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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…

1675

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

Article
Publication date: 10 June 2022

Teemu Kaskela, Ronja Järvelin, Janne Nahkuri, Teemu Gunnar, Aino Kankaanpää, Anna Pelander and Miina Kajos

Drug checking is a popular method to reduce risks of drug use. In many countries, including Finland, legislation restricts implementing drug checking. The aim of this…

Abstract

Purpose

Drug checking is a popular method to reduce risks of drug use. In many countries, including Finland, legislation restricts implementing drug checking. The aim of this study was to explore whether some benefits of drug checking could be achieved by substance residue analysis.

Design/methodology/approach

Drug paraphernalia (mostly empty plastic bags) were used in the study. Participants left a sample and information about the former content to a local needle exchange point. After laboratory analysis, participants could return for the results and a short consultation on the substance(s) found. Afterward, participants were asked whether they would still use the batch.

Findings

Ninety-eight samples were received. In most cases, the samples had originally been sold as amphetamine (n = 39). Overall, laboratory results matched with supposed content in 52 cases, but in 21 cases, the sold content had been altered, in 17 cases, only other psychoactive substances were found and in 8 cases, no traces of psychoactive substances were found. Participants returned for results in two-thirds of the cases. When the laboratory result did not match participants’ expectations, the majority of participants estimated they would not use the same batch (17/25) or would use it in a different way (2/25).

Originality/value

While reports on drug checking are numerous, studies exploring possibilities to achieve harm-reducing benefits of drug checking by analyzing drug residues are scarce. The results of this pilot study suggest some benefits of drug checking can be achieved by substance residue analysis.

Details

Drugs, Habits and Social Policy, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2752-6739

Keywords

Article
Publication date: 20 April 2022

Iain McPhee, Barry Sheridan, Andrew Horne, Steph Keenan and Fiona Houston

This study aims to provide data on substance use amongst young people in Scotland to inform policy and practice for an age group who generally do not access specialist…

Abstract

Purpose

This study aims to provide data on substance use amongst young people in Scotland to inform policy and practice for an age group who generally do not access specialist alcohol and drug services. The main objectives of the study were to assess the problem severity scores of items from a modified version of the DAST-10 brief screening instrument among respondents; examine correlations between a range of variables in relation to DAST-10 problem severity scores; and explore respondent knowledge of how and where to seek help.

Design/methodology/approach

A fixed quantitative design methodology recruited a non-probability sample of 4,501 respondents from an online survey made available by “We are With you” Scotland.

The survey was ethically approved by the School of Education and Social Sciences, University of the West of Scotland. It consisted of 32 questions exploring substances used within the past 12 months, and 12 weeks, and included the DAST-10. We further explored help seeking, and knowledge of support available to respondents.

Findings

Substance use patterns were markedly different from people currently known to specialist alcohol and drug services. Over half of respondents were under 25, and 62% report being employed. The most commonly used substances were cannabis and cocaine. One third of respondents recorded substantial or severe problem severity scores and reside in Scottish Local Authorities with high concentrations of socio-economic inequality.

Secure accommodation, stable relationships and being employed are protective factors in relation to reported negative health consequences associated with problem substance use.

Just under one third (27%) of respondents report knowing where to seek help for substance use problems; however, they are unwilling to attend existing specialist alcohol and drug services.

Research limitations/implications

A non-probability sample of the Scottish population has a potential for response bias due to how and what way the survey was made available to respondents. It is acknowledged that while useful as a method of generating drug use data, there are limitations in how recently the substance use occurred, and in relation to the types of substances reported (cannabis, cocaine and ecstasy).

Practical implications

The study provides data to inform wider public health measures in relation to accessing support and addressing societal discrimination associated with the use of substances. The study provides data on service design for young people who do not access specialist alcohol and drug services.

Social implications

The study informs substance use policy in the Scottish context in relation to a population of young people who use licit and illicit substances. Data contributes to evidence supporting correlations between problematic substance use and socio-economic inequality. Data indicates that existing specialist services require redesign.

Originality/value

The study is the first to be conducted within a Scottish context.

Details

Drugs, Habits and Social Policy, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2752-6739

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

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

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