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Journal articles on the topic 'Substance abuse treatment facilities – Canada'

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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Callaghan, Russell C., Joey Tavares, Lawren Taylor, and Scott Veldhuizen. "A National Survey of Primary Methamphetamine-Related Admissions to Youth Residential Substance Abuse Treatment Facilities in Canada, 2005 to 2006." Canadian Journal of Psychiatry 52, no. 10 (September 1, 2007): 684–88. http://dx.doi.org/10.1177/070674370705201009.

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Objective: Adolescent methamphetamine use has become a key issue for Canadian media and governments. Empirical studies, however, have not yet established the national scope of adolescent methamphetamine use or its impact on treatment services in Canada. The objective of the current study was to provide results from a national survey of primary methamphetamine-related admissions to Canadian residential substance abuse treatment facilities for youth. Method: We developed a comprehensive list of all Canadian residential substance abuse treatment facilities for youth, and then, we asked the executive director (or equivalent) of each facility about the site's annual caseload and the proportion of primary methamphetamine-related admissions during the previous 12 months. Results: Responses were received from 46 of the 50 centres on our final master list. About 20% (1109/5169) of all national admissions to youth residential substance abuse treatment facilities were reported to be primarily due to methamphetamine use. A large majority of primary methamphetamine-related admissions occurred in British Columbia and Alberta. Conclusions: Adolescent methamphetamine use has had a major impact on entries into residential substance abuse treatment facilities in British Columbia and Alberta, while only a few centres outside these 2 western provinces have experienced elevated rates of primary methamphetamine-related admissions. Given the paucity of studies on adolescent methamphetamine treatment, future research needs to focus on developing effective clinical strategies in this area.

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Verdichevski, Marina, Robin Burns, James K. Cunningham, Joey Tavares, and Russell C. Callaghan. "Trends in Primary Methamphetamine-Related Admissions to Youth Residential Substance Abuse Treatment Facilities in Canada, 2005–2006 and 2009–2010." Canadian Journal of Psychiatry 56, no. 11 (November 2011): 696–700. http://dx.doi.org/10.1177/070674371105601108.

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Objective: During the last decade, methamphetamine use and issues surrounding its toxicity have triggered major concern in the Canadian government, leading to significant changes in drug policy and funding strategies to limit the societal impact of methamphetamine-related harms. This concern appears justified by research which found in 2005–2006 that 21 % of all youth admissions to inpatient substance abuse treatment centres in Canada were due primarily to methamphetamine abuse. Given these patterns of treatment use and targeted governmental initiatives, an open question is whether the demand for methamphetamine treatment found in 2005–2006 has decreased. Our study aims to provide follow-up estimates of admissions for 2009–2010, as well as important trend information for these periods. Method: We developed a comprehensive list of all Canadian residential youth substance abuse treatment facilities. The executive director of each facility was asked about the site's annual caseload, and the proportion of cases primarily due to methamphetamine abuse within the past 12 months. Results: Our survey data for the periods of 2005–2006 and 2009–2010 show marked reductions in admissions. In 2009–2010, we found that about 6% of all admissions were due primarily to methamphetamine abuse, a substantial drop from the 21% reported in our 2005–2006 study. Conclusions: Our data show a significant national reduction in methamphetamine-related admissions. Other reports show that methamphetamine-related treatment admissions in the United States and Mexico declined sharply during 2005–2008, reportedly in association with Mexico's methamphetamine precursor chemical controls, raising the possibility that the controls may also be associated with the declines reported here.

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3

Fenno, Jason G. "Prince Albert youth drug and alcohol use: a comparison study of Prince Albert, Saskatchewan, and Canada youth." Journal of Community Safety and Well-Being 1, no. 3 (November 18, 2016): 61. http://dx.doi.org/10.35502/jcswb.18.

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Community Mobilization Prince Albert’s (CMPA) Hub and Centre of Responsibility (COR) had been dealing with high rates of youth arrest and referrals to treatment facilities stemming from youth substance abuse. To better help the CMPA craft policies to counter the high rates of youth alcohol and drug use, a study was conducted in June of 2012 that utilized a school survey of PA youth. Data were collected from four local Prince Albert high schools and compared with Saskatchewan and Canadian youth. Analyses of the data were conducted using logistic regression and bivariate correlation. The following paper will provide an overview of the study and explain why youth substance abuse was chosen for this study. Later sections will examine how the Prince Albert school survey was formulated for comparison purposes with Saskatchewan and Canadian youth data obtained from the 2010-11 Youth Smoking Survey (YSS). This will be followed by an overview of the study’s key findings, along with results of logistic regression and bivariate correlation analysis and the study’s limitations. A final section will examine the implications of this study’s findings on youth substance abuse policy and programs for the CMPA Hub and COR, along with the city of PA.

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4

Verderber, Stephen, Jake Pauls Wolf, and Erik Skouris. "Indigenous Ecohumanist Architecture for Health in Canada’s Far North." HERD: Health Environments Research & Design Journal 13, no. 4 (June 22, 2020): 210–24. http://dx.doi.org/10.1177/1937586720933176.

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Background: Circumpolar nations are experiencing unprecedented environmental and public health policy challenges due to global climate change, exploitation of nonrenewable natural resources, the endangerment of myriad wildlife species, and growing sovereignty disputes. In a call to action, the Arctic states’ health ministers recently signed a declaration identifying shared priorities for mutual international cooperation. Among agreed-upon collaborations, an enhancement of intercultural understanding and promotion of culturally appropriate healthcare delivery systems is to be of high priority going forward. Purpose and Aim: In far north Canada, health policies perpetuated for generations upon indigenous communities have, traditionally, often had adverse consequences for the medically underserved inhabitants of these communities. This discussion addresses the cultural disconnect between the colonial era and current indigenous, decolonialist health and healing design strategies. Method and Result: In response, two architectural design case studies are presented that synthesize ecological site planning precepts with salutogenic architectural design attributes—a behavioral health and substance abuse residential treatment center and three elderhousing prototypes for construction in Canada’s Northwest Territories. Conclusion: This conceptual synthesis is practicable, transferable, and adaptable to varied, extreme climatic conditions, as reflective of best practices in the delivery of healthcare facilities that express a synthesis of ecohumanist and salutogenic values and methodologies. The discussion concludes with a call for empathic, evidence-based collaboration and research that further examines the blending together of prefabricated off-site construction with on-site construction approaches.

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Johnson, J. Aaron, and Paul M. Roman. "Predicting Closure of Private Substance Abuse Treatment Facilities." Journal of Behavioral Health Services & Research 29, no. 2 (May 2002): 115???125. http://dx.doi.org/10.1097/00075484-200205000-00002.

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Aaron Johnson, J., and Paul M. Roman. "Predicting closure of private substance abuse treatment facilities." Journal of Behavioral Health Services & Research 29, no. 2 (May 2002): 115–25. http://dx.doi.org/10.1007/bf02287698.

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7

Link, Thomas W., Jennifer L. Hefner, Eric W. Ford, and Timothy R. Huerta. "An Effective Web Presence for Substance Abuse Treatment Facilities." Substance Use & Misuse 51, no. 5 (March 24, 2016): 664–67. http://dx.doi.org/10.3109/10826084.2015.1131296.

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8

Mojtabai, Ramin. "Which Substance Abuse Treatment Facilities Offer Dual Diagnosis Programs?" American Journal of Drug and Alcohol Abuse 30, no. 3 (January 1, 2004): 525–36. http://dx.doi.org/10.1081/ada-200032281.

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9

Lehman, Wayne E. K., Jennifer E. Becan, George W. Joe, Danica K. Knight, and Patrick M. Flynn. "Resources and training in outpatient substance abuse treatment facilities." Journal of Substance Abuse Treatment 42, no. 2 (March 2012): 169–78. http://dx.doi.org/10.1016/j.jsat.2011.10.018.

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10

Kibbee, Priscilla, and Patrice Spath. "Quality Management in Psychiatric and Substance Abuse Treatment Facilities." Journal For Healthcare Quality 13, no. 6 (November 1991): 46. http://dx.doi.org/10.1097/01445442-199111000-00019.

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11

Kremer, David, Marjorie J. Malkin, and John J. Benshoff. "Physical activity programs offered in substance abuse treatment facilities." Journal of Substance Abuse Treatment 12, no. 5 (September 1995): 327–33. http://dx.doi.org/10.1016/0740-5472(95)02008-3.

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12

Finfgeld-Connett, Deborah, and E. Diane Johnson. "Therapeutic Substance Abuse Treatment for Incarcerated Women." Clinical Nursing Research 20, no. 4 (July 19, 2011): 462–81. http://dx.doi.org/10.1177/1054773811415844.

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The purpose of this qualitative systematic review was to explicate attributes of optimal therapeutic strategies for treating incarcerated women who have a history of substance abuse. An expansive search of electronic databases for qualitative research reports relating to substance abuse treatment for incarcerated women was conducted. Nine qualitative research reports comprised the sample for this review. Findings from these reports were extracted, placed into a data analysis matrix, coded, and categorized. Memos were written and strategies for treating incarcerated women with alcohol problems were identified. Therapeutic effects of treatment programs for incarcerated women with substance abuse problems appear to be enhanced when trust-based relationships are established, individualized and just care is provided, and treatment facilities are separate from the general prison environment.

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13

Voss, Carol, Karen Cesar, Traci Tymus, and Irma Fiedler. "Perceived Versus Actual Physical Accessibility of Substance Abuse Treatment Facilities." Topics in Spinal Cord Injury Rehabilitation 7, no. 3 (January 2002): 47–55. http://dx.doi.org/10.1310/tv0r-t8tl-e3j5-7k2l.

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14

Lett, Phillip. "Dual Diagnosis: Psychiatric Disorder & Substance Abuse." Journal of Applied Rehabilitation Counseling 19, no. 2 (June 1, 1988): 16–20. http://dx.doi.org/10.1891/0047-2220.19.2.16.

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This review examines the incidence, problems and treatment issues involved when dealing with individuals who have a psychiatric disorder and concurrent substance abuse problem. There is an increasing number of these clients evidenced in psychiatric and substance abuse rehabilitation facilities and the reasons are not very clear. Suggestions are offered for a pilot treatment program and future directions recommended for addressing the special needs of this subpopulation.

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15

Billips, Kathy, Irmo Marini, Mark A. Stebnicki, and John R. Slate. "Substance Abusers' Perceptions of Factors Related to 30-day In-Patient Rehabilitation Treatment Programs." Journal of Applied Rehabilitation Counseling 28, no. 1 (March 1, 1997): 42–46. http://dx.doi.org/10.1891/0047-2220.28.1.42.

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A non-random sample of 78 persons receiving 30-day substance abuse treatment within five different rehabilitation facilities In Arkansas were administered a modified version of the Alcohol Treatment Survey (Emner, 1993) to measure their perceptions and experiences of factors which lead to their substance abuse behaviors. Most respondents indicated that both family members and peers contributed to their substance abuse behaviors. Over 90% of participants reported they used drugs With other people to help them relax and cope with life's stresses. Establishing the perceived environmental conditions of persons who abuse drugs may enhance counselors' understanding of factors related to drug use and abuse.

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16

Kedia, Satish, and Charles Williams. "Predictors of Substance Abuse Treatment Outcomes in Tennessee." Journal of Drug Education 33, no. 1 (March 2003): 25–47. http://dx.doi.org/10.2190/rd7b-mded-mepj-g7cd.

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In planning and implementing programs to treat substance abuse, it is important to understand which factors influence post-treatment abstinence. This article identifies and analyzes several variables important in predicting the likelihood of abstinence among substance abuse clients. The data used in this study was collected from 1,350 clients treated for alcohol or drug abuse in residential, halfway house, or outpatient facilities in Tennessee. We analyzed 22 variables as possible treatment outcome predictors by using two statistical procedures: stepwise logistic regression analysis and Quick, Unbiased, Efficient, Statistical Tree (QUEST) analysis, a tree-structured classification algorithm analysis. We found one pre-treatment, five in-treatment, and three post-treatment variables to be significant predictors of treatment outcome: previous treatment history, perceived helpfulness of the treatment, simultaneous treatment for mental health, number of days in treatment, completion of treatment, special skills training during treatment, obtaining healthcare services for major physical health problem after treatment, living with someone using alcohol or drugs post treatment, and arrest record since treatment.

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Brown, Jonathan David, Sonya Vartivarian, and Cathie E. Alderks. "Child Care in Outpatient Substance Abuse Treatment Facilities for Women: Findings from the 2008 National Survey of Substance Abuse Treatment Services." Journal of Behavioral Health Services & Research 38, no. 4 (February 4, 2011): 478–87. http://dx.doi.org/10.1007/s11414-011-9235-1.

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18

Garrett, Valery. "Substance Abuse Treatment in Southern California: The History and Significance of the Antelope Valley Rehabilitation Centers." Journal of Policy History 8, no. 2 (April 1996): 181–205. http://dx.doi.org/10.1017/s089803060000511x.

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Substance abuse treatment has been a topic of ongoing debate in the United States since at least the 1960s, when the country witnessed the development of several promising new treatment approaches. Although costs to society in connection with substance abuse point to a continuing need for an effective treatment system, there is only a general understanding of the field. Several factors make it difficult to comprehend the treatment structure: the field is comprised of a sprawling combination of public and private facilities, it strives to treat many types of addicts, and it employs a variety of treatment approaches. While there are general studies that attempt to describe the system and its components, few inquiries probe the inside of specific treatment facilities to discern their evolution, mission, and effectiveness. This article, which examines the Antelope Valley Rehabilitation Centers (AVRCs), is one such analysis. Located in rural areas sixty miles from downtown Los Angeles, the AVRCs are Los Angeles County's only directly operated treatment centers. The two centers, at Acton and Warm Springs, are not only the first and fourth largest substance abuse hospitals in the country, but they serve a population larger than that of forty-two states, making them an excellent lens through which to view a portion of the substance abuse treatment system.

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19

Aderibigbe, Oluwakemi Olanike, Shannon L. Stewart, John P. Hirdes, and Christopher Perlman. "Substance Use among Youth in Community and Residential Mental Health Care Facilities in Ontario, Canada." International Journal of Environmental Research and Public Health 19, no. 3 (February 2, 2022): 1731. http://dx.doi.org/10.3390/ijerph19031731.

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There is a need to improve the integration of substance use and mental health care for children and youth. This study examines risk and protective factors for substance use among youth with mental health conditions who received community-based or residential care services between 2012–2020 in Ontario, Canada. In this study, a cross-sectional design was used to examine patterns and factors associated with substance use among youth (12–18 years) assessed in the community (n = 47,418) and residential (n = 700) mental health care facilities in Ontario, Canada. Youth were assessed with the interRAI Child and Youth Mental Health Assessment (ChYMH). Substance use is identified by any substance use (including alcohol) 14 to 30 days prior to assessment. Logistic regression with generalized estimating equations was used to examine clinical, psychosocial, and environmental factors associated with substance use. This study shows that 22.3% of youth reported the use of substances in the community settings and 37% in residential settings. Older age group (Youth older than 16 years), being a victim of abuse, having experienced self-injurious ideation/attempt, being at risk of disrupted education, and having a parent/caregiver with addiction or substance use disorder were significantly associated with substance use. Several factors reduced the risk of substance use, including being a female, having anxiety symptoms, and having cognition problems. In conclusion, the study found that individual and parental factors increase youth’s risk of substance use, highlighting the importance of a holistic approach that includes consideration of social and biological risk factors to prevention/risk reduction, risk assessment, management, and recovery.

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20

Sindelar, Jody L., and Todd A. Olmstead. "Managed Care's Dual Impact on Outpatient Substance Abuse Treatment: Methadone Maintenance vs. Drug Free." Journal of Drug Issues 35, no. 3 (July 2005): 507–28. http://dx.doi.org/10.1177/002204260503500305.

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The number and type of services offered at substance abuse treatment (SAT) facilities are important aspects of the quality of care. Managed care (MC) is a growing presence in SAT and has been shown to affect the provision of treatment. We expand on earlier work and examine the impact of managed care on the number and type of services offered by methadone maintenance (MM) and drug-free (DF) outpatient treatment facilities. We use the econometric technique of instrumental variables to address the issue of endogeneity of MC and service offerings, thereby allowing a causal interpretation of results. Using data from the 2000 National Survey of Substance Abuse Treatment Services, we find that MC significantly increases the total number of services offered in MM outpatient facilities by four, yet decreases the number by two in DF outpatient facilities. We also show how the impact on specific services differs by modality and provide explanations for our findings.

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21

Uscher-Pines, Lori, Jonathan Cantor, Haiden A. Huskamp, Ateev Mehrotra, Alisa Busch, and Michael Barnett. "Adoption of telemedicine services by substance abuse treatment facilities in the U.S." Journal of Substance Abuse Treatment 117 (October 2020): 108060. http://dx.doi.org/10.1016/j.jsat.2020.108060.

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22

Myers, Bronwyn, and Nuraan Fakier. "Provision of Mental Health Services in South African Substance Abuse Treatment Facilities." International Journal of Mental Health and Addiction 7, no. 3 (March 18, 2009): 441–49. http://dx.doi.org/10.1007/s11469-009-9205-5.

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23

Bowles, Steven, Johann Louw, and Bronwyn Myers. "Perceptions of Organizational Functioning in Substance Abuse Treatment Facilities in South Africa." International Journal of Mental Health and Addiction 9, no. 3 (August 5, 2010): 308–19. http://dx.doi.org/10.1007/s11469-010-9285-2.

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24

Dayhoff, D. A., G. C. Pope, and J. H. Huber. "State variations in public and private alcoholism treatment at specialty substance abuse treatment facilities." Journal of Studies on Alcohol 55, no. 5 (September 1994): 549–60. http://dx.doi.org/10.15288/jsa.1994.55.549.

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25

Ramlagan, Shandir, Karl Peltzer, and Gladys Matseke. "Epidemiology of drug abuse treatment in South Africa." South African Journal of Psychiatry 16, no. 2 (April 1, 2010): 10. http://dx.doi.org/10.4102/sajpsychiatry.v16i2.172.

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<p><strong>Background.</strong> The aim of the study was to explore the epidemiology of drug abuse treatment in South Africa.</p><p><strong>Methods.</strong> Treatment demand statistics were analysed from South African National Council on Alcoholism and Drug Dependence and the South African Community Epidemiology Network on Drug Use records, and a rapid situation assessment was conducted. Twenty-one key informant interviews were conducted in all 9 provinces among provincial substance abuse co-ordinators, and one manager per treatment centre from a sample of treatment centres. Three focus groups were conducted and 46 self-administered questionnaires were distributed among inpatients at 2 selected treatment centres in Free State and North West provinces. Qualitative data were analysed using grounded theory, and quantitative data analysed using SPSS. <strong></strong></p><p><strong>Results.</strong> Treatment records show that the most frequent substance of abuse was alcohol (51%), followed by cannabis (21%), crack/cocaine (9.6%), heroin/opiates (7.9%), methamphetamine (Tik) (4.5%), prescription/over-the-counter drugs (2.0%), and cannabis/mandrax (1.7%). More substance abusers were male, of lower education, white or black, than were female, more highly educated, coloured and Indian/Asian. Key informant interviews showed that females are the ‘hidden’ substance abusers and tend not to be identified in research statistics and at treatment centres. Poverty, unemployment, lack of recreational facilities, being surrounded by substance abusers, and long work shifts were also mentioned as factors contributing to substance abuse. The age of initiation of substance abuse using non-drugs such as glue was 9 years old, alcohol 10 - 12 years old, dagga 11 - 12 years old, poly-drug use (alcohol, tobacco and dagga) 14 years old, and harder drugs such as cocaine and heroin at 16 - 17 years old, as reported by key informants. Family care and support, improved socio-economic conditions and increased law enforcement would help to discourage substance abuse.</p><p><strong>Conclusion.</strong> Prevention interventions and policies in South Africa should focus on reducing substance abuse by targeting the ‘at risk populations’ identified in this study.</p>

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26

Smith, Jacqueline M., Andrew Estefan, and Vera Caine. "Mothers’ Experiences of Supporting Adolescent Children Through Long-Term Treatment for Substance Use Disorder." Qualitative Health Research 28, no. 4 (December 27, 2017): 511–22. http://dx.doi.org/10.1177/1049732317747554.

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Substance use disorder is a complex phenomenon that affects people in many different contexts. Adolescent substance abuse within families is a particular problem that merits ongoing study. In particular, the experiences of mothers in this context are not fully explored. In this narrative inquiry study, we explored the experiences of four mothers parenting children through long-term substance abuse treatment. Participants were recruited from a family-orientated long-term adolescent treatment center in Alberta, Canada. The mothers’ experiences were explored within a three-dimensional narrative inquiry space of temporal, social, and situated experience. Four narrative accounts were co-composed, revealing personal, familial, social, and substance abuse–related complexities in mothers’ experiences. Four narrative threads were also theorized: navigating complexities; loud silences; places, spaces, and the in-between; and living within one another’s stories. These narrative threads are discussed in relation to health and social care practices. Recommendations for practice and research are made.

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Hunt, Priscillia, Sarah B. Hunter, and Deborah Levan. "Continuous quality improvement in substance abuse treatment facilities: How much does it cost?" Journal of Substance Abuse Treatment 77 (June 2017): 133–40. http://dx.doi.org/10.1016/j.jsat.2017.02.001.

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28

Nayar, Preethy, Fang Yu, and Bettye Apenteng. "Science-based and practice-based innovativeness and performance of substance abuse treatment facilities." Health Care Management Review 39, no. 1 (2014): 66–74. http://dx.doi.org/10.1097/hmr.0b013e318282663f.

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29

Merritt, Cullen C. "What Makes an Organization Public? Managers’ Perceptions in the Mental Health and Substance Abuse Treatment System." American Review of Public Administration 49, no. 4 (February 15, 2019): 411–24. http://dx.doi.org/10.1177/0275074019829610.

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The question “What makes an organization public?” is a leading point of scholarly inquiry in the field of public administration. This study supplements existing theory on publicness by further exploring the primary influences on an organization’s publicness—influences identified by analyzing data from in-depth interviews with senior-level managers of mental health and substance abuse treatment facilities. Results from a grounded theoretical analysis of these managers’ perceptions provide support for a conceptual framework of organizational publicness in which political authority, horizontal engagement, and public engagement are associated with higher levels of publicness. Better understanding of the prism through which senior managers conceptualize publicness may enhance managerial awareness of the most salient structural and institutional mechanisms that empower treatment facilities to effectively support individuals suffering from mental health disorders such as substance abuse, emotional distress, and depression.

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30

Zanis, David A., Frank Mulvaney, Donna Coviello, Arthur I. Alterman, Barry Savitz, and William Thompson. "The Effectiveness of Early Parole to Substance Abuse Treatment Facilities on 24-Month Criminal Recidivism." Journal of Drug Issues 33, no. 1 (January 2003): 223–35. http://dx.doi.org/10.1177/002204260303300109.

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This naturalistic study involved 569 offenders who had a history of substance abuse or dependence prior to incarceration, and were subsequently approved for early parole to a community-based substance abuse treatment facility (SATF). Overall 495 offenders were paroled directly to a SATF while 74 were paroled to the community without transfer to a SATF due to prison overcrowding. Criminal history records for all 569 offenders were obtained approximately 24 months following parole. Any new conviction as a result of a new crime committed during the 24-month window following parole to the community was considered a negative outcome. Results found that 22% of offenders paroled to a substance abuse treatment facility (SATF) were convicted of a new crime compared to 34% of offenders paroled directly to the community (chi-square = 4.57, df=1, p=.03). A stepwise logistic regression analysis was conducted to determine how different factors contributed to a new conviction. Overall more prior convictions (p<.001) and lower age (p=.001) were strong significant predictors and cocaine dependence (p=.06) and parole without treatment (p=.08) were predictive of a new conviction. Additionally, offenders who completed treatment were significantly less likely to be convicted of a new crime (11.8% vs. 29%) than those who dropped out of treatment (chi-square = 11.50, df = 1, p<.01). These data suggest that early parole to a SATF could be considered as a viable means to reduce prison sentences for addicted offenders.

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Myers, Bronwyn. "Limited access to HIV risk-reduction services in South African substance abuse treatment facilities." Drugs: Education, Prevention and Policy 17, no. 6 (September 6, 2010): 749–61. http://dx.doi.org/10.3109/09687630903300411.

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Geissler, Kimberley H., and Elizabeth A. Evans. "Changes in Medicaid Acceptance by Substance Abuse Treatment Facilities After Implementation of Federal Parity." Medical Care 58, no. 2 (February 2020): 101–7. http://dx.doi.org/10.1097/mlr.0000000000001242.

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Alexander, Jeffrey A., and Christy Harris Lemak. "The Effects of Managed Care on Administrative Burden in Outpatient Substance Abuse Treatment Facilities." Medical Care 35, no. 10 (October 1997): 1060–68. http://dx.doi.org/10.1097/00005650-199710000-00007.

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34

Timko, Christine, Michelle Lesar, Martha Engelbrekt, and Rudolf H. Moos. "Changes in Services and Structure in Community Residential Treatment Facilities for Substance Abuse Patients." Psychiatric Services 51, no. 4 (April 2000): 494–98. http://dx.doi.org/10.1176/appi.ps.51.4.494.

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35

Staton-Tindall, Michele, Bryan R. Garner, Janis T. Morey, Carl Leukefeld, Jennifer Krietemeyer, Christine A. Saum, and Carrie B. Oser. "Gender Differences in Treatment Engagement Among a Sample of Incarcerated Substance Abusers." Criminal Justice and Behavior 34, no. 9 (September 2007): 1143–56. http://dx.doi.org/10.1177/0093854807304347.

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This article examines gender differences in treatment engagement, psychosocial variables, and criminal thinking among a sample of male and female substance abusers ( N = 2,774) enrolled in 20 prison-based treatment programs in five different states as part of the National Institute on Drug Abuse—funded Criminal Justice Drug Abuse Treatment Studies cooperative agreement. Results indicate that inmates in female treatment programs report more psychosocial dysfunction, less criminal thinking, and higher engagement than in male facilities, and there is a more negative relationship between psychosocial variables and treatment engagement (compared to male programs). Only one subscale of criminal thinking had a significant gender interaction, with males having a significantly stronger relationship between cold-heartedness and low treatment engagement. Implications for treatment interventions with a gender-specific focus are discussed.

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Paluck, Elan, Michelle C. E. McCarron, Mamata Pandey, and Dorothy Banka. "An innovative service collaboration to reduce criminal recidivism for inmates with severe addictions." Journal of Community Safety and Well-Being 2, no. 2 (June 28, 2017): 66. http://dx.doi.org/10.35502/jcswb.43.

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Agencies with overlapping mandates can form partnerships to aid development of effective programming. In 2008, the Dedicated Substance Abuse Treatment Unit (DSATU) opened at Regina Correctional Centre through a tripartite collaboration between the Saskatchewan (SK) Ministry of Justice, Corrections and Policing; Addiction Services, Regina Qu’Appelle Health Region; and the SK Ministry of Health. Stakeholders researched existing best practices in the field and developed an evidence-based substance abuse treatment program for sentenced inmates at high risk to re-offend. An evaluation of the DSATU program completed in 2016 concluded that the DSATU was effective, sustainable, and likely transferable to other correctional facilities wishing to offer this type of programming. The stakeholder partnership was a key ingredient in the program’s success. This paper describes the process by which the partners worked together to develop, implement, and sustain this innovative and evidence-based substance abuse treatment program. The partners’ willingness to compromise, to take a collaborative approach to building the partnership and developing the program, and to put clients ahead of individual organizational mandates all contributed to the success of the partnership.

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Capezza, Nicole M., and Lisa M. Najavits. "Rates of Trauma-Informed Counseling at Substance Abuse Treatment Facilities: Reports From Over 10,000 Programs." Psychiatric Services 63, no. 4 (April 2012): 390–94. http://dx.doi.org/10.1176/appi.ps.201000560.

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Ramchand, Rajeev, Beth Ann Griffin, Sarah B. Hunter, Marika Suttorp Booth, and Daniel F. McCaffrey. "Provision of Mental Health Services as a Quality Indicator for Adolescent Substance Abuse Treatment Facilities." Psychiatric Services 66, no. 1 (January 2015): 41–48. http://dx.doi.org/10.1176/appi.ps.201300517.

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Shi, Yuyan, and Sharon E. Cummins. "Smoking Cessation Services and Smoke-Free Policies at Substance Abuse Treatment Facilities: National Survey Results." Psychiatric Services 66, no. 6 (June 2015): 610–16. http://dx.doi.org/10.1176/appi.ps.201400328.

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Cohn, Amy, Cassandra Stanton, Hoda Elmasry, Sarah Ehlke, and Ray Niaura. "Characteristics of U.S. Substance Abuse Treatment Facilities Offering HIV Services: Results From a National Survey." Psychiatric Services 67, no. 6 (June 2016): 692–95. http://dx.doi.org/10.1176/appi.ps.201500078.

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West, Steven L. "The accessibility of substance abuse treatment facilities in the United States for persons with disabilities." Journal of Substance Abuse Treatment 33, no. 1 (July 2007): 1–5. http://dx.doi.org/10.1016/j.jsat.2006.11.001.

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Koch, Alison L., Cynthia L. Arfken, and Charles R. Schuster. "Characteristics of U.S. substance abuse treatment facilities adopting buprenorphine in its initial stage of availability." Drug and Alcohol Dependence 83, no. 3 (July 2006): 274–78. http://dx.doi.org/10.1016/j.drugalcdep.2005.12.005.

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Demas, Zenash, Abebe Gebremariam, Alemi Kebede, and Lalisa Ayele. "Adherence to Antiretroviral Treatment and Associated Factors among Seropositive People Received Treatment in Jimma Town Public Health Facilities, Ethiopia." Journal of the International Association of Providers of AIDS Care (JIAPAC) 21 (January 2022): 232595822211210. http://dx.doi.org/10.1177/23259582221121096.

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Background: Drug adherence is the most significant in the progression of diseases. Thus, this study aimed to assess adherence and associated factors among seropositive people received treatment. Methods: Facility-based cross-sectional study was conducted in Jimma town public health facility from March to April 2019 on 385 selected participants. Systematic sampling technique was used to select study participants. The data were entered using Epi-data version 4.1 and analyzed by SPSS version 20 software. Variables with p-value of less than 0.25 in binary logistic regression were entered into the multivariable logistic regression to control cofounding A significance level of less than 0.05 was used in the final model to judge statistical significance. Results: The magnitude of adherence to antiretroviral treatment was 69.4%. Food security (AOR = 1.75 (95% CI;(1.01-3.0), substance abuse (AOR = 0.55 (95% CI;(0.32-0.96), Didn’t take other medications (AOR = 2.11(95%CI;(1.15-3.87), Good relationship with providers (AOR = 3.35(95%CI;(1.55-7.2), and irregular appointment (AOR = 0.19(95%CI; (0.11-0.34) were significantly associated. Conclusion: The magnitude of adherence to Anti-retroviral therapy was low compare to WHO. Food security, substance abuse, use of other medication, relationship with the health care providers, and irregular appointment were the factors associated. Treatment. Therefore, it is recommended that patients and health care workers enhance Antiretroviral Treatment adherence.

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Gottlieb, Larry. "Ethics Committees in Community Mental Health Settings?" Cambridge Quarterly of Healthcare Ethics 9, no. 4 (October 2000): 566–67. http://dx.doi.org/10.1017/s0963180100004151.

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I am in the process of trying to organize an ethics committee at a large community mental health center in Central Massachusetts and am seeking advice from anyone with experience in this or a similar milieu. The agency is a large (almost 700 employees), nonprofit, community-based program that operates under the auspices of a broad, academically affiliated, behavioral health system. An independent board of trustees, responsible to the parent organization governs the agency. The agency primarily provides outpatient care and treatment to adults and children with mental health, substance abuse, developmental disabilities, and homelessness issues. It does not provide any psychiatric emergency or acute in-patient mental health services but does operate an inpatient detoxification unit for substance abuse treatment and “first offender” DUI program. Additionally, the agency has a vast network of residential programs and transitional facilities for individuals with a history of chronic mental illness and substance abuse problems. Outpatient medical care is also provided to homeless clients who reside in area shelters (including a “wet” shelter for men and women) and a large number of clients who have HIV/AIDS and/or who have been dually diagnosed (substance abuse and mental illness), and are part of a scattered-site supportive housing program.

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Harnett, Tove, and Hakan Jonson. "The Meaning of Age: In a Context of Eldercare and Substance Use." Innovation in Aging 5, Supplement_1 (December 1, 2021): 226. http://dx.doi.org/10.1093/geroni/igab046.873.

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Abstract Some people age with substance abuse and social problems and several countries provide members of this population with a type of arrangement referred to as “wet” eldercare facilities. These facilities provide care for people who are judged as unable to become sober, in some cases with a lower age-limit at 50 years. The aim of this study was to investigate the meaning of age for judging the fit between the person and the arrangement. The study was based on interviews with 42 residents, 10 case workers and 21 staff members at five facilities in Sweden. Respondents were asked about the relevance of age and if the facility should include younger people as well. Some staff argued that younger people should be excluded since they could not have the history of multiple failures in treatment that was a prerequisite for admission. Regarding the low age-limit, substance abuse was said to accelerate the process of ageing so that a person aged 50 could be considered 20 years older and in need of eldercare. Residents had a tendency to equate age with activity and argued that people below the age of 50 were active and energetic and the inclusion of younger people would lead to disturbance of the calm pace of the facilities. Given that facilities have been described as “end-stations”, it was puzzling that few respondents linked the question of admitting younger person to the matter of giving up ambitions to make the person sober.

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George, Lindsey, Sean Kidd, Maria Wong, Rachel Harvey, and Gina Browne. "ACT Fidelity in Ontario: Measuring Adherence to the Model." Canadian Journal of Community Mental Health 29, S5 (January 1, 2010): 87–96. http://dx.doi.org/10.7870/cjcmh-2010-0036.

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The province of Ontario, Canada, with a population of 13 million people, has a large Assertive Community Treatment (ACT) program. Despite the large uptake of ACT in Ontario, to date there has been no comprehensive evaluation of the degree to which the model has been successfully implemented. This project assessed the fidelity of 67 ACT teams (85%) in the province using the Dartmouth Assertive Community Treatment Scale. Scores fell in the high fidelity range in the human resources and organizational boundaries domains, and in the medium fidelity range for the nature of services domain. Areas requiring more attention include achievement of higher caseloads; recruitment and retention of staff (specifically vocational, substance abuse, and psychiatry staff); and key areas of recovery, specifically employment and substance abuse.

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Fleshner, Katherine, and Matthew Greenacre. "Evaluation of supervised injection facilities as an ethically sound approach to treatment of injection drug abuse." University of Western Ontario Medical Journal 86, no. 2 (December 3, 2017): 67–69. http://dx.doi.org/10.5206/uwomj.v86i2.2051.

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Novel approaches are needed to address the issue of injection drug use in Canada, which can have negative consequences for drug users and society. Supervised injection facilities (SIFs) are legally sanctioned facilities in Canada where drug users can receive sterile drug paraphernalia, referral to cessation programs and timely medical care if necessary. SIFs operate under the principle of harm reduction, which aims to reduce rates of infection and death due to overdose among drug users. SIFs are largely driven by the utilitarian ideal of maximizing benefit for the greatest number of people, through supervision of active drug users and appropriate referral for those wishing to quit. Deontological theory may support SIFs depending on how one applies the categorical imperative. Studies of the first SIF in North America, Insite, have shown demonstrable reductions in adverse health and societal consequences of injection drug use, rationalizing their implementation under consequentialism. SIFs are, therefore, suitable for greater adoption by the healthcare system.

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Myers, Mark G., and Sandra A. Brown. "Smoking and Health in Substance-Abusing Adolescents: A Two-Year Follow-up." Pediatrics 93, no. 4 (April 1, 1994): 561–66. http://dx.doi.org/10.1542/peds.93.4.561.

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Objective. To examine the prevalence and persistence of cigarette smoking along with health outcomes in a clinical sample of substance-abusing adolescents. Design. This is a 2-year prospective case series study. Setting. Subjects were recruited from two private, hospital-based inpatient adolescent substance abuse treatment facilities. Participants. A consecutive sample of 166 adolescents, ages 12 to 18, meeting Diagnostic and Statistical Manual of Mental Disorders (3rd ed, revised) criteria for substance abuse participated in the present investigation. Of the original sample, 154 and 144 were interviewed 12 and 24 months after discharge, respectively. Measurement and results. Information regarding cigarette smoking, drug and alcohol use, and respiratory problems was based on self-report by the adolescents and was corroborated by parent interview. The prevalence of smoking in this sample of teens immediately before treatment was 85%. Sixty-one percent of the sample smoked ½ pack or more/day and 75% were daily smokers. Although prevalence (74 and 77%) and average daily cigarette consumption (11.1 and 10.7 cigarettes daily) decreased at 12 and 24 months after treatment, rates remained very high. Teens reporting posttreatment respiratory problems smoked more, and heavier smokers at the time of treatment were more likely to report respiratory problems at follow-up than lighter smokers. Conclusions. Substance-abusing teens smoke at rates far and above those of the general adolescent population. Further, these teens appear at increased risk for negative health consequences regardless of posttreatment drug and alcohol use. These findings highlight the importance of preventing adolescent cigarette smoking by substance abuse treatment programs.

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Erickson, Nick J. "Cleaning Up on the Inside: Addiction, Recidivism, and Substance Abuse Treatment Programs in Indiana's Correctional Facilities." Indiana Health Law Review 14, no. 2 (October 11, 2017): 83. http://dx.doi.org/10.18060/3911.0036.

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Cohn, Amy, and Lisa M. Najavits. "Differences Between U.S. Substance Abuse Treatment Facilities That Do and Do Not Offer Domestic Violence Services." Psychiatric Services 65, no. 4 (April 2014): 504–10. http://dx.doi.org/10.1176/appi.ps.201300005.

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