Search results for ‘Subject term:"mental health problems"’ Sort:
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The impact of employment on perceived recovery from opiate dependence
- Authors:
- LOWE Elizabeth, et al
- Journal article citation:
- Drugs and Alcohol Today, 18(4), 2018, pp.206-216.
- Publisher:
- Emerald
Purpose: Less than 15 per cent of people starting opiate substitution treatment (OST) in England are employed, but few gain employment during treatment. Increasingly punitive approaches have been tried to encourage individuals with substance dependence into employment in the hope of facilitating recovery. It is not clear which factors are associated with the successful maintenance of employment whilst receiving OST, and whether this group can be said to be “in recovery”. The paper aims to discuss these issues. Design/methodology/approach: A cross-sectional study of the OST population in one English region was conducted between January and April 2017. Measures of physical health, employment patterns, drug use, mental health, recovery capital, and dependence severity were administered to 55 employed and 55 unemployed clients. Findings: Those in employment had higher levels of “recovery capital”, better physical and mental health, fewer drug problems, and less severe dependence, despite reporting heroin use at a similar level. Three variables were significantly associated with employment: longest period of employment (OR=1.01, p=0.003); number of chronic medical conditions (OR=0.44, p=0.011); and number of days of psychological problems in the last month (OR=0.95, p=0.031). Practical implications: These results suggest that abstinence may not be required in order to maintain stable employment when OST is in place. Different treatment strategies are required for clients receiving OST already in employment compared with those who are unemployed. Originality/value: This is the first UK study to the author’s knowledge to focus on people receiving OST who are also in employment. (Publisher abstract)
Childhood maltreatment among Norwegian drug abusers in treatment
- Authors:
- RAVNDAL Edle, et al
- Journal article citation:
- International Journal of Social Welfare, 10(2), April 2001, pp.142-147.
- Publisher:
- Wiley
This article reports on the investigation of the correlation between the European Addiction Severity Index and the Childhood Trauma Questionnaire among 102 Norwegian drug abusers admitted to treatment. The aim of the study is to explore how different types and levels of childhood trauma and social and psychiatric factors, medical situation and experienced family history are interrelated. Concludes that more research, and especially prospective studies, is needed to clarify the importance of parents' substance abuse and psychiatric problems in childhood/adolescence compared with trauma in the client's childhood and the client's current psychiatric status.
Childhood sexual abuse and substance abuse: a gender paradox?
- Authors:
- TONMYR Lil, SHIELDS Margot
- Journal article citation:
- Child Abuse and Neglect, 63, 2016, pp.284-294.
- Publisher:
- Elsevier
The authors examine associations between childhood sexual abuse (CSA) and substance abuse, the role of mental health indicators as mediators in these associations and whether or not associations differ by gender. Data are from 14,063 respondents aged 18–76 years from the 2004–2005 Canadian Gender, Alcohol, and Culture: An International Study (GENACIS). Multiple logistic regression models were used to examine associations between CSA and substance abuse variables, controlling for socio-demographic factors. Odds were adjusted by indicators of mental health to assess if these variables mediated associations between CSA and substance abuse. Tests of interactions between sex and CSA were conducted to see if gender differences exist in associations. In 2004/2005, CSA was reported by 14% of women and 5% of men. CSA was associated with heavy drinking, hazardous drinking, and the use of marijuana, other illicit drugs, and off-label drugs. Associations were only very marginally attenuated when controlling for depression and self-perceived emotional/mental health. In all cases previously observed significant associations persisted. Evidence of gender differences in associations between CSA and substance abuse was negligible. Preventing CSA may also reduce substance abuse. (Edited publisher abstract)
Community care: getting help in Leeds; a brief guide to some of the different sorts of help you can get from the caring services in Leeds
- Author:
- LEEDS. Social Services Department
- Publisher:
- Leeds. Social Services Department
- Publication year:
- 1997
- Pagination:
- 11p.
- Place of publication:
- Leeds
Short guide to community care services provided by Leeds City Council.
Personal and social functioning: a pilot study
- Authors:
- HUDSON Walter W., MATHIESEN Sally G., LEWIS Sarah J.
- Journal article citation:
- Social Service Review, 74(1), March 2000, pp.76-102.
- Publisher:
- University of Chicago Press
This article describes a study that seeks to determine the extent to which nine psychometrically sound measures of problems with social functioning account for seven different reliable and valid measures of problems with social functioning. The strong psychometric characteristics of the measures used make it possible to examine comprehensive predictive models, and this provides insight into the ways that the social environment affects personal adjustment.
Emotional, behavioral, and HIV risks associated with sexual abuse among adult homosexual and bisexual men
- Authors:
- BARTHOLOW Bradford N., et al
- Journal article citation:
- Child Abuse and Neglect, 18(9), September 1994, pp.747-761.
- Publisher:
- Elsevier
Adult homosexual and bisexual men attending urban sexually transmitted disease clinics were interviewed regarding abusive sexual contacts during childhood and adolescence. Sexual abuse was found to be significantly associated with mental health counselling and hospitalisation, psychoactive substance use, depression, suicidal thought or actions, social support, sexual identity development, HIV risk behaviour and the risk of sexually transmitted diseases including HIV infection. Data suggest that sexual abuse may have a wide-ranging influence on the quality of life and health risk behaviour of homosexual men.
Creating a home from home: a guide to standards
- Author:
- RESIDENTIAL FORUM
- Publisher:
- Residential Forum
- Publication year:
- 1996
- Pagination:
- 100p.
- Place of publication:
- London
Guide presenting a new approach to setting and judging standards in residential homes in the United Kingdom. Focuses on quality of life of residents as the starting point for more practical issues. Puts the needs, wishes and convenience of users first.