scholarly journals Forgotten but Not Gone: The Impact of the Opioid Epidemic and Other Substance Use Disorders on Families and Children

Commonwealth ◽  
2018 ◽  
Vol 20 (2-3) ◽  
Author(s):  
Dennis C. Daley ◽  
Erin Smith ◽  
Daniel Balogh ◽  
Jodi Toscaloni
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Health And Safety ◽  
Clinical Settings ◽  
Opioid Epidemic ◽  
Sources Of Information ◽  
Opioid Use ◽  
Current Trends ◽  
The Impact ◽  
Public Health And Safety

This article discusses the impact of the opioid epidemic and other substance use disorders (SUDs) on families and their members, including children. We review factors contributing to this major public health and safety problem, current trends in opioid and other substance use and misuse, prevalence of opioid use disorders (OUDs) and other SUDs, and interventions to help families. Sources of information for this article include research, clinical and recovery literature, government reports, experiences of the two senior authors in clinical settings, and interviews and surveys of family members affected by a loved one’s SUD.

scholarly journals Stress Adaptation Among Family of Adolescent with Substance Use Disorders: Systematic Literature Review

2021 ◽  
Vol 9 (F) ◽  
pp. 335-341
Author(s):  
Heru Subekti ◽  
Siswanto Agus Wilopo ◽  
Ibrahim Rahmat
Keyword(s):  
Substance Use ◽  
Coping Strategies ◽  
Substance Use Disorders ◽  
Coping Strategy ◽  
Family Members ◽  
Review Literature ◽  
Sources Of Information ◽  
Strategy Adaptation ◽  
Treatment Services ◽  
The Impact

BACKGROUND: Families of an adolescent with substance use disorders report significant burden and stress. Adequate coping strategies can modify the impact of stressful situations and increase family function. AIM: The objective of the study was to systematically review literature related to the coping strategies and adaptations used by family members of the adolescent with substance use disorders to manage their stress. METHODS: We conducted electronic searches using MEDLINE (PubMed), EBSCO, databases to select studies on family stress, and coping strategies that were published from January 2000 to December 2020. The search terms were family, parent, father, mother, coping, caregiver, strategy, adaptation, adolescent, and substance use disorders. RESULTS: We found 961 articles. After application of exclusion criteria and exclusion of redundant references, 10 articles were thematically analyzed. The studies were organized into five categories: Engaged, tolerance, withdrawal, problem-focused, and emotion-focused coping strategies. The family members felt devastated by the incidents of violence and aggressive outbursts, and felt that they failed as parents. As a result, the parents felt very isolated from other family members and friends, and ashamed of their children’s behavior. Most families used problem-focused and emotion-focused coping strategies in different combinations. CONCLUSION: The identified studies show that the use of emotional focus coping is the coping strategy most often done by families. Problem focus coping involved family efforts to find sources of information and seek treatment services as a mechanism for adaptive coping strategy. However, a mixed methods study is still needed that clearly illustrates the types of coping strategies used in various cultural perspectives and social status.

scholarly journals Stress-adaptation among Family of Adolescent with Substance Misuse: Systematic Literature Review

2021 ◽  
Vol 9 (F) ◽  
pp. 474-480
Author(s):  
Heru Subekti ◽  
Ibrahim Rahmat ◽  
Siswanto Wilopo
Keyword(s):  
Substance Use ◽  
Coping Strategies ◽  
Substance Use Disorders ◽  
Coping Strategy ◽  
Family Members ◽  
Sources Of Information ◽  
Strategy Adaptation ◽  
Treatment Services ◽  
Significant Burden ◽  
The Impact

BACKGROUND: Families of an adolescent with substance use disorders report significant burden and stress. Adequate coping strategies can modify the impact of stressful situations and increase family function. AIM: The aim of the study was to systematically review the literature related to the coping strategies and adaptations used by family members of the adolescent with substance use disorders to manage their stress. METHODS: We conducted electronic searches using MEDLINE (PubMed), EBSCO, databases to select studies on family stress, and coping strategies that were published from January 2000 to December 2020. The search terms were family, parent, father, mother, coping, caregiver, strategy, adaptation, adolescent, and substance use disorders. RESULTS: We found 961 articles. After application of exclusion criteria and exclusion of redundant references, ten articles were thematically analyzed. The studies were organized into five categories: Engaged, tolerance, withdrawal, problem-focused, and emotion-focused coping strategies. The family members felt devastated by the incidents of violence and aggressive outbursts, and felt they failed as parents. As a result, the parents felt very isolated from other family members and friends, and ashamed of their children’s behavior. Most families used problem-focused and emotion-focused coping strategies in different combinations. CONCLUSION: The identified studies show that the use of emotional focus coping is the coping strategy most often done by families. Problem focus coping involved family efforts to find sources of information and seek treatment services as a mechanism for adaptive coping strategy. However, a mixed methods study is still needed that clearly illustrates the types of coping strategies used in various cultural perspectives and social status.

Current Trends in Using Internet and Mobile Technology to Support the Treatment of Substance Use Disorders

2012 ◽  
Vol 5 (3) ◽  
pp. 172-177 ◽  
Author(s):  
Michael A. Cucciare ◽  
Kenneth R. Weingardt ◽  
Carolyn J. Greene ◽  
Julia Hoffman
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Mobile Technology ◽  
Current Trends

scholarly journals The impact of poly-traumatization on treatment outcomes in young people with substance use disorders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sidsel Karsberg ◽  
Morten Hesse ◽  
Michael Mulbjerg Pedersen ◽  
Ruby Charak ◽  
Mads Uffe Pedersen
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychological Trauma ◽  
Well Being ◽  
Traumatic Experiences ◽  
Treatment Entry ◽  
Trauma Types ◽  
Using Data ◽  
The Impact ◽  
Drug Use Disorder

Abstract Background It is believed that clients with psychological trauma experiences have a poor prognosis with regard to treatment participation and outcomes for substance use disorders. However, knowledge on the effect of the number of trauma experiences is scarce. Methods Using data from drug use disorder (DUD) treatment in Denmark, we assessed the impact of having experienced multiple potentially traumatic experiences on DUD treatment efficacy. Baseline and follow-up data from 775 young participants (mean age = 20.2 years, standard deviation = 2.6) recruited at nine treatment centers were included in analyses. Results Analyses showed that participants who were exposed multiple trauma experiences also reported a significantly higher intake of cannabis at treatment entry, and a lower well-being score than participants who reported less types or no types of victimization experiences. During treatment, patients with multiple types of trauma experiences showed a slower rate of reduction of cannabis than patients with few or no trauma experiences. The number of trauma types was not associated with number of sessions attended or the development of well-being in treatment. Conclusion Overall, the results show that although traumatized youth in DUD treatment show up for treatment, helping them to reduce substance use during treatment is uniquely challenging. Trial registration ISRCTN88025085, date of registration: 29.08.2016, retrospectively registered.

The impact of intolerance of emotional distress and uncertainty on veterans with co-occurring PTSD and substance use disorders

2016 ◽  
Vol 41 ◽  
pp. 73-81 ◽  
Author(s):  
Anne N. Banducci ◽  
Sarah J. Bujarski ◽  
Marcel O. Bonn-Miller ◽  
Amee Patel ◽  
Kevin M. Connolly
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Emotional Distress ◽  
The Impact

Adverse events among adult Medicaid enrollees with opioid use disorder and co-occurring substance use disorders

2021 ◽  
Vol 221 ◽  
pp. 108555
Author(s):  
Peggy O’Brien ◽  
Rachel Mosher Henke ◽  
Mary Beth Schaefer ◽  
Janice Lin ◽  
Timothy B. Creedon
Keyword(s):  
Substance Use ◽  
Adverse Events ◽  
Substance Use Disorders ◽  
Opioid Use Disorder ◽  
Opioid Use

Abstract 228: National Prevalence of Substance Use Disorders Among Hospitalized Heart Failure Patients

2018 ◽  
Vol 11 (suppl_1) ◽  
Author(s):  
Sarah C Snow ◽  
Gregg C Fonarow ◽  
Joseph A Ladapo ◽  
Donna L Washington ◽  
Katherine Hoggatt ◽  
...  
Keyword(s):  
Heart Failure ◽  
Substance Use ◽  
Native American ◽  
Drug Use ◽  
Substance Use Disorders ◽  
Age Groups ◽  
Opioid Use ◽  
Drug Use Disorders ◽  
Increased Risk ◽  
Drug Use Disorder

Background: Several cardiotoxic substances contribute to the development of heart failure (HF). The burden of comorbid substance use disorders (SUD) among patients with HF is under-characterized. Objectives: To describe the national burden of comorbid SUD (tobacco, alcohol, or drug use disorders) among hospitalized HF patients in the U.S. Methods: We used data from the 2014 National Inpatient Sample to calculate the proportion of hospitalizations for a primary HF admission with tobacco, alcohol, or drug use disorder diagnoses, accounting for demographic factors. Drug use disorder analysis was further sub-divided into specific illicit substance categories. Results: There were a total of 989,080 HF hospitalizations of which 35.3% (n=348,995) had a documented SUD. Tobacco use disorder (TUD) was most common (n= 327,220, 33.1%) followed by drug use disorder (DUD) (n=34,600, 3.5%) and alcohol use disorder (AUD) (n=34,285, 3.5%). Female sex was associated with less TUD (OR 0.59; 95% CI, 0.58-0.60), AUD (OR 0.23; 95% CI, 0.22-0.25) or DUD (OR 0.58; 95% CI 0.55-0.62). Tobacco, alcohol, cocaine, and opioid use disorders were highest among HF patients age 45 to 55, while cannabis and amphetamine use was highest in those <45 years. Native American race (versus White) was associated with increased risk of AUD (OR 1.67; 95% CI 1.27-2.20). Black race was associated with increased risk of AUD (OR 1.09; 95% CI 1.02-1.16) or DUD (OR 1.63; 95% CI 1.53-1.74). Medicaid insurance (versus Medicare) was associated with greater TUD (OR 1.27; 95% CI 1.23-1.32), AUD (OR 1.74; 95% CI 1.62-1.87), and DUD (OR 2.15; 95% CI 2.01-2.30). Decreasing quartiles of median household income were associated with increasing SUD. Conclusions: Comorbid SUD disproportionately affects certain HF populations, including men, younger age groups, lower SES patients, and race/ethnic minorities. Further research on interventions to improve prevention and treatment of SUD among hospitalized HF patients are needed given the high rates of SUD in this population. Systematically screening hospitalized HF patients for SUD may reveal opportunities for treatment and secondary prevention.

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