Addictions: Evidence for Integrative Treatment

2018 ◽  
Author(s):  
Mary F. Morrison ◽  
Karen Lin ◽  
Susan Gersh
Keyword(s):  
Substance Use ◽  
Music Therapy ◽  
Dietary Supplements ◽  
Substance Use Disorders ◽  
Integrative Medicine ◽  
Complementary Therapies ◽  
Low Cost ◽  
Illicit Substance Use ◽  
Other Substances ◽  
Integrative Therapies

Legal and illicit substance use disorders are common conditions associated with substantial impairment in health as well as social and occupational functioning. Integrative medicine proposes modalities that offer promise for increasing the likelihood of undertaking treatment for substance use as well as retaining individuals in treatment. Of the integrative therapies discussed, mindfulness-based therapies have both the greatest number of and most rigorous studies for substance use disorders. Mindfulness-based therapies can significantly reduce the consumption of tobacco, alcohol, and other substances compared to control conditions. Complementary therapies reviewed include acupuncture, mindfulness-based practices, exercise, yoga, biofeedback and neurofeedback, art and music therapy, as well as diet and dietary supplements, both herbal and vitamin. Given the high acceptability and low cost of integrative medicine interventions, studies employing these techniques as adjunctive therapies to conventional treatments should be more vigorously supported if they are well-designed and include adequate numbers of subjects.

scholarly journals Smartphone Apps Targeting Alcohol and Illicit Substance Use: Systematic Search in in Commercial App Stores and Critical Content Analysis (Preprint)

2018 ◽  
Author(s):  
Babak Tofighi ◽  
Chemi Chemi ◽  
Jose Ruiz-Valcarcel ◽  
Paul Hein ◽  
Lu Hu
Keyword(s):  
Substance Use ◽  
Content Analysis ◽  
Substance Use Disorders ◽  
Low Cost ◽  
Descriptive Analysis ◽  
Systematic Search ◽  
Evidence Based ◽  
Smartphone Apps ◽  
Illicit Substance Use ◽  
Critical Content

BACKGROUND Smartphone apps promise to enhance the reach of evidence-based interventions (cognitive behavior therapy, contingency management and therapeutic education system) for populations with substance use disorders, with minimal disruption to health systems. However, further studies are needed to systematically evaluate smartphone apps targeting alcohol and illicit substances. OBJECTIVE The aim of this study was to evaluate the functionality, aesthetics, and quality of information of free or low-cost apps claiming to target alcohol, benzodiazepine, cocaine, crack/cocaine, crystal methamphetamine, and heroin use using the validated Mobile App Rating Scale (MARS) and critical content analysis. METHODS A systematic search of iTunes and Google Play app stores for free or low-cost apps facilitating recovery was conducted in March 2018 and yielded 904 apps using the keywords described in previous studies (eg, recovery, sobriety, sober, alcohol, and heroin). An interdisciplinary team of clinicians, behavioral informatics, and public health reviewers trained in substance use disorders conducted a descriptive analysis of 74 apps categorized as reducing use. In addition to the MARS scale, a descriptive analysis of relevant apps was conducted by the study team to assess for quality indicators emphasized by expert guidelines and review articles. RESULTS Most apps (n=74) claimed to reduce use or promote abstinence and yielded an overall low median MARS score of 2.82 (0.55) and a wide range of scores (1.64, 4.20). Ratings were also low for engagement (2.75 (0.72)), functionality (3.64 (0.78)), aesthetics (3.03 (0.87)), information (2.82 (0.62)), and satisfaction (1.76 (0.67)) subdomains. Innovative design and content features elicited in the review included initial assessments of substance use following app download, tracking substance use, and related consequences (eg, cost or calorie intake), remote and proximate peer support per geospatial positioning, and allowing users and family members of individuals with substance use disorders to locate 12-step meetings, treatment programs, and mental health services. Few apps integrated evidence-based psychotherapeutic (eg, cognitive behavioral therapy [CBT] or motivational interviewing) and pharmacologic interventions (eg, naloxone or buprenorphine). CONCLUSIONS Few commercially available apps yielded in our search integrated evidence-based interventions (eg, extended-release naltrexone, buprenorphine, naloxone, Self-Management and Recovery Training recovery, or CBT), and a concerning number of apps promoted harmful drinking and illicit substance use.

Music therapy for people with substance use disorders

2020 ◽  
Author(s):  
Claire Ghetti ◽  
Xi-Jing Chen ◽  
Annette K Brenner ◽  
Laurien G Hakvoort ◽  
Lars Lien ◽  
...  
Keyword(s):  
Substance Use ◽  
Music Therapy ◽  
Substance Use Disorders

Music Therapy with Children Whose Mothers Are in Residential Treatment for Substance Use Disorders: A Program Evaluation

2021 ◽  
Author(s):  
Varvara Pasiali ◽  
Gretchen Benner ◽  
Ashley Tisdale ◽  
Gabrielle E Jones ◽  
Miriam Tart ◽  
...  
Keyword(s):  
Substance Use ◽  
Social Behavior ◽  
Social Competence ◽  
Music Therapy ◽  
Residential Treatment ◽  
Substance Use Disorders ◽  
Multiple Stressors ◽  
Self Regulation ◽  
Therapy Program ◽  
Areas Of Concern

Abstract Children who experience multiple stressors may benefit from music therapy programming that addresses the development of social skills, self-expression, and coping mechanisms. Emerging evidence supports the use of improvisation techniques, group songwriting, and drumming activities to support self-regulation and increase social competence. In this article, we aimed to describe the inception and evaluate the implementation of a music therapy program for children at a residential treatment facility for women with substance use disorders (SUDs) at Dove’s Nest, a residential facility for women with SUDs. In this facility, children can reside with their mothers during the length of treatment. We collected pre/post data from children ages 5–11 (N = 20) who attended 8 nonconsecutive music therapy sessions by asking the mothers to complete the Home and Community Social Behavior Scale (HCSBS; Merrell, K. W., & Caldarella, P. (2008). Home & Community Social Behavior Scales user’s guide. Paul H. Brookes Publishing Company). Statistical analyses showed no significant changes on individual HCSBS subscale pre–post comparisons. The total number of scale items on HCSBS flagged as areas of concern was reduced both in social competence (31 pre to 6 post or a decrease of 80.65%) and antisocial behavior (34 pre to 17 post or a decrease of 50%) scales. Evaluation results indicated that even though the children assessed may score within average ranges for social competence and antisocial behaviors, they still exhibit a high number of areas of concern at baseline, particularly in the defiant/disruptive category, which warrants preventive interventions. Clinicians may need to focus on interventions that promote social integration, self-regulation, and assertiveness while addressing behaviors such as blaming and attention seeking.

Integrative Nursing in Turkey

2018 ◽  
pp. 621-632
Author(s):  
Sebahat Gözüm ◽  
Nurgün Platin
Keyword(s):  
Clinical Practice ◽  
Integrative Medicine ◽  
Complementary Therapies ◽  
Control Group ◽  
Ministry Of Health ◽  
Nursing Curricula ◽  
Research Activities ◽  
Turkish Culture ◽  
Randomized Control ◽  
Integrative Therapies

This chapter focuses on past and current integrative practices in Turkey. Native practices have been embedded within Turkish culture for centuries as a part of the country’s heritage and history. Recently, the Ministry of Health approved a list of complementary therapies and standards to regulate practices in integrative medicine. In addition, the nursing discipline has come a long way in terms of research on integrative practices, from descriptive studies to randomized control group studies and projects at the doctorate level. However, in spite of research activities and the emergence of new courses in nursing curricula, the progress in implementing integrative therapies to clinical practice in Turkey has been very slow.

scholarly journals Cigarette use is increasing among people with illicit substance use disorders in the United States, 2002-14: emerging disparities in vulnerable populations

Addiction ◽  
2017 ◽  
Vol 113 (4) ◽  
pp. 719-728 ◽  
Author(s):  
Andrea H. Weinberger ◽  
Misato Gbedemah ◽  
Melanie M. Wall ◽  
Deborah S. Hasin ◽  
Michael J. Zvolensky ◽  
...  
Keyword(s):  
United States ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Vulnerable Populations ◽  
The United States ◽  
Cigarette Use ◽  
Illicit Substance ◽  
Illicit Substance Use
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