Drug and Alcohol Use Among Boston’s Haitian Community: A Hidden Problem Unveiled by CCHER’s Enhanced Innovative Case Management Program

Author(s):  
Eustache Jean-Louis ◽  
Janine Walker ◽  
Guy Apollon ◽  
Joel Piton ◽  
M. Berthonia Antoine ◽  
...  
2001 ◽  
Vol 16 (1-2) ◽  
pp. 107-122 ◽  
Author(s):  
Eustache Jean-Louis ◽  
Janine Walker ◽  
Guy Apollon ◽  
Joel Piton ◽  
M. Berthonia Antoine ◽  
...  

Author(s):  
Min-Hyuk Kim ◽  
Jinhee Lee ◽  
Hyunjean Noh ◽  
Jin-Pyo Hong ◽  
Hyun Kim ◽  
...  

The purpose of this study was to investigate the effect of continuous case management with a flexible approach on the prevention of suicide by suicide reattempt in a real clinical setting. The subjects in this study were 526 suicide attempters who visited emergency rooms in a teaching hospital in South Korea. Subjects were provided a continuous case management program with a flexible approach according to the severity of their suicide risk and needs. During the entire observation period (from 182 days to 855 days, mean = 572 ± 254), 18 patients (3.7%) died by suicide reattempt: Eight patients (2.27%) in the case management group and 10 patients (7.35%) in the no-case management group. The Cox regression analysis showed that the case management group had a 75% lower risk of death from suicide attempts than the no-case management group (HR = 0.34, 95% CI = 0.13–0.87). This result was shown to be more robust after adjusting for confounding factors such as gender, age, psychiatric treatment, suicide attempts, and family history of suicide (adjusted HR = 0.27, 95% CI = 0.09–0.83). This study was conducted in a single teaching hospital and not a randomized controlled one. A flexible and continuous case management program for suicide attempters is effective for preventing death by suicide reattempts.


2000 ◽  
Vol 11 (4) ◽  
pp. 5-22 ◽  
Author(s):  
Dana Vladescu ◽  
Kimberly Eveleigh ◽  
Jenny Ploeg ◽  
Christopher Patterson

2021 ◽  
Author(s):  
Nicholas A. Livingston ◽  
Stacey L. Farmer ◽  
Colin T. Mahoney ◽  
Brian P. Marx ◽  
Terence M. Keane

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Lenora Campbell ◽  
Dana L. Carthron ◽  
Margaret Shandor Miles ◽  
LaShanda Brown

Researchers have identified complex needs of custodial grandparent families and lack of access to needed resources such as housing, financial and legal assistance, and health care. Case management links these families with needed services while helping them develop skills to promote their health and well-being. This paper describes a case management program for custodial grandparent families using a nurse-social worker case management team. data were collected from 50 grandparents and 33 children using surveys and semi-structured instruments. Physical and mental health outcomes were measured using Short Form-12 Health Survey (SF 12) to measure the perceived quality of health for grandparents and the Child Behavior Checklist to measure the emotional and behavioral functioning of grandchildren. Grandparents more positively perceived their mental health after participating in the program. Perceptions about physical health were generally the same before and after the program. Grandparents' reported that many grandchildren had emotional and behavioral problems in the clinical range. These findings highlight the need for further research on the mental health needs of children being parented by grandparents as well as determining effective models and interventions to minimize adverse effects of parenting on grandparents.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Deborah Schroeder ◽  
Pamala Larsen ◽  
Norma Jean Byrd

Abstract Background An inner-city neighbourhood of Regina, Saskatchewan continues to have recurring issues of drug and alcohol use affecting parents’ caregiving opportunity. In relation to this, many children, mostly of First Nations descent, are raised in out-of-home care away from their families. With the promotion of breastfeeding, in a neighbourhood prenatal/postnatal support program, breastfeeding rates have doubled and mothers’ participation in their children’s care has increased. Recognition and promotion of cultural beliefs about breastfeeding is integral to raise community awareness of the practice. To bring additional support for breastfeeding, the empowerment effects observed were measured. Methods Using a longitudinal study design, indicators of empowerment were assessed prenatally and again at two months postpartum. Indicators included self-esteem, caregiving activities, and drug and alcohol use. Outcomes of assessments were correlated to infant feeding practices and findings compared. Results Findings supported a statistically significant improvement for empowerment scores when mothers breastfed. Mean scores for self-esteem increased from 2.87 to 3.57 (r = .90, p = <.001); for caregiving, scores increased from 2.60 to 3.16 (r = .91, p = <.001); and for drug and alcohol use, scores decreased from 59 to 9% (p = <.001). Conclusions The study brings attention to the value of breastfeeding for caregiving in situations of addiction and limited resources. Practitioner reflexivity in regards to their support for breastfeeding is critical and includes openness to alternate breastfeeding situations and beliefs. The study found that a positive outlook on breastfeeding is the first step for a practitioner-client relationship that fosters confidence for marginalized populations. Significance statement According to research, less breastfeeding occurs when mothers are marginalized. In turn, as marginalization increases, a mother’s self-esteem regarding her ability to adequately care for her child decreases. Healthcare professionals tend to be less likely to support a decision to breastfeed if there is concern about the mother’s resources and lifestyles. This research brings new attention to the importance of breastfeeding in disadvantaged situations related to an empowerment effect of breastfeeding for caregiving which includes cessation of drug and alcohol use. This effect has not previously been measured.


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