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The 2-year course following detoxification treatment of substance abuse: the possible influence of psychiatric comorbidity.

https://arctichealth.org/en/permalink/ahliterature11106
Source
Eur Arch Psychiatry Clin Neurosci. 1997;247(6):320-7
Publication Type
Article
Date
1997
Author
K. Tómasson
P. Vaglum
Author Affiliation
Department of Psychiatry, National University Hospital, Landspítalinn, Reykjavík, Iceland.
Source
Eur Arch Psychiatry Clin Neurosci. 1997;247(6):320-7
Date
1997
Language
English
Publication Type
Article
Keywords
Adult
Alcoholism - psychology - rehabilitation
Diagnosis, Dual (Psychiatry) - psychology
Female
Follow-Up Studies
Humans
Male
Prospective Studies
Psychiatric Status Rating Scales
Research Support, Non-U.S. Gov't
Substance-Related Disorders - psychology - rehabilitation
Abstract
The influence of psychiatric comorbidity on the course and outcome in a nationwide representative sample (n = 351) of treatment-seeking substance users over a 28-month period was studied prospectively. The patients were administered the Diagnostic Interview Schedule and a questionnaire on drinking history. At 16 and 28 months after admission the patients returned a questionnaire on drinking history and mental health. In cases of those lacking information on either follow-up (45%), details on drinking status was obtained from informants. Completely abstinent were 16%. Generalized anxiety disorder and/or social phobia at the index admission predicted abstinence during the follow-up [odds ratio (OR) = 0.25], whereas onset of alcoholism among these patients after age 25 years predicted a worse prognosis (OR = 13.5). Also increasing number of social consequences related to abuse (OR = 1.3) and drinking more than the median (OR = 2.1) predicted a poor outcome. The abstinent group had significantly better mental health at follow-up. The patients with comorbid psychiatric disorders at admission were worse at follow-up. Although substance use disorders and comorbid psychiatric disorders have to a certain degree separate courses, there is nevertheless significant interaction between them. Early treatment and recognition of comorbid psychiatric disorders among substance abusers is necessary.
PubMed ID
9477012 View in PubMed
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[A comprehensive treatment and rehabilitation program for drug addicts at the Dnepropetrovsk Province Drug Abuse Clinic]

https://arctichealth.org/en/permalink/ahliterature11485
Source
Lik Sprava. 1995 Jan-Feb;(1-2):159-62
Publication Type
Article
Author
L A Sauta
S V Rokutov
V A Lavrenko
Source
Lik Sprava. 1995 Jan-Feb;(1-2):159-62
Language
Russian
Publication Type
Article
Keywords
Combined Modality Therapy
English Abstract
Humans
Substance Abuse Treatment Centers
Substance-Related Disorders - psychology - rehabilitation - therapy
Ukraine
Abstract
On the basis of the experience gained in the treatment of patients who are drug addicts a complex treatment-and-rehabilitation programme has been developed and adopted. It is a psychotherapeutically--oriented programme that includes the following steps: selection of patients, promotion of health of the family, staging, participation of social workers--former patients. The end objective is to achieve a lasting remission in addicted patients, promotion of health of their relatives and normalization of family relations. Such an approach to solving the problem differs from nonmedicamentous methods widely employed now in the Ukraine and UIS republics, which have not been associated with demonstrable effects in treatment and, more important, rehabilitation of addicted persons.
PubMed ID
7483531 View in PubMed
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Addiction is a mental disorder, best managed in a (public) mental health setting--but our system is failing us.

https://arctichealth.org/en/permalink/ahliterature163757
Source
Can J Psychiatry. 2007 Mar;52(3):167-9: discussion 174
Publication Type
Article
Date
Mar-2007
Author
Charl Els
Author Affiliation
Department of Psychiatry, University of Alberta, Edmonton. cels@ualberta.ca
Source
Can J Psychiatry. 2007 Mar;52(3):167-9: discussion 174
Date
Mar-2007
Language
English
Publication Type
Article
Keywords
Canada
Hospitalization
Humans
Mental Health Services - standards
Public Health
Substance-Related Disorders - psychology - rehabilitation
PubMed ID
17479524 View in PubMed
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"A different atmosphere of love": a qualitative study of the experiences of participants in Evangelical substance user rehabilitation programs in the Russian Federation.

https://arctichealth.org/en/permalink/ahliterature115826
Source
Subst Use Misuse. 2013 Apr;48(6):421-8
Publication Type
Article
Date
Apr-2013
Author
Kenneth M Stoltzfus
David Cecil
Author Affiliation
Social Sciences Department, LCC International University, Klaipeda, Lithuania. kstoltzfus@lcc.lt
Source
Subst Use Misuse. 2013 Apr;48(6):421-8
Date
Apr-2013
Language
English
Publication Type
Article
Keywords
Adult
Christianity
Drug Users - psychology
Female
Focus Groups
Humans
Male
Qualitative Research
Russia
Substance-Related Disorders - psychology - rehabilitation
Abstract
This article explores the lived experiences of individuals who have participated in faith-based substance user rehabilitation programs in the Russian Federation. The Russian Federation has high rates of alcohol and opioid dependence and a dearth of professional treatment options. In the post-Soviet period, Evangelical Christian groups have developed substance user rehabilitation programs to attempt to address substance use and its related problems. Data were collected during 2010 via focus group interviews with participants in three Evangelical rehabilitation programs in the Volga region of the Russian Federation. Themes emerging from the qualitative data analysis process were classified into three broad categories: Typical Day, Personal Background/Decision to Enter Rehabilitation, and Helpful Aspects of Rehabilitation Process.
Notes
Erratum In: Subst Use Misuse. 2013 Sep;48(12):1218
PubMed ID
23461666 View in PubMed
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An abstinence-oriented program for substance use disorders: poorer outcome associated with opiate dependence.

https://arctichealth.org/en/permalink/ahliterature195869
Source
Can J Psychiatry. 2000 Dec;45(10):927-31
Publication Type
Article
Date
Dec-2000
Author
A. Paraherakis
D A Charney
J. Palacios-Boix
K. Gill
Author Affiliation
Addictions Unit, Department of Psychiatry, Montreal General Hospital, Montreal, Quebec.
Source
Can J Psychiatry. 2000 Dec;45(10):927-31
Date
Dec-2000
Language
English
Publication Type
Article
Keywords
Adult
Alcoholism - psychology - rehabilitation
Female
Follow-Up Studies
Hospitals, General
Humans
Length of Stay
Male
Middle Aged
Opioid-Related Disorders - psychology - rehabilitation
Patient Dropouts - psychology
Quebec
Rehabilitation Centers
Substance-Related Disorders - psychology - rehabilitation
Treatment Outcome
Abstract
To evaluate the characteristics of patients with various substance-related disorders, and to examine rates of retention in treatment.
We assessed the demographic characteristics, substance abuse, and psychological distress of 239 men and women at admission. Six-month performance was evaluated, using as criteria length of stay in treatment, abstinence, attendance in therapy sessions, and completion status at discharge.
Moderate to severe psychological distress was observed among these individuals. Higher levels of depression were found among women and in individuals with alcohol and sedative use disorders. The primary drug of abuse, frequency of use, and reason for entering treatment were the most significant predictors of retention.
Opiate-addicted clients had the worst prognosis and treatment profiles. Further research is needed to identify factors that would optimize treatment for opiate dependence.
PubMed ID
11190363 View in PubMed
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Are the major risk/need factors predictive of both female and male reoffending?: a test with the eight domains of the level of service/case management inventory.

https://arctichealth.org/en/permalink/ahliterature137059
Source
Int J Offender Ther Comp Criminol. 2012 Feb;56(1):113-33
Publication Type
Article
Date
Feb-2012
Author
Donald A Andrews
Lina Guzzo
Peter Raynor
Robert C Rowe
L Jill Rettinger
Albert Brews
J Stephen Wormith
Author Affiliation
Carleton University, Ottawa, Ontario, Canada.
Source
Int J Offender Ther Comp Criminol. 2012 Feb;56(1):113-33
Date
Feb-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Antisocial Personality Disorder - rehabilitation
Case Management - legislation & jurisprudence
Comorbidity
Crime - prevention & control - psychology
Female
Follow-Up Studies
Humans
Juvenile Delinquency - psychology - rehabilitation
Male
Motivation
Ontario
Personality Inventory - statistics & numerical data
Psychometrics
Recurrence
Risk assessment
Sex Factors
Substance-Related Disorders - psychology - rehabilitation
Young Adult
Abstract
The Level of Service/Case Management Inventory (LS/CMI) and the Youth version (YLS/CMI) generate an assessment of risk/need across eight domains that are considered to be relevant for girls and boys and for women and men. Aggregated across five data sets, the predictive validity of each of the eight domains was gender-neutral. The composite total score (LS/CMI total risk/need) was strongly associated with the recidivism of males (mean r = .39, mean AUC = .746) and very strongly associated with the recidivism of females (mean r = .53, mean AUC = .827). The enhanced validity of LS total risk/need with females was traced to the exceptional validity of Substance Abuse with females. The intra-data set conclusions survived the introduction of two very large samples composed of female offenders exclusively. Finally, the mean incremental contributions of gender and the gender-by-risk level interactions in the prediction of criminal recidivism were minimal compared to the relatively strong validity of the LS/CMI risk level. Although the variance explained by gender was minimal and although high-risk cases were high-risk cases regardless of gender, the recidivism rates of lower risk females were lower than the recidivism rates of lower risk males, suggesting possible implications for test interpretation and policy.
PubMed ID
21320860 View in PubMed
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Assessing self-determined motivation for addiction treatment: validity of the Treatment Entry Questionnaire.

https://arctichealth.org/en/permalink/ahliterature129142
Source
J Subst Abuse Treat. 2012 Jul;43(1):70-9
Publication Type
Article
Date
Jul-2012
Author
Karen A Urbanoski
T Cameron Wild
Author Affiliation
Department of Psychiatry, Harvard University, Boston, MA 02114, USA. karen_urbanoski@camh.net
Source
J Subst Abuse Treat. 2012 Jul;43(1):70-9
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Adult
Canada
Coercion
Female
Humans
Male
Middle Aged
Motivation
Patient Acceptance of Health Care
Personal Autonomy
Psychological Theory
Questionnaires
Social Control, Formal
Substance-Related Disorders - psychology - rehabilitation
Young Adult
Abstract
Although legal, formal, and informal social controls are frequently used to pressure individuals to enter treatment, motivational consequences of using these tactics have been neglected. Self-determination theory (SDT) provides a useful perspective for understanding client experiences of social controls and highlights the importance of self-determined motivation for long-term behavior change. This study assessed the construct validity of the Treatment Entry Questionnaire (TEQ), a brief scale derived from SDT to measure identified, introjected, and external treatment motivation. Two independent samples of clients entering Canadian residential and outpatient treatment completed TEQ items (ns = 529 and 623). Exploratory and confirmatory factor analyses supported a 9-item version of the scale, with 3 factors aligning with SDT motivational subtypes. Subscales showed high internal consistency and correlated as expected with social controls and perceived coercion at treatment entry. The TEQ-9 is a valid option for assessing self-determined motivation in clinical practice and evaluating coerced addiction treatment.
PubMed ID
22138201 View in PubMed
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Characteristics of drug-abusing females with and without children seeking treatment in Helsinki, Finland.

https://arctichealth.org/en/permalink/ahliterature265030
Source
Scand J Public Health. 2015 May;43(3):221-8
Publication Type
Article
Date
May-2015
Author
Sushil Basnet
Ifeoma N Onyeka
Jari Tiihonen
Jaana Föhr
Jussi Kauhanen
Source
Scand J Public Health. 2015 May;43(3):221-8
Date
May-2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Cross-Sectional Studies
Family Characteristics
Female
Finland
Humans
Middle Aged
Mothers - psychology - statistics & numerical data
Patient Acceptance of Health Care - statistics & numerical data
Risk-Taking
Street Drugs
Substance-Related Disorders - psychology - rehabilitation
Young Adult
Abstract
This study characterizes treatment-seeking female users of illicit drugs in Finland, and examines possible differences among women with or without children under 18.
The subjects were 2526 drug-using clients from the Helsinki metropolitan area, who sought treatment at Helsinki Deaconess Institute between 2001 and 2008. A total of 775 (30.6%) were females with complete information regarding their parental status. Of these, 225 (29%) had children under 18. The proportion of women with children varied between 20% and 30% annually, except in 2006, when it peaked at 40.5%.
Women with children were more likely to be somewhat older (p
PubMed ID
25652411 View in PubMed
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Characteristics of violent alcoholics.

https://arctichealth.org/en/permalink/ahliterature11539
Source
Alcohol Alcohol. 1994 Jul;29(4):451-7
Publication Type
Article
Date
Jul-1994
Author
B. Bergman
B. Brismar
Author Affiliation
Department of Psychiatry, Karolinska Institute, Huddinge Hospital, Sweden.
Source
Alcohol Alcohol. 1994 Jul;29(4):451-7
Date
Jul-1994
Language
English
Publication Type
Article
Keywords
Adult
Alcoholism - psychology - rehabilitation
Child of Impaired Parents - psychology
Humans
Male
Middle Aged
Personality Development
Risk factors
Spouse Abuse - psychology
Substance-Related Disorders - psychology - rehabilitation
Suicide - psychology
Suicide, Attempted - psychology
Sweden
Temperance - psychology
Violence
Abstract
This study is based on interviews with 53 male alcoholics. Its purpose was to study the relationship between childhood conditions, history of alcohol and drug misuse and assaultive and suicidal behaviour. Fifty-seven per cent of the alcoholics reported a history of violent behaviour. Hidden violence, often towards women, was common. One-third of the violent patients had a history of attempted suicide compared to 17% in the non-violent group. The assaultive alcoholics also had a more violent childhood, a higher proportion of fathers with alcohol problems and had started drinking earlier in life. Drug addiction was much more common in this group too. We find support for our hypothesis that there is a positive correlation between violence in the parental home and assaultive and suicidal behaviour and drug misuse later in life. When violent and non-violent alcoholics are compared many of the same characteristics appear as when suicidal and non-suicidal and type 2 and type 1 alcoholics are compared. This study raises the question of adding attempted suicide as a characteristic of the type 2 alcoholic.
PubMed ID
7986283 View in PubMed
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Community mobile treatment. What it is and how it works.

https://arctichealth.org/en/permalink/ahliterature213496
Source
J Subst Abuse Treat. 1996 Jan-Feb;13(1):23-31
Publication Type
Article
Author
J. Wiebe
K M Huebert
Author Affiliation
Alberta Alcohol and Drug Abuse Commission, Edmonton, Canada.
Source
J Subst Abuse Treat. 1996 Jan-Feb;13(1):23-31
Language
English
Publication Type
Article
Keywords
Aftercare
Alcoholism - psychology - rehabilitation
British Columbia
Canada
Community Mental Health Services
Health Plan Implementation
Health Services Accessibility
Humans
Indians, North American - psychology
Mobile Health Units
Patient care team
Program Evaluation
Substance-Related Disorders - psychology - rehabilitation
Abstract
In 1984, Paul Hanki of Prince George, British Columbia, Canada, developed community mobile treatment, an innovative approach to substance abuse treatment in Native communities. The feature that distinguishes community mobile treatment from most other forms of treatment is the strong emphasis on community involvement. Before an actual treatment program is implemented, the community must acknowledge that a substance abuse problem exists and be committed and involved in addressing the problem. Once a community is mobilized, a 21 to 28 day intensive alcohol and drug treatment program for substance abusers and their families is brought into the community. Since its inception in 1984, community mobile treatment has been implemented in approximately 17 Canadian communities. The few evaluations that have been conducted suggest that this approach holds much promise in reducing alcohol and drug-related problems. This article reviews the existing documentation and provides a comprehensive description of this unique approach.
PubMed ID
8699539 View in PubMed
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52 records – page 1 of 6.