scholarly journals Screening for illicit drug use in psychiatric hospitals: whose job is it?

2006 ◽  
Vol 12 (5) ◽  
pp. 375-383 ◽  
Author(s):  
Ilana B. Crome ◽  
Roger Bloor ◽  
Betsy Thom
Keyword(s):  
Drug Use ◽  
Substance Misuse ◽  
Rating Scales ◽  
Illicit Drug ◽  
Service Providers ◽  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Accurate Diagnosis ◽  
Self Report ◽  
Assessment Instruments

This review focuses on screening and assessment in general psychiatric settings, where drug use is unlikely to be known to service providers. It builds on the recurrent finding that psychiatric patients are at high risk of substance misuse. The application of self-report questionnaires and rating scales and more in-depth assessment instruments is outlined, as are biological screening techniques. The use of brief self-completion questionnaires probably offers the most practical approach to routine screening by non-specialist staff in general hospital settings. The importance of implementing such tools lies in reaching an accurate diagnosis, choosing treatments more appropriately and monitoring the management of patients' psychiatric disorders.

A Community-based Addiction Rehabilitation Electronic System to Improve Recovery Outcomes in Patients with Drug Use Disorder: Protocol for a Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Zhe WANG ◽  
Shujuan CHEN ◽  
Junning CHEN ◽  
Chunfeng XU ◽  
Zhikang CHEN ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Drug Use ◽  
Illicit Drug ◽  
Service Providers ◽  
Controlled Trial ◽  
Electronic System ◽  
Community Based ◽  
Randomized Controlled ◽  
Community Rehabilitation ◽  
Drug Use Disorder

BACKGROUND Relapse is very common in patients with illicit drug use disorder and contributes to a series of bad consequences that substantially impact their physical and social functions. Due to the limited existence of effective addiction treatment, the majority of patients with drug use disorder could not access help when needing. Mobile health (mHealth) offers a potential solution to improving recovery outcome for patients in community. OBJECTIVE This paper is a protocol for a randomized controlled trial (RCT) of a smart phone application called community-based addiction rehabilitation electronic system (CAREs). This interactive system consists of an APP for clients and a webpage for service providers, with the aim of teaching clients craving and emergency coping skills and helping service providers to improve their work efficiency and effectiveness in community. METHODS A randomized controlled trial (RCT) will be conducted. Sixty drug illicit users who are newly ordered to undergo community rehabilitation will be recruited from the community in Shanghai. Participants will be 1:1 randomly assigned to receive integrated community rehabilitation by using CAREs or only receiving routine community rehabilitation for 6 months. Corresponding anti-drug social workers will provide service and monitor their drug use behavior in accordance with the routine work-flow. Outcomes will be assessed at baseline and in the 6th month. The primary study outcome is the performance on illicit drug urine test which will be carried on regularly twice per week during the study period. Secondary study outcomes include longest duration of sustained abstinence, days that participants interact with anti-drug social workers, and the decrease rate of addiction-related issues severity index. RESULTS Recruitment is currently underway with the aim of recruiting 60 subjects with drug use disorder. Recruitment will continue until the end of 2018. CONCLUSIONS This is the first known trial of a smartphone-based psychotherapy program for improving recovery outcomes in illicit drug users in community. The study provides evidence for the feasibility and effectiveness of the "CAREs" system through comparing the results of the intervention group with the control group. This paper describes the design and methodology of the study. CLINICALTRIAL ClinicalTrials.gov NCT03451344, https://clinicaltrials.gov/ct2/show/NCT03451344

scholarly journals Use of illicit drugs by adolescents and young adults of an urban settlement in Brazil

2018 ◽  
Vol 64 (2) ◽  
pp. 114-118
Author(s):  
Rafael Alves Guimarães ◽  
Márcia Maria de Souza ◽  
Karlla Antonieta Amorim Caetano ◽  
Sheila Araujo Teles ◽  
Marcos André de Matos
Keyword(s):  
Young Adults ◽  
Drug Use ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Self Report ◽  
Adolescents And Young Adults ◽  
Cross Sectional ◽  
Urban Settlement ◽  
Factors Associated

Summary Objective: To estimate the prevalence and factors associated with illicit drug use by adolescents and young adults of a formal urban settlement. Method: Cross-sectional study including adolescents and young adults 12-24 years of an urban settlement in the Midwest Region of Brazil. Data were collected using a structured questionnaire and analyzed using Stata, version 12.0. We used Poisson regression model to estimate the factors associated with illicit drug use. Results: Of the total participants (n=105), 27.6% (95CI 20.0-36.9%) had used illicit drugs such as marijuana, cocaine, crack, LSD and inhalants. The consumption of these substances was associated with male gender, use of body piercing and/or tattoos, licit drug use and self-report of signs and/or symptoms of sexually transmitted infections. Conclusion: High prevalence of illicit drug use was found in the individuals investigated, ratifying the presence of risk factors to the vulnerability of the settlers to use these substances in the urban settlement population.

Relationship between marijuana and other illicit drug use and depression/suicidal thoughts among late middle-aged and older adults

2015 ◽  
Vol 28 (4) ◽  
pp. 577-589 ◽  
Author(s):  
Namkee G. Choi ◽  
Diana M. DiNitto ◽  
C. Nathan Marti ◽  
Bryan Y. Choi
Keyword(s):  
Older Adults ◽  
Drug Use ◽  
Drug Users ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Service Providers ◽  
Illicit Drug Use ◽  
Middle Aged ◽  
Suicidal Thoughts ◽  
The Usa

ABSTRACTBackground:Despite growing numbers of older-adult illicit drug users, research on this topic is rare. This study examined the relationship between marijuana and/or other illicit drug use and major depressive episode (MDE) and serious suicidal thoughts among those aged 50+ years in the USA.Methods:The public use files of the 2008 to 2012 US National Survey on Drug Use and Health (NSDUH) provided data on 29,634 individuals aged 50+ years. Logistic regression analysis was used to test hypothesized associations between past-year marijuana and/or other illicit drug use and MDE and serious suicidal thoughts.Results:Nearly 6% of the 50+ years age group reported past-year marijuana and/or other illicit drug use. Compared to non-users of any illicit drug, the odds of past-year MDE among those who used marijuana only, other illicit drugs only, and marijuana and other illicit drugs were 1.54 (95% CI = 1.17–2.03), 2.75 (95% CI = 1.75–4.33), and 2.12 (95% CI = 1.45–3.09), respectively. Those who used marijuana and other drugs also had higher odds (2.44, 95% CI = 1.58–3.77) of suicidal thoughts than non-users of any illicit drug. However, among users of any illicit drug, no difference was found among users of marijuana only, marijuana and other illicit drugs, and other illicit drugs only. Among marijuana users, marijuana use frequency was a significant correlate of suicidal thoughts only among those with MDE.Conclusions:Health and mental health (MH) service providers should pay close attention to the potential reciprocal effects of marijuana and other illicit drug use and MDE and suicidal thoughts among late middle-aged and older adults.

Rehab, respite and recovery: the experiences of methadone users in a modified therapeutic community (MTC) in Scotland

2015 ◽  
Vol 36 (2) ◽  
pp. 124-136
Author(s):  
Iain McPhee ◽  
Denice Fenton
Keyword(s):  
Drug Use ◽  
Illicit Drug ◽  
Service Providers ◽  
Therapeutic Community ◽  
Methadone Maintenance ◽  
Illicit Drug Use ◽  
Cultural Norms ◽  
Service Users ◽  
Content Type ◽  
Rich Data

Purpose – There is limited research documenting recovery experiences of residential service users. The purpose of this paper is to explore the perceptions service users on methadone have about recovery. In depth, semi structured 1-1 interviews with seven poly drug using homeless males between the ages of 37 and 46 and analysed using NVivo software. Results are presented thematically. Participants conform to “recovery” norms allowing stigma and shame of illicit drug use to be attributed to former addict identities. Participants on methadone maintenance report inner conflict arising from changing societal and cultural norms that equate recovery with abstinence. Tensions were revealed in true motivations for active rather than passive participation in adopting group work norms. Design/methodology/approach – A qualitative design utilises small numbers of participants to gather rich data. In depth, semi structured 1-1 interviews conducted with seven poly drug using homeless males who have completed between ten and 15 weeks of a minimum 26-week residential treatment programme. Participants were aged 37-46. Results were analysed thematically using NVivo software. Findings – Participants conform to “recovery” norms allowing stigma and shame of illicit drug use to be attributed to a former stigmatised addict identity. Participants on methadone maintenance report inner conflict arising from changing societal and cultural norms regards recovery and abstinence. A significant process of recovery involved adopting the norms of 12-step groups and TC therapy to gain enough trust to leave the therapeutic community (TC) unsupervised. This created tension regards motivation, were these individuals in recovery, or merely “faking it”? Research limitations/implications – A female perspective may have provided a more balanced discussion and yielded greater depth in results. Only one service was studied and the findings may be specific to that cohort. The duration of stay at the service of ten to 15 weeks is a relatively short time and excluded participants resident for six months or more. Longer term residents may have been more reflective and informative. Practical implications – Encourage active options and increased debate on the variety of treatment options available to long term homeless opiate users who have failed to comply with previous treatments. While this is a small modest study, the rich data yields practical advice for policy makers and service providers. Social implications – This research study adds to an informed perspective by encouraging debate on methadone as a challenge to definitions of recovery that infer abstinence as a key definition of success. Originality/value – There is a paucity of research documenting a Scottish TC service user perspective using qualitative methods on experiences of addiction, treatment and recovery.

scholarly journals Prevalence of alcohol abuse and associated factors in a population-based study

2007 ◽  
Vol 41 (4) ◽  
pp. 502-509 ◽  
Author(s):  
Marilisa Berti de Azevedo Barros ◽  
Neury José Botega ◽  
Paulo Dalgalarrondo ◽  
Letícia Marín-León ◽  
Helenice Bosco de Oliveira
Keyword(s):  
Drug Use ◽  
Alcohol Abuse ◽  
Associated Factors ◽  
Illicit Drug ◽  
Household Survey ◽  
Illicit Drug Use ◽  
Population Based ◽  
Self Report ◽  
Southeastern Brazil ◽  
Odds Ratios

OBJECTIVE: To estimate the prevalence of alcohol abuse/dependence and identify associated factors among demographic, family, socioeconomic and mental health variables. METHODS: A household survey was carried out in the urban area of Campinas, southeastern Brazil, in 2003. A total of 515 subjects, aged 14 years or more were randomly selected using a stratified cluster sample. The Self-Report Questionnaire and the Alcohol Use Disorder Identification Test were used in the interview. Prevalences were calculated, and univariate and multivariate logistic analyses performed by estimating odds ratios and 95% confidence intervals. RESULTS: The estimated prevalence of alcohol abuse/dependence was 13.1% (95% CI: 8.4;19.9) in men and 4.1% (95% CI: 1.9;8.6) in women. In the final multiple logistic regression model, alcohol abuse/dependence was significantly associated with age, income, schooling, religion and illicit drug use. The adjusted odds ratios were significantly higher in following variables: income between 2,501 and 10,000 dollars (OR=10.29); income above 10,000 dollars (OR=10.20); less than 12 years of schooling (OR=13.42); no religion (OR=9.16) or religion other than Evangelical (OR=4.77); and illicit drug use during lifetime (OR=4.47). Alcohol abuse and dependence patterns were different according to age group. CONCLUSIONS: There is a significantly high prevalence of alcohol abuse/dependence in this population. The knowledge of factors associated with alcohol abuse, and differences in consumption patterns should be taken into account in the development of harm reduction strategies.

Structural Validity of the HBSC Bullying Measure: Self-Report Rating Scales of Youth Victimization and Perpetration Behavior

2017 ◽  
Vol 36 (6) ◽  
pp. 628-643 ◽  
Author(s):  
Anthony J. Roberson ◽  
Tyler L. Renshaw
Keyword(s):  
Rating Scales ◽  
Measurement Model ◽  
Self Report ◽  
Assessment Instruments ◽  
Structural Validity ◽  
School Aged Children ◽  
Diverse Student Populations ◽  
Diverse Student ◽  
Survey Results ◽  
Perpetrators And Victims

Bullying involvement among youth has consistently been linked to potentially serious consequences for both perpetrators and victims. To help clarify the nature and scope of youth bullying involvement, empirically validated assessment instruments measuring victimization and perpetration behaviors are needed for use in research and practice. The present study investigated the latent factor structure of the 22 victimization and perpetration items within the 2009-2010 Health Behavior in School-Aged Children (HBSC) self-report survey. Structural validity analyses were conducted using a representative sample of U.S. youth in Grades 5 to 10 ( N = 11,449) obtained from the national administration of the HBSC self-report survey. Results suggested a two-factor latent structure comprised of bullying victimization and perpetration was the most theoretically and psychometrically sound measurement model for these data. In addition, multigroup measurement and structural invariance analyses showed that this model functioned equitably across student race/ethnicity, sex, and grade level, supporting the measure’s use with diverse student populations.

scholarly journals Criminally invalid: the treatment outcome profile form for substance misuse

2009 ◽  
Vol 33 (11) ◽  
pp. 404-406 ◽  
Author(s):  
Jason Luty ◽  
Sabu Varughese ◽  
Joby Easow
Keyword(s):  
Treatment Outcome ◽  
Drug Use ◽  
Drug Treatment ◽  
Substance Misuse ◽  
Illicit Drug ◽  
Criminal Activity ◽  
Illicit Drug Use ◽  
Clinical Implications ◽  
Service Users ◽  
Treatment Services

Aims and MethodTo audit completion of the Treatment Outcome Profile (TOP) form in individuals attending substance misuse services in England. Forms are completed at the start of treatment and every 3 months thereafter. All forms at 3-drug treatment services were inspected over 6 months.ResultsForms were inspected for 200 service users; 86% were fully completed. Two-thirds (67%) of service users had no declared funding for illicit drug use in the previous month (mean spending £988; s.e. = 149) despite denying any paid employment and criminal activity.Clinical ImplicationsThe section on crime in the TOP form is unreliable and completely invalid.

scholarly journals The relative importance of perceived substance misuse use by different peers on smoking, alcohol and illicit drug use in adolescence

2019 ◽  
Vol 204 ◽  
pp. 107464
Author(s):  
Vanessa Er ◽  
Rona Campbell ◽  
Matthew Hickman ◽  
Chris Bonell ◽  
Laurence Moore ◽  
...  
Keyword(s):  
Drug Use ◽  
Substance Misuse ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Relative Importance

Testing Relationships Between Racial-Ethnic Identity, Racial-Ethnic Discrimination, and Substance Misuse Among Black and Latinx Older Adults in a Nationally Representative Sample

2021 ◽  
pp. 016402752098695
Author(s):  
Laurent Reyes ◽  
Peter Treitler ◽  
N. Andrew Peterson
Keyword(s):  
Older Adults ◽  
Ethnic Identity ◽  
Drug Use ◽  
Ethnic Diversity ◽  
Substance Misuse ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Ethnic Discrimination ◽  
Nationally Representative ◽  
Racial Ethnic

Older adults (aged 55+) comprise a rapidly growing population both in number and racial-ethnic diversity. In recent years, substance misuse prevalence among older adults has increased and is expected to continue rising, highlighting the need to understand risk and protective factors in this population. Using nationally representative data, this study examines the association of racial-ethnic identity and racial-ethnic discrimination with alcohol and illicit drug use among Black and Latinx older adults, and whether racial-ethnic identity moderates the relationship between discrimination and substance misuse. Findings show that among Latinx older adults discrimination is associated with increased substance misuse, and higher ethnic identity is associated with decreased illicit drug use. Higher racial-ethnic identity buffers the effects of discrimination on illicit drug use for Latinx, but not for Black respondents. Findings of this study highlight the complex associations between racial-ethnic identity, discrimination, and substance misuse, varying across racial-ethnic group, age, context, and other factors.

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