Religion and Substance Abuse Treatment: Individual and Program Effects

The relationship between personal religiousness and substance abuse treatment outcomes has emerged as an important issue in the public health arena. Using the “moral community” perspective, a conceptual framework developed by Stark, Kent, and Doyle (1982) to analyze the contextual effects of religion, we explore the degree to which religion influences two drug treatment outcome measures—critical retention and commitment to treatment. The data are derived from the Drug Abuse Treatment Outcome Studies (DATOS), a national study of 10,010 clients enrolled in 70 drug treatment programs. Three research questions were addressed: (1) What is the relationship between an individual's level of religiosity and retention in treatment and commitment to treatment? (2) How does the ecological context of treatment programs shape the individual‐level relationships? (3) To what extent are program practices and characteristics directly linked to outcome level? The findings are supportive of the literature that shows a weak to moderate relationship between religiosity and treatment outcomes. However, the findings did not show strong support for the “moral community” hypothesis. Although there was a wide variation in the size of the individual‐level religiosity–treatment correlations, the variation could not be conclusively attributed to the overall religious emphasis of the programs. The findings suggest that further research is needed in order to understand fully the role of religion in substance abuse treatment.     

Evaluation of a Sexual Abuse Prevention Program for Children with Intellectual Disabilities

The present study evaluated the effectiveness of a sexual abuse prevention program for children with intellectual disabilities. Three children with mild to moderate intellectual disabilities participated in the study. They were taught skills relative to identifying body parts and discrimination between appropriate and inappropriate situations, refusal skills (verbal refusing and leaving situations), and reporting skills through this program. A multiple probe across participants design was used to determine the effects of the program. Results demonstrated that the program was effective for teaching the skills to all three children with intellectual disabilities. In addition, these skills generalized in probes conducted in real‐life settings and maintained at 10‐week follow‐up probes. Copyright © 2015 John Wiley & Sons, Ltd.     

A Sociocognitive Analysis of Substance Abuse: An Agentic Perspective

This article presents a social-cognitive theory of substance abuse. The exercise of self-regulatory agency plays a central role in this approach. Perceived self-efficacy is the foundation of human agency. Unless people believe they can produce desired effects by their actions, they have little incentive to act. Self-efficacy beliefs promote desired changes through cognitive, motivational, affective, and choice processes. Perceived self-efficacy exerts its effects on every phase of personal change—the initiation of efforts to overcome substance abuse, achievement of desired changes, recovery from relapses, and long-term maintenance of a drug-free life. Assessments of perceived efficacy identify areas of vulnerability and provide guides for treatment. Substance abuse is a social problem, not just a personal one. Reducing substance abuse also requires policy initiatives and social remedies achieved through the exercise of collective efficacy.     

Substance Abuse Prevention and Intervention: An Expanded Perspective for Counselors

A successful “war” on alcohol and other drug abuse must include the cooperative efforts of counselors and other helping professionals. Such cooperation begins first among the professional counselors themselves. What is required is an expanded view of the roles that counselors have in targeting this social issue and an appreciation of the many services necessary to win the war.     

An Evaluation of a Holistic Program for at-Risk Teens and Their Parents

Increasing evidence indicates that adolescent behavior problems are related to family functioning. In general, findings have demonstrated the family’s critical role in facilitating developmental outcomes. This study evaluated a 6-week holistic program for at-risk teens and their parents entitled Creating a Responsible Thinker at baseline, post-test, and 3-month follow-up. Results demonstrated gender differences in the program’s effects on self-efficacy, specifically increased self-efficacy for females and reduced self-efficacy among males. Follow-up results suggested that teens reported better communication with their parents. These results underscore the appropriateness of a family-based approach to treatment for at-risk teens and their parents.     

At the Threshold of School: Parental Assessments of the Competencies of Their Preschool-Aged Children

The study set out to examine the organization of parental assessments of their children's competencies in terms of the parents' education and gender and the chilďs gender. Parents with university education ( N = 231) and vocational education ( N = 343) were asked to appraise their preschool-aged chilďs competencies in domains pertaining to school subjects and abilities. It was found that parents with university education emphasized cognitive-verbal competencies when assessing their children, and parents with vocational education emphasized practical competencies. Girls' competencies were generally assessed more favorably than were boy's. Yet boys were considered to have higher mathematical skills than were girls, and this assessment was further specified by the parents' educational position. In sum, the organization of parental assessments seemed to have already taken shape by the time the child enters school.     

Treatment Outcomes and Perceived Benefits: A Qualitative and Quantitative Assessment of a Women's Substance Abuse Treatment Program

This study examines outcomes of a women's substance abuse treatment program based on empowerment, choice, and client/therapist collaboration. The program was assessed through qualitative and quantitative research methods. The article includes extensive quotes from six client interviews as well as data from pre-post surveys of 50 women in the treatment program. Results show that the women felt they benefited from the collaborative treatment approach. Benefits to the women included feeling more empowered and learning to take responsibility for their lives. The importance of taking a broad view of recovery that includes ongoing evaluation of positive changes in various areas of the clients' lives is discussed.     

Supporting the Need for an Integrated System of Care for Youth with Co-occurring Traumatic Stress and Substance Abuse Problems

Adolescents are at high risk for violence exposure and initiation of drug use. Co-occurring substance use and trauma exposure are associated with increased risk of mental health disorders, school underachievement, and involvement with multiple systems of care. Coordination and integration of systems of care are of utmost importance for these vulnerable youth. This study delineates the negative sequelae and increased service utilization patterns of adolescents with a history of trauma, substance abuse, and co-occurring trauma and substance abuse to support the need for integrated mental health and substance abuse services for youth. Data from two national sources, the National Child Traumatic Stress Network and Center for Substance Abuse Treatment demonstrate the increased clinical severity (measured by reports of emotional and behavioral problems), dysfunction, and service utilization patterns for youth with co-occurring trauma exposure and substance abuse. We conclude with recommendations for an integrated system of care that includes trauma-informed mental health treatment and substance abuse services aimed at reducing the morbidity and relapse probability of this high-risk group.     

Memories of Parental Rejection in Childhood and Current Psychological Maladjustment Predict Substance Abuse in a Collectivist Religious Country

Journal of Child and Family Studies - Findings from data originating in individualist Western cultures, such as the US, generally confirm a significant relation between parental rejection and...     

Parental Suicide: An Organizing Event in the Development of Latency Age Children

ABSTRACT: This paper proposes that children who are especially vulnerable to parental suicide have not resolved earlier developmental issues of separation-individuation. Five children, ages 6 to 12, were studied intensively. Parental suicide during the child's latency age period has profound influences on children's ego development and character formation because during this time childhood ego functioning is rapidly maturing and superego functions are developing. The trauma of parental suicide is heightened when difficulties for the surviving parent in mourning interfere with open discussion between the parent and child about the death. Parental suicide may stimulate childhood suicidal impulses if the child identifies with and idealizes the dead parent and has wishes of reuniting with the deceased.     

The Treatment of Children Impacted by the World Trade Center Attack

Abstract

This article presents, from a developmental perspective, the authors' experiences treating children and families who were traumatized by and who lost relatives in the World Trade Center attack. The treatments took place within the Trauma Treatment Development Center, National Child Traumatic Stress Network (NCTSN) of the Division of Child and Adolescent Psychiatry, North Shore University Hospital, Manhasset, New York, of the North Shore-Long Island Jewish Health System. Case vignettes address treatments for toddlers, preschool, and school-age children and adolescents. Family, individual cognitive-behavioral, school, social, and parenting treatment strategies utilized are discussed.     

Perceptions of the Supervisory Relationship: Recovering and Nonrecovering Substance Abuse Counselors

The unique set of dynamics found in the substance abuse field (i.e., recovering and nonrecovering counselors and supervisors) calls for a separate examination of the supervisory relationship within this context. The authors examined differences in counselors' perceptions of the supervisory relationship based on counselor and supervisor recovery status, and the match or mismatch of counselor and supervisor recovery status. Substance abuse counselors (N = 547) working in a statewide public mental health system located in the Southeast rated satisfaction with supervision and reported perceptions of various dimensions of the supervisory relationship. Results of the 2 (counselor recovery status: nonrecovering and recovering) × 2 (supervisor recovery status: nonrecovering and recovering) multivariate analysis of variance indicated no significant differences in ratings of satisfaction or relationship dimensions based on either the counselors' or supervisors' recovery status. A significant interaction effect for counselor and supervisor recovery status (i.e., match or mismatch of recovery status) was found for all satisfaction and relationship measures.     

An Ecological Perspective: Therapist Practices with Children who Experienced Abuse and Trauma

This qualitative study explores experiences of psychotherapists working in public settings with children who experienced abuse and trauma. The study sought to investigate and understand factors which intruded upon and or supported the capacity for psychotherapists in a community clinic to cognitively process and understand supportive and constraining aspects of the professional context. An important focus was the organisational context of psychotherapists. Nine psychotherapists were interviewed to gain an understanding of their experiences with and perceptions of the needs of children including factors considered important in therapy, the influences of their organisational context, and challenges and rewards of the work. An Interpretative Phenomenological Analysis of interview data revealed three broad themes identified as relational, organisational, and systemic. An ecological metaphor was used to conceptualise these themes as they related to psychotherapists and the children with whom they worked. The findings demonstrated the importance of the psychotherapist's organisational context on how they experienced their work. This study also considered the need to conceptualise therapy with children who have experienced trauma within the interaction of the child and therapist's relational, organisational, and systems context.     

The Incarcerated Female Felon and Substance Abuse: Demographics,Needs Assessment,and Program Planning for a Neglected Population

Incarcerated women (203 of 237) completed a needs survey designed by an inmate steering committee. The typical inmate was a European American mother of 2 children. Relevant programming (substance abuse education classes, self-study programs, didactic groups and workshops) is discussed.     

An Evaluation of the Jamaican Anticrime Program

A sweeping anticrime package was implemented in Jamaica in 1974. This program included severe penalties for possession of illegal guns, censorhsip of gun scenes from television and the movies, and greatly broadened police powers. The impact of this anticrime package on crime was assessed using quasiexperimental time-series designs with both months and years as the units of analysis. In a one year period there was a 14% reduction in homicides ( p <.05), a 32% reduction in rapes ( p <.01), a 25% reduction in robberies ( p <.05), and a 37% reduction in nonfatal shootings ( p <.01). Data from the second year following the implementation of the anticrime package were not available. The data from the fist year suggest that strict anticrime measures can reduce crime.     

An Evaluation of the NAMI Basics Program

This brief report describes results from an evaluation of NAMI Basics, a peer-delivered family education program for family caregivers of children and adolescents with mental illness. Over six classes, family members are given information (e.g. education about mental illness and treatments), skills training (e.g. family communication skills) and advocacy support. We report data from 36 caregivers who completed pre and posttest instruments measuring self-care, empowerment, and family problem-solving and communication skills. Results showed significant improvements in self-care, empowerment, and “incendiary” family communication after participation in the program. Results suggest that NAMI Basics may improve both parental functioning and familial processes. Implications and future directions are discussed.     

Adolescent Substance Abuse Treatment: Organizational Change and Quality of Care

Substance abuse treatment agencies serving youth face unique barriers to providing quality care. Interviews with 17 adolescent programs found that family engagement, community involvement, and gender and diversity issues affected treatment delivery. Programs report organizational change efforts with implications for future process improvement initiatives.