scholarly journals Barriers for implementing an intervention for substance using adolescents when adding a parent component

2021 ◽  
Vol 129 (s1) ◽  
pp. 110-114
Author(s):  
Kalina Isela Martínez Martínez ◽  
María Eugenia Contreras-Pérez ◽  
Eric F. Wagner

Research has shown that an intervention process with adolescents involving the parents may achieve better results since the interaction with the parents is a protective factor itself. The brief intervention program for adolescents starting substance use is an intervention used in Mexican clinical centers with adolescents who have experienced problems with their substance use but do not present dependency symptoms. The family context is key to the genesis and progression of behavior problems, including substance use, among children and adolescents. An intervention process that involves parents may achieve better results in preventing substance use problems in adolescents

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Zhengqi Tan ◽  
Eun-Young Mun ◽  
Uyen-Sa D. T. Nguyen ◽  
Scott T. Walters

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.


2017 ◽  
Vol 3 (1) ◽  
pp. 27-37
Author(s):  
Karolina Eszter Kovács ◽  
Beáta Erika Nagy

   Health awareness plays an important role in our life. It’s important to live an appropriate lifestyle because an adequate way of life helps to conserve the optimal health status and to prevent chronic diseases (Conner, 2005). The role of the family and parents is still significant. Children turn toward their peers but the family stands in the background as a supporting basis (Kovács & Pikó, 2009). However this function cannot be fulfilled with the crisis and disintegration of family structure which can mean a serious stressor, so it can increase the appearance and in serious cases the long-lasting subsistence of harmful health behavior (Bramlett & Blumber, 2007). The aim of the study is to measure the appearance of smoking, getting drunk, and substance use depending on the sport and family structure in three counties on the basis of FASCES 2015. According to the results only pursuing sport does not influence the testing rate but it can be seen as a protective factor. Family structure considered on its own is not a significant influencing factor but the mediating role of social factors are well perceptible in case of smoking, getting drunk, and using weed.


2020 ◽  
Author(s):  
Zhengqi Tan ◽  
Eun-Young Mun ◽  
Uyen-Sa D. T. Nguyen ◽  
Scott T. Walters

Abstract Background: Social support is a well-known protective factor against depression and substance use problems, but very few studies have examined its protective effects among Permanent Supportive Housing (PSH) residents. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depression, 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, 35% White, 8% other; 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 depression 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 depression (coefficient: –0.99, p<0.01) and substance use problems (coefficient: –0.98, p<0.01), respectively.Conclusions: This study suggests that increases in social support, though slowing over time, still positively impact depression 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.


2019 ◽  
Vol 8 (1) ◽  
pp. 119
Author(s):  
Constance Van Eeghen ◽  
Juvena Hitt ◽  
John G. King ◽  
Jane E. Atieno Okech ◽  
Barbara Rouleau ◽  
...  

BackgroundRecent efforts to prepare healthcare professionals to care for patients/clients with substance use problems have incorporated SBIRT (Screening, Brief Intervention, and Referral to Treatment) into graduate education programs. No research has examined the benefits and methods of an SBIRT interprofessional education approach for behavioral health graduate students and medical residents. This pilot study examined the implementation of an interprofessional curriculum on SBIRT to improve attitudes, abilities, skills, and knowledge of learners planned by faculty from multiple professions at a state university.MethodsFaculty in Counseling, Family Medicine, Internal Medicine, Nursing and Social Work departments collaborated to develop an interprofessional curriculum delivered through a small-group and active learning approach.  Seventy-one residents and graduate students participated.  Pre- and post-training surveys measured self-perceived attitudes, abilities, and skills along with objectively measured knowledge.  Analysis examined pre- to post-training changes in scores.ResultsPre-training surveys yielded an 89% response rate; post-training, 85%. Self-perceived attitudes did not change significantly, except a 20% increase in how rewarded learners felt while working with patients/clients with alcohol/drug use disorders (P < .01). Compared to baseline, there was a statistically significant increase in all items of self-perceived ability (P<.01) and all items of self-perceived communication skills (P<=.04). Knowledge mean scores also increased significantly (P < .001) across both primary care and behavioral health learner groups.ConclusionsInterprofessional training in SBIRT produced improvements in ability, skills, knowledge, and some attitudes. Such programs may inform providers who care for patients/clients with substance use problems, thus improving their competence and personal experience.


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