Articles for the Topic "Substance Use and Addiction"

A Comprehensive Approach To Substance Abuse and Homelessness

2007-06-04T02:50:09

In this edition, the authors discuss the issue of substance abuse and homelessness as inextricably intertwined for many individuals. According to the authors, substance use is often both a precipitating factor and a consequence of being homeless. Further, individuals who are homeless rarely have substance use disorders alone. Many have serious mental illnesses, acute and chronic physical health problems, and histories of trauma. They require safe and appropriate housing, multiple interventions, and client-centered care. (Authors)

Brief Strengths-Based Case Management for Substance Abuse

2010-02-19T01:21:57

This intervention focuses on reducing the barriers to substance abuse treatment and increase the speed at which people experiencing substance abuse disorders get into treatment. It is a compressed version of Strengths-Based Case Management.

Homelessness and Substance Abuse: Substance Abuse and Mental Health Services Administration (SAMHSA)-Center for Substance Abuse Treatment (CSAT) Presentation by H. Westley Clark, MD, JD, MPH, CAS, FASAM

2009-01-22T02:09:01

Presented at the National Alliance to End Homelessness National Conference on Ending Family Homelessness by Dr. Clark, Thursday, February 8, 2007. Dr. Clark is the director of the Center for Substance Abuse Treatment under the Substance Abuse and Mental Health Services Administration.

Homelessness and Substance Misuse: A Tale of Two Cities

2007-07-26T01:57:47

In this article we examine the relationship between alcohol and drug misuse among the literally homeless (those living out of doors and in emergency shelters) in Hartford, Connecticut and Providence, Rhode Island, two northeastern U.S. cities of comparable size. We worked with homeless advocacy organizations in both cities, using a point-in-time census (N = 1058) and random sample (N = 66) in Hartford, and a sampling of clients (N = 82) of six shelters serving residents of Providence (N = 82). We found substance misuse relevant in 47.2% of the homeless in Hartford and in 45.1% of the homeless in Providence. We conclude that there is a great need for substance treatment services inside shelters, soup kitchens, and day centers so that homeless individuals have an opportunity to engage in treatment within their own milieu. (Authors)

Homelessness Does Not Lead to Increased Substance Abuse

2009-01-22T10:58:34

This article discusses a study conducted to understand the relationship between homelessness and substance abuse. One of the interesting pieces of information the researchers uncovered—and one that surprised them—is that substance abuse may not necessarily increase after people become homeless; in fact, it may even decrease.

Incarceration associated with homelessness, mental disorder, and co-occurring substance abuse

2009-01-27T08:04:45

This study assessed relationships between homelessness, mental disorder, and incarceration. It looked at databases of 12,934 individuals who entered the San Francisco County jail system during the first 6 months of 2000. The study concluded that although representing only a small proportion of the general population, people who were homeless and who were identified as having mental disorders accounted for a substantial proportion of persons who were incarcerated.

New National Report Shows Substantial Disparities in the Levels of Substance Abuse and Mental Illness Problems Experienced Among the States

2009-07-20T05:26:58

Some States have levels twice as high as other States in certain categories of problems, but all States face daunting substance abuse and mental illness challenges. A new report providing State-by-State analyses of substance abuse and mental illness patterns reveals that wide variations exist in the levels of problems such as illicit drug use found among States but that every State suffers from these problems. For example, Iowa had less than half the current illicit drug use rate of Rhode Island among those ages 12 and older (5.2 percent vs. 12.5 percent), yet Iowa’s 12 and older population also had one of the Nation’s highest levels of people experiencing alcohol dependence or abuse in the past year (9.2 percent).

Outcomes and Sample Selection: The Case of a Homelessness and Substance Abuse Intervention

2007-12-03T11:27:07

In the likely event that some clients refuse to participate in a psychosocial field experiment, the estimates of the effects of the experimental treatment on client outcomes may suffer from sample selection bias, regardless of whether the statistical analyses include control variables. This paper explores ways of correcting for this bias with advanced correction strategies, focusing on experiments in which clients refuse assignment into treatment conditions. The sample selection modelling strategy, which is highly recommended but seldom applied to random sample psychosocial experiments, and some alternatives are discussed. Data from an experiment on homelessness and substance abuse are used to compare sample selection, conventional control variable, instrumental variable, and propensity score matching correction strategies. The empirical findings suggest that the sample selection modelling strategy provides reliable estimates of the effects of treatment, that it and some other correction strategies are awkward to apply when there is post-assignment rejection, and that the varying correction strategies provide widely divergent estimates. In light of these findings, researchers might wish regularly to compare estimates across multiple correction strategies. (Author)

Personal and Situational Perspectives on Rejection of a Homelessness and Substance Abuse Program: An Exploratory Study

2007-11-11T04:20:30

Services rejection is of special concern for outpatient substance abuse programs that treat adults who have experience with homelessness. Rejection is alleged to occur with alarming frequency among members of this population, and there is evidence that it has the potential to limit progress on drinking, drug, and homeless problems. This article tests the contribution to rejection of two sets of factors: (1) special personal attributes, which are widely believed to affect homeless clients' motivation or ability to participate in an intervention; and (2) situational factors (that is, external circumstances), which occasionally are alleged to influence clients' perceptions of the rewards of the services compared to the costs. The results more generally imply that client responses are more fully explained by environmental cues and experiences than by the measured personal deficits. Isolation is the only predictive special personal attribute. (Authors)

Pregnant Women in Substance Abuse Treatment: 2002—The DASIS Report, September 3, 2004

2009-07-15T02:02:17

This Drug and Alcohol Services Information System report discusses substance use treatment admissions among both pregnant and nonpregnant women ages 15–44. Admissions information is broken down further by substance of use, age of admissions, socioeconomic characteristics, health insurance, and treatment setting.

Quick Guide for Clinicians based on Treatment Improvement Protocol (TIP) 39, Substance Abuse Treatment and Family Therapy

2009-01-23T11:22:21

The family has a central role to play in the treatment of any health problem, including substance abuse. Family work has become a strong theme of many treatment approaches, but a primary challenge remains the broadening of the substance abuse treatment focus from the individual to the family. This Quick Guide has an entire section on special populations.

Relative Contributions of Parent Substance Use and Childhood Maltreatment to Chronic Homelessness, Depression, and Substance Abuse Problems Among Homeless Women: Mediating Roles of Self-Esteem and Abuse in Adulthood

2007-09-24T05:55:32

This study looks at the effects of childhood abuse and prenatal substance abuse as a predictor of future homelessness, mental illness, and substance abuse.

Substance Abuse and Mental Health Data Archive

2009-07-20T06:13:02

The Substance Abuse and Mental Health Data Archive (SAMHDA) is an archive of substance abuse and mental health research data.

Substance Abuse and Mental Health Services Administration’s Prevention Platform

2009-07-15T12:25:58

Substance Abuse and Mental Health Services Administration’s Prevention Platform Web site includes a section devoted to capacity building. Accessible from that section is a capacity-building tool, which assists organizations in identify existing resources. The site also houses additional materials related to capacity, such as information about community development, strategic planning, and workplace management.

TIP 51: Substance Abuse Treatment: Addressing the Specific Needs of Women

2010-06-02T10:29:08

The information in TIP 51 is based on women's experiences, as well as best or promising practices and research-based approaches. This eight-chapter TIP presents treatment approaches for women that consider a woman's social and economic environments; her relationships with family members, significant others, and support systems; and the impact of gender and culture on treatment. (Authors)

Treatment Improvement Protocol (TIP) 50: Addressing suicidal thoughts and behaviors in substance abuse treatment

2009-07-20T04:29:12

A Treatment Improvement Protocol TIP 50 provides expert recommendations to help substance abuse counselors and administrators working with adult clients who may be suicidal. The protocol manual, and companion training video, are available from the Substance Abuse and Mental Health Services Administration (SAMHSA) at no charge. (Authors)

Vulnerability Factors for Homelessness Associated with Substance Dependence in a Community Sample of Homeless Adults

2007-10-09T10:04:53

This article examines the impact of vulnerabilities faced by homeless substance abusers and the implications they have on successful housing opportunities.

Women in Substance Abuse Treatment: Results from the Alcohol and Drug Services Study (ADSS)

2009-07-15T02:02:45

This report provides an analysis of substance abuse treatment facilities for women and examines clients being served. Background information is given on how gender has been addressed in treatment historically, as well as currently. The report also includes a literature review on substance abuse treatment for women, information on gender-specific differences among substance use treatment clients, and treatment program availability and treatment retention information. Implications and future research are also discussed.