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Article
Publication date: 15 December 2021

Steven L. Proctor and Albert M. Kopak

This paper aims to extend previous findings by identifying the mental health correlates of both acute and chronic substance use behaviors among a large nationally…

Abstract

Purpose

This paper aims to extend previous findings by identifying the mental health correlates of both acute and chronic substance use behaviors among a large nationally representative sample of juvenile offenders.

Design/methodology/approach

Survey of Youth in Residential Placement interview data from 6,920 juvenile offenders (76% male) detained in 290 US facilities were analyzed to determine bivariate relationships between two indicators of substance use (acute and chronic) and seven mental health domains (depression/isolation, anxiety, anger, trauma, inattention, hallucinations and suicidality).

Findings

Prevalence rates of above average indications for all seven mental health domains were significantly higher among offenders under the influence of a substance at the time they committed their instant offense compared to those not under the influence. Offenders with above average indications in the seven studied mental health areas reported a higher level of chronic effects of substance use relative to those with average or below mental health indications.

Practical implications

The results have important implications for the assessment and treatment of co-occurring mental health issues among juvenile offenders with substance use issues. Juveniles with above average mental health indications may be more prone to experiencing a number of substance-related problems. Observed results may guide the implementation of routine assessment procedures at the juvenile detention level. Intake specialists should screen and administer comprehensive mental health assessments for juveniles who report substance intoxication at the time of their instant offense. Juvenile offenders who report clinical levels of mental health symptoms should receive a comprehensive assessment of substance use and related problems.

Originality/value

Although the co-occurrence of substance use and mental health issues among juvenile justice involved populations is well documented, previous research studies in this area have included a number of limitations. Relatively small offender sample populations, often from a single facility, warrant further work with a large, nationally representative sample of juvenile offenders. Inconsistency in measures of substance use and the failure to distinguish between acute and chronic measures of substance use in prior studies also require further investigation. This study contributes to the extant co-occurring substance use and mental health knowledge base by identifying the mental health correlates of both acute and chronic substance use behaviors among a large nationally representative sample of juvenile offenders.

Details

Journal of Criminological Research, Policy and Practice, vol. 8 no. 1
Type: Research Article
ISSN: 2056-3841

Keywords

Article
Publication date: 3 July 2020

Ayman Hamdan Mansour, Jumana H. Shehadeh and Laith A. Hamdan Mansour

This paper aims to evaluate effectiveness of cognitive behavioral intervention (CBI) to prevent substance use among first-year university students at high risk of substance use.

Abstract

Purpose

This paper aims to evaluate effectiveness of cognitive behavioral intervention (CBI) to prevent substance use among first-year university students at high risk of substance use.

Design/methodology/approach

Sixty university students at high risk for substance use recruited and assigned to CBI and control groups (30 students per groups). Intervention impact was assessed on measures of attitudes toward substance use at three time points: baseline, postintervention and three-months postintervention.

Findings

The analysis showed that participants’ negative attitudes toward substance use in the intervention group was increased post intervention. Although the mean score was significantly higher than the baseline (Time I) at Time II and dropped at Time III, the mean scores remained higher than time I, using repeated measure ANOVA (p < 0.05).

Practical implications

Findings of this study provide evidence that CBI is effective to sustain substance abstinence among this age group.

Originality/value

The paper is testing effectiveness CBI among a high-risk population of substance use. The study is highlighting the importance of sustaining substance abstinence using psychological preventive methods.

Details

Mental Health and Social Inclusion, vol. 24 no. 4
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 1 November 2008

Andrew Derry

In recent years, a number of studies have linked mental health problems, substance use and offending. These findings have been reflected in government directives aimed at…

Abstract

In recent years, a number of studies have linked mental health problems, substance use and offending. These findings have been reflected in government directives aimed at targeting substance use problems within mental health services. The current study surveyed the proportion of patients with substance use problems in 87 forensic patients, and the service response by Lambeth Forensic Services as measured by care planning and substance use interventions. While 76% of patients had historical substance use problems and 35% of patients were currently using drugs or alcohol, only in patients whose substance use problems had been documented in their care plan approach (CPA) or addressed therapeutically was the percentage significantly lower.

Details

The British Journal of Forensic Practice, vol. 10 no. 3
Type: Research Article
ISSN: 1463-6646

Keywords

Article
Publication date: 1 June 2008

Andrew Derry and Amy Batson

Although a majority of mentally disordered offenders have substance use problems (Wright et al, 2002), as yet there have been few attempts to understand the human and…

Abstract

Although a majority of mentally disordered offenders have substance use problems (Wright et al, 2002), as yet there have been few attempts to understand the human and financial cost of this problem in forensic mental health services. The current study examined the effect of a drugs and alcohol programme (Derry, 2005) on re‐admission rates. As would be expected, patients with a history of substance misuse were found to be more likely to use drugs and alcohol on discharge. This group of patients were found to be at increased risk of re‐admission to forensic mental health services. Patients who participated in a 24‐session cognitive behavioural substance use programme were found to spend significantly more time in the community (89%) than those who did not (77%). These initial findings suggest that treatment for drug and alcohol problems can be effective in reducing re‐admission rates, and warrants further investigation.

Details

The British Journal of Forensic Practice, vol. 10 no. 2
Type: Research Article
ISSN: 1463-6646

Keywords

Article
Publication date: 1 September 2002

Marianne Marcus and Linda Stafford

Substance use disorders are considered to be the nation's number one health problem. These continue to cause more deaths, illnesses, and disabilities than do other…

Abstract

Substance use disorders are considered to be the nation's number one health problem. These continue to cause more deaths, illnesses, and disabilities than do other preventable health problems, providing ample support for the need for developing health professional competence in this area. This paper describes the specific steps used by The University of Texas‐Houston Health Science Center School of Nursing to infuse substance abuse content into the undergraduate curriculum, design a graduate subspecialty in addictions nursing, and offer continuing education on substance use disorders to nurses in acute care and community settings. The paper provides guidelines for other academic institutions engaged in the important task of increasing nursing competence related to substance use disorders.

Details

Drugs and Alcohol Today, vol. 2 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 8 June 2012

Morten Hesse and Sébastien Tutenges

This article aims to determine the prevalence of substance use among young festival‐goers and the associations between preferences for different types of music and recent…

1692

Abstract

Purpose

This article aims to determine the prevalence of substance use among young festival‐goers and the associations between preferences for different types of music and recent use of different types of licit and illicit drugs.

Design/methodology/approach

The article is based on a cross‐sectional survey of 1,787 young adults attending a music festival in Denmark. Associations between preferences for music and substances were estimated using ordinal regression.

Findings

Prevalence of illicit drug use was higher in this festival going population than in the general population. Festival‐goers who favoured hip hop or electronic music were more likely to have used various classes of substances, while those who favoured pop music were less likely to have used all substances, except for alcohol.

Research limitations/implications

The data were collected under less than ideal circumstances with many respondents suffering from acute hangovers and fatigue after several days of consecutive partying at the festival.

Social implications

The information in the article can be used to inform outreach efforts.

Originality/value

The article adds further evidence to the observation that musical taste is an indicator of substance use.

Details

Drugs and Alcohol Today, vol. 12 no. 2
Type: Research Article
ISSN: 1745-9265

Keywords

Book part
Publication date: 24 July 2012

Betty G. Brown, Julie A. Baldwin and Margaret L. Walsh

Purpose – The purpose of this chapter is to provide a comprehensive overview of the substance use disparities among American Indian/Alaska Native (AI/AN) youth, the…

Abstract

Purpose – The purpose of this chapter is to provide a comprehensive overview of the substance use disparities among American Indian/Alaska Native (AI/AN) youth, the contributing factors to these disparities, proven and promising approaches through strengths-based methods, barriers to implementation of prevention and treatment efforts, and future recommendations for effective programs and research.

Approach – We have conducted a thorough literature review of relevant research studies, as well as a review of government, tribal, and community-based curricula and resources. This review of programs is not exhaustive but provides several examples of best practices in the field and suggestions for future directions.

Social implications – We strongly advocate that to accurately explore the true etiology of substance abuse and to respond to the concerns that AI/AN have prioritized, it is necessary to utilize a strengths-based approach and draw upon traditional AI/AN perspectives and values, and active community participation in the process. More specifically, prevention and treatment programs should use methods that incorporate elders or intergenerational approaches; foster individual and family skills-building; promote traditional healing methods to recognize and treat historical, cultural, and intergenerational and personal trauma; focus on early intervention; and tailor efforts to each Native nation or community.

Value – Ultimately, to reduce substance abuse disparities in AI/AN youth, we must find better ways to merge traditional Native practices with western behavioral health to ensure cultural competency, as well as to develop mechanisms to effect system- and policy-level changes that reduce barriers to care and promote the well-being of AI/AN youth, families, and communities.

Details

Health Disparities Among Under-served Populations: Implications for Research, Policy and Praxis
Type: Book
ISBN: 978-1-78190-103-8

Keywords

Article
Publication date: 15 August 2022

Mohd Usman, Enu Anand, Saddaf Naaz Akhtar, Srikanth Reddy Umenthala, Tarique Anwar and Sayeed Unisa

Alcohol and tobacco consumption are significant public health concerns and considered some of the riskiest behaviors among students. Despite strong indications of heavy…

Abstract

Purpose

Alcohol and tobacco consumption are significant public health concerns and considered some of the riskiest behaviors among students. Despite strong indications of heavy consumption of these substances, certain sections of the student population remain unexplored regarding their consumption patterns and associated factors, including research scholars pursuing Doctor of Philosophy degrees. This study aims to explore the patterns and correlations of consumption of alcohol and tobacco among doctoral students in three Indian universities.

Design/methodology/approach

A cross-sectional study was conducted on a total of 530 scholars from three central universities, Aligarh Muslim University, Banaras Hindu University and Jawahar Lal Nehru University, and focused on two substances (alcohol and tobacco) frequently used by students in India. Bi-variate analysis and penalized logistic regressions were applied to analyse the prevalence and associated factors of alcohol, smoking and smokeless tobacco among doctoral students.

Findings

Tobacco consumption was observed to be the dominant form of substance use among doctoral students. Findings revealed that 34% of scholars smoked and 25% consumed smokeless tobacco daily and around 14% consumed alcohol at least once a week. Major significant correlates of substance consumption among scholars were found to be gender, religion, parental mortality, dissatisfaction with academic performance and stress about future career/employment. Significant variation in substance use patterns was observed among universities.

Originality/value

This study provides first-hand evidence on substance use patterns and the correlates among doctoral students in three Indian universities. Findings indicate the implementation of specific intervention programs for mental health and counselling for this section of students to prevent substance use addiction would be beneficial.

Details

Drugs, Habits and Social Policy, vol. 23 no. 2
Type: Research Article
ISSN: 2752-6739

Keywords

Book part
Publication date: 24 March 2022

Tolulope Funmilola Ojo, Ebenezer Bayode Agboola and Olasumbo Bilikisu Kukoyi

In Nigeria, family is most important. It is usually made up of people who are related by blood, marriage, or adoption. Family plays a major role in influencing the use of

Abstract

In Nigeria, family is most important. It is usually made up of people who are related by blood, marriage, or adoption. Family plays a major role in influencing the use of psychoactive substances by adolescents and can help protect the adolescents or the reverse. Family differs in so many ways, for example, in the extent of support for education, children’s upbringing, monitoring peer activities among others. There are certain family situations where values are not being instilled, parental and social guides are not in place to ensure that children are well brought up. High levels of economic hardship (such as unemployment), family conflict, poor communication skills, domestic violence, parental divorce or single parenting, death, parental criminal activity among others disrupt parenting which reduces adolescents’ emotional security and reinforce the use of aggression and interpersonal hostility which in turn expose them to certain risks of psychoactive substance use. It is in this context that this chapter examines how family factors affect the use of psychoactive substances among adolescents in Nigeria. Empirical investigations were carried out through a review of literature search. The findings show family factors having a significant influence on the use of psychoactive substances among adolescents in Nigeria. In addition, proper parental relationship through training of moral values, teachings of the immense danger attributed to the use of psychoactive substances through counseling and communication skills could serve as a control measure that will discourage the future use and thus improve the health, safety and the general well-being of the adolescents.

Details

Families in Nigeria: Understanding Their Diversity, Adaptability, and Strengths
Type: Book
ISBN: 978-1-80262-543-1

Keywords

Book part
Publication date: 7 September 2012

Melissa A. Menasco

Purpose – This research presents results concerning the impact of family financial stress on adolescent substance use.Design/methodology/approach – Drawing a sample of…

Abstract

Purpose – This research presents results concerning the impact of family financial stress on adolescent substance use.

Design/methodology/approach – Drawing a sample of 18,614 adolescent males (9,459) and females (9,155) ages 12–17 years from the 2010 National Survey on Drug Use and Health, this work utilizes stepwise logistic regression and ordinary least squares to determine whether family poverty measures are associated with adolescent high-risk behaviors of smoking cigarettes, drinking alcohol, and using marijuana.

Findings – This study found limited support for adolescent substance use within families who are experiencing economic distress. Adolescents from families who had moved at least once in the prior year were more likely to have used cigarettes, alcohol, and marijuana. Furthermore, males and females who disapprove of peers’ substance using behaviors are less likely to use those substances.

Research limitations/implications – This study may not explain adolescent substance using behavior outside of the United States. Further research into socioeconomic factors should be addressed in subsequent work as should the intermediary variables pertaining to the parent–child relationship.

Practical implications – Understanding contributing factors to adolescent substance use will assist in developing social policy that will support families.

Originality/value – This study provides insight into the consequences of family characteristics both socioeconomic and psychosocial which influence adolescent substance using behaviors.

Details

Economic Stress and the Family
Type: Book
ISBN: 978-1-78052-978-3

Keywords

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