Women–Focused Treatment Agencies and Process Improvement: Strategies to Increase Client Engagement

Behavioral health treatment agencies often struggle to keep clients engaged in treatment. Women clients often have additional factors such as family responsibilities, financial difficulties, or abuse histories that provide extra challenges to remaining in care. As part of a national initiative, four women-focused drug treatment agencies used process improvement to address treatment engagement. Interviews and focus groups with staff assessed the nature and extent of interventions. Women-focused drug treatment agencies selected relational-based interventions to engage clients in treatment and improved four-week treatment retention from 66% to 76%. Process improvement interventions in women-focused treatment may be useful to improve engagement.     

关于网络成瘾的心理学研究

网络成瘾指一种心理上对网络的依赖,其概念与药物成瘾既有相似又有差异。目前还缺乏编制精良、应用广泛的测量工具。多数研究采用调查的方法,严格的实验研究很少。一些研究者提出理论模型从心理层面对其进行解释,其中具代表性的有：Young提出的ACE模型,Davis的认知-行为模型,以及Grohol的阶段模型,分别探讨了网络依赖的发生与网络的致瘾特征,网络用户的个体特质以及外在环境之间的关系。     

创伤后应激障碍与物质使用障碍共病的病因学及其启示

创伤后应激障碍与物质使用障碍共病率高,现有的治疗方法疗效差,总结20年来创伤后应激障碍与物质使用障碍共病研究中病因学方面的新认识,通过对病因的哲学思考可以为今后的治疗方向提供一条思路:两病同治;应提倡药物治疗、认知干预和社会支持综合的治疗手段。     

互联网成瘾问题的研究现状与展望

过度使用互联网将影响使用者的身心健康 ,从而导致互联网成瘾。作者根据现有文献对互联网成瘾的概念、诊断以及影响因素作了简要总结 ,介绍了互联网成瘾的现有治疗技术 ,并提出了该领域未来的研究方向和重点问题     

Reasons for Entering Treatment Reported by Initially Treatment-Resistant Patients with Substance Use Disorders

Many individuals with substance use disorders are resistant to entering formal treatment, despite the negative consequences that plague their own lives and the lives of concerned significant others (CSOs). Community Reinforcement and Family Training (CRAFT) has been developed as an effective strategy for helping family members who are concerned about the alcohol/drug use of a loved one who refuses to seek treatment. The present study explored reasons and feelings that played a part in these resistant individuals' (identified patients [IPs]) decision to begin treatment. Written statements and feelings of 36 initially treatment-refusing IPs, who were engaged into treatment via their CRAFT-trained CSOs, were examined upon entering treatment. Self-report forms assessed three complementary domains about entering treatment: (1) feelings about coming for treatment, (2) important reasons for entering treatment, and (3) reasons for entering treatment narratives. It was shown that the occurrences of self-reported positive emotions and statements that expressed a positive wish for change outweighed negative feelings and statements. Although conceivably these CRAFT-exposed IPs may have provided different responses than other treatment-seeking populations, the current study's strong IP reports of positive feelings, reasons, and narrative statements regarding treatment entry nonetheless address potential concerns that treatment-refusing IPs might only enter treatment if felt coerced by family members and while experiencing salient negative feelings overall.     

Addiction treatment providers’ perceptions of publicly-funded treatment services in the Western Cape,South Africa

This study explored addiction treatment implementation effectiveness of publicly-funded services in the Western Cape, South Africa, as perceived by service providers. Informants were six service providers from state-subsidised and public outpatient treatment services for substance use disorders (SUDs) (social workers = 4, registered counsellor = 1, psychologist = 1). Data were collected using semi-structured interviews and analysed by means of thematic analysis. The three themes that emerged from the analysis pertained to addiction treatment providers’ perceptions of the effectiveness of treatment services, lack of aftercare services, and service access and participation. Findings highlight sites for interventions to enhance the provision of publicly-funded evidence-based treatment services for SUDs in South Africa; enabling recipients to yield the well-established benefits of treatment.     

Adverse childhood experiences in substance use disorder outpatients of a Lebanese addiction center

Childhood adversities (CAs) are well reviewed in mental health and addiction research internationally. However, these variables have not been studied within the framework of addiction in the Middle East region. The present study reports the prevalence of Childhood Adversities in a sample of outpatients seeking treatment for Substance Use Disorder. We used the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) to map out the prevalence of childhood adversities. The studied population was composed of a clinical outpatient sample that met criteria for substance use disorder (N = 144). Results indicated that almost all the sample reported having experienced at least 1 CA, whereby three quarters of the clinical sample reported experiencing 6 or more adversities. Childhood adversities are highly prevalent in a Lebanese substance use disorder population which raises the need for better screening strategies and more understanding of Adverse Childhood Experiences in this specific population     

Comorbidity of Conduct and Depressive Problems at Sixth Grade: Substance Use Outcomes Across Adolescence

The comorbidity of conduct and depressive problems and substance use outcomes were examined in a community-based sample of 340 African American males and females. Alcohol, tobacco, and marijuana use were examined at Grades 6, 8, and 10 based on the following group membership at sixth grade: (a) comorbid conduct and depressive problems; (b) conduct problems only; (c) depressive problems only; (d) neither conduct nor depressive problems. Overall, the two conduct problem groups displayed the highest levels of substance use, although at some time points, comorbid youth displayed significant higher substance use levels. Subjects with depressive problems only displayed levels of substance use that were equivalent to subjects in the nonproblem group. Results highlight the importance of controlling for comorbid symptoms, possible interactive effects between conduct and depressive problems, and implications for treatment and prevention of substance use.     

Child psychopathology and deviant family hierarchies

The association between child psychopathology and reversals in family hierarchies (where the child is seen as equal or higher in the hierarchy than the parental figures) were examined with the Madanes Family Hierarchy Test on a sample of 177 clinic-referred boys. Madanes' original findings of the association of substance use and deviant family hierarchy were replicated in this younger sample, (age 7 to 12). Boys diagnosed with Conduct Disorder reported significantly more deviant hierarchies while boys diagnosed with Overanxious Disorder reported significantly fewer deviant hierarchies. Follow-up results revealed some instability and lack of informant agreement, but the hierarchy measure was not confounded by age, race, SES, IQ, or parents' marital status.     

《神农本草经》的道家养生思想与汉画像石中的羽人仙药图

以<神农本草经>中的道家养生思想,结合汉画像石中的羽人仙药图,说明秦汉时期道家养生思想对<神农本草经>的渗透与影响,以及<神农本草经>道家养生思想对后世本草方剂学的重要影响.