Bibliografías temáticas / Substance abuse treatment

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Literatura académica sobre el tema "Substance abuse treatment"

Autor: Grafiati

Publicado: 4 de junio de 2021

Última modificación: 29 de julio de 2024

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Artículos de revistas sobre el tema "Substance abuse treatment"

N.Abhijit y M.Pradeep Kumar. "A Cross Sectional Study on Prevalence and Determinants of Substance Abuse among College Students". Indian Journal of Public Health Research & Development 15, n.º 3 (4 de julio de 2024): 299–305. http://dx.doi.org/10.37506/p3tt9093.

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Background: Substance abuse in India continues to be a major problem for both individuals and society. Substance abuse refers to hazardous use of psychoactive substances, including smoking, alcohol and illicit drugs. Substance abuse can lead to dependence syndrome-a cluster of behavioral, cognitive and physiological phenomena that develop after repeated use of substances like alcohol and tobacco. Objectives: To find out the prevalence and determinants of substance abuse among college students and assess the awareness regarding treatment of substance abuse among them. Methodology: A cross sectional study was conducted among 200 college students randomly selected from different colleges in Ongole from April to May 2022. Data was collected by using pre-tested semi structured questionnaires after taking informed consent from study participants. p- value of less than 0.05 was considered statistically significant. Results: Prevalence of substance abuse was 34%, and the common substances abused were alcohol, smoking, ganja and gutka. Major determinants were experimentation followed by peer pressure and family influence. Hostel stay, socio economic status and professional courses are found to be statistically significant for substance abuse . Conclusions: Substance abuse is a rampant problem globally. Proper awareness has to be provided regarding substance abuse to children by family and teachers right from a young age to prevent increased incidence of substance abuse.

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Fetterhoff, Kelly. "Substance Abuse Stigma". Journal of Addictions Nursing 34, n.º 4 (octubre de 2023): E195—E200. http://dx.doi.org/10.1097/jan.0000000000000531.

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Abstract Substance abuse stigma is a social phenomenon that negatively impacts individuals who use illicit substances or alcohol. This stigma includes the derogatory terms used to describe people who use substances; perceptions that individuals with alcohol and substance use disorder are dangerous, immoral, and of weak character; and the public blaming of the addicted people for their addiction. Substance abuse took the life of over 100,000 Americans between 2020 and 2021, and one identified barrier to treatment is the stigma associated with substance abuse. When someone is ashamed, they are less likely to seek treatment, and when someone is seeking help and is greeted with negative preconceptions, they are again deterred from treatment. The stigma exists in multiple layers of society including the general public, policy makers, the police, doctors, and nurses and within the person using the substance. The purpose of this article is to define substance abuse stigma in multiple contexts and explore its effects on treatment.

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Weddington, William W. y A. Thomas McLellan. "Substance Abuse Treatment". Psychiatric Services 45, n.º 1 (enero de 1994): 80. http://dx.doi.org/10.1176/ps.45.1.80.

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Stephenson, J. "Substance Abuse Treatment". JAMA: The Journal of the American Medical Association 283, n.º 15 (19 de abril de 2000): 1950—c—1950. http://dx.doi.org/10.1001/jama.283.15.1950-c.

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Stephenson, Joan. "Substance Abuse Treatment". JAMA 283, n.º 15 (19 de abril de 2000): 1950. http://dx.doi.org/10.1001/jama.283.15.1950-jha00002-4-1.

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Turgunov, M. A. y O. O. Eshonkhuzhaev. "Rational methods of substance abuse treatment". Farmacevticheskoe delo i tehnologija lekarstv (Pharmacy and Pharmaceutical Technology), n.º 4 (30 de julio de 2022): 37–38. http://dx.doi.org/10.33920/med-13-2208-12.

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The aim of the work was to study modern methods of treatment of substance abuse with various psychoactive substances. Materials and methods. Analysis of literature data on the pharmacotherapy of various forms of substance abuse.

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Pagliaro, Louis A. y Ann M. Pagliaro. "The Phenomenon of Substance Abuse among the Elderly: Part I". Journal of Pharmacy Technology 8, n.º 2 (marzo de 1992): 65–73. http://dx.doi.org/10.1177/875512259200800206.

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Because substance abuse, already a major problem among elderly people, is expected to worsen significantly during the 1990s, healthcare providers must be better prepared to identify and deal effectively with this important area of geriatric care. We present an overview of the phenomenon of substance abuse among the elderly with particular attention to the abuse of alcohol and benzodiazepines, the two substances most commonly abused by elderly people. Traditionally, substance abuse among the elderly has gone largely unrecognized because of a low level of suspicion, misdiagnosis, and concealment. It is axiomatic that problems cannot be solved unless they are first identified and appropriately characterized. To respond to the increasing problem of substance abuse among the elderly, healthcare providers must recognize that elderly people are at particular risk for substance abuse, and because of their heterogeneity, they require individualized and diverse prevention and treatment approaches. Once the abuse is identified and properly characterized, specific prevention and treatment strategies can be developed and implemented.

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Roberts, Albert R. y Kenneth R. Yeager. "Adolescent Substance Abuse and Crisis Intervention". Brief Treatment and Crisis Intervention 5, n.º 1 (febrero de 2005): 19–33. http://dx.doi.org/10.1093/brief-treatment/mhi001.

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Fullilove, Mindy Thompson y Jeffrey L. Geller. "Treatment of Substance Abuse". Psychiatric Services 48, n.º 6 (junio de 1997): 840–41. http://dx.doi.org/10.1176/ps.48.6.840.

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Kaminer, Yifrah, Ralph E. Tarter, Oscar G. Bukstein y Mostefa Kabene. "Adolescent Substance Abuse Treatment". American Journal on Addictions 1, n.º 2 (abril de 1992): 115–20. http://dx.doi.org/10.1111/j.1521-0391.1992.tb00016.x.

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Tesis sobre el tema "Substance abuse treatment"

Bragg, Rebecca Lee. "Toward predicting completion of substance abuse treatment". PDXScholar, 1989. https://pdxscholar.library.pdx.edu/open_access_etds/3860.

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This investigation attempts to identify factors which influence whether or not someone is likely to drop out of a chemical dependency treatment program. Dropping out is defined as someone who leaves treatment against medical advice. The subjects were patients from a private, non-profit, medically based, residential program. Nine demographic characteristics were abstracted from the charts on file for the patients at the treatment center. Two groups of 45 patients each were selected from the inpatient population. One group, the Completed Treatment group, comprised patients who had completed the 28 day program. The second group, the AMA Discharge group, comprised patients who dropped out of treatment within the first 4 to 10 days. The demographic characteristics analyzed were gender, number of drugs used by the patient, drug preference, method of admission, treatment history, marital success, social status, dependents living at home, and education.

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Stewart, David Gage. "Differences in substance abuse treatment outcome in Hispanic and non-Hispanic caucasian adolescents : the role of delinquency, acculturation, and cultural stress /". Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 1998. http://wwwlib.umi.com/cr/ucsd/fullcit?p9904731.

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Rodman, Kate. "Transgender people?s experiences in substance abuse treatment". Thesis, California Institute of Integral Studies, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=3743752.

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This narrative study sought to document the substance abuse treatment experiences of transgender people. Individual interviews were conducted with eight participants, and the data were transcribed and analyzed. Participant interviews were discussed. Thirteen themes emerge from the interviews: Making Meaning of Addiction, Considering Discrimination, Additional Services, Provider Relationships, Program Community, Community Involvement, Recovery Approach, Self-Protection, Seeking Sobriety, Family Relationships, Other Self-Care, Feelings of Isolation, and Program Policies. Recommendations for substance abuse treatment programs that emerge from participant experiences and data analysis are put forth.

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Dodge, Karen. "The effectiveness of female-sensitive substance abuse treatment". FIU Digital Commons, 1997. http://digitalcommons.fiu.edu/etd/3071.

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This research investigated whether female-sensitive treatment was more effective than a traditional mixed-gender modal. The study participants were evaluated for levels of depression, self-esteem, social support, and presence and severity of addiction. Analyses were conducted to see which demographic, treatment, and service variables were associated with treatment survival rates. It was found that the chemical dependent treatments evaluated all produced equally ineffective results. The women surveyed did have significantly high levels of depression and presence and severity of addiction, yet moderate levels of self-esteem and social support. A mixed-gender chemical dependency model which provided mental health services focusing on depression was recommended. Ancillary services which provided self-esteem building and social support was also suggested.

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Van, Scoyoc Amanda. "Pathways to Substance Abuse Treatment Success in Pregnancy". Thesis, University of Oregon, 2017. http://hdl.handle.net/1794/22616.

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This mixed-methods dissertation considers the experiences of women who used substances during pregnancy. Retrospective interviews with 15 women, currently accessing inpatient substance abuse treatment, identify trends in women’s experiences prior to accessing these services. Women report being concerned about the impact of their substance use on the developing baby, seeking information, reducing substance use outside of accessing treatment services, and engaging in healthy behaviors to protect the baby from harm. Trends related to trying to reduce harm to the baby during pregnancy are then further explored through quantitative analyses. Data on harm reduction behaviors prior to accessing treatment were collected from an additional 54 women. A clinical and research tool for visually tracking patterns of maternal substance use over the course of pregnancy was developed. This tool identifies the high prevalence of women who decrease their substance use during pregnancy outside of accessing treatment services. Clinical use of this tool is considered. In addition, a questionnaire, designed to identify engagement in harm reduction and health promoting behaviors, was administered. Data suggests that harm reduction and health promotion behaviors are common and tend to begin early on in pregnancy. Women report beginning to decrease their substance use, on average, beginning at the end of the first trimester. The timing of beginning to reduce substance use is not associated with the timing of entering substance abuse treatment in relation to a given pregnancy. However, maternal mental health and perceived barriers to accessing services do predict when, in relation to pregnancy, women enter treatment. As a whole, this research suggests that continued use of substances during pregnancy is not due to indifference towards the developing baby. Instead, women report being concerned about their babies and being engaged in the process of positive self-change. There are public health and clinical implications to these findings. This research suggests the opportunity to build upon the motivation that women have to decrease their substance use. In addition, this research suggests the importance of focusing policy and intervention efforts on addressing perceived barriers to accessing treatment services.

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Fuller, Joyce Julianne. "Differential Effectiveness of Substance Abuse Treatment For Drug Traffickers vs. Substance Users". Thesis, Kaplan University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1546521.

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Study considered the differential effectiveness of standard substance abuse treatment for persons with actual histories of drug use vs. those who have been arrested for drug trafficking, possession, dealing, delivery, manufacture, or sale. Dataset contained 1,348 subjects who had completed drug and alcohol treatment. Mean age was 33; 2/3 of subjects were male, 1/3 female; ethnic mix was well rounded. The researcher identified 77 outcome variables within 12 outcome categories. Of the 77, 64 trended as predicted, suggesting poorer outcomes for drug traffickers vs. substance users. A Chi Square was computed on trend data and was highly statistically significant. A MANOVA was then computed, considering each of the 64 outcome variables, with two covariates: 1) number of days during the three months post treatment that the individual was in a controlled environment; and 2) severity of alcohol and drug abuse at time of treatment commencement. The overall MANOVA was highly statistically significant, indicating that drug trafficking has a pure effect on poorer treatment outcomes. ANOVAs were computer to contrast drug traffickers vs. substance users on each of the 64 individual outcome variables, using a Bonferroni corrected alpha level. In five of 12 outcome categories, one or more outcome measures differed significantly between traffickers and users. The five categories with significantly different outcomes were Continued Alcohol/Drug Use, Reinstitutionalization, Environmental Issues, High Risk Sexual Behaviors, and Relationship Issues. Why drug traffickers are receiving treatment designed for substance users, and treatment alternatives for drug traffickers along with costs and policy implications are considered. Keywords: substance use, drug trafficking, treatment, outcomes, substance abuse

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Gammill, Cyndy G. "Interpersonal functioning among alcoholics and addicts influence on treatment and recovery /". Access abstract and link to full text, 1988. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/8904095.

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Gilson, Brian P. "Surveying the views of alcohol and drug treatment providers on family involvement in treatment". Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001gilsonb.pdf.

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Thomas, Becky L. "The Use of Therapeutic Rituals in Substance Abuse Treatment". DigitalCommons@USU, 2001. http://digitalcommons.usu.edu/etd/2712.

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This study explored the use of rituals in substance abuse counseling. Data were obtained from a total of 25 mental health workers in the substance abuse field from the northern region of Utah. Four research questions were asked about rituals and their use in substance abuse counseling: (I) Are addictions therapists using rituals? (2) How did therapists determine when to use rituals? (3) What types of rituals do they use? and (4) How do therapists assess ritual effectiveness? Results indicated that about three fourths of the mental health workers questioned were using rituals in their treatment protocol with substance abuse clients. The most common methods used for determining when to implement rituals into treatment were (a) clients were emotionally stuck, (b) client's cognitive ability, and (c) therapist's perception. The findings also suggested that therapists presented means of assessing the effectiveness of the rituals they implemented, but the data also supported past literature findings that showed little empirical means of assessment.

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Gamble, James. "Substance abuse treatment| An overview of 12-Step efficacy". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527931.

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Substance abuse in the United States continues to be a serious topic of concern. However, the efficacy of various substance abuse treatment methods remains inconclusive. As the current literature review has returned no comprehensive recommendations for all types of substance abuse, further empirical studies are merited. The aim of the present study is to investigate the long-term effects of 12-Step group therapy on abstinence rates of heroin addicts. Data from the Inter-University Consortium for Political and Social Research 2258 was analyzed to gain insight into the predictive relationship between 12-Step attendance and abstinence rates; the implication is that future meta-analytic studies may help indicate the most appropriate treatments for specific substance abuse disorders. The hypothesis that 12-Step attendance is a predictive factor for abstinence in this population was supported. Practical implications and future directions were discussed.

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Libros sobre el tema "Substance abuse treatment"

1951-, Pratsinak George John y Alexander Robert Bruce 1950-, eds. Understanding substance abuse & treatment. Laurel, MD: American Correctional Association, 1992.

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Montvilo, Robin Kamienny. Addictions and substance abuse. Ipswich, Mass: Salem Press, 2013.

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R, Watson Ronald, ed. Drug abuse treatment. Totowa, N.J: Humana Press, 1992.

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Division, Minnesota Legislature Office of the Legislative Auditor Program Evaluation. Substance abuse treatment: Evaluation report. St. Paul, MN: Office of the Legislative Auditor, Program Evaluation Division, 2006.

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Georgi, Jeffrey M. Substance abuse treatment: Group therapy. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, 2005.

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Massachusetts. Bureau of Substance Abuse Services. Massachusetts substance abuse treatment outcomes. [Boston, Mass.]: Commonwealth of Massachusetts, Department of Public Health, Bureau of Substance Abuse Services, 2009.

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J, Flores Philip, Georgi Jeffrey M y Center for Substance Abuse Treatment (U.S.), eds. Substance abuse treatment: Group therapy. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, 2009.

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Russell, Anita M. Adolescent substance abuse treatment: Report. Edmonton, Alta: Alberta Alcohol and Drug Abuse Commission, 1990.

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Capítulos de libros sobre el tema "Substance abuse treatment"

Dupree, Larry W. y Lawrence Schonfeld. "Substance Abuse". En Psychological Treatment of Older Adults, 281–97. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4899-0295-5_14.

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Tucker, Jalie A. y Rudy E. Vuchinich. "Substance Abuse Relapse". En Drug Abuse Treatment, 71–98. Totowa, NJ: Humana Press, 1992. http://dx.doi.org/10.1007/978-1-4612-0359-9_4.

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Winters, Ken C. "Substance Abuse Treatment". En Encyclopedia of Adolescence, 2904–10. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-1695-2_309.

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Grabowski, John. "Substance Abuse: Treatment". En Encyclopedia of Behavioral Medicine, 2188–93. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39903-0_293.

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Grabowski, John. "Substance Abuse: Treatment". En Encyclopedia of Behavioral Medicine, 1922–27. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_293.

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Winters, Ken C. "Substance Abuse Treatment". En Encyclopedia of Adolescence, 3856–63. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-33228-4_309.

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Winters, Ken C. "Substance Abuse Treatment". En Encyclopedia of Adolescence, 1–8. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-32132-5_309-2.

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Dembo, Richard y Randolph D. Muck. "Adolescent Outpatient Treatment". En Adolescent Substance Abuse, 97–117. Boston, MA: Springer US, 2008. http://dx.doi.org/10.1007/978-0-387-09732-9_5.

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Kaminer, Yifrah. "Treatment Selection and Modalities". En Adolescent Substance Abuse, 197–256. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4757-9009-2_11.

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Wang, Shu-Ming. "Acupuncture as a Treatment for Substance Abuse in Pediatric Patients". En Substance Abuse, 349–57. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-1951-2_27.

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Actas de conferencias sobre el tema "Substance abuse treatment"

Neumann, PhD, Anne M., Richard D. Blondell, MD, Robert F. Hoey, BA, Nikhil Satchidanand, PhD y Gerald E. Daigler, MD. "Differences between Female Adolescents Who Complete and Fail to Complete Residential Substance Abuse Treatment - Adolescent Substance Abuse Treatment". En Annual International Conference on Cognitive and Behavioral Psychology (CBP 2014). GSTF, 2014. http://dx.doi.org/10.5176/2251-1865_cbp14.34.

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Dağlıoğlu, Nebile, Aslı Atasoy Aydın, Evşen Yavuz Güzel y Berfin Sude Ertas. "Wastewater Analysis of Illicit Substances as a Means of Detecting Substance Abuse". En Panel on "Effective Drug Control Strategies in Northern Cyprus: Challenges and Opportunities in 2024". Emanate Publishing House Ltd., 2024. http://dx.doi.org/10.70020/ehass.2024.7.2.

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Wastewater-Based Epidemiology (WBE) is a rapidly developing discipline with the potential to provide near real-time data on regional and temporal variations in the use of various legal substances, including nicotine, alcohol, caffeine, and illicit drugs. Since the early 2000s, wastewater analysis has been increasingly utilized to gauge the prevalence of illicit drug use within society. Reasons for this adoption include the method’s efficiency, the ease of sample acquisition, and the cost-effectiveness of analysis. Wastewater analysis yields estimated consumption data at the provincial level by detecting target substances within the influent of provincial wastewater treatment plants (WWTPs) and subsequently performing back-calculations. WWTP selection for analysis involves a careful evaluation of factors such as the basins/populations served, infrastructure compatibility and the feasibility of 24-hour composite sampling. Following the collection of both influent and effluent water samples from designated WWTPs, a solid-phase extraction (SPE) method is employed for sample preparation. Liquid chromatography-tandem mass spectrometry (LC/MS-MS) is then used to identify and quantify legal and illicit substances and their respective metabolites. The detected concentrations of either the target substance or its primary metabolite form the basis for calculating the estimated amounts of substances consumed within the region. Consequently, WBE has emerged as a valuable tool for the real-time assessment of substance use patterns across various populations, encompassing legal and illicit substances. Moreover, WBE demonstrates promise in novel application areas, including monitoring biomarkers relevant to forensic investigations. These biomarkers may provide insights into lifestyle factors, disease prevalence within a population, and exposure to environmental pollutants.

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Roberts, Donna L. "BRIEF THERAPY APPROACHES IN THE TREATMENT OF SUBSTANCE ABUSE AND ADDICTION". En International Psychological Applications Conference and Trends. inScience Press, 2019. http://dx.doi.org/10.36315/2019inpact087.

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Felini, Martha J., Raquel Qualls-Hampton, Saritha Bangara, Darius Taylor y Gene W. Voskuhl. "Abstract PR05: Cancer screening uptake among women in substance abuse treatment". En Abstracts: Seventh AACR Conference on The Science of Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; November 9-12, 2014; San Antonio, TX. American Association for Cancer Research, 2015. http://dx.doi.org/10.1158/1538-7755.disp14-pr05.

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Clary, Christopher y Yuxia Huang. "Spatial access to substance abuse treatment for low-income and minority households". En the Third ACM SIGSPATIAL International Workshop. New York, New York, USA: ACM Press, 2014. http://dx.doi.org/10.1145/2676629.2676632.

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QIU, YUE, KUN LIU y YUANZHE LI. "ASSOCIATION BETWEEN INTERNET ADDICTION AND SUBSTANCE ABUSE: A LITERATURE SURVEY FOR EARLY DETECTION AND TREATMENT". En 2023 9TH INTERNATIONAL SYMPOSIUM ON SOCIAL SCIENCE. Destech Publications, Inc., 2023. http://dx.doi.org/10.12783/dtssehs/isss2023/36069.

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As a newly proposed term, Internet addiction is derived from DSM-IV criteria from impulsive control disorders. The addictive element may be the active search for stimulation through the Internet and the presence of typical addictive features of substance abuse including tolerance and withdrawal, cognitive preoccupation and craving, activation in dorsal lateral prefrontal cortex (DLPFC) suggests a pre-existing mechanism for Internet addiction. Therefore, it was hypothesized that Internet addiction might be an interchangeable form of substance use disorder. Though there is a great number of findings supporting the relationship between Internet and substance addiction, the common features are debated in the study of addiction. This literature survey aims to investigate the association between Internet and substance addiction and develop potential early detection and treatments for Internet addiction.

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Man, Huang, Zhang Jun y Zhang Siying. "A Review of Mindfulness-Based Interventions in the Treatment of Substance Abuse and Addiction". En 5th International Conference on Social Sciences and Economic Development (ICSSED 2020). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/assehr.k.200331.022.

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"PS-121 - PREGNANCY AND DUAL DIAGNOSIS: IS THERE ANYTHING NEW?" En 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps121.

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1. Objectives: To assess the impact of the pregnancy on dual-diagnosed women. 2. Material and methods: Non-systematic review of the literature, through research on PubMed database with the keywords “dual diagnosis”, “pregnancy” and “mental illness”. 3. Results and conclusions: Dual diagnosis refers to the co-occurrence of a mental illness and substance abuse. The mean age of diagnosis for both mental illnesses and substance abuse on women is between 25 and 34 years old, which coincides with the period when women are most likely to be pregnant. One of the existent barriers on this topic is the lack of knowledge on the part of care providers as to the difficulties and treatment needs of the dual diagnosis client, with resultant anxiety and confusion about how to intervene, the efficacy of treatments, and especially how to balance the needs of the mother and fetus. The studies on this area show that patients with a substance abuse disorder or dual diagnosis had a high-risk pregnancy and less prenatal care than those with a mental illness alone, being schizophrenia the most frequent psychiatric diagnosis. For women who are dually diagnosed, the risks inherent in each disorder are combined with the potential for greater negative impact on pregnancy and the newborn.The risks of poor prenatal care, obstetric complications, and psychosocial difficulties increase and each disorder may exacerbate the other. Early identification and treatment of psychiatric disorders in pregnancy can prevent morbidity in pregnancy and postpartum with the concomitant risks to mother and baby.

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"O-008 - CLOZAPINE TREATMENT AND ACUTE RELAPSE'S PREVENTION IN DUAL DIAGNOSIS PATIENTS". En 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.o008.

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Objectives: to analyze prescription pattern of clozapine in dual diagnosis (DD) inpatients' and to find out if there was any association with acute relapses either from psychiatric symptoms or from substance use disorder. Material and Methods: a retrospective study was conducted with all patients admitted at Lisbon's Psychiatric Hospital Center for psychiatric inpatient treatment during a 4 months' period. Patients with a dual diagnosis at discharge were selected and their clinical files were screened to assess sociodemographic and clinical information. Results and conclusions: from a total of 536 inpatients, 17,5% had a dual diagnosis at discharge. Most frequent substance of abuse was alcohol, followed by cannabinoids, nicotine, cocaine, and opiates. Most frequent psychiatric diagnosis associated with substance use disorder was schizophrenia (50%), depressive disorder (17%) and bipolar disorder (10,6%). Clozapine was prescribed to 22,3% patients and a statistically significant association was found between clozapine prescription and prevention of acute relapses of psychiatric symptoms in DD patients. Although there was no significant association between prescription of clozapine versus other antipsychotic drugs in preventing relapses of substance use, there was found a larger than expected number of patients in clozapine that didn't have a relapse of substance use.

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Froes Carvalho, Vera, Miguel Carneiro, Sérgio Esteves, Sandra Torres y Zita Gameiro. "Motivational interview for schizophrenia patients and alcohol abuse". En 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020o038.

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The co-occurrence of schizophrenia and alcohol use disorders often leads to poor treatment retention and adherence. There are very few reports of efficient approaches to treat alcohol abuse in patients with schizophrenia. The purpose of this work was to review the benefits of motivational interview (MI) for alcohol disorders in patients with schizophrenia, and if it can be use in default or if there are some adaptations for this specific population. The authors did a non-systematic review of the literature with the words “motivational interview”, “schizophrenia”, “alcohol”. A case report from 2017 shows a 42 years old man in which was valued the patient's narrative and opinions with support and understanding, that lead to a increase in motivation of abstinence. Reflective listening and summarizing were very important to help with the consciousness of the disease. A study from 2007 with 60 patients shows that they tolerate the shorter sessions (20–30 min) better than longer sessions, because of the difficult time focusing for an extended period of time. More sessions are advantageous because it takes some time for patients to learn how to respond. Other study from 2003 with 30 patients shows that subjects randomized to the MI intervention had a significant reduction in drinking days and an increase in abstinence rates when compared to subjects receiving educational treatment. A blind randomised controlled trial from 2010 with 327 patients shows that integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and substance misuse does reduce the amount of substance used for at least one year after completion of therapy. In conclusion there are evidence of the use of motivational interview in patients with schizophrenia. And the improve is bigger if there is an adaptation to this specific population. More studies are still needed in this aera.

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Informes sobre el tema "Substance abuse treatment"

Bondurant, Samuel, Jason Lindo y Isaac Swensen. Substance Abuse Treatment Centers and Local Crime. Cambridge, MA: National Bureau of Economic Research, septiembre de 2016. http://dx.doi.org/10.3386/w22610.

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Cantor, Jonathan, Brady Horn y Johanna Catherine Maclean. Recessions and Admissions to Substance Abuse Treatment. Cambridge, MA: National Bureau of Economic Research, junio de 2013. http://dx.doi.org/10.3386/w19115.

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Bragg, Rebecca. Toward predicting completion of substance abuse treatment. Portland State University Library, enero de 2000. http://dx.doi.org/10.15760/etd.5744.

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Madu, Laura, Jacqueline Sharp y Bobby Bellflower. Efficacy of Integrating CBT for Mental Health Care into Substance Abuse Treatment in Patients with Comorbid Disorders of Substance Abuse and Mental Illness. University of Tennessee Health Science Center, abril de 2021. http://dx.doi.org/10.21007/con.dnp.2021.0004.

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Abstract: Multiple studies have found that psychiatric disorders, like mood disorders and substance use disorders, are highly comorbid among adults with either disorder. Integrated treatment refers to the treatment of two or more conditions and the use of multiple therapies such as the combination of psychotherapy and pharmacotherapy. Integrated therapy for comorbidity per numerous studies has consistently been superior to the treatment of individual disorders separately. The purpose of this QI project was to identify the effectiveness of Cognitive Behavioral Therapy (CBT) instead of current treatment as usual for treating Substance Use Disorder (SUD) or mental health diagnosis independently. It is a retrospective chart review. The review examines CBT's efficacy for engaging individuals with co-occurring mood and substance u se disorders in treatment by enhancing adherence and preventing disengagement and relapse. Methods: Forty adults aged 26-55 with a DSM-IV diagnosis of a mood disorder of Major Depressive Disorder and/or anxiety and concurrent substance use disorder (at least weekly use in the past month). Participants received 12 sessions of individual integrated CBT treatment delivered with case management over a 12-week period. Results: The intervention was associated with significant improvements in mood disorder, substance use, and coping skills at 4, 8, and 12 weeks post-treatment. Conclusions: These results provide some evidence for the effectiveness of the integrated CBT intervention in individuals with co-occurring disorders. Of note, all psychotherapies are efficacious; however, it would be more advantageous to develop a standardized CBT that identifies variables that facilitate treatment outcomes specifically to comorbid disorders of substance use and mood disorders. It is concluded that there is potentially more to be gained from further studies using randomized controlled designs to determine its efficacy.

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Wheatley, Roger A. Benning House: The Grass Roots Beginning of Army Substance Abuse Treatment. Fort Belvoir, VA: Defense Technical Information Center, septiembre de 2013. http://dx.doi.org/10.21236/ada598404.

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Dave, Dhaval y Swati Mukerjee. Mental Health Parity Legislation, Cost-Sharing and Substance Abuse Treatment Admissions. Cambridge, MA: National Bureau of Economic Research, noviembre de 2008. http://dx.doi.org/10.3386/w14471.

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Cuellar, Alison Evans, Sara Markowitz y Anne Libby. The Relationships between Mental Health and Substance Abuse Treatment and Juvenile Crime. Cambridge, MA: National Bureau of Economic Research, septiembre de 2003. http://dx.doi.org/10.3386/w9952.

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Corredor-Waldron, Adriana y Janet Currie. Tackling the Substance Abuse Crisis: The Role of Access to Treatment Facilities. Cambridge, MA: National Bureau of Economic Research, mayo de 2021. http://dx.doi.org/10.3386/w28862.

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Mark, Tami L., William N. Dowd y Carol L. Council. Tracking the Quality of Addiction Treatment Over Time and Across States: Using the Federal Government’s “Signs” of Higher Quality. RTI Press, julio de 2020. http://dx.doi.org/10.3768/rtipress.2020.rr.0040.2007.

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The objective of this study was to track trends in the signs of higher-quality addiction treatment as defined by the National Institute on Drug Abuse, the National Institute on Alcohol Abuse and Addiction, and the Substance Abuse and Mental Health Services Administration. We analyzed the National Survey of Substance Abuse Treatment Services from 2007 through 2017 to determine the percent of facilities having the characteristics of higher quality. We analyzed the percent by state and over time. • We found improvements between 2007 and 2017 on most measures, but performance on several measures remained low. • Most programs reported providing evidence-based behavioral therapies. • Half or fewer facilities offered medications for opioid use disorder; mental health assessments; testing for hepatitis C, HIV, and sexually transmitted diseases; self-help groups; employment assistance; and transportation assistance. • There was significant state-level variation across the measures.

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Sindelar, Jody y Todd Olmstead. Does the Impact of Managed Care on Substance Abuse Treatment Services Vary By Profit Status? Cambridge, MA: National Bureau of Economic Research, septiembre de 2004. http://dx.doi.org/10.3386/w10745.

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