◽  
Mental Health Problems ◽  
Integrative Therapy ◽  
The Impact

Adaptive Mentalization Based Integrative Therapy (AMBIT) is a systemic, mentalization based intervention designed for young people with multiple problems including mental health problems. The purpose of this paper is to examine the impact of this approach both on clinical and functional outcomes for young people seen by a specialist young people’s substance use service between 2015 and 2018. About 499 cases were seen by the service during this period. Substance use outcomes were obtained for 383 cases using the Treatment Outcome Profile (TOP). Cannabis and alcohol use were the key substance use problems for 81% and 63% respectively. Functional outcomes using the AMBIT Integrative Measure (AIM) were obtained for 100 cases covering domains of daily living, socio-economic context, peer relationships and mental health. At treatment end, cannabis use reduced significantly ( t = 10.78; df = 311; p = .00; Cohen’s d ES.61 as did alcohol use ( t = 6.938; df = 242; p = .000; ES 0.44). Functional improvements were shown in five out of seven domains with highly significant total functional improvements on key problems selected by the client ( t = 14.01; df = 99; p = .000; ES1.34). Measuring functional as well as clinical outcomes appears to reflect more accurately the overall benefit of the service to clients.

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