Search results for ‘Subject term:"mental health problems"’ Sort:
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Personal social networks of women with co-occurring substance use and mental disorders
- Authors:
- TRACY Elizabeth M., JOHNSON Pamela J.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.69-90.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There has been relatively little examination of the social network resources of women with substance use disorder, and even fewer explorations of women with co-occurring mental disorders, such as anxiety, depression, and posttraumatic stress disorder. This American study explores the nature of co-occurring mental disorders, social network characteristics and perceived social support in 136 women with substance use disorders. Respondents reported small personal networks that contained both supportive and non-supportive people. Relatives did provide social support, but those who used alcohol/drugs were viewed as tending to interact negatively. Women with dual disorders perceived less concrete, emotional, and sobriety support from some network relationships than the women with substance use disorders only. Implications for research and practice are presented. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Dual diagnoses among detained female systematic offenders
- Authors:
- BLAAUW Eric, et al
- Journal article citation:
- Advances in Dual Diagnosis, 9(1), 2016, pp.7-13.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the prevalence of psychopathology including substance use disorders in a sample of detained female systematic offenders. Design/methodology/approach: All case files of female systematic offenders who had been subjected to a special court order for systematic offenders in the period 2004-2014 were studied. A total of 81 fairly complete case files were selected for the study. These were all systematic offenders as they had been sentenced for at least 25 offences with an average of 102 offences over a period of 17.5 years. Findings: All except one woman were addicted to substances in the past year, with an average duration of addiction of 21 years. In addition, 53 per cent were diagnosed with another DSM Axis I disorder and 73 per cent were diagnosed with a personality disorder. Furthermore, 32-59 per cent were found to have intellectual dysfunctions. In total, 12 per cent had one type of the above disorders, 43 per cent two types, 31 per cent three types and 14 per cent all four types. The prevalence rates of these disorders were higher than those reported in other prison studies. Research limitations/implications: It is concluded that female systematic offenders can be characterised as problematic in many respects. Even in such a problematic group treatment can be provided. (Edited publisher abstract)
The trauma recovery and empowerment model: a quasi-experimental effectiveness study
- Authors:
- FALLOT Roger D., et al
- Journal article citation:
- Journal of Dual Diagnosis, 7(1-2), January 2011, pp.74-89.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Trauma Recovery and Empowerment Model (TREM) groups are designed to be responsive to the complex needs of women with histories physical and/or sexual abuse and co-occurring serious mental illnesses and substance use disorders. This study investigated the effectiveness of the Trauma Recovery and Empowerment Model (TREM) for 153 women from two community mental health agencies in Washington, compared to 98 receiving normal services at two agencies in Baltimore. Findings revealed that TREM participants showed greater reductions in alcohol and drug abuse severity, anxiety symptoms, and current stressful events. They also showed greater increases in perceived personal safety. There were no group differences in change for posttraumatic stress disorder and overall mental health symptoms, physical and mental health–related quality of life, and exposure to interpersonal abuse. The authors concluded that the study provided evidence for the effectiveness of the TREM intervention for women trauma survivors with co-occurring mental health disorders.
The recovery paradigm in trauma work: approaches to healing psychiatric disability and substance abuse in women's lives
- Authors:
- BUSSEY Marian, WISE Judith Bula
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 7(3-4), 2008, pp.355-379.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Focusing on women with psychiatric disabilities and substance issues, particularly those who have histories of abuse, violence and trauma, this article addresses the importance of integrative treatment as a prerequisite for psychiatric rehabilitation and recovery. The authors discuss psychiatric rehabilitation, trauma, treatment philosophy, consumer empowerment and the concept of an integrated model of recovery. They describe three integrated trauma and alcohol and other drug models created primarily for women, and discuss their content, the challenges of system change and the results of the integrated model.
Predictors of depressive symptomatology in family caregivers of women with substance use disorders or co-occurring substance use and mental disorders
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Family Social Work, 13(1), January 2010, pp.25-44.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Families play a significant role in the well-being of relatives with co-occurring substance misuse and mental health problems through the provision of direct care, management of symptoms, retention of treatment and emotional support. This paper describes a stress-process model to investigate the impact of having a female family member with substance use or co-occurring substance use and mental disorder on family caregivers’ depressive symptomatology. Eighty two women receiving substance abuse treatment and the family member providing the most social support for each woman participated. Findings showed that greater caregiver depressive symptomatology was predicted by greater care recipient emotional problems, less care recipient social support, and poor caregiver health. The caregivers were twice as likely to suffer from depressive symptomatology compared to those in the general population. In conclusion, the author suggests that interventions aimed at improving the care recipients’ social network may help to improve the carers well-being.
Predictors of burden of family caregivers of women with substance use disorders or co-occurring substance and mental disorders
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.25-49.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examined the impact of having a female family member with a substance use or co-occurring disorders on family caregivers. Predictors of subjective burden (worry, stigma, and displeasure) and objective burden (family disruption) on caregivers and on types of burden were explored. Subjects were 82 women receiving substance abuse treatment and their family member providing most social support. Behavioural problems of the recipient and lack of social support for caregivers predicted higher levels of family member burden, with different types of social support predicting different types of burden. Having a dual disorder did not predict family member burden. Implications of findings for treatment are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Building trauma informed practice: appreciating the impact of trauma in the lives of women with substance abuse and mental health problems
- Authors:
- SAVAGE Andrea, et al
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.91-116.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper examines the lifetime interpersonal abuse experienced by a substance abuse treatment sample of 1,955 women in the United States with co-occurring disorders. Substantial rates of intimate and community based interpersonal abuse and other life stressors are documented. Regression analysis shows that while trauma severity is significantly related to trauma distress, its impact on psychological symptom distress and drug severity is quite modest. The implementation of a trauma informed approach featuring trauma-specific treatment, service integration and consumer empowerment is described as a promising practice model for assisting women seeking help in substance abuse treatment programs. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
An integrated look at dually diagnosed female sex offenders and the law
- Authors:
- SALEH Fabian M., DWYER Gregg, GRUDZINSKAS Albert
- Journal article citation:
- Journal of Dual Diagnosis, 3(1), 2006, pp.23-32.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper provides an overview of the existing literature regarding the identification of, characteristics of, and difficulties in studying dually diagnosed female sex offenders. The paper examines estimates of the numbers of dually diagnosed female sex offenders together with their demographic makeup, the nature of the offences they commit, their psychiatric characteristics, and the difficulty in measuring each subject when only “official” data from arrest records exist. Available data indicate that females account for between 1.3% and 3.5% of arrests for forcible rape and 8.5% of arrests for sex offences, not including forcible rape and prostitution in single-perpetrator cases. Females also account for up to 12% of the sexual assaults on victims under the age of six. The paper then considers some of the legal issues in sex offender prosecution and the relationship of substance abuse to volitional control, and offers strategies for providing effective testimony to courts in risk assessment settings. Using an overview of substance abuse rates in sexual assault cases, the paper identifies areas for further research to quantify the nature of the offending population being considered. Given the current available data regarding the relationship between substance abuse and volitional control, the use of substances should be seen as a clear risk factor when assessing risk among female sex offending population. The article is written from an American perspective. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Comparing psychiatric service use among low-income women and women in a general household population
- Authors:
- ROSEN Daniel, WARNER Lynn A., TOLMAN Richard M.
- Journal article citation:
- Social Work Research, 30(4), December 2006, pp.223-232.
- Publisher:
- Oxford University Press
This article examines the use of outpatient mental health services in a sample of low-income women (Mothers' Well-Being Study [MWS]) and compares the findings with a sample of similar-aged women in the general population of the United States (National Comorbidity Survey [NCS]). The expectation of the study was that there would be substantive differences in need for and access to services. The results were mixed. Overall, the prevalence of any 12-month mental health disorder was significantly greater for MWS respondents compared with NCS respondents. Only a quarter of each sample with any disorder had received treatment at an outpatient mental health service in the past year. The authors identify implications for social workers who seek to improve access and quality of care for women in need of specialty mental health and substance use services.
Women's experience of co-occurring substancce abuse and mental health conditions
- Authors:
- STROMWALL Layne K., LARSON Nancy C.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 4(1), 2004, pp.81-96.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study explored the relationship between gender and co-occurring substance abuse and mental health conditions among a sample of 754 consumers of behavioural health services in the southwest U.S. Logistic regression was used to determine factors that would predict women's unique experience of dual diagnosis. Women were almost seven times more likely than men in this sample to have a diagnosis of posttraumatic stress disorder in conjunction with substance abuse. Women were also significantly more likely to experience anxiety and mood disorders and to have been married. Implications of these findings for social work practice are suggested. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)