Download or read book Variables that Affect African American Clients Completion of Extended Care Chemical Dependency Treatment written by Deborah F. Moses and published by . This book was released on 1990 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book African American Adolescent Substance Abuse Treatment a Multi level Analysis of Selected Socio demographic Client and Treatment Variables that Influence Premature Termination written by Anthony Tyrone Estreet and published by . This book was released on 2013 with total page 638 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adolescent substance abuse treatment has continually demonstrated effectiveness within the existing literature. Consequently, individuals who prematurely terminate substance abuse services have demonstrated less favorable chances of experiencing the positive outcomes that have been associated with treatment retention. Despite the well documented positive treatment outcomes, the overall rates of premature termination continue to remain at significantly high levels especially among the African American population. Researcher have advocated for an increase in research that examines treatment related factors and needs of minority substance abusing adolescents (Longshore, Grills, Annon, & Grady, 1998; Wagner, 2003). Using Andersen's (1995) behavioral model of health care use, the current study investigated selected client and treatment related variables which influenced the degree to which African American adolescents complete or do not complete (premature termination non-completers) non-detoxification ambulatory outpatient substance abuse treatment. This study was conducted using a modified multilevel modeling design based on quantitative inferential statistics. Four levels of inferential statistical analysis were conducted: (1) discriminant function model development, (2) alternative confirmation, (3) extended cross validation of the discriminant function model, and (4) post hoc analysis. Research samples were obtained retrospectively from the 2008 Treatment Episode Dataset using a systematic stratified random sampling procedure. Statistical findings indicate that length of stay, substance use severity, education and age are significant variables which resulted in final discriminant model development and can be used to predict treatment completion status among African American adolescents in outpatient substance abuse severity. This finding was confirmed using a two-group K-Means cluster analysis. Moreover, through an extended cross validation approach, the discriminant function model consistently demonstrated effectiveness at accurately classifying treatment completion status to a significant degree. The post-hoc analysis concluded that differences between rapid, median and near-term premature termination non-completers were not significant using the .05 alpha, however results were approaching significance. The clinical implications for policy, treatment, and social work practice were discussed in relationship to substance abuse treatment strategies for prevention and early intervention of premature termination from substance abuse treatment among the African American adolescent population. Additionally future recommendations for research within the area of premature termination are provided. -- Abstract.
Download or read book Mental Health written by and published by . This book was released on 2001 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 2388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Download or read book TIP 35 Enhancing Motivation for Change in Substance Use Disorder Treatment Updated 2019 written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-19 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Download or read book Treating Drug Problems written by Committee for the Substance Abuse Coverage Study and published by National Academies Press. This book was released on 1992-01-01 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: Treating Drug Problems, Volume 2 presents a wealth of incisive and accessible information on the issue of drug abuse and treatment in America. Several papers lay bare the relationship between drug treatment and other aspects of drug policy, including a powerful overview of twentieth century narcotics use in America and a unique account of how the federal government has built and managed the drug treatment system from the 1960s to the present. Two papers focus on the criminal justice system. The remaining papers focus on Employer policies and practices toward illegal drugs. Patterns and cycles of cocaine use in subcultures and the popular culture. Drug treatment from a marketing, supply-and-demand perspective, including an analysis of policy options. Treating Drug Problems, Volume 2 provides important information to policy makers and administrators, drug treatment specialists, and researchers.
Download or read book Substance Use Disorders in African American Communities written by Mark Sanders and published by Routledge. This book was released on 2016-04-08 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to the prevention, treatment, and recovery of African Americans with substance use disorders. African Americans are disproportionately represented in the addictions, criminal justice, and child welfare systems. It is clear that, when their culturally specific needs are not met, they are vulnerable to continuous relapse and the revolving door syndrome. There has been little written that focuses exclusively on prevention, treatment, and recovery among African Americans. This book was written to fill this gap. It is an important contribution to the field of behavioral health, providing a much-needed treasure trove of important knowledge from specialists, including physicians, psychologists, educators, social workers, addictions counselors, public health specialists, researchers, the clergy, as well as individuals in recovery. This volume adds significantly to the knowledge base of practitioners and researchers whose work focuses on prevention, treatment, and recovery in African American communities. This book was originally published as a special issue of Alcoholism Treatment Quarterly.
Download or read book Health Services Utilization by Individuals with Substance Abuse and Mental Disorders written by and published by . This book was released on 2004 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Oxford Handbook of School Psychology written by Melissa A. Bray Ph.D. and published by Oxford University Press. This book was released on 2011-02-18 with total page 915 pages. Available in PDF, EPUB and Kindle. Book excerpt: With its roots in clinical and educational psychology, school psychology is an ever-changing field that encompasses a diversity of topics. The Oxford Handbook of School Psychology synthesizes the most vital and relevant literature in all of these areas, producing a state-of-the-art, authoritative resource for practitioners, researchers, and parents. Comprising chapters authored by the leading figures in school psychology, The Oxford Handbook of School Psychology focuses on the significant issues, new developments, and scientific findings that continue to change the practical landscape. The handbook's focuses include: - allegiance to the reciprocal relationship between science and practice to promote problem-solving and enrichment models - service delivery designed to improve competencies of all students - the relationship between general cognitive ability and important life outcomes - the development of viable and enduring educational, family, and community systems to support students - increasing student diversity and the necessity of increased sensitivity to the influences of social, cultural, political, and legislative variables of schooling - outlining tenable reasons why, since the end of World War II, children from kindergarten through the secondary grades have generally not been the recipients of a superior or efficient educational system - all relevant legislation, including the No Child Left Behind Act, and the ongoing question of who or what is responsible for the inadequate academic preparation of inner-city children - building a cumulative knowledge base to better facilitate students' academic, social, and personal competencies including the promotion of positive mental health and subjective well-being The scholarship compiled here is a must-read for practitioners, students, and faculty, and an ideal resource for parents seeking a scientific approach to the efficacy of school psychology practices. In both breadth and depth, this handbook promises to serve as the benchmark reference work for years to come.
Download or read book Self efficacy as a Predictor of Attrition for African American and White Client Populations in Treatment for Poly drug Abuse written by Ronald Steinhoff-Thornton and published by . This book was released on 1994 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The present study investigated the utility of self-efficacy measures to predict successful completion of treatment for poly-drug addiction in a sample of African American and White subjects of low socioeconomic status. A multi-component questionnaire packet containing a demographic portion, five open-ended intake questions, a 39-question intake self-efficacy questionnaire (SEQI), and a repeated 39-question discharge self-efficacy questionnaire (SEQD). The 39 items of the self-efficacy scale had an item-total correlation ranging from. 58 to. 81. Cronbach's alpha was. 98. Test-retest reliability was high with r (46) =.612. The adapted instrument showed internal consistency and reliability equal to or even slightly greater than the one from which it was developed. Association between self-efficacy scores and successful completion was significant, t (69) = $-$1.90, p =.030. When subgroups of clients were analyzed based on ethnic background and gender, only Caucasians, t (28) = $-$1.77, p =.044, and Caucasian males, t (18) = $-$1.84, p =.041, showed a significant association between self-efficacy scores and successful completion. No significant association was found for African Americans combined or by gender subgroups. Analysis of variants revealed no significant association between the self-efficacy variables and type of program or completer status, F (1,44) =.31; p =.579. The overall negative change in mean self-efficacy scores from intake to discharge was significant, F (1,44) = 19.66, $p
Download or read book Crack Cocaine and the Experience of African American Women written by Janet Okagbue-Reaves and published by . This book was released on 2007 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presenting analysis of treatment experiences and outcomes of African American women undergoing substance abuse treatment for crack cocaine, this study attempts to identify factors that contribute to their successful recovery as defined by completion of treatment and substance abstinence one-year post treatment.
Download or read book Integrating Substance Abuse Treatment and Vocational Services written by Nancy K. Young and published by . This book was released on 2006 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Oxford Handbook of Adolescent Substance Abuse written by Robert A. Zucker and published by Oxford University Press, USA. This book was released on 2019 with total page 857 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adolescent substance abuse is the nation's #1 public health problem. It originates out of a developmental era where experimentation with the world is increasingly taking place, and where major changes in physical self and social relationships are taking place. These changes cannot be understood by any one discipline nor can they be described by focusing only on the behavioral and social problems of this age period, the characteristics of normal development, or the pharmacology and addictive potential of specific drugs. They require knowledge of the brain's systems of reward and control, genetics, psychopharmacology, personality, child development, psychopathology, family dynamics, peer group relationships, culture, social policy, and more. Drawing on the expertise of the leading researchers in this field, this Handbook provides the most comprehensive summarization of current knowledge about adolescent substance abuse. The Handbook is organized into eight sections covering the literature on the developmental context of this life period, the epidemiology of adolescent use and abuse, similarities and differences in use, addictive potential, and consequences of use for different drugs; etiology and course as characterized at different levels of mechanistic analysis ranging from the genetic and neural to the behavioural and social. Two sections cover the clinical ramifications of abuse, and prevention and intervention strategies to most effectively deal with these problems. The Handbook's last section addresses the role of social policy in framing the problem, in addressing it, and explores its potential role in alleviating it.
Download or read book American Journal of Public Health written by and published by . This book was released on 2009 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt:
