A Subculture Revealed: Female Cocaine Users' Values and Perceptions

2012 ◽  
Vol 43 (2) ◽  
pp. 25-32
Author(s):  
Chuck Reid ◽  
Maria Barrera
Keyword(s):  
Substance Use ◽  
General Population ◽  
Continuum Model ◽  
Severity Index ◽  
Subjective Assessment ◽  
Addiction Severity Index ◽  
Addiction Severity ◽  
Level Of Functioning ◽  
Cocaine Users ◽  
Abuse Treatment

This descriptive study presents a method of identifying factors associated with a non problematic level of functioning with 11 nontreatment female cocaine users. A subjective assessment of an acceptable level of functioning was verified by the Addiction Severity Index (ASI) screening instrument (McLellan et al., 1992). Findings indicated that nonproblematic fomale, nontreatment cocaine users are from diverse social classes, have social and economic concerns comparable to the general population, and share similar values with the general population. In contrast to the substance use or abuse treatment approach of total abstinence, a continuum model is presented ranging from nonproblematic to highly problematic use. Implications for rehabilitation counselors include awareness of the continuum model, familiarity with the ASI as a brief screening measure in counseling, and enhancing nonproblematic substance users' self-efficacy in safely controlling their substance use. Also identified are issues, values, and perceptions particular to female users.

Counseling Casual Cocaine Users and Factors Associated with Level of Functioning

2001 ◽  
Vol 32 (3) ◽  
pp. 28-34
Author(s):  
Chuck Reid ◽  
Irmo Marini ◽  
Amos P. Sales ◽  
Charlene M. Kampfe
Keyword(s):  
Substance Use ◽  
General Population ◽  
Continuum Model ◽  
Severity Index ◽  
Subjective Assessment ◽  
Addiction Severity Index ◽  
Factors Associated ◽  
Level Of Functioning ◽  
Cocaine Users ◽  
Abuse Treatment

This descriptive study presents a method of identifying factors associated with a non-problematic level of functioning with lOnon-treatment cocaine users. A subjective assessment of an acceptable level of functioning was verified by the Addiction Severity Index (AS!) screening instrument (Mclellan et aI., 1992). Findings indicated that non-problematic, non-treatment cocaine users are from diverse social classes, have social and economic concerns comparable to the general population, and share similar values with the general population. In contrast to the substance use or abuse treatment approach of total abstinence, a continuum model is presented ranging from non-problematic to highly problematic use. Implications for rehabilitation counselors include awareness of the continuum model, familiarity with the ASI use as a brief screening measure in counseling, and enhancing non-problematic substance users' self-efficacy in safely controlling their substance use.

scholarly journals Self-Report of Longitudinal Substance Use: A Comparison of the UCLA Natural History Interview and the Addiction Severity Index

2010 ◽  
Vol 40 (2) ◽  
pp. 495-515 ◽  
Author(s):  
Debra A. Murphy ◽  
Yih-Ing Hser ◽  
David Huang ◽  
Mary-Lynn Brecht ◽  
Diane M. Herbeck
Keyword(s):  
Substance Use ◽  
Natural History ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Self Report ◽  
Addiction Severity

Client Satisfaction with Drug Abuse Day Treatment versus Residential Care

1997 ◽  
Vol 27 (2) ◽  
pp. 367-377 ◽  
Author(s):  
Monica Chan ◽  
James L. Sorensen ◽  
Joseph Guydish ◽  
Barbara Tajima ◽  
Alfonso Acampora
Keyword(s):  
Drug Abuse ◽  
Residential Treatment ◽  
Client Satisfaction ◽  
Day Treatment ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Addiction Severity ◽  
Support Measure ◽  
Symptom Check List ◽  
Abuse Treatment

We compared overall treatment satisfaction and helpfulness of treatment components for 216 clients randomly assigned to day versus residential treatment. Baseline interviews were conducted near admission using the Addiction Severity Index, Beck Depression Inventory, Symptom Check-list-90-R, and a social support measure. Follow-up interviews occurred 6 months later with these instruments plus a client satisfaction measure. Clients in both day and residential treatment were highly satisfied with overall services and most treatment components. Satisfaction scores were high and did not differ between modalities; however, mental health services were less helpful to day treatment clients, and more day treatment clients indicated not receiving certain treatment components. Client satisfaction correlated with treatment retention and several baseline and 6-month severity outcomes. These findings indicate day treatment may be as satisfying to clients as residential treatment, and give credence to the idea that client satisfaction assessment should be routine in outcome evaluations of drug abuse treatment.

Differences Observed by ASI-6 among users of Alcohol, Cocaine and Opiates

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
E. Díaz-Mesa ◽  
T. Bobes ◽  
S. Al-Halabí ◽  
G. Flórez ◽  
A. Terán ◽  
...  
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Social Partner ◽  
Addiction Severity ◽  
Main Substance ◽  
Substance Dependent ◽  
Lower Severity ◽  
Cocaine Users ◽  
Alcohol Users ◽  
Drug Use Disorder

Aim:To identify the differences in the ASI-6 scores according to main substance of consumption among patients with drug use disorder who were included at the study of adaptation-validation of the Addiction Severity Index 6th version (ASI-6) into Spanish.Method:Multicentre, observational, longitudinal, prospective study. 186 substance dependent/abuser individuals were included. Assessments were made with the Spanish ASI-6.Results:Main substance of consumption: 57% alcohol, 19.9% cocaine and 19.4% opiates. Men were 77.4% vs. 81.1% vs. 83.3% (p n.s.), mean ages were 47.12 (SD 10.18) vs. 32.62 (SD 8.20) vs. 36.47 (SD 8.04) years (p< 0.001), and 25.5% vs. 64.9% vs. 55.6% were single (p< 0.001). The greatest severity was found in the Alcohol area in the case of alcohol users (56.86) and in the Family/Social Partner Problems area in the case of cocaine and the opiate users (50.43 and 51.22). Alcohol users had statistically significant greater severity than the other two groups in the Alcohol area (56.86 vs. 49.38 vs. 45.17, p< 0.001) and tended to have lower severity in the Legal area than cocaine users (46.78 vs. 48.43, p 0.079).Conclusions:Cocaine users were the youngest and used to be single. The ASI-6 only differentiated in the severity of the Alcohol area. Further studies including a higher proportion of cocaine and opiate users are needed.

scholarly journals Οικονομική αξιολόγηση των υπηρεσιών απεξάρτησης από ναρκωτικές ουσίες

2017 ◽  
Author(s):  
Πέτρος Τρίαντος
Keyword(s):  
Drug Abuse ◽  
Focus Group ◽  
Cost Analysis ◽  
Treatment Cost ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Drug Abuse Treatment ◽  
Analysis Program ◽  
Addiction Severity ◽  
Abuse Treatment

Στόχο της παρούσας μελέτης αποτελεί η αποτύπωση του μεθοδολογικού πλαισίου της αξιολόγησης και της οικονομικής αξιολόγησης των υπηρεσιών απεξάρτησης από παράνομες ψυχοδραστικές ουσίες στην Ελλάδα. Με βάση την θεωρία της ανάδειξης κοινωνικών προβλημάτων, προβάλλεται η κοινωνική διάσταση του προβλήματος, και η οργανωμένη απάντηση σε αυτό το πρόβλημα μέσω των δημόσιων προγραμμάτων απεξάρτησης. Η εμπειρική έρευνα που πραγματοποιήσαμε στηρίζεται στην εφαρμογή της μεθοδολογίας οικονομικού κόστους- κοινωνικού οφέλους σε αυτού του τύπου τις υπηρεσίες και συγκεκριμένα στις θεραπευτικές κοινότητες του Κέντρου Θεραπείας Εξαρτημένων Ατόμων (ΚΕΘΕΑ). Για την καταγραφή του οικονομικού κόστους χρησιμοποιήθηκε το σταθμισμένο (στο συγκεκριμένο τύπο προγραμμάτων) εργαλείο Drug Abuse Treatment Cost Analysis Program (DATCAP), ενώ για την αντίστοιχη καταγραφή του κοινωνικού οφέλους αξιοποιήθηκαν τόσο σταθμισμένα ποσοτικά εργαλεία (N=243) (Addiction Severity Index –ASI και η Ευρωπαϊκή του προσαρμογή (EuropASI) όσο και ποιοτικές μέθοδοι (N=65) (ομαδικά εστιασμένες συνεντεύξεις–Focus Group) με πρώην εξαρτημένους στη φάση της κοινωνικής επανένταξης. Τέλος, για την πληρέστερη αποτύπωση του συνόλου των ερευνητικών ερωτημάτων, διεξήχθη διαδικτυακή έρευνα εκτίμησης των στάσεων και των αντιλήψεων της κοινής γνώμης για πλήθος διαστάσεων που εξετάζονται στη συγκεκριμένη μελέτη (N=238).Η παρούσα μελέτη αποτελεί την πρώτη προσπάθεια εφαρμογής οικονομικής αξιολόγησης στον συγκεκριμένο τύπο υπηρεσιών, η οποία βασίζεται σε συγκεκριμένη ερευνητική μεθοδολογία. Η ανάλυση οικονομικού κόστους και κοινωνικού οφέλους καθώς και η συγκριτική αποτύπωση της αναλογίας οικονομικού κόστους-κοινωνικού οφέλους μεταξύ των δύο τύπων θεραπευτικών κοινοτήτων οι οποίες εξετάστηκαν (διαμονής και ημερήσιας φροντίδας) καταλήγει στην επιλογή της αποδοτικότερης επιλογής με συνεξέταση και άλλων παραμέτρων. Επιπλέον γίνονται προτάσεις για επέκταση της ερευνητικής δραστηριότητας στο συγκεκριμένο πεδίο, με αφετηρία τα ευρήματα αλλά και τους περιορισμούς της συγκεκριμένης μελέτης

scholarly journals Catechol-O-Methyltransferase Activity in Individuals with Substance Use Disorders: A Case Control Study

2021 ◽  
Author(s):  
Jacinto Nuno Costa Azevedo ◽  
Cláudia Carvalho ◽  
Maria Paula Serrão ◽  
Rui Coelho ◽  
Margarida Figueiredo-Braga ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Drug Dependence ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Self Control ◽  
Pharmacological Intervention ◽  
Addiction Severity ◽  
Comt Activity ◽  
Psychopathy Checklist Revised

Abstract Background Impulsivity and substance use disorders (SUD) can be related to the same environmental factors. In this study, we intended to evaluate the dopaminergic function in imprisoned SUD offenders through the determination of s-COMT activity. Methods The study included 46 male individuals from a Portuguese penal institution. The participants were assessed through a battery of standardised instruments: Psychopathy Checklist-Revised (PCL-R), Barratt Impulsivity Scale Version 11 (BIS-11), and the European version of the Addiction Severity Index (EuropASI). s-COMT erythrocyte activity was evaluated. Results Overall, 73.9% (n=34) of the individuals had Antisocial Personality Disorder (ASPD) and 58.7% (n=27) presented SUDs. We evidenced, for the first time, that, in SUD individuals, s-COMT activity is correlated with the severity of drug dependence (EuropASI) (p<0.05), and with BIS-11 factors self-control (p<0.0001) and non-planning (p=0.002). Conclusions This study opens new perspectives regarding the pharmacological intervention on drug dependence through the interference on dopamine pathways.

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