Lessons learned in COVID-19: mothers with problematic substance use and involvement with child protective services need support to promote family well-being

2021 ◽  
pp. 1-5
Author(s):  
Hanna Valeriote ◽  
Karen Milligan
Keyword(s):  
Substance Use ◽  
Child Protective Services ◽  
Well Being ◽  
Lessons Learned ◽  
Protective Services ◽  
Problematic Substance Use ◽  
Need Support ◽  
Problematic Substance

scholarly journals Community Based Interventions for Problematic Substance Use in Later Life: A Systematic Review of Evaluated Studies and Their Outcomes

2020 ◽  
Vol 17 (21) ◽  
pp. 7994
Author(s):  
Trish Hafford-Letchfield ◽  
Tricia McQuarrie ◽  
Carmel Clancy ◽  
Betsy Thom ◽  
Briony Jain
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Older People ◽  
Age Groups ◽  
Later Life ◽  
Well Being ◽  
Community Based Interventions ◽  
Complex Needs ◽  
Problematic Substance Use ◽  
Problematic Substance

Problematic substance use (PSU) in later life is a growing global problem of significant concern in tandem with a rapidly ageing global population. Prevention and interventions specifically designed for older people are not common, and those designed for mixed-age groups may fail to address the unique and sometimes complex needs of ageing communities. We report findings from a systematic review of the empirical evidence from studies which formally evaluated interventions used with older people and reported their outcomes. Nineteen studies were included, of which thirteen focused solely on alcohol-related problems. Eight interventions utilised different types of screening, brief advice and education. The remaining drew on behavioural, narrative and integrated or multi-disciplinary approaches, which aimed to meet older people’s needs holistically. Quality assessment of study design helped to review evaluation practice. Findings point to recommendations for sustainable and well-designed intervention strategies for PSU in later life, which purposefully align with other areas of health and well-being and are delivered in locations where older people normally seek, or receive, help. There is further scope for engagement with older people’s own perspectives on their needs and help-seeking behaviours. Economic evaluation of the outcome of interventions would also be useful to establish the value of investing in targeted services to this underserved population.

scholarly journals Former inpatients’ narratives of substance use four years after substance use disorder treatment: A qualitative follow-up study

2021 ◽  
pp. 145507252110507
Author(s):  
Jacob Hystad ◽  
Turid Wangensteen
Keyword(s):  
Substance Use ◽  
Treatment Outcome ◽  
Substance Use Disorder ◽  
Healthcare Providers ◽  
Well Being ◽  
Analysis Model ◽  
Successful Treatment Outcome ◽  
Problematic Substance Use ◽  
Problematic Substance ◽  
Pre Treatment

Aim: The aim of this study was to explore the narratives of former substance use disorder (SUD) inpatients about substance use after their discharge from long-term SUD treatment in 2017. Method: We conducted semi-structured in-depth interviews with 11 former inpatients of SUD treatment. The data were analysed using a qualitative, thematic analysis model. Findings: During the analysis, two main themes emerged pertaining to participant reflections on substance use – their experience of non-problematic substance use (that is, substance use without declining into pre-treatment levels of misuse behaviours) and problematic substance use (that is, substance use associated with destructive patterns). All participants except one had engaged in substance use after their discharge three to four years ago. The commonly used substance was alcohol, which also appeared to be the most common substance for which there was consensus among the informants regarding non-problematic use. Conclusions: Most of the participants continued to use substances in some way, and some reported that such use did not affect them negatively. Healthcare providers and therapists in SUD treatment should avoid defining a relapse or failed treatment outcome in concrete terms. What is perceived as an actual relapse or a failed treatment outcome is highly subjective. Furthermore, complete sobriety might not necessarily be the best or the only way to measure the SUD treatment stay. An improvement in the quality of life and well-being, even when core symptoms are still present, may be considered a successful treatment outcome.

scholarly journals Changes in Social, Romantic, and General Life Satisfaction Over the Course of a Substance Use Disorder

2021 ◽  
Vol 12 ◽  
Author(s):  
Nina C. Christie ◽  
Vanya Vojvodic ◽  
Pranav Meda ◽  
John R. Monterosso
Keyword(s):  
Substance Use ◽  
Social Life ◽  
Well Being ◽  
Prescription Opioids ◽  
Drug Of Choice ◽  
Problematic Substance Use ◽  
Problematic Substance ◽  
Domains Of Life ◽  
History Of ◽  
The Relationship

Background: The pandemic has highlighted the importance of social connection for health and well-being. Satisfaction across domains of life is associated with substance use outcomes, such as risk of relapse and mortality. Previous work has delineated the relationship between substance use and social connections, yet there is a lack of research exploring the relationship between substance use and satisfaction with domains of life over time.Methods: We retrospectively assessed satisfaction with social life, romantic life, and general life across five phases of substance use among 339 adults, of whom 289 identify as formerly having a problem with substance use, and a comparison group of 50 who report no history of problematic drug use. We compared those whose primary drug of choice was alcohol, marijuana, methamphetamine, non-prescription opioids, and prescription opioids.Results: Those who used prescription opioids reported a larger drop in satisfaction in social life, romantic life, and general life during the course of substance use than those who used other drugs. However, we report no significant differences in current satisfaction, social well-being, or quality of life between people in recovery and people with no history of problematic substance use.Conclusions: These findings—alongside neuropsychological work on the opioid system and sociality—paint a picture that those who formerly used prescription opioids may experience lower satisfaction across life domains during the course of their substance use than those who used other substances. However, people in prolonged recovery—regardless of their drug of choice—all show similar levels of satisfaction compared to people with no history of problematic substance use.

scholarly journals Mapping, assessing and promoting multiple psychological senses of community (MPSOC) through clinical pathways for treating substance use problems

2021 ◽  
pp. 145507252098597
Author(s):  
Nina Kavita Heggen Bahl ◽  
Anne Signe Landheim ◽  
Hilde Eileen Nafstad ◽  
Rolv Mikkel Blakar ◽  
Morten A. Brodahl
Keyword(s):  
Substance Use ◽  
Clinical Pathways ◽  
Collaborative Study ◽  
Social Situation ◽  
National Guidelines ◽  
Social Situations ◽  
Recovery Processes ◽  
Substance Use Problems ◽  
Problematic Substance Use ◽  
Problematic Substance

Aim: The recent nationally implemented clinical pathways for the treatment of substance use problems in Norway require mapping and assessing of patients’ needs, challenges, and resources. However, there is a lack of tools for systematically mapping and assessing patients’ social situations and social networks as part of the national guidelines. The aim of this article is to present a tool developed to map and assess the patient’s social situation, and to propose approaches for promoting multiple psychological senses of community (MPSOC) through clinical pathways for treating substance use problems. Methods: The proposed tool and approaches are developed based on findings in a previous in-depth collaborative study of MPSOC and recovery among people with substance use problems who received help and services from Norwegian municipalities. Findings: The findings suggest that multiple communities (geographical, relational and ideal) and senses of communities (within and outside treatment) simultaneously can influence individual recovery processes from problematic substance use in both positive as well as negative ways. As such, these community dimensions are of central importance to include in mapping and assessing of patients’ social situations, as well as in the promotion of MPSOC through clinical pathways. Conclusions: The suggested tool and approaches can increase the likelihood of achieving key aims of the national clinical pathways. Most important, mapping, assessing and promoting MPSOC through clinical pathways may promote long-term recovery processes and positive recovery capital for persons with substance use problems.

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