ASAP-ID: substance abuse programme for a forensic ID population

2017 ◽  
Vol 8 (4) ◽  
pp. 157-165 ◽  
Author(s):  
Joseph Allan Sakdalan ◽  
Daniel McGarry Kittner ◽  
Devika Judd
Keyword(s):  
Substance Abuse ◽  
Marked Improvement ◽  
Design Methodology ◽  
Treatment Options ◽  
Significant Risk ◽  
Behavioural Therapy ◽  
Readiness For Change ◽  
Treatment Programme ◽  
Content Type ◽  
Good Lives

Purpose There are a lack of recourses for substance abuse (SA) treatment for forensic clients with intellectual disabilities (ID). Many complexities arise when treating this population, calling for the creation of comprehensive resources which not only address the SA, but also account for the risk and offending issues. The purpose of this paper is to detail a pilot programme which aims to provide treatment for forensic ID clients with substance abuse issues as well as a significant risk of reoffending. Design/methodology/approach Six participants completed a 27-week SA treatment programme (the Alcohol and Substance Abuse Programme-Intellectual Disability) which incorporated the use of dialectical behavioural therapy (DBT) and the Good Lives Model concepts. Pre- and post-measures aimed to assess readiness for change and confidence in ability to stay clean and sober. Findings Preliminary findings showed a marked improvement in confidence of the participants’ ability to stay clean and sober in risk-related situations as well as an increase in overall readiness for change. Originality/value This research paper addresses a gap in the current forensic ID research and clinical treatment options pertaining to SA, by focussing on supporting forensic ID clients in their recovery journey from SA. Being at the forefront of SA treatment for forensic ID, further research in this domain should attempt to consolidate the findings of this programme.

Treatment and outcomes at Takiwasi Center, a Peruvian therapeutic community: identifying patient-related indicators

2019 ◽  
Vol 40 (2) ◽  
pp. 93-106
Author(s):  
Victoria Defelippe ◽  
Anna Schlütter ◽  
Annelen Meriaan ◽  
Bjorn Winkens ◽  
Veronika Kavenská ◽  
...  
Keyword(s):  
Addiction Treatment ◽  
Therapeutic Community ◽  
Treatment Options ◽  
Multivariable Analysis ◽  
Significant Risk ◽  
Drop Out ◽  
Health Concern ◽  
Content Type ◽  
Addiction Therapy ◽  
Treatment Centre

Purpose Substance abuse is a major public health concern, with over millions of people suffering from it worldwide. Although there is an abundance of treatment options, many of these rehabilitative trajectories are subject to “drop-out”. In addition, “drop-out” is a significant risk factor for relapse. There is an urgent demand for effective treatment, which would enable patients to reduce abuse and prevent relapse. Takiwasi is an addiction treatment centre that combines traditional Amazonian plant medicine with conventional western medicine and psychotherapy. The purpose of this paper is to explore whether socio-demographics factors, such as education level and occupation, psychiatric comorbidities and primary drug use, are associated with treatment non-completion of Ayahuasca (AYA)-assisted addiction therapy. Design/methodology/approach Data on the first treatment episode of 121 patients were collected from the patient database from the years 2012 to 2017. To determine whether there is an association between the variables of interest and treatment non-completion, a χ2 analysis and a logistic regression analysis were performed. Findings Of the 121 patients analysed, 48.2 per cent completed their treatment, whilst 51.8 per cent did not. Students compared to those who are employed showed significantly higher odds for treatment non-completion (p=0.006; OR=3.7; 95% CI=1.5–9.6). Other variables in the multivariable analysis showed no significant relationship with treatment non-completion. While several limitations restricted the study, the findings suggest that the AYA-assisted treatment in Takiwasi may benefit from additional support for patients who are students. Moreover, it is advised to conduct more long-term follow-up of patients in order to gain better insight into the outcome of treatment at an AYA-assisted treatment centre. Originality/value It appears that AYA-assisted therapy in a therapeutic community is a feasible type of treatment for addiction, for which further studies should elucidate the role of motivation in relation to socio-demographic factors and type of addiction in the risk of treatment non-completion.

Organizational readiness for change: an inherent concern for Indian small and medium enterprises (SMEs)

2019 ◽  
Vol 33 (2) ◽  
pp. 4-7
Author(s):  
Sunil Budhiraja
Keyword(s):  
Design Methodology ◽  
Readiness To Change ◽  
Small And Medium Enterprises ◽  
Readiness For Change ◽  
Organizational Readiness ◽  
Content Type ◽  
Organizational Readiness For Change ◽  
Medium Enterprises ◽  
Organizational Readiness To Change ◽  
Practical Implications

Purpose This paper aims to discuss various determinants of organizational readiness to change for India small and medium enterprises (SMEs) and proposes a framework to strengthen the employees’ readiness to change which is integral to organizational readiness for change (ORC). Design/methodology/approach This paper is based upon the subjective viewpoint of the author. Findings The paper brings forward the opportunities and challenges of Indian SMEs with a suggestive framework on employee readiness for change (ERC). Practical implications The paper will help SMEs consider a framework to assess ERC before implementing a change. Originality/value The exists no framework for Indian SMEs to look-up as a benchmark to assess their ORC and ERC. Hence the paper will contribute to the literature and will be a handy reference for SMEs.

Remarkable Lives: John McManus in conversation with Jerome Carson

2019 ◽  
Vol 23 (4) ◽  
pp. 156-161
Author(s):  
John McManus ◽  
Jerome Carson
Keyword(s):  
Substance Abuse ◽  
Life History ◽  
Early Intervention ◽  
Design Methodology ◽  
Short Life ◽  
Content Type ◽  
Intervention Teams ◽  
Sources Of Support ◽  
Insidious Development ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of John McManus. Design/methodology/approach John provides a short life history and is then interviewed by Jerome. Findings John tells us about the insidious development of his illness and how for many years it was masked by substance abuse. Research limitations/implications As Patricia Deegan has stated, “Each person’s journey of recovery is unique” (Deegan, 1996). That is why we can learn so much from case studies like John’s. Practical implications John’s account shows the value of Early Intervention Teams. The service he received from his local team was “second to none”. Social implications John talks about the value of volunteering and how it helped him believe that he could once more play a constructive role in life. Originality/value There is no doubt that John benefitted from support from professionals, experts by experience and his family. Equally he was also open to all these sources of support.

scholarly journals Let’s put the “T” back into CBT

2018 ◽  
Vol 23 (4) ◽  
pp. 240-245 ◽  
Author(s):  
James Binnie ◽  
Marcantonio Spada
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioural Therapy ◽  
Psychiatric Diagnosis ◽  
Design Methodology ◽  
Behavioural Therapy ◽  
Evidence Based ◽  
Content Type ◽  
Cognitive Behavioural ◽  
The Impact ◽  
Reductionist Approach

Purpose The purpose of this paper is to critique the current manner in which cognitive behavioural therapy (CBT) is delivered, with a focus on the impact of evidence-based practice. Design/methodology/approach This paper is based upon the experiences, ideas and clinical practice of the authors. Findings The reductionist approach based on psychiatric diagnosis is put forward as the mechanism by which CBT has gradually lost its status as a form of psychotherapy. Originality/value An alternative framework based on revitalising CBT as a client centred, problem-based and formulation driven form of therapy is put forward.

scholarly journals Strength-based approaches to online child sexual abuse: using self-management strategies to enhance desistance behaviour in users of child sexual exploitation material

2017 ◽  
Vol 7 (3) ◽  
pp. 182-191 ◽  
Author(s):  
Hannah Merdian ◽  
Danielle Kettleborough ◽  
Kieran McCartan ◽  
Derek E. Perkins
Keyword(s):  
Thematic Analysis ◽  
Design Methodology ◽  
Sexually Abused ◽  
Management Strategies ◽  
Sexual Exploitation ◽  
Self Management ◽  
Content Type ◽  
Child Sexual Exploitation ◽  
Strength Based ◽  
Good Lives

Purpose Increasing numbers of convictions for the use of child sexual exploitation material (CSEM) call for enhanced measures to prevent this type of offending. Strength-based approaches such as the good lives model have made significant contributions to the management of offenders who have sexually abused against children. The paper aims to discuss these issues. Design/methodology/approach The present study explored the application of these models to the rehabilitation and desistance behaviour of CSEM users, based on a thematic analysis of the self-managed desistance strategies employed by 26 offenders. Findings The findings confirmed the value of strength-based approaches in understanding self-management strategies used to enhance desistance behaviour in CSEM users. Research limitations/implications The empirical and theoretical findings were then combined into a conceptual framework aimed to enhance preventative efforts and interventions targeted at undetected CSEM users. Originality/value This paper provides the first conceptual and empirical model of prevention and desistance behaviour specific to CSEM offending.

scholarly journals Reaching women with perinatal mental illness at the booking-in appointment

2018 ◽  
Vol 23 (1) ◽  
pp. 38-45
Author(s):  
Emma Haynes
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Design Methodology ◽  
Treatment Options ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Economic Costs ◽  
Content Type ◽  
Suitable Treatment ◽  
Additional Service

Purpose The purpose of this paper is to look at the positive future gains of reaching women with perinatal mental illness at the first midwifery booking-in appointment, a unique opportunity that could be more widely used as a point of detection, awareness and prevention of illness in the perinatal period. Design/methodology/approach A more robust section of this appointment that includes focussed detection and awareness of prior and current mental health concerns as well as the stigma attached to these conditions will allow midwives to signpost women to get much needed treatment prior to delivery. Suitable treatment options also need to be available and in place at this point. Findings The existing booking-in process, for highlighting and diagnosing mental health conditions, has limited suitability. Detection in the postnatal period has inherent difficulties due to time pressures on women, the costs to the mother, baby, family and the economic costs to society, which are considerable. The postnatal period may be too late for treatment, with the harm already done to the woman, their baby and their family. Research limitations/implications Research is needed to assess the efficacy of such a strategy, including the costs to train the midwives to deliver this additional service, and the consideration of suitable treatment options at the antenatal stage. This may help to reduce the high levels of attrition within treatment programmes currently running. Originality/value This paper fulfils a need to diagnose and prevent perinatal mental illness at an earlier point in pregnancy.

Identifying and analyzing social marketing initiatives using a theory-based approach

2019 ◽  
Vol 9 (4) ◽  
pp. 357-397 ◽  
Author(s):  
Magdalena Cismaru ◽  
Amanda Wuth
Keyword(s):  
Content Analysis ◽  
Social Marketing ◽  
Transtheoretical Model ◽  
Design Methodology ◽  
Well Being ◽  
Readiness For Change ◽  
Evaluation Framework ◽  
Transtheoretical Model Of Change ◽  
Content Type ◽  
Practical Implications

Purpose This paper aims to provide an example of how to review information and social-marketing initiatives using financial well-being as a case point. Design/methodology/approach Literature review and content analysis is used. The audience, channel, message, and evaluation framework is applied. Existent financial well-being initiatives are identified and selected, and further described and analysed in terms of their audience, channel, message and evaluation. The message is further discussed according to the transtheoretical model of change. Findings Most financial well-being campaigns focus on a particular audience, use a multichannel approach to reach their audience, and report some evaluation, consistent with the audience, channel, message and evaluation framework. Message analysis shows that several initiatives address all processes posited by the transtheoretical model of change to trigger behavior change. Potential areas of improvement and boomerang effects are identified. Practical implications Initiatives enhance their effectiveness by using theory, using proper segmentation and channel(s) selection, creating messages based on the audiences’ readiness for change and incorporating evaluation. Originality/value Theoretical and practical insight regarding financial well-being initiatives has been achieved. Campaign designers can inspire from this example to conduct their own research and analysis of existent initiatives as one of the starting points in the process.

Victimisation and addictive careers amongst women in Malta

2019 ◽  
Vol 21 (1) ◽  
pp. 71-84
Author(s):  
Petra Scicluna ◽  
Marilyn Clark
Keyword(s):  
Substance Abuse ◽  
Design Methodology ◽  
Trauma Symptoms ◽  
Self Medication ◽  
Content Type ◽  
Career Trajectories ◽  
Quantitative Analyses ◽  
Gender Based ◽  
Depth Interviews ◽  
Practical Implications

Purpose The purpose of this paper is to provide a theoretical analysis of the pathways of female addicts within the Maltese context by highlighting the complex interrelatedness between substance abuse and victimisation. This paper proposes that female addiction and victimisation trajectories unfold in a non-linear fashion, heavily influenced by particular socio-psychological processes. Design/methodology/approach Guided by a career approach conceptual framework, this study was carried out through an in-depth exploration of the victimisation and addictive career trajectories of 12 women, who are either incarcerated or in a residential drug treatment facility. Data were gathered qualitatively through in-depth interviews and analysed using a grounded theory methodology. Findings The paper highlights how the victimisation and substance abuse trajectories of women initially unfold and develop over time. This includes an exploration of the strategies employed in order to negotiate gender-based victimisation experiences throughout their lifetime, such as through the development of a victim identity and the self-medication of trauma symptoms, a process that is facilitated by the influence of older, male peers. As the women’s addiction trajectories progress rapidly towards commitment, sex work and IPV feature and the victim identity is reinforced, motivating continued and increased drug use. Practical implications The paper includes implications for the development of a gender-responsive framework of intervention when working with women who were present for the treatment. Originality/value With a focus on women’s experiences, this study fills a lacuna within the literature by complementing and expanding upon quantitative analyses that examine these phenomena as distinct entities.

Change-efficacy: the glue that connects organizational change with employees’ actions

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sunil Budhiraja
Keyword(s):  
Organizational Change ◽  
Change Management ◽  
Design Methodology ◽  
Readiness To Change ◽  
Readiness For Change ◽  
Change Resistance ◽  
Line Managers ◽  
Content Type ◽  
Extant Literature ◽  
Practical Guide

Purpose The article presents and discusses the concept of employee change-efficacy as an outcome of a series of interactions between employees and their respective line managers. Design/methodology/approach The article draws from the extant literature on change-efficacy and builds a procedural framework for achieving change-efficacy based upon the author’s independent viewpoint. Findings Most organizations are struggling with change resistance and they are investing in employee readiness to change without following a practical topology. The article prescribes a sequence of steps and a practical guide which integrates the efforts of line managers with employees to strengthen employees’ change-efficacy. Research implications The article contributes to the scarce literature on change-efficacy and indicates a framework which can be tested empirically by researchers. Originality/value The author introduces change-efficacy as the most important investment for employee readiness for change and suggests how organizations should channelize their change management efforts to successfully implement change.

scholarly journals Shared decision making within the context of recovery-oriented care

2017 ◽  
Vol 22 (3) ◽  
pp. 179-190 ◽  
Author(s):  
Larry Davidson ◽  
Janis Tondora ◽  
Anthony J. Pavlo ◽  
Victoria Stanhope
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Shared Decision Making ◽  
Design Methodology ◽  
Treatment Options ◽  
Service Users ◽  
Shared Decision ◽  
Content Type ◽  
Recovery Planning

Purpose The purpose of this paper is to consider the role of shared decision making (SDM) as one component of recovery-oriented care. Design/methodology/approach This paper is conceptual and reviews the literature relevant to recovery-oriented care, person-centered recovery planning (PCRP), and SDM. Findings To the degree to which SDM offers tools for sharing useful information about treatment options with service users and family members or other loved ones, it can be considered a valuable addition to the recovery-oriented armamentarium. It is important to emphasize, though, that recovery-oriented practice has a broader focus on the person’s overall life in the community and is not limited to formal treatments or other professionally delivered interventions. Within the more holistic context of recovery, SDM regarding such interventions is only one tool among many, which needs to be integrated within an overall PCRP process. More emphasis is given within the recovery-oriented care to activating and equipping persons for exercising self-care and for pursuing a life they have reason to value, and the nature of the relationships required to promote such processes will be identified. In describing the nature of these relationships, it will become evident that decision making is only one of many processes that need to be shared between persons in recovery and those who accept responsibility for promoting and supporting that person’s recovery. Originality/value By viewing SDM within the context of recovery, this paper provides a framework that can assist in the implementation of SDM in routine mental health care.

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