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Teses / dissertações sobre o tema "Drug abuse Treatment"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 30 de julho de 2024

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1

Gibson, Fiona Winifred. "The treatment of drug abuse in Cape Town". Master's thesis, University of Cape Town, 1986. http://hdl.handle.net/11427/14567.

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Bibliography: leaves 174-213.
Three questions concerning drug use and its treatment in Cape Town are posed in an attempt to guide planning of the treatment system. Firstly, is drug use in Cape Town of a problematic nature and magnitude? An affirmative conclusion is reached here by analysis of relevant local studies but is rendered tentative by inadequacies of the data. Secondly, are the relevant professional medical-psychological treatment facilities able to meet the treatment needs of all drug abusers in Cape Town? Analysis of the treatment system by means of a questionnaire produced a negative conclusion which was necessarily tentative. Thirdly, what directions should future expansion or modification take in order that cost-effectiveness be maximised? Three areas, were investigated by review of the literature - should psychotherapy be included in drug abuse treatment? Can drug abusers be effectively treated alongside other psychiatric patients? Can drug abusers be effectively treated as outpatients? Affirmative conclusions were reached in each case. Suggestions are made for accurate matching of patients to in- or outpatient treatment situations.

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2

Soo, Kam-hing Rosanna. "A descriptive study of the perceived treatment and post-treatment environment for female ex-drug abusers in S.A.R.D.A". Click to view the E-thesis via HKUTO, 1988. http://sunzi.lib.hku.hk/hkuto/record/B42128328.

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3

Lam, Wai-on. "Drug treatment in Hong Kong a comparative study of residential drug treatment programmes in Hong Kong /". Thesis, Click to view the thesis via HKUTO, 1999. http://sunzi.lib.hku.hk/hkuto/record/B35278249.

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Thesis (M.A.)--Scarman Centre for the Study of Public Order, University of Leicester in association with School of Professional and Continuing Education, University of Hong Kong, 1999.
Includes bibliographical references (leaves 59-61) Also available in print.

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4

Soo, Kam-hing Rosanna, e 蘇錦馨. "A descriptive study of the perceived treatment and post-treatment environment for female ex-drug abusers in S.A.R.D.A". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1988. http://hub.hku.hk/bib/B42128328.

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5

Xue, Liu. "HIGH-ACTIVITY MUTANTS OF HUMAN BUTYRYLCHOLINESTERASE FOR COCAINE ABUSE TREATMENT". UKnowledge, 2013. http://uknowledge.uky.edu/pharmacy_etds/40.

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Cocaine is a widely abused drug without an FDA-approved medication. It has been recognized as an ideal anti-cocaine medication to accelerate cocaine metabolism producing biologically inactive metabolites via a route similar to the primary cocaine-metabolizing pathway, i.e. butyrylcholinesterase (BChE)-catalyzed hydrolysis. However, the native BChE has a low catalytic activity against cocaine. We recently designed and discovered a set of BChE mutants with a high catalytic activity specifically for cocaine. An ideal, therapeutically valuable mutant of human BChE should have not only a significantly improved catalytic activity against cocaine, but also certain selectivity for cocaine over neurotransmitter acetylcholine (ACh) such that one would not expect systemic administration of the BChE mutant to interrupt cholinergic transmission. Through integrated computational-experimental studies, several BChE mutants were identified to have not only a considerably improved catalytic efficiency against cocaine, but also the desirable selectivity for cocaine over ACh. Representative BChE mutants have been confirmed to be potent in actual protection of mice from acute toxicity (convulsion and lethality) of a lethal dose of cocaine (180 mg/kg, LD100). Pretreatment with the BChE mutant (i.e. 1 min prior to cocaine administration) dose-dependently protected mice against cocaine-induced convulsions and lethality. The in vivo data reveal the primary factor, i.e. the relative catalytic efficiency, determining the efficacy in practical protection of mice from the acute cocaine toxicity and future direction for further improving the efficacy of the enzyme in the cocaine overdose treatment. For further characterization in animal models, we successfully developed high-efficiency stable cell lines efficiently expressing the BChE mutants by using a lentivirus-based repeated-transduction method. The large-scale protein production enabled us to further characterize the in vivo profiles of the BChE mutant concerning the biological half-life and potency in accelerating cocaine clearance. In particular, it has been demonstrated that the BChE mutant can rapidly metabolize cocaine and completely eliminate cocaine-induced hyperactivity in rodents, implying that the BChE mutant may be developed as a promising therapeutic agent for cocaine abuse treatment.

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6

Best, David W. "Seeking explanations about drug use : methodological issues around explaining self-reported drug behaviours". Thesis, University of Strathclyde, 1998. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=21402.

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The thesis investigates the dynamics that surround participants' responses to questions about illicit drug activities. By examining the attributional and discursive literatures, the opening chapters (Chapters 1 and 2) outline the difficulties associated with assuming veridicality in question-answer dyads. Emphasis is placed on the essentially social and intentional foundations of the applied research procedure. The existing research on methodological effects in substance research is outlined at the start of Chapter 3. These form the foundation for the empirical investigations that constitute the remainder of the thesis. The studies carried out attempt to examine methodological issues in the context of applied research procedures that combine quantitative outcomes with qualitative considerations such as reflexive consideration of the role of the researcher and the status of the participant. The first investigation demonstrates the influence of treatment status on the discourse provided by adult substance users. Drug users in contact with treatment services provide drug-related explanations distinct from those given by users who are not in treatment. This distinction is assessed in terms of a theoretical model of addiction based on discursive criteria and contextual influence (Chapter 4). These contextual influences are further examined in the empirical studies presented in Chapters 4 and 5 in which the subjects are young people whose drug experiences are assessed in the context of drug education (Chapter 5) and treatment and service needs (Chapter 6). Each of these investigations attempts to demonstrate the sophistication of discourse that respondents exhibit in their drug-related conversations and the ways in which their attitudes and understandings of these topics are shaped by the context of the experiences they have had.

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7

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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8

Simmons, Travis G. ""Because they made me come" : motivation and outcome in adolescent substance abuse treatment /". Electronic version (PDF), 2005. http://dl.uncw.edu/etd/2005/simmonst/travissimmons.html.

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9

Garvis, Pamela J. "Assessing methamphetamine withdrawal symptoms in the residential substance abuse treatment patient". Laramie, Wyo. : University of Wyoming, 2008. http://proquest.umi.com/pqdweb?did=1605148101&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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10

Molin, Irene, e Angelica Wågby. "The Significans of the Sexual Identity in Drug Abuse Treatment". Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26211.

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Valet av vårt ämne har framförallt sprungit ur att vi har sett en brist vad gäller problematisering kring sexuell identitet och socialt arbete. Vårt syfte med denna uppsats har varit att undersöka hur personal på behandlingshem ser på den sexuella identitetens betydelse inom missbrukarvård. Vi har dessutom intervjuat en psykolog på RFSL om hennes perspektiv på ämnet. I uppsatsen tar vi även upp hur man ser på sexualiteten och den sexuella identiteten i förhållande till kön, då vi har sett att kön och sexualitet är tätt sammankopplat. Vi har använt oss av kvalitativ metod och semistrukturerade intervjuer med två personer som arbetar på könssegregerad missbruksbehandling och två som arbetar på könsblandad. Den femte personen är från RFSL och har en annan utgångspunkt eftersom hon står utanför den institutionella missbrukarvården. Intervjupersonernas svar har vi analyserat och tolkat med hjälp av tidigare forskning samt teorier framförallt av Judith Butler, Beverly Skeggs samt Robert W. Connell. Uppsatsens visar hur intervjupersonerna förhåller sig till och ser på just den sexuella identiteten i förhållande till behandling. Vad vi framförallt har sett varit genomgående är att sexualitet i sig kan vara svårt att tala om, vilket ger personer som är osäkra i sin sexuella identitet litet utrymme att komma till tals och få den hjälp den behöver. När det gäller sexualitet och sexuell identitet har vi sett att man ofta resonerar kring komplementära kön.

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11

Hagaman, Angela M., e Stephanie M. Mathis. "The ETSU Center for Prescription Drug Abuse Prevention and Treatment". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/3200.

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12

Thull, Jessica Ann. "Client Characteristics and Treatment Retention in an Outpatient Drug-Free Chemical Dependency Program". [Milwaukee, Wis.] : e-Publications@Marquette, 2009. http://epublications.marquette.edu/dissertations_mu/8.

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13

McCoy, Jay Russell. "FOLLOW-UP EVALUATION OF A YOUTH SUMMER DAY PROGRAM (DRUG ABUSE PREVENTION)". Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/291196.

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14

Hagaman, Angela M., e Stephanie M. Mathis. "Interprofessional Working Group Addresses Prescription Drug Abuse". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/3198.

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Northeast Tennessee has been disproportionately burdened by a high prevalence of opioid prescribing, prescription drug abuse, addiction, overdose, and Neonatal Abstinence Syndrome. The East Tennessee State University Prescription Drug Abuse and Misuse Working Group (PDAMWG) formed upon recognizing an urgent need for a collaborative, multi-faceted response to reduce prescription drug abuse. Composed of over 100 members from various agencies, organizations, and institutions, members of this highly interprofessional, university-sponsored working group include academic scholars, healthcare providers, pharmacists, elected officials, students, community members, and more. This collaboration has successfully generated multiple funded research projects and numerous evidence- and community-based initiatives targeting prescription drug abuse. This seminar will focus on substance abuse prevention, specifically the prevention of prescription drug abuse. In addition to providing a data supported summary of the epidemic in the region, this seminar will outline the historical development of the PDAMWG and describe past and present research and community-based initiatives. An emphasis will be on the continuous commitment of the PDAMWG to the development, dissemination, and implementation of evidence-based practices to reduce prescription drug abuse and improve population health in the region. This seminar will also document research as well as community-based outcomes of PDAMWG efforts. Consequently, participants will recognize the effectiveness of strong, cross-sector partnerships for population health improvement. Relatedly, participants will develop a concrete understanding of a collaborative approach that bridges academic research and community-based practice. Perhaps most importantly, participants will discover its potential for replication in other communities to support the achievement of maximum, evidence-based outcomes for various health concerns. Lastly, participants will be introduced to the underlying model of the PDAMWG, which visually depicts evidence-based strategies along the disease continuum. As a result, participants will appreciate the complexity of public health problems and the subsequent importance of a multi-pronged, evidence-based response to addressing them

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15

Hagemeier, Nicholas E. "Prescription Drug Abuse: Reflections and Visioning". Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1433.

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16

Samaila, Daniel. "Living Arrangements, Referral Source and Young Adult Admissions to Drug Treatment". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6660.

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Abuse of painkiller drugs and non-medical use of drugs among young adults continues to be a public health crisis in the United States. Living arrangements and source of treatment referral were considered as the social context that could contribute to increased admissions to treatment for drug abuse. The purpose of this study was to examine the relationship between, independent living arrangement, the principal source of referral, and abuse of opioid, heroin, and cocaine. Steered by the conceptual framework of the biopsychosocial model, this study used the data from the 2015 Treatment Episode Data Set: Admissions managed by the Substance Abuse and Mental Health Services Administration. Multiple logistic regression analyses were performed to test the hypotheses regarding a predictive relationship between independent living arrangement, the principal source of treatment referral, and admissions to treatment for abuse of opioid, heroin, and cocaine. The results showed a significant association between the source of treatment referrals and independent living arrangement, and the increased odds of admissions for prescription opioids use disorder, heroin use disorder, and cocaine use disorder among adults aged 18-34 living in the United States. The implication for positive social change included a need for a targeted treatment and other intervention programs for young adults' users with associated higher-risk treatment referral categories and exposed to neighborhoods factors and health-risk behaviors in reducing the crisis of drug abuse in the United States.

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17

Hagemeier, Nicholas E. "Prescribing Practices and Prescription Drug Abuse". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1431.

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18

Pack, Robert P. "Prescription Drug Abuse/Misuse in Appalachia". Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1365.

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19

Kimball, Bree A. Blackburn Ashley Gail. "Getting sober while incarcerated an exploratory analysis of correctional substance abuse treatment programs /". [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-5156.

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20

Villafranca, Steven Wayne. "The effect of early psychostimulant treatment on abuse liability and dopamine receptors". CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2824.

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Examines whether the reinforcing properties of drugs of abuse were altered in adulthood by methylphenidate, more commonly known as Ritalin. Subjects were 108 rats of Sprague-Dawley descent (Harlan). Methylphenidate, or saline was administered daily to the subjects from the postnatal period (11-20 days old). The rats preference for morphine during early adulthood was measured using conditioned place preference. The number of dopamine D₂ receptors was measured in each rat and the correlation between receptor number and morphine preference was determined. Results indicate that rats pretreated with methylphenidate showed greater preference for morphine than saline pretreated rats and suggests that exposure to methylphenidate during the postnatal period increases the rewarding value of morphine.

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21

Pack, Robert P., e S. Loyd. "Prescription Drug Abuse Epidemiology and Prevention Efforts". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1352.

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22

Hagemeier, Nicholas E. "Prescription Drug Abuse: Past, Present and Prevention". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1426.

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23

Pack, Robert P., e Stephanie M. Mathis. "An Evidence-Based Response to Prescription Drug Abuse". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/3201.

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24

Augustino, Bridgett. "Pretreatment Characteristics of Legally Coerced Drug Treatment Seekers". TopSCHOLAR®, 2001. http://digitalcommons.wku.edu/theses/615.

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This study examines the sociodemographics, drug use, criminal, and treatment histories of 598 residential and outpatient legally coerced drug treatment seekers in the Kentucky Treatment Outcome and Performance Pilot Studies Enhancement Project. Analyses examined whether users/addicts entering chemical dependency treatment under legal coercion differed from nonlegally coerced treatment seekers. Stanley Cohen's theoretical model of social control provided the theoretical framework for the study. Results showed demographic and behavioral differences were noted between respondents under no coercion and those under legal coercion on gender, age, educational status, pretreatment criminality and current treatment modality. In addition, differences between the legally coerced and not legally coerced clients varied across geographic regions.

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25

Jacobsson, Ralph Olav. "A pre-test/post-test analysis of value, behavioral and spritual changes in drug treatment". CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1176.

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26

Clansy, Pauline Amos. "The effect of high and low anxiety on level of motivation, length of stay in treatment, and intrapsychic focus of attention in Veterans Administration drug-abuse patients". Virtual Press, 1985. http://liblink.bsu.edu/uhtbin/catkey/458525.

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The purpose of this study was to examine the effect of high and low anxiety on motivation for treatment, length of stay in treatment, and intrapsychic focus of attention in Veterans Administration drug-abuse patients. The dependent variables were measured by the Minnesota Multiphasic Personality Inventory (MMPI), Reasons For Seeking Treatment Inventory (RFST), State Trait Anxiety Inventory (STAI), Psychopathic State Inventory (PSI), and the total number of days each subject participated in the treatment program. The major hypothesis was stated in the null form.The PSI and the STAI were used to measure motivation for seeking treatment. The MMPI and the RFST were used to measure intrapsychic focus of attention.On admission and on day 60, the subjects in the High Stress Treatment Group and the subjects in the Low Stress Treatment Group were not found to he significantly different, as measured by the STAI and the PSI, and intrapsychic focus of attention, as measured by the MMPI and the RFST.This study revealed that the subjects in the High Stress Treatment Group developed a higher level of motivation than the subjects in the Low Stress Treatment Group. The Subjects in the High Stress Treatment Group stayed in treatment longer than the subjects in the Low Stress Treatment Group. Subjects in the High Stress Treatment Group focused more on intrapsychic issues than subjects in the Low Stress Treatment Group.

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27

Lau, Kiu-yung Helen, e 劉翹溶. "The effectiveness of treating abstinence syndrome by acupuncture over traditional medication and psychotherapy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206977.

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Background Traditional medication therapy and psychotherapy are commonly used for treatment drug abstinence syndrome. Because of the side effects of traditional medication therapy (MT), acupuncture therapy (AT) is under investigation for treating abstinence syndrome, particularly for heroin detoxification. This project aims to review different randomised clinical trials (RCTs) of heroin detoxification treatment by acupuncture, and retrieve relevant data so that appropriate suggestions can be made to the Narcotics Division (ND), the Department of Health (DH), non-governmental organisations (NGOs) and related local public health institutes for the anti-drug services of heroin and opioid drugs. Methods A systematic review was conducted using PubMed and Google Scholar to retrieve 13 relevant articles of randomised clinical trials (RCTs) in English and Chinese conducted from 2000 to 2014. These RCTs contained data of heroin-dependent patients, details of assessment of abstinence syndrome and treatments; and comparison of efficacy of AT with MT, such as side effects, severity and relapse of heroin abstinence in physical and psychological aspects. Results 13 articles were included. All treatments were conducted in clinics or hospitals. Different intervention strategies were included, comparing AT with MT, AT plus MT with MT alone, AT with no treatment as well as true AT with superficial AT. All trials have reported better therapeutic effects in the heroin abusers with AT, regardless the use of medication, age and sex. Improved treatment effects were demonstrated in reducing psychological effect of heroin abstinence, such as anxiety and depression, sleep quality, relapse and heroin craving. Also, improved treatment of physical effects of abstinence was shown by increasing body weight, improved liver and kidney functions, improved immunity and lower adverse effects than conventional MT. No adverse effect was reported in 3 trials (23%) or mentioned in 9 trials (69%), mild adverse effects was reported in 1 trial. Conclusions ND, DH, NGOs and other local public health institutes should conduct further studies in Hong Kong to obtain primary local data of the therapeutical effects of AT, and implement AT as an adjunct to the traditional MT and psychotherapy for treating heroin abstinence syndrome due to it high efficacy, safety and low side effects.
published_or_final_version
Public Health
Master
Master of Public Health

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28

Whittington, Miles A. "The ethanol withdrawal syndrome : a role for dihydropyridine-sensitive calcium channels in neural hyperexcitability states". Thesis, University of Bristol, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.279774.

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29

Kjärman, Sol, e Joy Uche. "The Impact of Treatment on Addicts: An Explorative Study". Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och psykologi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-21329.

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ABSTRACT The aim of this thesis is to explore the impact of treatment on male addicts who attend Narcotic Anonymous (NA) meeting between the ages of 45 to 60 years that have been free from drug addiction without relapse in 10 years. The interest is to really understand how the addicts have been impacted and what factors have contributed to their being able to remain free from drug abuse without relapse. The research is a qualitative study. Semi structured interviews based on interview guide that are made up of six open ended questions was used to generate information (Primary data) from eight interviewees. The data generated was analyzed using qualitative content analysis in hermeneutic perspective. Also, Maslow’s need hierarchy theory and early research was used to analyze the data that were generated. It was found that the former addicts experienced improvement in their psychological health identity and social situation. Furthermore, they were impacted by different treatments like cognitive behavioral therapy, environmental therapy and the NA 12-step program. The findings of the study also indicates that the interviewees gained job, education and driving license because of the drug abuse treatment they have undergone. In addition, having a partner, stable family and regular attendance of NA meeting have helped the interviewees to remain free from drug use in 10 years. Furthermore, from the findings, improved psychological health, improved changes in identity and social situation are themes found from the coding and categorization from qualitative content analysis method. The main theme found is getting new ways of gaining control of addiction in relation to improved psychological health, improved changes in identity and improved social situation.

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30

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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31

Clark, Jamie E. "Treatment implications for prescription drug abuse and chronic pain a case study /". Online full text .pdf document, available to Fuller patrons only, 2004. http://www.tren.com.

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32

Faulkner, Briar Lee. "Chemical dependency treatment: An examination of following continuing care recommendations". CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2145.

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The purpose of this study was to determine what influence scheduled phone contacts would have on the extent of follow-through of continuing care recommednations by participants after treatment. Continuing care recommendations associated with ongoing sobriety include going to another level of care (individual therapy, group therapy, outpatient treatment), attending twelve-step meetings and communicating with a sponsor. Continuing care recommendations are typically written and referred to as a continuing care plan.

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33

Alotaibi, Abdullah Marzook. "Predictors of motivation among opiate addicts seeking methadone treatment". Thesis, St George's, University of London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369126.

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34

Watkins, Philip A. ""Waltzing with the monster" interventions with the substance-abusing adolescent for pastors, treatment providers, and family /". Lynchburg, Va. : Liberty University, 2006. http://digitalcommons.liberty.edu.

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35

Adams, Ruby Lee. "Long term drug and alcohol treatment program: An outcome study comparing secular-based treatment with faith-based treatment for addiction". CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1842.

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The study was conducted to see if there is as much or more of a difference in outcome of treatment for addiction in faith-based treatment than secular-based treatment. The research was conducted using a sample of thirty-seven respondents from various sites in Southern California who volunteered to fill out the questionnaire. Data was collected using a self-administrated survey questionnaire.

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Melton, Sarah, e Nicholas E. Hagemeier. "Prescription Drug Abuse: Regional Realities and Recommendations". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1419.

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Pack, Robert P., e Nicholas Hagemeier. "Prescription Drug Abuse Prevention Efforts at ETSU". Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1355.

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38

Taylor, Liana. "General Responsivity and Evidence-Based Treatment: Individual and Program Predictors of Treatment Outcomes during Adolescent Outpatient Substance Abuse Treatment". Diss., Temple University Libraries, 2014. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/308423.

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Criminal Justice
Ph.D.
Since it was first articulated, the Risk-Need-Responsivity model (RNR; Andrews, Bonta, & Hoge, 1990) has been extensively researched and is regarded as an empirically supported model for providing effective correctional treatment. It is comprised of three core principles: the risk principle, which provides direction for who should receive treatment; the need principle, which identifies intermediate treatment targets; and the responsivity principle, which states how treatment programs should be structured. The RNR model is purported to be relevant for all offender populations, including female offenders (Dowden & Andrews, 1999a), juvenile offenders (Dowden & Andrews, 1999b), violent offenders (Dowden & Andrews, 2000), and sexual offenders (Hanson, Bourgon, Helmus, & Hogdson, 2009). Yet, the majority of RNR research has examined the risk and need principles, and the responsivity principle remains understudied. The responsivity principle includes two sub-principles: general and specific (Andrews, & Bonta, 2010). The current research explored the general responsivity principle, which states that programs should use theoretically relevant models for individual change, specifically cognitive-behavioral and cognitive-social learning models (Andrews & Bonta, 2010). The following techniques are consistent with these models: "role-playing, modeling, repeated practice of alternative behaviors, cognitive restructuring to modify thoughts/emotions, skills building, or reinforcement" (Andrews & Bonta, 2010, p. 50). Despite empirical support, the RNR model has received minimal application to juveniles, and it has not been widely tested in the substance abuse treatment context. Additionally, it is not clear whether adherence to the RNR model is relevant for reducing substance use outcomes in youth. Adolescent substance abuse treatment programs were designed to address substance use among juveniles, and have been widely researched to determine their effectiveness; yet their effectiveness remains understudied among juvenile offenders. These studies include examinations of specific treatment interventions used, such as Multisystemic Therapy. Many of these interventions are considered to be "evidence-based treatment" (EBT), but there is a wide variety of repositories that classify interventions as "evidence-based" with varying criteria used to classify them. The juvenile drug treatment court model (JDTC) was specifically developed to address substance use and crime among juvenile offenders; however, findings from empirical studies have not demonstrated a strong treatment effect. To address these gaps in the literature, secondary analyses were conducted on data collected from 132 adolescent outpatient substance abuse treatment programs (AOPs) and 10 juvenile drug treatment courts nationwide. This research was an application of the general responsivity principle in the AOP and JDTC context to determine the impact of responsivity adherence on the odds of rearrest and substance use severity. The analyses also included an examination of evidence-based treatment (EBT) in both samples to determine the influence of EBT use scores on the odds of rearrests and substance use severity scores. To examine the AOP sample, multilevel models were used to examine the individual- and program-level impact of responsivity adherence and EBT use. To examine the JDTC sample, multivariate analyses were used to examine the individual-level impact of responsivity adherence and EBT use. Overall, responsivity adherence was not significantly associated with rearrests among AOP participants, nor was it significantly associated with substance use severity scores. Additionally, the odds of rearrest were significantly greater among individuals who received interventions with a higher EBT use score; though, there was no association between the average EBT use scores across programs and the odds of rearrest. There was no significant association between individual- and program-level EBT use scores and substance use severity. Among JDTC participants, an increase in responsivity adherence was associated with an increase in the odds of rearrest and substance use severity. A similar association emerged between EBT use scores and both outcomes, wherein increases in EBT use scores were significantly associated with an increase in the odds of rearrest and substance use severity. The results of the analyses suggest the need for further specification of both general responsivity adherence and "evidence-based" treatment for use in future research and theory; specifically, further elaboration of the general responsivity-adherent techniques and clear criteria for classifying interventions as "evidence-based treatment." The findings also imply that certain types of treatment interventions are more compatible with the JDTC model than other interventions. Additional analyses suggest the possibility that general responsivity adherence and evidence-based treatment may not be unique constructs. Future research may benefit through exploring evidence-based treatment as a criterion for adherence to the general responsivity principle.
Temple University--Theses

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Cochran, Bryan N. "Sexual minorities in substance abuse treatment : the impact of provider biases and treatment outcomes /". Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/9050.

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Pritham, Ursula A. "Pharmacologic Treatment of Opiod Dependency in Pregnancy: Methadone Versus Buprenorphine and Subsequent Neonatal Abstinence Syndrome". Fogler Library, University of Maine, 2009. http://www.library.umaine.edu/theses/pdf/PrithamUA2009.pdf.

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Brewster, S., Fred Tudiver, E. Hagy, Angela Hagaman, Robert E. Pack e Nicholas E. Hagemeier. "Prescriber and Pharmacist Prescription Drug Abuse Communication Perceptions". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1358.

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Browning, Ashley Marie. "Community Perceptions of Prescription Drug Abuse in Eastern Kentucky". Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etd/1289.

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Personal interviews exploring attitudes toward prescription drug abuse were completed by 17 residents over 18 years of age from Kentucky's Pike and Letcher counties. In respect to prescription drug abuse research nationwide, much research has been conducted in eastern Kentucky; however, there are seemingly few studies measuring the thoughts and feelings of community members toward the issue. Data gathered during these interviews were coded and themed for emergent content that revealed the prevalence of drug abuse in communities, the role of medical professionals in prescription drug abuse, and a lack of preventative measures to control the cyclic pattern of prescription drug abuse in eastern Kentucky communities. The thesis concludes by examining why the need for eliminating underlying social problems is most important in decreasing the amount of prescription drug abuse in the area.

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Thompson, Terry Kaye. "Characteristics of clients in treatment for drug abuse at an in patient program /". The Ohio State University, 1988. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487598303837096.

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Hagemeier, Nicholas E., e S. T. Melton. "The Center for Prescription Drug Abuse Prevention and Treatment: A Community-University Partnership". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5423.

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Redl, Donnie. "Factors in older adults' resistance to substance abuse treatment". CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2342.

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Long, Amanda H. "Family dependency treatment courts case studies from Mecklenburg County's families in recovery Staying Together (First) Program /". View electronic thesis (PDF), 2009. http://dl.uncw.edu/etd/2009-2/longa/amandalong.pdf.

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Zullig, Keith J., Laura Lander, Rebecca J. White, Carl Sullivan, Clara Shockley, Lili Dong, Robert P. Pack e Tara Surber Fedis. "Preliminary Evaluation of the WV Prescription Drug Abuse Quitline". Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6335.

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Purpose: To evaluate the effectiveness of the West Virginia Prescription Drug Abuse Quitline (WVPDAQ). Methods: Descriptive data and inferential analyses are provided for the period of operations from 9/11/2008 to 3/1/2010. Chi-square tests for Independence compared differences between callers completing at least one follow-up survey against callers completing only the baseline intake survey were observed. A Wilcoxon signed rank sum test tested differences between the scores of intake callers and follow-up callers at the one-week (n=177) and one-month (n=89) intervals. Results: A total of 1,056 calls were received, including 670 intakes, 177 1st follow-ups, 89 2nd follow-ups, and 36 3rd follow ups, and 84 caller satisfaction surveys. Chi-square analyses determined that callers who only completed the intake survey tended to have initiated drug use at a younger age ([less than or equal to] 39 years of age, [chi square]=7.63, p=.02). Longitudinal findings indicated significant self-reported declines in daily drug use (p<.0001), increased intentions to quit in the next 30 days (p<.0001), and declines in requesting a referral for treatment (p<.0001) at the one-month follow-up. Finally, approximately 19% (n=17) of callers reported obtaining a counseling/ treatment appointment as a result of calling the WVPDAQ at the one-month follow up. Conclusions: Preliminary results suggest the WVPDAQ has established itself as a meaningful resource to combat prescription drug abuse in West Virginia. Sustainable funding and greater integration of the WVPDAQ into existing and developing treatment infrastructure could provide more affordable options for the state of West Virginia and its citizens.

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Robertson, Paul James, e n/a. "Korero te hikoi : Maori men talk the walk of addiction treatment". University of Otago. Christchurch School of Medicine & Health Sciences, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070430.100135.

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Narratives of 'being Maori in addiction' have developed in a context in which Maori have been constituted as both 'drunken savages' and 'traditionally' abstinent. Discourses of colonialism and ongoing marginalisation, not to mention resistance, have been most salient in Maori narratives, while those focused on 'cultural deficit' have been more prominent within hegemonic narratives. The goal of the current thesis was to increase understanding of the construction of being Maori in addiction' by: i) identifying key discursive resources used to constitute related subject positions; and ii) identifying the ways in which such resources were deployed to accomplish particular tasks. A review of influential texts identified several core discourses, which located Maori within 'traditions' of collectivity, spirituality and connection with the land. However, the ongoing impact of colonisation, including contemporary alienation from 'tradition', and construction of Maori as the inferior 'other' within hegemonic narratives were prominent. Discourses of addiction have characteristically been based on biological notions of 'disease' and 'disorder', however, psychosocial discourse has become prominent more recently. The '12 Steps' of Alcoholic Anonymous, which provided the primary resource for participants with regard to 'addiction', also includes explicit discourses of spirituality. The current thesis was implemented within a methodological framework, kaupapa Maori. In this context deconstructive discourse analysis was identied as the most appropriate means of analysing interview data gathered from 11 men attending a 'addiction treatment' programme. The results indicated that while 'tradition' was central to narratives of 'being Maori', dicources of alienation and loss were equally salient. In terms of 'addiction', discourses of genetic inheritance were most prominent, although psychosocially constituted 'underlying issues' were also clearly located as being important. Such 'issues' were linked to both general life experiences and 'being Maori'. 'Treatment' narratives revolved around transformative narratives of 'self'. As participants disconnected themselves from 'addiction' and 'underlying issues', they reconnected with their positive ;essential self', previously compromised by 'addiction'. Two main discourses were utilised in terms of the relationship between 'being Maori' and 'addiction'. The first, deployed in aetiological narratives, constituted an inevitable link between 'being Maori' and substance use. The second, more prominent in 'treatment' narratives, located substance use as antithetical to 'Maori culture'. While both Maori and 12 Step 'traditions' were highlighted in participants' narratives, the latter tended to be privileged. 'Being Maori' was identified as important, or at least relevant, however, the opportunity to engage with integrated indigenised narratives of 'addiction' appeared to be limited by several factors. Essentialist 'tradition', for example, tended to be uncritically privileged within discourses that failed to account for contemporary 'diverse Maori realities', ignoring the complexities of relations between and within Te Ao Maori and Te Ao Pakeha. Additionally, '12 Step' discourses of 'treatment' limited construction of more broadly focused narratives of 'recovery'. Overall, the results indicated a clear need for Maori 'addiction treatments' to avoid essentialist notions of 'tradition' and support integrated narratives of 'being Maori in addication', which reflect the varied needs, capacity and experiences of individuals and whanau.

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Sanders-Bonelli, Anna. "Predicting drug treatment utilization among White, African American, and Latina women the contribution of desistance theories /". Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file 0.23 Mb., 127 p, 2006. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:3220715.

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Ageel, Ihsana. "Drug Rehabilitation and Practice Dilemmas in the Maldives". The University of Waikato, 2006. http://hdl.handle.net/10289/2316.

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Abstract Substance misuse is a global phenomenon. However, little is known about substance misuse issues in Islamic nations or about the provision of preventative and rehabilitative services in such nations. This thesis explores the legal context of such services in the Maldives and pays particular attention to tensions between the formal policies of the National Narcotics Control Bureau and clinical practice. Findings are drawn from a review of government and service policy documents, five semi-structured individual interviews with clinical practitioners and senior administrative staff from rehabilitative services, and a three day focus group workshop with clinical staff. Findings show the lack of awareness of the legal and policy contexts for service provision and the ways in which existing policy frameworks often detract from the forging of therapeutic alliances. The primary concern raised by the analysis is the lack of involvement of clinical staff in policy formation and revision. This contributes to series of tensions and contradictions between official aims for services and the actual provision of these services. Further a range of ethical issues arose as a result of inadequate professional monitoring, training, and peer review. Recommendations are made regarding how these issues should be addressed in order to enhance the Maldivian response to increasing substance misuse.

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