Efficacy of ecologically-based treatment with substance-abusing homeless mothers: Substance use and housing outcomes

Mental illness and substance use disorders (SUDs) are strong risk factors for homelessness, regardless of Veteran status. This chapter describes the interplay between mental illness, SUDs, the co-occurrence of these disorders (CoD), and homelessness among Veterans; the authors consider military-specific experiences (e.g., combat) and factors associated with homelessness for both Veteran and non-Veteran adults (e.g., childhood adversity). They present epidemiology data on mental illness and SUDs among homeless Veterans, considering specific diagnoses (e.g., post-traumatic stress disorder) and experiences (e.g., military sexual trauma) that are highly prevalent within or unique to persons who served in the United States Armed Forces. In addition, the authors present qualitative and quantitative data on pathways to homelessness for Veterans with mental illness, SUDs, and/or CoD, considering distinct pathways seen in special populations (e.g., women Veterans, who have high rates of trauma, and the newest cohort of Veterans who served in Iraq or Afghanistan). Last, the authors discuss supported housing outcomes for homeless Veterans with psychiatric disorders and SUDs. They discuss the utility of these programs for homeless Veterans with mental health problems and explore the influence of psychiatric disorders and SUDs among Veterans with poor supported housing outcomes.

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Behavioral Couples Therapy for Alcoholism and Drug Abuse: Where We’ve Been, Where We Are, and Where We’re Going

Journal of Cognitive Psychotherapy ◽

10.1891/jcop.2005.19.3.229 ◽

2005 ◽

Vol 19 (3) ◽

pp. 229-246 ◽

Cited By ~ 47

Author(s):

William Fals-Stewart ◽

Timothy J. O’Farrell ◽

Gary R. Birchler ◽

James Córdova ◽

Michelle L. Kelley

Keyword(s):

Substance Abuse ◽

Substance Use ◽

Partner Violence ◽

Psychosocial Functioning ◽

Couples Therapy ◽

Empirical Support ◽

Cost Benefit ◽

Substance Abusing ◽

Future Directions ◽

Behavioral Couples Therapy

Among the various types of couple and family therapies used to treat substance abuse, Behavioral Couples Therapy (BCT) has the strongest empirical support for its effectiveness. During the last 3 decades, multiple studies have consistently found participation in BCT by married or cohabiting substance-abusing patients results in significant reductions in substance use, decreased problems related to substance use (e.g., job loss, hospitalization), and improved relationship satisfaction. Recently, investigations exploring other outcomes have found that, compared to traditional individual-based treatments, participation in BCT results in significantly (a) higher reductions in partner violence, (b) greater improvements in psychosocial functioning of children who live with parents who receive the intervention, and (c) better cost-benefit and cost-effectiveness. In addition to providing an overview of the theoretical underpinnings of BCT, methods used with this intervention, and the literature supporting its use, this article also examines the future directions of BCT research for substance abuse.

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Substance Abusing Adolescent Females: Substance Use, Personality, And Physical Health

PsycEXTRA Dataset ◽

10.1037/e322352004-268 ◽

2002 ◽

Author(s):

Susan Parks ◽

Ada C. Mezzich ◽

Kathi Pajer ◽

Marija Dunn

Keyword(s):

Substance Use ◽

Physical Health ◽

Adolescent Females ◽

Substance Abusing

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SUBSTANCE-ABUSING PREGNANT WOMEN: PRENATAL INTERVENTION USING ULTRASOUND CONSULTATION AND MENTALIZATION TO ENHANCE THE MOTHER-CHILD RELATIONSHIP AND REDUCE SUBSTANCE USE

Infant Mental Health Journal ◽

10.1002/imhj.21574 ◽

2016 ◽

Vol 37 (4) ◽

pp. 317-334 ◽

Cited By ~ 15

Author(s):

Helena Pajulo ◽

Marjukka Pajulo ◽

Heidi Jussila ◽

Eeva Ekholm

Keyword(s):

Substance Use ◽

Pregnant Women ◽

Substance Abusing ◽

Child Relationship ◽

Prenatal Intervention ◽

Mother Child Relationship

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Mental disorders and harmful substance use in children of substance abusing parents: A longitudinal register-based study on a complete birth cohort born in 1991

Drug and Alcohol Review ◽

10.1111/dar.12417 ◽

2016 ◽

Vol 35 (6) ◽

pp. 728-740 ◽

Cited By ~ 24

Author(s):

Marke Jääskeläinen ◽

Marja Holmila ◽

Irma-Leena Notkola ◽

Kirsimarja Raitasalo

Keyword(s):

Substance Use ◽

Mental Disorders ◽

Birth Cohort ◽

Substance Abusing ◽

Harmful Substance

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Treatment of Substance Use Disorders

Treating and Preventing Adolescent Mental Health Disorders ◽

10.1093/med-psych/9780199928163.003.0018 ◽

2017 ◽

pp. 427-458

Author(s):

Claudia Szobot

Keyword(s):

Substance Abuse ◽

Substance Use ◽

Treatment Programs ◽

Substance Abusing ◽

Evidence Based ◽

Medical Problems ◽

Relevant Role ◽

Psychosocial Approaches ◽

Preventive Role ◽

Intensity Of Treatment

This chapter reviews psychosocial and pharmacological approaches to the treatment of substance abuse in adolescents. Effective early intervention is crucial because it can play a preventive role in later years. Treatment is complicated by several factors: (1) adolescents use multiple substances; (2) rates of comorbid psychiatric disorders are high; (3) substance abuse is common in family members; and (4) adolescents rarely seek treatment voluntarily but are usually coerced after experiencing school, legal, or medical problems. Treatment programs must be designed specifically for adolescents, and the intensity of treatment should be based on the severity of drug use and the associated combination of risk and protective factors. Among psychosocial approaches, family therapy has a relevant role. The use of medication is complex and depends on the drug used and the presence of comorbidities. Despite the need for advances in this area, there are evidence-based approaches to offer for substance-abusing adolescents.

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