Search results for ‘Subject term:"mental health problems"’ Sort:
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Trauma, gender, and mental health symptoms in individuals with substance use disorders
- Authors:
- KEYSER-MARCUS Lori, et al
- Journal article citation:
- Journal of Interpersonal Violence, 30(1), 2014, pp.3-24.
- Publisher:
- Sage
The relationships between trauma history, lifetime endorsement of psychiatric symptoms, and gender were examined in a sample of individuals participating in outpatient substance abuse treatment. Study participants (N = 625) from six psychosocial counselling and five methadone maintenance programmes were recruited as part of a larger study conducted through the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN) in the United States. Study measures included lifetime trauma experience (yes/no), type of trauma experienced (sexual, physical, both), lifetime depression/anxiety, and lifetime suicidal thoughts/attempts (as measured by the Addiction Severity Index–Lite [ASI-Lite]). Lifetime endorsement of psychiatric symptoms was compared between individuals with and without trauma history. The role of gender was also examined. Results indicated that the experience of trauma was associated with an increase in lifetime report of psychiatric symptoms. Experience of physical and combined physical and sexual trauma consistently predicted positive report of psychiatric symptoms in both males and females, even when controlling for demographic and treatment-related variables. Employment outcomes, however, were not predicted by self-reported history of lifetime trauma. (Edited publisher abstract)
The interplay of rural issues, mental illness, substance use and housing problems
- Authors:
- JONES Rebecca, et al
- Journal article citation:
- Journal of Mental Health, 23(6), 2014, pp.317-322.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
People with mental health and substance use problems form a significant subgroup of the homeless population. Using a qualitative framework, this study examines the experiences of people with mental illness and/or substance use issues, experiencing significant housing problems in rural areas. Individual interviews were conducted with 40 respondents in Australia. Themes generated a discussion around three main areas; (1) current housing problems, (2) pathways into unsuitable housing, and (3) factors contributing to appropriate accommodation. The study highlights the need for agency staff to identify and assist with the housing issues of their clients. (Edited publisher abstract)
Serious case review: Child L: overview report
- Author:
- MURRAY Moira
- Publisher:
- Southampton Local Safeguarding Children Board
- Publication year:
- 2014
- Pagination:
- 58
- Place of publication:
- Southampton
Summarise the findings of the serious case review of Child L, who at the age of 6 was taken to hospital and found to have 92 bruises of varying ages to her face and body, was confused and amphetamines were found in her urine. At the time Child L sustained the injuries, her mother was involved in a relationship with a man, Mr A, who had a long history of drug misuse and had five criminal convictions for violent behaviour, including domestic violence. Both the mother and Mr A were subsequently convicted of criminal offences related to the injury and neglect of Child L. The review provides a detailed analysis of the following themes: working with resistant and uncooperative parents; toxic trio of domestic violence, mental illness and substance/alcohol misuse; early intervention and quality of assessments; effective communication and information sharing among professionals and agencies; escalation of concerns; and absence of fathers. (Edited publisher abstract)
Serious case review: overview report: in respect of Family S11
- Author:
- TUDOR Karen
- Publisher:
- Dorset Safeguarding Children Board
- Publication year:
- 2014
- Pagination:
- 41
- Place of publication:
- Dorchester
Serious case review of a 15 year old boy who died in Spring 2013 following an overdose of drugs prescribed to his father. The child was known to the local authorities and had been in receipt of services from education, children's social care, health and CAMHS. The child lived with the father. His parents were separated. The father was in receipt of services for long standing mental health problems. The report discusses four main themes: the challenge of working with 'hard to reach' families; teenage neglect and the relevance of child protection procedures; youth mental health and suicidal ideation; and adult mental health and implications for parenting. Summary of findings and learning are provided in each section of the report. The review was carried out using the 'Partnership Learning Review' model jointly commissioned by Dorset and Bournemouth and Poole LSCBs. (Original abstract)
Child maltreatment and high risk families
- Authors:
- TAYLOR Julie, LAZENBATT Anne
- Publisher:
- Dunedin Academic Press
- Publication year:
- 2014
- Pagination:
- 110
- Place of publication:
- Edinburgh
Examines why most child maltreatment occurs within the context of high risk families. Although physical abuse can occur in any family, it is prevalent in particular sectors of society, where families may be vulnerable to a combination of complex risk factors such as domestic abuse, alcohol and drug (mis)use, and mental health issues. These factors are present in 34 per cent of Serious Case Reviews (SCRs). Physical abuse is a significant issue throughout the UK. Yet, while neglect and other forms of abuse are receiving focused attention, physical abuse may languish under the misconceptions that it is no longer a problem, is addressed elsewhere, or is just too overwhelming an issue. The physical abuse of children can involve regular, violent treatment at the hands of parents or carers over a number of years. Its physical effects may last for days and may result in actual physical injury. The authors provide an increased understanding of risk, analysis, impact, learning and the current landscape of service delivery in relation to the physical abuse of children living in high risk families for professional, postgraduate and policy-making audiences. (Edited publisher abstract)
Interrelationship of PTSD, perceived health, and treatment satisfaction
- Author:
- ASTONE-TWERELL Janetta
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 35(1), 2014, pp.21-34.
- Publisher:
- Emerald
Purpose: The residential therapeutic community (TC) treatment modality has been shown to effectively reduce drug use and improve psychiatric/medical health among clients who are often disproportionately impacted by medical conditions and have a co-occurring psychiatric disorder such as Posttraumatic Stress Disorder (PTSD). Yet not much is known regarding how clients’ health may impact their treatment satisfaction. Using path analysis, the interrelationship between PTSD, perceived health, and treatment satisfaction was examined. The paper aims to discuss these issues. Design/methodology/approach – A survey including the Posttraumatic Stress Disorder Checklist-Specific (PCL-S), a perceived health rating, and a Treatment Satisfaction Scale was collected from 303 clients at three comparable long-term residential TC treatment programmes in New York City. Findings: Findings indicated that clients with PTSD rated their health significantly worse than those without PTSD. Although no direct relationship between PTSD and treatment satisfaction was found, there was a significant positive correlation between perceived health and treatment satisfaction. Research limitations/implications: Findings likely constitute a regional sample thus generalisability is limited. Practical implications: Simultaneously addressing addiction, PTSD, and medical issues can improve clients’ treatment satisfaction, consequently increasing treatment retention and producing greater positive post-treatment outcomes. Originality/value: Few if any studies have examined the extent to which PTSD and perceived health impact treatment satisfaction within residential substance abuse treatment programmes. (Edited publisher abstract)
Childhood abuse and cannabis use among adolescents with mental health needs in Ontario, Canada
- Authors:
- BAIDEN Philip, STEWART Shannon L., Den DUNNEN Wendy
- Journal article citation:
- Journal of Substance Use, 19(1/2), 2014, pp.18-24.
- Publisher:
- Taylor and Francis
Objective: The purpose of this study was to examine the association between childhood abuse (emotional, physical and sexual abuse) and cannabis use among adolescents with mental health needs. Methods: Data on 3681 adolescent in-patients, 12–18 years old, were obtained from the Resident Assessment Instrument for Mental Health (RAI-MH). Using logistic regression, we estimated the odds of using cannabis by adolescents who experienced childhood abuse after controlling for age, gender, Aboriginal origin, problems with addiction, history of criminal justice involvement and symptoms of depression and mania. Results: There were 1844 adolescents, representing 50.1%, who reported using cannabis within the last 12 months. Controlling for demographic and patient characteristics, we found that cannabis use in the past year was strongly associated with childhood sexual and physical abuse. Compared to non-abused females, females who experienced sexual and physical abuse were more likely to have used cannabis. For males, the experience of physical abuse was marginally associated with cannabis use. Conclusion: The current data demonstrate the strong association between childhood sexual and physical abuse and cannabis use with a particularly strong association for females. Efforts aimed at treating cannabis use in adolescents who present with mental health needs should also consider their abuse histories. (Publisher abstract)
Substance misuse, mental health problems and recurrent child maltreatment
- Authors:
- LASLETT Anne-Marie L., ROOM Robin, DIETZE Paul
- Journal article citation:
- Advances in Dual Diagnosis, 7(1), 2014, pp.15-23.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to determine whether the diagnosis of both carers’ mental health problems and substance misuse increase the likelihood of recurrent child maltreatment over and above the individual effects of these factors. Design/methodology/approach: Retrospective secondary data analysis of 29,455 children where child maltreatment was confirmed in the Victorian child protection system between 2001 and 2005. Recorded mental health, alcohol misuse and other drug misuse variables were entered into multivariate logistic regression models predicting repeated child maltreatment. Interactions and a range of other child, carer and socio-economic factors were included in these models. Findings – Carer alcohol misuse, other drug misuse and mental ill health all independently predicted recurrent child maltreatment. The presence of both other drug misuse and mental ill health increased the likelihood that recurrent child abuse was recorded over the likelihood that mental health alone predicted recurrent child maltreatment, and while alcohol misuse had an effect when there was no mental health condition recorded it did not have an additional effect when there was evidence of mental health problems. Research limitations/implications: Children in families where there is both mental health problems and other drug use problems are at greater risk of repeated maltreatment than where there is evidence of mental health problems or other drug use alone. Where there was evidence of carer mental health problems, alcohol misuse did not add to this likelihood. However, the effect of mental health and other drug use was similar in size to the effect of alcohol misuse alone. Originality/value: These findings add to understandings of the effects of co-occurring mental health problems and substance misuse on recurrent child maltreatment and differentiate between cases that involve alcohol and other drug misuse. (Publisher abstract)
Examination of the role of therapeutic alliance, treatment dose, and treatment completion in the effectiveness of The Seven Challenges
- Authors:
- KORCHMAROS Josephine D., STEVENS Sally J.
- Journal article citation:
- Child and Adolescent Social Work Journal, 31(1), 2014, pp.1-24.
- Publisher:
- Springer
Adolescent alcohol and illicit drug (AOD) use is a major public health concern. This longitudinal study examines the effectiveness of The Seven Challenges in reducing adolescent substance use and mental health problems, as well as the process by which it is effective. Participants were 89 adolescents (72 male, 17 female) enrolled in a 3 month intensive outpatient adolescent substance abuse treatment programme using The Seven Challenges and who provided self-report data at pre- and post-treatment. Results indicated that The Seven Challenges was effective at increasing the number of days refrained from using AOD, reducing use of tetrahydrocannabinol (THC) and other drugs, and reducing substance use problems and internal mental distress. Results also indicated that The Seven Challenges drug counsellors effectively established and maintained therapeutic alliance but this seems to not play a role in the effectiveness of The Seven Challenges. Both treatment dose and completion played a role in the effectiveness of The Seven Challenges; they were both positively related to post-treatment days refrained from AOD use, and negatively related to days of THC use, substance use problems, and internal mental distress. However, the strength of the influence of treatment completion was stronger when treatment dose was low than when it was high. Despite a small sample and other limitations, findings add to existing literature that suggests that The Seven Challenges is an effective substance abuse treatment for adolescents. Furthermore, findings suggest that adolescent substance abuse treatment should focus on clients meeting pre-determined programme goals as well as on dose. (Edited publisher abstract)
Influence of caregiver substance dependence and serious mental illness on children’s mental health: moderating effects of social support
- Authors:
- MILLER Keva M., et al
- Journal article citation:
- Child and Adolescent Social Work Journal, 31(5), 2014, pp.435-454.
- Publisher:
- Springer
This study examined the relationships between caregiver alcohol dependence, drug dependence, and serious mental illness and internalising and externalising behaviours and whether these risks were moderated by social support. The study included 3,225 children ages 2–17 and their current caregivers, who participated in the second cohort of the National Survey on Child and Adolescent Well-Being. Regression analysis indicated that caregiver alcohol dependence, serious mental illness, and social support were significantly associated with internalising behaviours and caregiver serious mental illness and social support were significantly associated with externalising behaviours. Results indicated that social support moderated the associations between caregiver alcohol dependence and internalising and caregiver drug dependence and externalising behaviours. Implications for practice and future research are discussed. (Edited publisher abstract)