The Christian Social Worker in Recovery: A Personal Reflection on Professional Stigma, Bias and Discrimination

2019 ◽  
Vol 46 (3) ◽  
Author(s):  
Denise L. Jaillet Keane
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Social Worker ◽  
Senior Management ◽  
Peer Mentors ◽  
Personal Reflection ◽  
Face To Face ◽  
Professional Social Worker ◽  
Bias And Discrimination

As a professional social worker in long-term substance use recovery, I have come face to face with stigma, bias and discrimination regarding those who struggle with the disease of addiction.  I have made choices regarding when and where and if to disclose that I am a person in recovery.  I have listened to colleagues engaging in “us” and “them” conversations, forgetting that I am both them and us them and us us and them, not realizing how offensive and judgmental their language was.  Funders overlooked my identity as a person in recovery, as they requested agencies to hire more “peer mentors”, but did not count recovering clinicians, or senior management.  The result of a qualitative self-interview on the experiences of being a Christian social worker who just happens to be that 1 in 7 who has faced a substance use disorder, this paper presents a person-centered perspective regarding working as, or with, a social worker in recovery.

Predicting attrition in long-term residential substance use disorder treatment: A modifiable risk factors perspective.

2020 ◽  
Vol 17 (4) ◽  
pp. 472-482
Author(s):  
Danielle E. Baker ◽  
Keith A. Edmonds ◽  
Maegan L. Calvert ◽  
Sarah M. Sanders ◽  
Ana J. Bridges ◽  
...  
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Modifiable Risk Factors ◽  
Substance Use Disorder Treatment ◽  
Disorder Treatment

scholarly journals Recovery-informed Theory: Situating the Subjective in the Science of Substance Use Disorder Recovery

2019 ◽  
Vol 1 (3) ◽  
pp. 1-15 ◽  
Author(s):  
Austin M Brown ◽  
Robert D Ashford
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Systems Of Care ◽  
Grand Theory ◽  
Recovery Strategies ◽  
Recovery Capital ◽  
New Ideas

As recovery from substance use disorder becomes more than a mere quantifiable outcome, there exists a need to discuss and propose the underlying theoretical constructs that ultimately describe and identify the science of recovery. In this abstract undertaking, we propose an initial formulation of a grand theory of recovery science, built upon the seminal theories of recovery capital, recovery-oriented systems of care, and socioecological theory. This grand theory - labeled recovery-informed theory (RIT) - states that successful long-term recovery is self-evident and is a fundamentally emancipatory set of processes. This paper will discuss, analyze, and explore this theory as it is situated within the larger substance use, misuse, and disorder contexts. The uses, implications, and benefits of RIT as an organizing point of inquiry for recovery science are also discussed. By promoting the role of subjective recovery experience in the formulation of the study of recovery, it may be possible to summon new ideas, metrics, and strategies that can directly address substance use disorders in society. Adopting a recovery-informed understanding as follows from this grand theory may allow individual recovery and wellness trajectories to be explored, adapted, and modified to exemplify person-centered and individualized recovery strategies.

scholarly journals Long-term clinical effectiveness of lithium maintenance treatment in types I and II bipolar disorders

2001 ◽  
Vol 178 (S41) ◽  
pp. s184-s190 ◽  
Author(s):  
Leonardo Tondo ◽  
Ross J. Baldessarini ◽  
Gianfranco Floris
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Lithium Treatment ◽  
Bipolar Disorders ◽  
Clinical Effectiveness ◽  
Type I ◽  
Rapid Cycling ◽  
Single Episode ◽  
Episode Frequency

BackgroundThe effectiveness of lithium is being questioned increasingly and requires clarification.AimsTo assess the effectiveness of lithium treatment in depression and mania, syndromal types I and II, with predominantly mixed or psychotic episodes or rapid cycling, during treatment resumed following discontinuation, and across three decades.MethodThe longitudinal course of 360 patients with bipolar disorder compliant with lithium treatment for at least 1 year and without comorbidity for substance use disorder was reviewed.ResultsRisk of single-episode recurrences, a common index of treatment failure, was similar to that in other reports. Both episode frequency and ‘time ill’ improved more in type II than type I cases. Reduced morbidity during treatment was similar in patients with mixed or psychotic episodes, or rapid cycling, and in less complex cases. Retreatment yielded minor decrements in response, and there was no tendency for lesser responses in more recent years.ConclusionsBased on overall affective morbidity, long-term lithium treatment in compliant patients without comorbid substance use disorder, though imperfect, remains effective, even in subgroups of supposedly poor prognosis.

scholarly journals Treatments for Adolescents With Comorbid ADHD and Substance Use Disorder: A Systematic Review

2015 ◽  
Vol 24 (9) ◽  
pp. 1215-1226 ◽  
Author(s):  
Michelle J. Zaso ◽  
Aesoon Park ◽  
Kevin M. Antshel
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Pharmacological Intervention ◽  
Psychotherapeutic Interventions ◽  
Effective Interventions ◽  
Potential Efficacy ◽  
Treatment Gains ◽  
Comorbid Adhd

Objective: Comorbid ADHD and substance use disorder (SUD) presents frequently in adolescence, a developmental period that may promote the emergence of substance misuse among individuals with ADHD. Comorbid ADHD and SUD in adolescence results in significant and unique treatment challenges, necessitating examination into effective interventions. Method: This systematic review examined existing research into the treatment of comorbid adolescent ADHD and SUD. Results: Findings from a small number of pharmacological intervention studies suggest potential efficacy of extended-release stimulant and nonstimulant medications. Efficacy of psychotherapeutic interventions has not been systematically examined. Conclusion: Current research on treatments for comorbid ADHD and SUD in adolescence is limited. Future placebo-controlled clinical trials using large samples are needed to examine the efficacy of psychotherapeutic interventions, the heightened risk of prescription stimulant misuse, and the long-term maintenance of treatment gains in this population. Clinical guidelines for the treatment of comorbid ADHD and SUD are discussed.

scholarly journals Substance Use Disorder in Early Midlife: A National Prospective Study on Health and Well-Being Correlates and Long-Term Predictors

2015 ◽  
Vol 9s1 ◽  
pp. SART.S31437 ◽  
Author(s):  
John E. Schulenberg ◽  
Megan E. Patrick ◽  
Deborah D. Kloska ◽  
Julie Maslowsky ◽  
Jennifer L. Maggs ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Well Being ◽  
Cannabis Use ◽  
Adult Health ◽  
Senior Year ◽  
Cognitive Difficulties ◽  
Monitoring The Future ◽  
Health And Well Being

This study used national multicohort panel data from the Monitoring the Future study ( N = 25,536 from senior year classes 1977–1997 followed up to the age of 35 years in 1994–2014) to examine how early midlife (age 35 years) alcohol use disorder (AUD) and cannabis use disorder (CUD) are associated with adolescent and adult sociodemographics and health and well-being risk factors. Survey items adapted from DSM-5 diagnostic criteria were used to identify individuals who (a) showed symptoms consistent with criteria for AUD or CUD at age 35 years, (b) used the substance without qualifying for a disorder (nondisordered users), and (c) abstained from using alcohol or marijuana during the past five years. At age 35 years, the estimated prevalence of past five-year AUD was 28.0%, and that of CUD was 6.1%. Multinomial logistic regressions were used to identify variations in the relative risk of disorder symptoms as a function of sociodemographic characteristics, age 18 educational and social indices and substance use, and age 35 health and satisfaction indices and substance use. In the full models, age 18 binge drinking and marijuana use were found to be among the strongest predictors of age 35 AUD and CUD, respectively. Among age 35 health and well-being indicators, lower overall health, more frequent cognitive difficulties, and lower satisfaction with spouse/partner were consistently associated with greater risks of AUD and CUD. Some evidence was found for a J-shaped association between age 35 AUD or CUD status and health and well-being indices, such that nondisordered users were sometimes better off than both abstainers and those experiencing disorder. Finally, nondisordered cannabis use, but not CUD, was found to be more common in more recent cohorts. Implications are discussed regarding the importance of placing early midlife substance use disorder within the context of both adolescent substance use and adult health and well-being.

scholarly journals Predicting substance use disorder using long-term attention deficit hyperactivity disorder medication records in Truven

2019 ◽  
Vol 26 (2) ◽  
pp. 787-802 ◽  
Author(s):  
Sajjad Fouladvand ◽  
Emily R Hankosky ◽  
Heather Bush ◽  
Jin Chen ◽  
Linda P Dwoskin ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Attention Deficit ◽  
Health Consequences ◽  
Hyperactivity Disorder ◽  
Long Term Impact

About 20% of individuals with attention deficit hyperactivity disorder are first diagnosed during adolescence. While preclinical experiments suggest that adolescent-onset exposure to attention deficit hyperactivity disorder medication is an important factor in the development of substance use disorder phenotypes in adulthood, the long-term impact of attention deficit hyperactivity disorder medication initiated during adolescence has been largely unexplored in humans. Our analysis of 11,624 adolescent enrollees with attention deficit hyperactivity disorder in the Truven database indicates that temporal medication features, rather than stationary features, are the most important factors on the health consequences related to substance use disorder and attention deficit hyperactivity disorder medication initiation during adolescence.

Try to Remember: Interplay between Memory and Substance Use Disorder

2018 ◽  
Vol 20 (2) ◽  
pp. 158-165 ◽  
Author(s):  
Rashidi Mohamed Pakri Mohamed ◽  
Jaya Kumar ◽  
Ernie Yap ◽  
Isa Naina Mohamed ◽  
Hatta Sidi ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Pharmacological Intervention ◽  
Long Term Memory ◽  
Potential Candidate ◽  
Learning Disorder ◽  
Inhibitory Peptide ◽  
Term Memory ◽  
Biochemical Mechanisms

Memories associated with substance use disorders, or substance-associated cues increase the likelihood of craving and relapse during abstinence. There is a growing consensus that manipulation of synaptic plasticity may reduce the strength of substance abuse-related memories. On the biological front, there are new insights that suggest memories associated with substance use disorder may follow unique neurobiological pathways that render them more accessible to pharmacological intervention. In parallel to this, research in neurochemistry has identified several potential candidate molecules that could influence the formation and maintenance of long-term memory. Drugs that target these molecules (blebbistatin, isradipine and zeta inhibitory peptide) have shown promise at the preclinical stage. In this review, we shall provide an overview of the evolving understanding on the biochemical mechanisms involved in memory formation and expound on the premise that substance use disorder is a learning disorder.

scholarly journals Substance Use Disorder Treatment Following Clinician-Initiated Discontinuation of Long-Term Opioid Therapy Resulting from an Aberrant Urine Drug Test

2017 ◽  
Vol 32 (10) ◽  
pp. 1076-1082 ◽  
Author(s):  
Shannon M. Nugent ◽  
Steven K. Dobscha ◽  
Benjamin J. Morasco ◽  
Michael I. Demidenko ◽  
Thomas H. A. Meath ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Opioid Therapy ◽  
Substance Use Disorder Treatment ◽  
Drug Test ◽  
Urine Drug ◽  
Disorder Treatment ◽  
Urine Drug Test

scholarly journals Community Rehabilitation and Hospitalizations Among People With Chronic Psychotic Disorder: Is There a Differential Association by Co-occurring Substance Use Disorder?

2021 ◽  
Vol 12 ◽  
Author(s):  
Sharon Florentin ◽  
Paola Rosca ◽  
Tali Bdolah-Abram ◽  
Yehuda Neumark
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Vocational Rehabilitation ◽  
Substance Use Disorder ◽  
Repeated Measures ◽  
Annual Number ◽  
Rehabilitation Services ◽  
Case Register ◽  
Community Rehabilitation

Objective: Co-occurrence of chronic psychotic disorders and substance use disorder (SUD) is clinically challenging and increasingly prevalent. In 2000, legislation was passed in Israel to foster rehabilitation and integration in the community of persons with mental health disorders. In 2010, the need to allocate resources for patients with these co-occurring disorders (COD) was officially recognized. Yet, most rehabilitation services were not specifically designed for COD. This study examines the relationship between duration of community rehabilitation and number of psychiatric hospitalization days among persons with/without COD in Israel.Methods: Data from the National Psychiatric Case Register on 18,684 adults with schizophrenia/schizoaffective disorders hospitalized in 1963–2016, was merged with data from the Israel Mental Rehabilitation Register. Associations and interactions between COD-status (COD/non-COD), time-period (Period1: 2001–2009, Period2: 2010–2016), duration of housing or vocational rehabilitation on hospitalization days per year were analyzed using repeated-measures ANOVA.Results: The proportion of non-COD chronic psychotic patients who received rehabilitation services increased from 56% in Period1 to 63% in Period2, as it did among COD patients—from 30 to 35%. The proportion of non-COD patients who received longer-duration vocational rehabilitation (≥1 year) was significantly higher (43%) than among COD patients (28%) in both time periods. For housing rehabilitation, these proportions were 79 and 68%, respectively. Persons with COD experienced more hospitalization days annually than non-COD patients. Duration of rehabilitation (less/more than a year) was inversely associated with annual number of hospitalization days (p < 0.0001). This pattern was noted in both COD and non-COD groups and remained significant after controlling for age, sex, COD group, percent of hospitalizations with SUD, and age at first hospitalization.Conclusions: COD patients with prolonged rehabilitation seemingly achieve long-term clinical improvement similar to non-COD patients, despite most rehabilitation settings in Israel not being designed for COD patients. Yet, COD patients receive overall less rehabilitation services and for shorter periods than non-COD patients. Long-term rehabilitation services should be provided to COD patients, who may need more time to commit to treatment. To achieve better long-term mental health improvements, a continued expansion of community-based integrative treatment and rehabilitation services for COD patients is needed in Israel.

Sign in / Sign up

Export Citation Format

Share Document