Substance Use and Treatment Need among Women Employed Full Time

Context The Smith Cognitive-Affective Model of Athletic Burnout suggests that athletic trainers (ATs) suffering from burnout may engage in substance use as a coping behavior. Increases in self-reported burnout symptoms are often associated with increases in heavy episodic drinking and tobacco use among various health care providers. However, this relationship has not been examined thoroughly. Objective To investigate the prevalence of substance use in ATs and identify relationships between symptoms of burnout and substance use among ATs. Design Cross-sectional study. Setting Web-based survey. Patients or Other Participants A total of 783 certified ATs working full time in the collegiate or university setting were sampled for this study. Graduate assistant and other part-time ATs were excluded. The survey was distributed via the National Athletic Trainers' Association membership directory e-mail broadcast service. Main Outcome Measure(s) A 100-item online questionnaire consisting of items from previously used scales was used for this study. The survey included the Maslach Burnout Inventory and questions on substance use from the Monitoring the Future study. Multiple regression analyses were performed to analyze the survey data. All independent (Maslach Burnout Inventory subscales) and dependent (use of alcohol, tobacco, and marijuana) variables were mapped to the Smith Cognitive-Affective Model of Athletic Burnout to determine which dimensions of burnout altered the odds of self-reported substance use. Results Almost half (46.3%) of participants admitted to at least 1 binge-drinking episode. However, the use of cigarettes, smokeless tobacco, marijuana, and energy drinks during the previous month was less pronounced in the sample. Emotional exhaustion (B = 0.008, P = .023) and personal accomplishment (B = −0.016, P = .02) were significantly correlated with binge drinking. Emotional exhaustion (Exp[B] = 1.017, P < .001) was also significantly positively correlated with energy-drink consumption. Conclusions Some ATs engaged in heavy episodic drinking. Emotional exhaustion and a decreased sense of personal accomplishment were significantly correlated with this behavior.

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Substance Use, Dependence or Abuse among Full-time Workers

PsycEXTRA Dataset ◽

10.1037/e374752004-001 ◽

2002 ◽

Author(s):

Keyword(s):

Substance Use ◽

Full Time

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Substance Use Treatment Need and Receipt among Hispanics

PsycEXTRA Dataset ◽

10.1037/e592642009-001 ◽

2009 ◽

Keyword(s):

Substance Use ◽

Substance Use Treatment ◽

Treatment Need

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Need for and Receipt of Substance Use Disorder Treatment Among Adults, by Gender, in the United States

Public Health Reports ◽

10.1177/00333549211041554 ◽

2021 ◽

pp. 003335492110415

Author(s):

Caitlin E. Martin ◽

Anna Beth Parlier-Ahmad ◽

Lori Beck ◽

Anna Scialli ◽

Mishka Terplan

Keyword(s):

United States ◽

Substance Use ◽

Alcohol Use ◽

Substance Use Disorder ◽

Alcohol Use Disorder ◽

White Women ◽

Unmet Need ◽

The United States ◽

Treatment Need ◽

Gender Specific

Objectives Disparities in substance use disorder (SUD) treatment use persist across groups, including gender. Using a gender-informed approach to expand treatment capacity and reduce barriers to treatment engagement is vital. We examined SUD treatment need and receipt among people with SUD in the United States, by gender, and assessed gender-specific sociodemographic factors associated with unmet need for SUD treatment and reported treatment barriers. Methods We conducted an analysis of data among adults aged ≥18 with a past-year SUD from the National Survey on Drug Use and Health (2015-2018). We computed population-adjusted frequencies and proportions for SUD treatment need and receipt and assessed gender differences. Multivariate logistic regression assessed gender-specific sociodemographic variables associated with SUD treatment receipt. Results Among adults with a past-year SUD, 63.4% were men and 36.6% were women ( P < .001), only 10.6% received SUD treatment, and a greater percentage of women than men needed treatment for opioid use disorder (11.9% vs 9.9%; P = .002). Receipt of SUD treatment was lowest among women with alcohol use disorder followed by men with alcohol use disorder (7.5% vs 8.9%; P = .052). Non-Latinx Black men had fewer than half the adjusted odds of receiving SUD treatment than non-Latinx White men (adjusted odds ratio [aOR] = 0.44; 95% CI, 0.27-0.71). Latinx women (aOR = 0.37; 95% CI, 0.18-0.73) and non-Latinx Black women (aOR = 0.51; 95% CI, 0.27-0.94) had significantly lower odds of receiving SUD treatment than non-Latinx White women. Conclusions As public health efforts target expanding SUD treatment capacity and addressing disparities in use of SUD treatment, interventions informed by gender and culture should be prioritized.

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Mental Health and Drug Treatment Need vs. Capacity

Community Risk and Protective Factors for Probation and Parole Risk Assessment Tools - Advances in Public Policy and Administration ◽

10.4018/978-1-7998-1147-3.ch009 ◽

2020 ◽

pp. 108-123

Keyword(s):

Mental Health ◽

Health Services ◽

Behavioral Health ◽

Mental Health Treatment ◽

Standing Position ◽

Psychiatric Evaluation ◽

Full Time ◽

Health Treatment ◽

Treatment Need ◽

Local District

In 2018, the local District of Columbia auditor found that a section of the Department of Behavioral Health that performed psychiatric evaluations had significant staff turnover and long-standing position vacancies and that there had been a several-week period when approximately one-fourth of the Division's full-time positions were vacant. As a result, the Department's psychiatric evaluation waitlist grew, delaying many defendants' evaluations beyond the statutorily permissible timeframe. When the problem persisted, DC Superior Court judges threatened contempt citations. Moreover, the Department relied on a network of small to mid-sized nonprofit agencies to provide the vast majority of public behavioral health services. However, many of these nonprofits had experienced lengthy delays in reimbursement stemming from the Department of Behavioral Health's billing software, and some were forced to close. These circumstances suggested the CSOSA clients would have been unlikely to have received mental health treatment.

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