Systemic Issues in the Opioid Epidemic: Supporting the Individual, Family, and Community

The research aims to study the impact of unemployment on the social conditions in the Palestinian society from the point of view of the unemployed youth, especially in the current time period (2019), the researcher used the descriptive analytical method, and the research community consists of young people in the governorate of Ramallah. The researcher used the questionnaire tool, and the data were analyzed by the analysis program (SPSS). It was found that the majority of youth are unemployed, they are middle age, single and large families, urban residents, people with specialties and low income. As for the results of the research, there was an increase in the impact of the forms of unemployment on the social conditions of the individual, family and society and their outlook towards the future, came the highest degree on the social conditions of the individual (6. 90%) and then the social conditions of the family (3. 83%), Followed by the societal conditions to reach the value (78%), came the lowest values for the outlook for the future, which amounted to (67%). Some of the features of the impact of unemployment, including the tension, anxiety and frustration of the young group. As for the nature of the relationship between the variables of the study, there was a statistically significant relationship between the combined unemployment and the low income, between the apparent, persuasive and compulsory unemployment, and the individual, family and societal situations and the outlook for them. At the end of the research a number of recommendations were made, most notably the need to balance the types of education and activate the social and cultural role of the family.

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Evaluating the Impact of Culturally-Specific Patient-Centric Behavioral Intervention Package versus Usual care for Tobacco Cessation among Patients attending Non- Communicable Disease Clinics in North India: A Single-Blind Trial Pilot Study Protocol (Preprint)

10.2196/preprints.25684 ◽

2020 ◽

Author(s):

GARIMA BHATT ◽

SONU GOEL ◽

RAKESH GUPTA ◽

SANDEEP GROVER ◽

BIKASH MEDHI

Keyword(s):

Usual Care ◽

Behavioral Intervention ◽

Tobacco Cessation ◽

Intervention Package ◽

Culturally Specific ◽

Specific Patient ◽

Individual Family ◽

The Individual ◽

Patient Centric

BACKGROUND In a low & middle-income country (LMIC) like India, non – communicable diseases (NCDs) contribute a major proportion (61.8%) of all causes of death. Out of this 48% of cardiovascular diseases (CVDs), 23% of Chronic Respiratory Diseases (CRDs), 10% of Cancer deaths are attributable to tobacco use. Tobacco use is a major risk factor for NCDs and thus, the tobacco cessation approach is a high priority intervention to combat complications and death among NCD patients. While there are several interventions available for tobacco cessation, in resource constraint country like India, the effectiveness of low cost, culturally specific patient-centric tobacco cessation behavioral intervention holds a potential which needs to be evaluated. OBJECTIVE In this study, a newly devised evidence-based tobacco cessation intervention package including a behavioral approach will be compared with the existing/usual care provided under the National Programme for Prevention and Control of Cancers, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) at NCD clinics. METHODS Design: Two arm, parallel-group randomized controlled trial. Participants: Patients aged ≥ 30 years suffering from any NCD, currently using tobacco and attending NCD clinics in two districts of Punjab, India. Sample size: A total of 200 participants meeting the selection criteria will be recruited. They will be allocated either to the intervention arm or control (usual care) arm (100 each) using block randomization. Intervention: For the participants, there will be four face-to-face disease-specific cessation counseling sessions, disease-specific pamphlets, short text messages in vernacular language i.e, Punjabi. Follow-ups will be done at the 3rd, 6th, 9th, and 12th months. Primary outcome: Seven-day abstinence, biochemically verified by plasma cotinine levels. Secondary outcome: Quit attempts, number of sticks/number of times of SLT usage in a day, and stage of behavior change in tobacco user. RESULTS This multi-component culturally specific- patient-centric behavioral intervention package for tobacco cessation at NCD clinic settings with a focus on the individual, family, and social environment could increase the outreach of cessation services using existing resources thereby strengthening health systems and improving the quality of life of NCD patients. CONCLUSIONS This multi-component culturally specific- patient-centric behavioral intervention package for tobacco cessation at NCD clinic settings with a focus on the individual, family, and social environment could increase the outreach of cessation services using existing resources thereby strengthening health systems and improving the quality of life of NCD patients. CLINICALTRIAL The study protocol is registered with Clinical Trials Registry, India. The registration number is CTRI/2018/01/011643.

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The Individual Family Life Space Drawing

Assessing Family Relationships ◽

10.4324/9781351007528-8 ◽

2019 ◽

pp. 73-94

Author(s):

Theresa A. Beeton ◽

Ronald A. Clark

Keyword(s):

Family Life ◽

Life Space ◽

Individual Family ◽

The Individual

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The Integrated Use of Individual and Family Psychotherapy

The Canadian Journal of Psychiatry ◽

10.1177/070674378402900203 ◽

1984 ◽

Vol 29 (2) ◽

pp. 89-97 ◽

Cited By ~ 11

Author(s):

P.D. Steinhauer ◽

G.W. Tisdall

Keyword(s):

Family Therapy ◽

Family Structure ◽

Individual Therapy ◽

The Other ◽

Individual Psychotherapy ◽

Concurrent Use ◽

The Family ◽

Individual Family ◽

The Individual ◽

Individual Clinician

For almost thirty years after the development of family therapy, the concurrent use of family and individual psychotherapy was seen as incompatible by leading proponents of each modality. Although recently the literature has revealed an increased willingness to utilize family and individual therapies concurrently, the decision for or against any such combination has been left largely to the intuition or bias of the individual clinician. This paper suggests the concurrent use of family and individual psychotherapies when disturbances of family structure and interaction co-exist with, reinforce, and are maintained by largely ego-syntonic internalized psychopathology (that is, the character defences of individual family members). It provides a rationale for integrating the concurrent therapies, and uses clinical examples to illustrate how each can potentiate the other. There is a discussion of indications and contraindications for the integrated use of concurrent family and individual therapy. From their attempts to apply these principles, the authors conclude that the experience for the family, the individual and the therapists is that the selective and integrated use of concurrent family and individual therapies can achieve more than can either therapy alone — the whole is greater than the sum of the parts.

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Decision Making in Eating Behavior: Interacting Perspectives from the Individual, Family, and Environment: An Introduction

Annals of Behavioral Medicine ◽

10.1007/s12160-009-9128-1 ◽

2009 ◽

Vol 38 (S1) ◽

pp. 1-3 ◽

Cited By ~ 6

Author(s):

Alexander J. Rothman ◽

Ardyth H. Gillespie ◽

Wendy L. Johnson-Askew

Keyword(s):

Decision Making ◽

Eating Behavior ◽

Individual Family ◽

The Individual

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Child Psychiatry and Early Intervention: I. The Aggregate Burden of Suffering*

The Canadian Journal of Psychiatry ◽

10.1177/070674379203700404 ◽

1992 ◽

Vol 37 (4) ◽

pp. 230-233 ◽

Cited By ~ 4

Author(s):

J.H. Beitchman ◽

Alison Inglis ◽

Debbie Schachter

Keyword(s):

Early Intervention ◽

Psychiatric Disorders ◽

Child Psychiatry ◽

Intervention Programs ◽

Community Resources ◽

Childhood Disorders ◽

Individual Family ◽

The Individual ◽

Aggregate Burden

This paper discusses the need to estimate the costs of an illness to properly allocate intervention resources for the various psychiatric disorders of childhood. Disorders that require the most community resources should be given the highest priority for early intervention programs. Factors to consider for estimating disorders which are most costly are discussed here: the incidence of the disorder, its severity, whether it is episodic or stable, and its impact on the individual, family and the community. These factors contribute to the aggregate burden of suffering caused by a disorder.

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The Impact of Disability: A Family Crisis

Journal of Applied Rehabilitation Counseling ◽

10.1891/0047-2220.13.3.25 ◽

1982 ◽

Vol 13 (3) ◽

pp. 25-29 ◽

Cited By ~ 1

Author(s):

Susan Reagles

Keyword(s):

Social Adjustment ◽

Typical Pattern ◽

Family Crisis ◽

The Family ◽

Individual Family ◽

Adjustment To Disability ◽

The Individual ◽

Adjustment Issues ◽

The Impact

A disability experienced by one family member impacts on all individuals in the family unit and influences their typical pattern of interaction. The process of individual and family adjustment to disability, a family crisis, is seen in a case study of Sam and his diagnosis of multiple sclerosis. The individual, family and social adjustment issues, including redefinition of family, social, sexual and work roles, are examined in a real live context. Tentative recommendations for professionals working with families in which an individual becomes disabled are developed from personal interviews with Sam and his family.

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