Treatment Disruption and Childcare Responsibility as Risk Factors for Drug and Alcohol Use in Persons in Treatment for Substance Use Disorders During the COVID-19 Crisis

The consequences of adolescent drug and alcohol use may be serious and far-reaching, forecasting problematic use or addictive behaviors into adulthood. School counselors are particularly well suited to understand the needs of the school community and to seamlessly deliver sustainable substance use prevention. This pilot study with 46 ninth-grade students investigates the impact of the Making Choices and Reducing Risk (MCARR) program, a drug and alcohol use prevention program for the school setting. The MCARR curriculum addresses general knowledge of substances and their related risks, methods for evaluating risk, and skills for avoiding or coping with drug and alcohol use. Using a motivational interviewing framework, MCARR empowers students to choose freely how they wish to behave in relation to drugs and alcohol and to contribute to the health of others in the school community. The authors hypothesized that the implementation of the MCARR curriculum would influence student attitudes, knowledge, and use of substances. Results suggest that the MCARR had a beneficial impact on student attitudes and knowledge. Further, no appreciable increases in substance use during the program were observed. Initial results point to the promise of program feasibility and further research with larger samples including assessment of longitudinal impact.

Download Full-text

Medications for Substance Use Disorders

Managing Your Substance Use Disorder ◽

10.1093/med-psych/9780190926670.003.0015 ◽

2019 ◽

pp. 113-124

Author(s):

Dennis C. Daley ◽

Antoine Douaihy

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Food And Drug Administration ◽

Medication Assisted Treatment ◽

The Us ◽

Behavioral Therapies ◽

Drug And Alcohol Use ◽

Substance Disorder ◽

Drug And Alcohol ◽

Client Needs

Medications can help clients safely and comfortably withdraw from substances such as alcohol, opiates, or sedatives if they have a physical addiction. The medicines used will depend on the drug or drugs on which they are dependent. Medication-assisted treatment is the use of medications approved by the US Food and Drug Administration, in combination with counseling and behavioral therapies, to provide a whole-client approach to the treatment of opioid, alcohol, or tobacco use disorders. The goals of this chapter are to learn about types of medication that aid recovery from a substance use disorder, to understand the reasons why some people may have problems with medication, to learn about withdrawal symptoms and medications that help, to understand the effects of drug and alcohol use on psychiatric medications, and to determine whether or not a client needs medication to help with his or her substance disorder.

Download Full-text

Substance use network characteristics and drug and alcohol use behaviors among young men who have sex with men (YMSM)

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2015.10.003 ◽

2015 ◽

Vol 157 ◽

pp. 188-191 ◽

Cited By ~ 3

Author(s):

Patrick Janulis ◽

Michelle Birkett ◽

Gregory Phillips ◽

Brian Mustanski

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Young Men ◽

Network Characteristics ◽

Drug And Alcohol Use ◽

Sex With Men ◽

Drug And Alcohol

Download Full-text

Distress Tolerance and Impulsivity Are Associated With Drug and Alcohol Use Consequences in an Online Community Sample

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.30.1.50 ◽

2016 ◽

Vol 30 (1) ◽

pp. 50-59 ◽

Cited By ~ 3

Author(s):

Lauren P. Greenberg ◽

Sarah L. Martindale ◽

Laura R. Fils-Aimé ◽

Sara L. Dolan

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Online Community ◽

Distress Tolerance ◽

Community Sample ◽

Substance Use Problems ◽

Key Features ◽

Drug And Alcohol Use ◽

Drug And Alcohol ◽

The Relationship

Impulsivity and distress tolerance (DT) have been implicated as key features in development and maintenance of substance use disorders. This study expanded on previous research by exploring the four factors of DT (Absorption, Appraisal, Regulation, Tolerance) and their interaction with impulsivity in relation to substance use. Participants were 105 men and 150 women who completed measures of impulsivity, DT, and substance use. Results indicated that Appraisal DT was a better predictor of substance use problems over and above overall DT or other DT factors. Mediation analysis indicated that Appraisal partially mediated the relationship between impulsivity and DT. Results suggest that DT, particularly Appraisal, plays a role in substance use problems, specifically in the relationship between impulsivity and substance use problems. Treatments emphasizing DT skills, particularly the appraisal of aversive emotions, may be useful to employ when attempting to reduce harmful drinking or drug use behaviors.

Download Full-text

Effects of Risk Factors on Adolescents' Resiliency and Coping

Psychological Reports ◽

10.2466/pr0.1998.82.2.675 ◽

1998 ◽

Vol 82 (2) ◽

pp. 675-678 ◽

Cited By ~ 6

Author(s):

Cynthia L. Jew ◽

Kathy E. Green

Keyword(s):

Risk Factors ◽

At Risk ◽

Alcohol Use ◽

Behavioral Problems ◽

Dropping Out ◽

Five Factors ◽

Drug And Alcohol Use ◽

And Coping ◽

Drug And Alcohol ◽

Out Of School

The relationships among five factors characterized as placing adolescents at risk for behavioral problems such as dropping out of school or drug and alcohol use, and resiliency and coping were evaluated for a sample of 392 students in Grades 7 to 12. Students self-reported to be at-risk differed in scores on resiliency but not in coping from those with no self-reported risk factors.

Download Full-text

Framing drug and alcohol use as a public health problem in Britain

Nordic Studies on Alcohol and Drugs ◽

10.1177/1455072518765836 ◽

2018 ◽

Vol 35 (2) ◽

pp. 93-99 ◽

Cited By ~ 2

Author(s):

Alex Mold

Keyword(s):

Public Health ◽

Substance Use ◽

Alcohol Use ◽

Health Problem ◽

Public Health Problem ◽

Alcohol Problems ◽

Drugs And Alcohol ◽

Drug And Alcohol Use ◽

The Uk ◽

Drug And Alcohol

Recent attempts to approach drug and alcohol problems as a public health issue in the UK and globally have begun to achieve some success. Yet, in historical terms, the idea that the use of psychoactive substances should be regarded as a public health problem is a relatively new one. In the UK, it was only in the latter half of the 20th century that what were termed “public health” approaches to alcohol and drugs began to gain purchase. Moreover, what was meant by a “public health” framing of psychoactive substance use changed over time and between substances. This article examines the development of public health approaches to drugs and alcohol in Britain since the 19th century. It suggests that a public health view of substance use existed alongside, and interacted with, other approaches to drug and alcohol use. To understand the meaning of a “public health” framing of drugs and alcohol we need to locate this in historical and geographical context.

Download Full-text

Literary and biographical perspectives on substance use

Advances in Psychiatric Treatment ◽

10.1192/apt.9.1.62 ◽

2003 ◽

Vol 9 (1) ◽

pp. 62-68 ◽

Cited By ~ 9

Author(s):

Ed Day ◽

Iain Smith

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Psychoactive Substances ◽

Addictive Disorders ◽

Current Drug ◽

Drug Culture ◽

Literary Process ◽

Drug And Alcohol Use ◽

Drug And Alcohol

This article attempts to give a flavour of the influence that psychoactive substances have had on many authors and the literary process. It explores the idea of the narrative as it is applied to addictive disorders and gives a range of examples of writing about different substances that might enhance the reader's knowledge of current drug culture. The portrayal in literature of doctors with addictions is presented as a warning against the development of such problems in psychiatrists. The authors hope to have demonstrated that literature can be a valuable tool in understanding the experience of drug and alcohol use and addiction.

Download Full-text