The impact of power dynamics when counselling clients with problematic substance use

Abstract Objective and Methods The transition of HIV from an acute, fatal illness to a chronic health condition has shifted the treatment needs of people living with HIV (PLWH). PLWH, including sexual minority men (SMM), are living longer and are subject to health concerns often associated with aging. A major health concern of older SMM living with HIV who report problematic substance use is chronic pain. This qualitative analysis of 15 one-on-one interviews with older SMM living with HIV and chronic pain aimed to characterize this population’s experiences with pain, engagement in HIV care, and problematic substance use. This study was conducted in a community health center in Boston, MA. We also solicited suggestions for preferred intervention strategies. Results Three main themes emerged from the interview transcripts: 1) the impact of chronic pain and pain treatment on engagement in HIV clinical care; 2) the impact of substance use on chronic pain; and 3) response to interventions to address chronic pain and substance use. Conclusions These findings underscore the need for interventions that address the structural, physical, and psychological barriers to engagement in medical and self-care that affect older SMM living with HIV and chronic pain.

Download Full-text

An exploratory case study of the impact of psychiatric service dogs on problematic substance use among PTSD-diagnosed veterans

Journal of Substance Use ◽

10.1080/14659891.2019.1664663 ◽

2019 ◽

Vol 25 (2) ◽

pp. 113-117

Author(s):

Alicia Husband ◽

Anan Ahmed ◽

Colleen Anne Dell

Keyword(s):

Substance Use ◽

Psychiatric Service ◽

Service Dogs ◽

Exploratory Case Study ◽

Problematic Substance Use ◽

Problematic Substance ◽

Psychiatric Service Dogs ◽

The Impact

Download Full-text

The impact of problematic substance use on partners’ interpersonal relationships: qualitative analysis of counselling transcripts from a national online service

Drugs Education Prevention and Policy ◽

10.1080/09687637.2018.1472217 ◽

2018 ◽

Vol 26 (5) ◽

pp. 429-436 ◽

Cited By ~ 5

Author(s):

Samara R. Wilson ◽

Dan I. Lubman ◽

Simone Rodda ◽

Victoria Manning ◽

Marie B. H. Yap

Keyword(s):

Substance Use ◽

Qualitative Analysis ◽

Interpersonal Relationships ◽

Online Service ◽

Problematic Substance Use ◽

Problematic Substance ◽

The Impact

Download Full-text

Parenting Interventions for Mothers With Problematic Substance Use: A Systematic Review of Research and Community Practice

Child Maltreatment ◽

10.1177/1077559519873047 ◽

2019 ◽

Vol 25 (3) ◽

pp. 247-262

Author(s):

Karen Milligan ◽

Tamara Meixner ◽

Monique Tremblay ◽

Lesley A. Tarasoff ◽

Amelia Usher ◽

...

Keyword(s):

Substance Use ◽

Emotional Regulation ◽

Research Literature ◽

Future Research ◽

Community Practice ◽

Parenting Interventions ◽

Problematic Substance Use ◽

Two Samples ◽

Problematic Substance ◽

The Impact

Women with problematic substance use are frequently referred to interventions to promote positive parenting. Parenting interventions that attend to the unique risks faced by this population may enhance engagement and outcomes. While reviews of extant parenting interventions in the research literature have been undertaken, no studies have examined parenting interventions being implemented in community practice and the extent to which these are informed by current research. We systematically compared parenting interventions offered in 12 maternal substance use treatment programs in one Canadian province with those described in the research literature ( K = 21). Few parenting interventions were replicated, either within or across the two samples. However, parenting interventions within both samples were largely similar in their objectives. Across both research and community samples, approximately half of the interventions were developed or adapted for a problematic substance use population. Parenting knowledge, psychosocial risk, and maternal emotional regulation were most commonly addressed. Risks pertaining to the impact of drug craving and substance-related changes in neurobiology associted with parenting were less commonly addressed. Findings highlight current strengths and limitations of parenting interventions within research and community settings, with recommendations offered for future research and knowledge translation.

Download Full-text

Substance use in pregnancy: The medical challenge

Obstetric Medicine ◽

10.1177/1753495x17750299 ◽

2018 ◽

Vol 11 (2) ◽

pp. 54-66 ◽

Cited By ~ 8

Author(s):

Kerry-Ann Louw

Keyword(s):

Substance Use ◽

Child Outcomes ◽

Critical Window ◽

Child Health Outcomes ◽

Problematic Substance Use ◽

Problematic Substance ◽

Health And Development ◽

The Impact ◽

In Pregnancy

Substance use contributes significantly to the global burden of disease. Growing numbers of women use nicotine, alcohol, and illicit substances. Women are the most vulnerable to problematic substance use in their reproductive years. The first 1000 days of life, starting at conception, have been established as a critical window of time for long-term health and development. Substance use in pregnancy is associated with negative pregnancy and child health outcomes. The impact of antenatal substance use on these outcomes needs to be considered within a challenging and complex context. This review provides an overview of the current literature on the impact of substances on pregnancy and child outcomes as well as the evidence and guidelines on screening and interventions for women using substances during pregnancy.

Download Full-text