Leaving rehab: enhancing transitions into stable housing

The project will examine the coordination between residential treatment and housing and social support services using international comparisons and linked administrative data followed by testing in the field. It aims to enhance transition planning and reduce the risk of housing instability for individuals leaving treatment for mental health and/or substance use problems.

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Emotional and Mental Wellbeing Following COVID-19 Public Health Measures on People Living With Dementia and Carers

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/0891988721996816 ◽

2021 ◽

pp. 089198872199681

Author(s):

Kerry Hanna ◽

Clarissa Giebel ◽

Hilary Tetlow ◽

Kym Ward ◽

Justine Shenton ◽

...

Keyword(s):

Public Health ◽

Mental Health ◽

Social Support ◽

Support Services ◽

Mental Wellbeing ◽

Daily Lives ◽

Health Measures ◽

Social Support Services ◽

The Uk ◽

The Impact

Background: To date, there appears to be no evidence on the longer-term impacts caused by COVID-19 and its related public health restrictions on some of the most vulnerable in our societies. The aim of this research was to explore the change in impact of COVID-19 public health measures on the mental wellbeing of people living with dementia (PLWD) and unpaid carers. Method: Semi-structured, follow-up telephone interviews were conducted with PLWD and unpaid carers between June and July 2020. Participants were asked about their experiences of accessing social support services during the pandemic, and the impact of restrictions on their daily lives. Results: 20 interviews were conducted and thematically analyzed, which produced 3 primary themes concerning emotional responses and impact to mental health and wellbeing during the course of the pandemic: 1) Impact on mental health during lockdown, 2) Changes to mental health following easing of public health, and 3) The long-term effect of public health measures. Conclusions: The findings from this research shed light on the longer-term psychological impacts of the UK Government’s public health measures on PLWD and their carers. The loss of social support services was key in impacting this cohort mentally and emotionally, displaying a need for better psychological support, for both carers and PLWD.

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Satisfaction with mental health and psycho-social support services provided to Syrians under temporary protection in Turkey, evidence from refugee health training centers

Journal of Migration and Health ◽

10.1016/j.jmh.2020.100022 ◽

2020 ◽

Vol 1-2 ◽

pp. 100022

Author(s):

Akfer Karaoglan Kahilogullari ◽

Esra Alatas ◽

Fatmagul Ertugrul ◽

Altin Malaj

Keyword(s):

Mental Health ◽

Social Support ◽

Support Services ◽

Refugee Health ◽

Health Training ◽

Temporary Protection ◽

Social Support Services

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Increases in social support co-occur with decreases in depressive symptoms and substance use problems among adults in permanent supportive housing: an 18-month longitudinal study

BMC Psychology ◽

10.1186/s40359-020-00507-0 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Zhengqi Tan ◽

Eun-Young Mun ◽

Uyen-Sa D. T. Nguyen ◽

Scott T. Walters

Keyword(s):

Social Support ◽

Substance Use ◽

Depressive Symptoms ◽

Protective Factor ◽

Growth Models ◽

Parallel Process ◽

Supportive Housing ◽

Permanent Supportive Housing ◽

Substance Use Problems ◽

Over Time

Abstract Background Social support is a well-known protective factor against depressive symptoms and substance use problems, but very few studies have examined its protective effects among residents of permanent supportive housing (PSH), a housing program for people with a history of chronic homelessness. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depressive symptoms, and substance use problems and to examine their longitudinal associations in a large sample of adults residing in PSH. Methods Participants were 653 adult PSH residents in North Texas (56% female; 57% Black; mean age: 51 years) who participated in a monthly health coaching program from 2014 to 2017. Their health behaviors were assessed at baseline and tracked every six months at three follow-up visits. Results Unconditional LGCMs indicated that over time, social support increased, whereas depressive symptoms and substance use problems decreased. However, their rates of change slowed over time. Further, in parallel process growth models, we found that at baseline, individuals with greater social support tended to have less severe depressive symptoms and substance use problems (coefficients: − 0.67, p < 0.01; − 0.52, p < 0.01, respectively). Individuals with a faster increase in social support tended to have steeper rates of reduction in both depressive symptoms (coefficient: − 0.99, p < 0.01) and substance use problems (coefficient: − 0.98, p < 0.01), respectively. Conclusions This study suggests that plausibly, increases in social support, though slowing over time, still positively impact depressive symptoms and substance use problems among PSH residents. Future PSH programs could emphasize social support as an early component as it may contribute to clients’ overall health.

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Understanding the interplay of individual and social–developmental factors in the progression of substance use and mental health from childhood to adulthood

Development and Psychopathology ◽

10.1017/s0954579416000274 ◽

2016 ◽

Vol 28 (3) ◽

pp. 721-741 ◽

Cited By ~ 7

Author(s):

Tiffany M. Jones ◽

Karl G. Hill ◽

Marina Epstein ◽

Jungeun Olivia Lee ◽

J. David Hawkins ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Social Environments ◽

Developmental Factors ◽

Substance Use Problems ◽

History Of ◽

Individual Functioning ◽

Family History Of Depression ◽

History Of Depression

AbstractThis study examines the interplay between individual and social–developmental factors in the development of positive functioning, substance use problems, and mental health problems. This interplay is nested within positive and negative developmental cascades that span childhood, adolescence, the transition to adulthood, and adulthood. Data are drawn from the Seattle Social Development Project, a gender-balanced, ethnically diverse community sample of 808 participants interviewed 12 times from ages 10 to 33. Path modeling showed short- and long-term cascading effects of positive social environments, family history of depression, and substance-using social environments throughout development. Positive family social environments set a template for future partner social environment interaction and had positive influences on proximal individual functioning, both in the next developmental period and long term. Family history of depression adversely affected mental health functioning throughout adulthood. Family substance use began a cascade of substance-specific social environments across development, which was the pathway through which increasing severity of substance use problems flowed. The model also indicated that adolescent, but not adult, individual functioning influenced selection into positive social environments, and significant cross-domain effects were found in which substance-using social environments affected subsequent mental health.

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Young construction workers: substance use, mental health, and workplace psychosocial factors

Advances in Dual Diagnosis ◽

10.1108/add-08-2017-0013 ◽

2017 ◽

Vol 10 (4) ◽

pp. 155-168 ◽

Cited By ~ 5

Author(s):

Ken Pidd ◽

Vinita Duraisingam ◽

Ann Roche ◽

Allan Trifonoff

Keyword(s):

Mental Health ◽

Social Support ◽

Substance Use ◽

Psychological Distress ◽

Construction Industry ◽

Psychosocial Factors ◽

Job Stress ◽

Poor Mental Health ◽

Psychological Wellbeing ◽

Content Type

Purpose Young Australian workers are at elevated risk of mental health and alcohol and other drug related problems. The purpose of this paper is to examine the relationship between alcohol and drug (AOD) use, psychological wellbeing, and the workplace psychosocial environment among young apprentices in the construction industry. Design/methodology/approach A cross-sectional survey of a cohort of 169 construction industry apprentices in their first year of training was undertaken. The survey included measures of psychological distress (K10), quantity/frequency measures of alcohol and illicit drug use, and workplace psychosocial factors. Findings Construction industry apprentices are at elevated risk of AOD related harm and poor mental health. Levels of psychological distress and substance use were substantially higher than age/gender equivalent Australian population norms. Job stress, workplace bullying, and general social support accounted for 38.2 per cent of the variance in psychological distress. General social support moderated the effects of job stress and bullying on psychological distress. Substance use was not associated with psychological distress. However, workplace social support accounted for 2.1 per cent of the variance in AUDIT-C scores, and 2.0 per cent of the variance in cannabis use. Workplace bullying explained 2.4 per cent of the variance in meth/amphetamine use. Practical implications Construction trades apprentices are a high-risk group for harmful substance use and poor mental health. Study results indicate that psychosocial wellbeing interventions are warranted as a harm reduction strategy. Originality/value This is the first study of its kind to describe a cohort of Australian construction trade apprentices in terms of their substance use and psychological wellbeing. The study shows workplace psychosocial factors may predict young workers psychological wellbeing.

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General practice patients starting treatment for substance use problems: observations from two data sources across levels of care

10.21203/rs.2.20829/v1 ◽

2020 ◽

Author(s):

Nicole Boffin ◽

Jerome Antoine ◽

Luk Van Baelen ◽

Sarah Moreels ◽

Kris Doggen

Keyword(s):

General Practice ◽

Substance Use ◽

Data Sources ◽

Treatment Episode ◽

Specialist Care ◽

Levels Of Care ◽

Substance Use Problems ◽

Stable Housing ◽

Treatment Demand ◽

Specialist Treatment

Abstract BackgroundIn Belgium, the incidence of treatment episodes for substance use problems is monitored by the Network of Sentinel General Practices (SGP) and by the Treatment Demand Indicator (TDI) surveillance at higher, specialist care levels. Using both data sources, we examine 1) how patients starting specialist treatment for substance use problems on referral by their GP compare to those that were referred by non-GP caregivers; 2) how patients starting GP treatment for substance use problems without receiving specialist treatment concurrently compare to those who do.MethodsThe same European protocol with common variables was used by both surveillances. Data from 2016 and 2017 were examined using 95% confidence intervals and multivariate regression.ResultsAccording to TDI-data (n=16,543), determinants of being referred by a GP (versus by a non-GP caregiver) for specialist treatment were age ≥ median (OR 1.25; 95% CI 1.13-1.38), education ≥ secondary level (OR 1.27; 95% CI 1.15-1.41), recent employment (OR 1.71; 1.56-1.88), stable housing (3.62; 95% CI 3.08-4.26), first treatment episode (OR 1.72; 95% CI 1.57-1.87), recent daily primary substance use (OR 1.46; 95% CI 1.33-1.59) and mono substance use (OR 1.23; 95% CI 1.04-1.48). Type of substance use was a significant determinant with higher odds of using pharmaceuticals (and alcohol) (OR 1.24; 95% CI 1.04-1.48), and lower odds of using cannabis only/primarily (OR 0.73; 95% CI 0.62-0.86), with reference to street drugs minus cannabis only/primarily. According to SGP data (n=314), determinants of starting GP treatment without concurrent specialist treatment were recent employment (OR 2.58; 95% CI 1.36-4.91), first treatment episode (OR 2.78; 95% CI 1.39-5.55) and living in the Brussels or Walloon region (OR 1.97; 95% CI 1.06-3.66).ConclusionsThis study adds knowledge about the general practice population treated for substance use problems and the consistency of data from the surveillances. Both studies show a relatively favourable profile of general practice patients with substance use problems.

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