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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

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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

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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

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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

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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…

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

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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

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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

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Content available
Book part
Publication date: 19 November 2020

Iga Kender-Jeziorska

Recreational drug use is widespread. It is argued that it has reached a phase of ‘normalisation’ among youth and has become a part of mainstream culture. While there is a…

Abstract

Recreational drug use is widespread. It is argued that it has reached a phase of ‘normalisation’ among youth and has become a part of mainstream culture. While there is a substantive body of literature addressing substance use in club settings, the world of music festivals is underexplored. The research aims to fill this gap by analysing patterns of drug use and implementation of harm reduction measures among Polish and Hungarian women at music festivals. This explorative inquiry used an online questionnaire, which was shared via social media channels. The data collection lasted for one month during the summer of 2017.

The study found that over 95% (N=510) of women use psychoactive substances at festivals. The most popular drugs are alcohol and cannabis, and the least popular cocaine and psilocybin. The majority of women declare moderate use of alcohol and light to moderate use of cannabis. One-fifth of the respondents report a moderately heavy use of 3,4-methylenedioxymethamphetamine and 8% heavy use of amphetamine. There are numerous positive weak relationships between the intensity of use of various substances. Increased use of drugs is also related to increased frequency of combining them. Low prevalence of illicit drugs testing is observed. There seems to be a negative correlation between the intensity of substance use and the adoption of harm reduction measures. The results have high practical relevance primarily for harm reduction and medical services. Especially cases of moderately heavy and heavy use should be of interest, even more so given that combining substances seems to be prevalent. The data suggest that we can distinguish between two groups: one aware and implementing various measures of harm reduction and second not adopting any of them. There is a need for more widespread drug education and harm reduction promotion, which should be implemented in a favourable legal and policy environment.

Details

The Impact of Global Drug Policy on Women: Shifting the Needle
Type: Book
ISBN: 978-1-83982-885-0

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Book part
Publication date: 19 August 2016

Andrew S. Fullerton, Michael A. Long and Kathryn Freeman Anderson

Research on the social determinants of health demonstrates that workers who feel insecure in their jobs suffer poorer health as a result. However, relatively few studies…

Abstract

Research on the social determinants of health demonstrates that workers who feel insecure in their jobs suffer poorer health as a result. However, relatively few studies have examined the relationship between job insecurity and illegal substance use, which is closely related to health. In this study, we develop a theoretical model focusing on two intervening mechanisms: health and life satisfaction. Additionally, we examine differences in this relationship between women and men. We test this model using logistic regression models of substance use for women and men based on longitudinal data from the National Survey of Midlife Development in the United States. The results indicate that job insecurity is associated with a significantly higher probability of illegal substance use among women but not men. We interpret this as further evidence of the gendering of precarious employment. This relationship is not channeled through health or life satisfaction, but there is evidence that job insecurity has a stronger association with illegal substance use for women with poorer overall health.

Details

Research in the Sociology of Work
Type: Book
ISBN: 978-1-78635-405-1

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Article
Publication date: 3 August 2020

Jani Pestana, Franca Beccaria and Enrico Petrilli

The purpose of this paper is to investigate motives and modalities of psychedelic substance use in the psychonaut community that is hosted on the Reddit platform…

Abstract

Purpose

The purpose of this paper is to investigate motives and modalities of psychedelic substance use in the psychonaut community that is hosted on the Reddit platform (r/psychonaut). Psychonauts are sometimes described as responsible drug users. Elements of responsible use include sharing stories, advice and experiences, reagent testing substances, proper dosing and education on harm reduction and its practical implication. Investigating psychonauts’ substance use can highlight what responsible use means for them and could inform best practices for psychedelic use.

Design/methodology/approach

Qualitative content analysis of posts and comments on the r/psychonaut subreddit was completed. In total, 350 posts were investigated. A combination of deductive and inductive methods was used to both structure the research and to allow room for novel information. To investigate participant’s motives, this combination was used to both collect and analyse the data. To examine modalities, concepts and keywords were formed out of the collected data and then analysed.

Findings

Motives for use ranged from self-knowledge, self-investigation and self-medication to increasing artistic expression, curiosity and recreation. Concerning modalities, the respondents put a high emphasis on preparation, set and setting, integration, dosage and gathering and sharing information through research, articles and trip reports. These features are identified in the literature as elements of responsible drug use. This investigation can help by unearthing best practices already in use by the community to inform the bourgeoning movement of psychedelic substance use – both in a medical and self-reflexive setting.

Originality/value

This paper is framed in the context of paucity of the academic literature on people taking psychedelic substances in Western society in non-rave and non-medical settings, with findings that indicate important change happening in the psychonaut subculture.

Details

Drugs and Alcohol Today, vol. 21 no. 2
Type: Research Article
ISSN: 1745-9265

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