Managing Thoughts of Using Substances

2019 ◽  
pp. 95-100
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
High Risk ◽  
Self Confidence ◽  
Risk Of Relapse

Helping clients to become aware of and challenge thoughts of using substances reduces the risk of relapse and raises the client’s level of self-confidence. Clients who experience a high-risk relapse situation and have positive thoughts of using are more vulnerable to taking a drink, smoking, or using other drugs. This is especially true if the client has little confidence in his or her ability to manage thoughts of using. The objectives of this chapter are to help the client become aware of how thoughts of using substances can contribute to relapse, to help the client identify common thoughts and apparently irrelevant decisions that precede substance use, and to help the client learn strategies to manage and challenge thoughts of using alcohol, tobacco, or other drugs.

Foster Care Factors and Permanency for Children With Substance-Related Removals

2020 ◽  
pp. 104438942094722
Author(s):  
Margaret H. Lloyd Sieger
Keyword(s):  
Substance Use ◽  
Foster Care ◽  
Child Welfare ◽  
High Risk ◽  
Substance Use Disorder ◽  
Care Setting ◽  
Foster Parent ◽  
Vulnerable Group ◽  
Children In Foster Care ◽  
Socioeconomic Risk

Children in foster care due to parental substance use disorder are at high risk for delayed permanency. Understudied is the effect of foster care factors on these children’s exits from care. This study analyzed 10 years of federal child welfare data to understand the effect of foster care placement, provider, and support factors for this vulnerable group. Results revealed that several foster care variables influenced time to, and likelihood of, permanency for children with substance-related removals. Foster care setting, foster parent age and race, and several types of federal supports affected permanency trajectories. Children in homes receiving more federal supports were less likely to achieve permanency, suggesting the insufficiency of these supports to counteract the effects of socioeconomic risk on permanency.

Innovative Draping Method to Mitigate Aerosolization During Coronavirus Pandemic

2020 ◽  
Vol 3 (2) ◽  
pp. 73-76
Author(s):  
Kripa Dongol ◽  
Yogesh Neupane ◽  
Dipesh Shakya
Keyword(s):  
Viral Load ◽  
High Risk ◽  
Operating Room ◽  
Healthcare Workers ◽  
Operative Procedure ◽  
High Viral Load ◽  
Upper Airways ◽  
Self Confidence ◽  
Additional Form

Otolaryngologists are at high risk of acquiring coronavirus because most of the procedures are aerosol generating and we have to deal with upper airways which contain high viral load. The objective of this study is to elaborate the draping technique which diminishes aerosol in the operating room. Use of a framework and a drape with customized hand insertion ports help to contain the aerosol generated during the operative procedure. The draping technique acts as an additional form of protection from aerosol along with an increase in self-confidence to the healthcare workers during this pandemic.

Refusing Offers to Use Substances

2019 ◽  
pp. 111-116
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
High Risk ◽  
Social Pressure ◽  
Emotional States ◽  
Social Pressures

Social pressures are the second most common relapse precipitant after negative emotional states. Clients who are not prepared to resist pressures to use are more vulnerable to relapse. Direct social pressures include situations in which others offer the client substances. Pressure may vary from mild to extreme, in which another person tries hard to influence the client to use. The objectives of this chapter are to help the client identify direct and indirect social pressures (people, places, events, social and work situations) to use alcohol, tobacco, or other drugs; to identify feelings experienced during social pressure situations (e.g., anger, anxiety, excitement); to identify thoughts experienced during social pressure situations (e.g., wanting to fit in, wanting to be normal, thinking substance use can be limited or controlled); and to identify strategies to avoid high-risk people, places, situations, and events and to cope with social pressures that cannot be avoided.

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