scholarly journals The Family Check-Up Online: A Telehealth Model for Delivery of Parenting Skills to High-Risk Families With Opioid Use Histories

2021 ◽  
Vol 12 ◽  
Author(s):  
Elizabeth A. Stormshak ◽  
Jordan M. Matulis ◽  
Whitney Nash ◽  
Yijun Cheng
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Early Childhood ◽  
High Risk ◽  
The United States ◽  
High Risk Population ◽  
Opioid Misuse ◽  
Opioid Use ◽  
Parenting Skills ◽  
The Family

Growing opioid misuse in the United States has resulted in more children living with an adult with an opioid use history. Although an abundance of research has demonstrated a link between opioid misuse and negative parenting behaviors, few intervention efforts have been made to target this underserved population. The Family Check-Up (FCU) has been tested in more than 25 years of research, across multiple settings, and is an evidence-based program for reducing risk behavior, enhancing parenting skills, and preventing the onset of substance use. It is designed to motivate parents to engage in positive parenting practices and to change problematic parenting and has been tested across a variety of ages including early childhood and adolescence. It is highlighted in NIDA’s Principles of Substance Use Prevention for Early Childhood: A research-based guide as one of only three effective selective prevention programs for substance abuse among families with young children. Recently, we developed an online version of the FCU that has now been adapted for early childhood and families with opioid use histories. The online platform and telehealth model allow for wide-scale dissemination, ease of training with community providers, and increased public health reach for families in remote, rural areas. This is particularly important when targeting families with opioid misuse and addiction because there are high rates of addiction in remote areas, yet few services available. In this article, we describe the FCU Online and review new content in the model that targets a population of young adult parents with substance abuse histories, including opioid use. New modules include content focused on harm reduction for this high-risk population of parents, such as safety in the home, substance use while parenting, and managing conflict with partners and friends.

scholarly journals Relationship Between Substance Use and the Onset of Spinal Cord Injuries: A Medical Chart Review

2019 ◽  
Vol 25 (4) ◽  
pp. 316-321
Author(s):  
Lori Ann Eldridge ◽  
Jennifer A. Piatt ◽  
Jon Agley ◽  
Steven Gerke
Keyword(s):  
Spinal Cord ◽  
Substance Use ◽  
Spinal Cord Injuries ◽  
The United States ◽  
Health Condition ◽  
Self Report ◽  
Health Concern ◽  
Opioid Misuse ◽  
Opioid Use ◽  
Cord Injury

Background: Opioid misuse is a leading health care concern within the United States. In many cases, opioid misuse and opioid use disorder are associated with pain, a secondary health condition affecting individuals with spinal cord injury (SCI). Further, substance use is a known risk factor for SCI, resulting in the potential for a substance-related risk trajectory running from pre- to post-SCI. However, little research has examined substance use prior to SCI since the opioid epidemic began, and so the relative risk of opioids to patients with SCI is unclear. Objective: To determine whether individuals with SCI tested positive for substance use at the time of injury and identify the primary substances used at the time of injury. Methods: This study retrospectively reviewed all medical charts of individuals ages 18 and older who had sustained an SCI during an identified 18-month period and received medical care at a selected level 1 trauma center in the Midwest. Results: Data revealed an 80% combined positive toxicology and/or self-report of substance use immediately prior to the onset of the SCI. Twenty-five percent of males were positive for more than one substance at time of injury. Substances used prior to injury, listed most to least prevalent, were opioids (37.5%), alcohol (25%), marijuana (25%), methamphetamines (12.5%), benzodiazepines (12.5%), followed by cocaine (6.25%) and synthetic cathinone (6.25%). Conclusion: Although opioids were the most common substance used prior to SCI, none of the individuals positive for opioids at the time of injury were identified by the reviewing medical professional as having pain as a secondary health condition either prior to or after injury. However, pain is commonly listed as the primary health concern among individuals living with SCI, and the possibility of opioid use prior to injury likely warrants pain management planning that includes careful pharmacological and nonpharmacological interventions.

scholarly journals Urban Land-Based Healing: A Northern Intervention Strategy

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Nicole Redvers ◽  
Melanie Nadeau ◽  
Donald Prince
Keyword(s):  
Substance Use ◽  
High Risk ◽  
Intervention Strategy ◽  
The United States ◽  
Urban Land ◽  
Outcome Data ◽  
Urban Setting ◽  
Indigenous Populations ◽  
High Risk Population ◽  
Methodological Considerations

Urban Indigenous populations face significant health and social disparities across Canada. With high rates of homelessness and substance use, there are often few options for urban Indigenous Peoples to access land-based healing programs despite the increasingly known and appreciated benefits. In May 2018, the first urban land-based healing camp opened in Yellowknife, Northwest Territories, Canada, one of the first to our knowledge in Canada or the United States. This camp may serve as a potential model for an Indigenous-led and Indigenous-based healing camp in an urban setting. We present preliminary outcome data from the healing camp in a setting with a high-risk population struggling with substance use and homelessness. Reflections are presented for challenging logistical and methodological considerations for applications elsewhere. This northern effort affords us ample opportunity for expanding the existing knowledge base for land- based healing applied to an urban Indigenous high-risk setting.

scholarly journals The Family Check-Up With High-Risk Indigent Families: Preventing Problem Behavior by Increasing Parents’ Positive Behavior Support in Early Childhood

2008 ◽  
Vol 79 (5) ◽  
pp. 1395-1414 ◽  
Author(s):  
Thomas J. Dishion ◽  
Daniel Shaw ◽  
Arin Connell ◽  
Frances Gardner ◽  
Chelsea Weaver ◽  
...  
Keyword(s):  
Early Childhood ◽  
High Risk ◽  
Problem Behavior ◽  
Positive Behavior Support ◽  
Positive Behavior ◽  
Behavior Support ◽  
The Family

Long-Term Opioid Use Among Veterans with Cirrhosis: High-Dose Prescriptions in an Exceedingly High-Risk Population

2022 ◽  
Author(s):  
Jessica B. Rubin ◽  
Jennifer C. Lai ◽  
Samuel Leonard ◽  
Karen Seal ◽  
Katherine J. Hoggatt ◽  
...  
Keyword(s):  
High Risk ◽  
High Risk Population ◽  
High Dose ◽  
Opioid Use ◽  
Risk Population

From Enabling to Bootstrapping: Welfare Workers' Views of Substance Abuse and Welfare Reform

2005 ◽  
Vol 32 (3) ◽  
pp. 429-455 ◽  
Author(s):  
Daniel Dohan ◽  
Laura Schmidt ◽  
Stuart Henderson
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Welfare Reform ◽  
The United States ◽  
Poor People ◽  
Substance Use Problems ◽  
Self Sufficiency ◽  
New Policies ◽  
Drug Problems ◽  
Welfare Workers

In the United States, a trope of “deservingness” shapes policy related to public aid and substance abuse. In recent decades, poor people with substance use problems have increasingly been seen as “undeserving.” Federal welfare reform, passed in the mid-1990s, is an important exemplar of this trend. Welfare reform empowered line workers to directly and indirectly withhold aid from people with substance use problems. This paper uses in-depth interviews with workers to explore their views of these new policies. Workers generally applauded welfare reform's renewed attention to deservingness, including program emphases on client self-sufficiency and personal accountability and policies that time-limited cash aid and mandated working. They felt that these changes allowed them to stop “enabling” substance abuse and to encourage clients with alcohol and drug problems to bootstrap their way into jobs. Workers' embrace of these policy changes appears likely to shape how substance abuse problems are addressed within the welfare system.

European/U.S. Comparison and Contrasts in Ovarian Cancer Screening and Prevention in a High-Risk Population

2017 ◽  
pp. 124-127
Author(s):  
Marian J. Mourits ◽  
G. H. de Bock
Keyword(s):  
United States ◽  
Ovarian Cancer ◽  
Cancer Screening ◽  
High Risk ◽  
The United States ◽  
High Risk Population ◽  
Genome Wide Association Studies ◽  
Hereditary Ovarian Cancer ◽  
Ovarian Cancer Screening ◽  
Screening And Prevention

The history of screening and prevention of ovarian cancer among high-risk women in the United States and Europe is one of mutual inspiration, with researchers learning from each others’ findings and insights and collaborating with investigators from both sides of the Atlantic ocean. Examples of simultaneous and joint development of knowledge and scientific points of view include the paradigm shift from ovarian to fallopian tube high-grade serous cancer and the cessation of simultaneous adoption of ovarian cancer screening by clinicians in both the United States and Europe. Examples of joint efforts with fruitful results include international collaboration in large population-based, genome-wide association studies and in epidemiologic database studies. Research in the field of hereditary ovarian cancer is a great example of mutual inspiration and joint efforts for the purpose of improving knowledge and health care for women with hereditary ovarian cancer.

scholarly journals Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

2008 ◽  
Vol 123 (3_suppl) ◽  
pp. 126-135 ◽  
Author(s):  
Elin B. Begley ◽  
Alexandra M. Oster ◽  
Binwei Song ◽  
Linda Lesondak ◽  
Kelly Voorhees ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Infection ◽  
Hiv Testing ◽  
The United States ◽  
High Risk Population ◽  
Newly Diagnosed ◽  
Infected People ◽  
Rapid Hiv Testing ◽  
Undiagnosed Hiv ◽  
Locating Information

Objectives. Partner counseling and referral services (PCRS) provide a unique opportunity to decrease transmission of human immunodeficiency virus (HIV) by notifying sex and drug-injection partners of HIV-infected individuals of their exposure to HIV. We incorporated rapid HIV testing into PCRS to reduce barriers associated with conventional HIV testing and identify undiagnosed HIV infection within this high-risk population. Methods. From April 2004 through June 2006, HIV-infected people (index clients) were interviewed, and their partners were notified of their potential exposure to HIV and offered rapid HIV testing at six sites in the United States. The numbers of index clients participating and the numbers of partners interviewed and tested were compared by site. Descriptive and bivariate analyses were performed. Results. A total of 2,678 index clients were identified, of whom 779 (29%) provided partner locating information. A total of 1,048 partners were elicited, of whom 463 (44%) were both interviewed and tested for HIV. Thirty-seven partners (8%) were newly diagnosed with HIV. The number of index clients interviewed to identify one partner with newly diagnosed HIV infection ranged from 10 to 137 at the participating sites. Conclusions. PCRS provides testing and prevention services to people at high risk for HIV infection. Incorporating rapid HIV testing into PCRS and identifying previously undiagnosed infections likely confer individual and public health benefits. Further evaluation is needed to determine the best methods of identifying partners with previously unrecognized HIV infection.

scholarly journals Addressing the Opioid Epidemic: Recommended Solutions from Physicians

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Jessica Cataldo ◽  
Sandra Collins ◽  
Richard C Mckinnies ◽  
Jane Nichols ◽  
Thomas A Shaw
Keyword(s):  
United States ◽  
Active Role ◽  
The United States ◽  
Opioid Epidemic ◽  
Opioid Misuse ◽  
Opioid Use ◽  
Multifaceted Approach ◽  
Improve Treatment ◽  
Opioid Crisis ◽  
A Current

The purpose of this study was to assess physicians’ accounts related to the current opioid epidemic and to identify solutions that they feel would be most successful in addressing opioid misuse and overuse. A survey was administered a group of physicians obtained from a nationwide database. Nearly all physicians surveyed believed there was a current opioid crisis in the United States and that physicians should take an active role in addressing opioid use in patients. Four key themes emerged regarding solutions to the opioid crisis: i) policy change, ii) improve treatment, iii) education, and iv) alternative treatment. The diversity of responses highlighted the need for a multifaceted approach to address opioid misuse and abuse.

scholarly journals The prevalence of substance use in anaesthesia practitioners in South Africa

2019 ◽  
Vol 25 (6) ◽  
pp. 14-20
Author(s):  
JL Van Der Westhuizen ◽  
F Roodt ◽  
M Nejthardt ◽  
T Esterhuizen ◽  
M Flint ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Use ◽  
South African ◽  
Significant Proportion ◽  
The United States ◽  
Opioid Use ◽  
Moderate Risk ◽  
Cross Sectional ◽  
Male And Female ◽  
South African Society

Background: In the United States the mortality associated with substance abuse among anaesthesia residents is twice that of non-anaesthesia residents. Since no data exist, the primary objective of this cross-sectional study was to establish the prevalence of substance use in South African anaesthesia practitioners. Secondary objectives were to compare the prevalence in male and female practitioners, and in private and state practice anaesthetists. Years of experience and level of training were explored as possible risk factors for hazardous or harmful use. Methods: Participants completed a self-administered, validated WHO questionnaire, over a ten-day period surrounding the 2018 South African Society of Anaesthesiologists (SASA) congress. All doctors practising anaesthesia in South Africa were eligible. Recruitment was via an email link sent to all SASA members, as well as a web-based link at the congress. Results: A total of 1 961 SASA members and 113 non-members (anaesthesiologists, registrars and non-specialists) were invited to participate (total 2 074). There were 434 responses (response rate 20.9%, margin of error 4.18%); 364 were suitable for analysis. The most commonly lifetime-used substances were alcohol (92.8%), tobacco (42.3%), cannabis (34.7%), and sedatives (34.4%). Questionnaire scores defined low-, medium- and high-risk categories according to substance use during the previous three months. Sedative (12.6%) and alcohol (12.1%) users were deemed to be at moderate risk. The prevalence of opioid use was 1.9% (n = 7). Prevalence of substance use was similar in male and female practitioners, as well as in those working in private practice or in state hospitals. Conclusion: The prevalence of current use of alcohol and sedatives is of major concern. A significant proportion of respondents were assessed to be at moderate risk of hazardous or harmful substance use. Gender and practice setting have little impact on substance use. Wellness efforts should be aimed at all anaesthesia practitioners in South Africa.

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