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Smith T, Wells L, Jones K, Jaouich A, Rush B. Assessing the Perception of Family and Caregivers' Experience with Mental Health and Substance Use Services. Int J Ment Health Addict 2022:1-16. [PMID: 35937612 PMCID: PMC9344803 DOI: 10.1007/s11469-022-00863-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/20/2022] [Indexed: 11/29/2022] Open
Abstract
Standardized client feedback surveys encourage a culture of continuous quality improvement, allow for comparison of results over time and across similar types of service providers, and encourage use of evidence-based practices. Recognizing the importance of family and other caregivers in supporting people accessing services for mental health and substance use challenges, a standardized perception-of-care tool (the Ontario Perception of Care Tool for Mental Health and Addictions, OPOC-MHA) was adapted to collect feedback specific to the caregiver experience with these services. A collaborative process engaged a broad range of mental health and/or addiction providers, family advisory networks, and family members and caregivers to identify themes, specific items, and implementation approaches. The final version of the tool evolved through an iterative process of pilot testing and stakeholder feedback. Family member and caregiver perceptions of care will identify service areas in need of improvement, contribute to quality improvement initiatives, and facilitate the comparison of findings over time.
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Affiliation(s)
- Tayla Smith
- Provincial System Support Program, Center for Addiction and Mental Health, 33 Ursula Franklin Street, Toronto, ON M5S 2S1 Canada
| | - Leslie Wells
- Provincial System Support Program, Center for Addiction and Mental Health, 33 Ursula Franklin Street, Toronto, ON M5S 2S1 Canada
| | - Kelsey Jones
- Provincial System Support Program, Center for Addiction and Mental Health, 33 Ursula Franklin Street, Toronto, ON M5S 2S1 Canada
| | | | - Brian Rush
- Provincial System Support Program, Center for Addiction and Mental Health, 33 Ursula Franklin Street, Toronto, ON M5S 2S1 Canada
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2
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Distress Among Parents of Individuals with Substance Use Disorders: Factors That Shape the Context of Care. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00884-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Shumway ST, Bradshaw SD, Zielinski M, D’Aniello C, Kimball TG, Soloski K. A Multifamily Group Curriculum for Family Members of Individuals with Substance Use Disorders: Updates, Perceptions, and Outcomes. ALCOHOLISM TREATMENT QUARTERLY 2022. [DOI: 10.1080/07347324.2021.2019649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Sterling T. Shumway
- Addictive Disorders and Recovery Studies Program Department of Community, Family & Addiction Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Spencer D. Bradshaw
- Marriage and Family Therapy Program Human Development and Family Studies, Utah State University, Logan, Utah, USA
| | - Mazie Zielinski
- Addictive Disorders and Recovery Studies Program Department of Community, Family & Addiction Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Carissa D’Aniello
- Addictive Disorders and Recovery Studies Program Department of Community, Family & Addiction Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Thomas G. Kimball
- Addictive Disorders and Recovery Studies Program Department of Community, Family & Addiction Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Kristy Soloski
- Addictive Disorders and Recovery Studies Program Department of Community, Family & Addiction Sciences, Texas Tech University, Lubbock, Texas, USA
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Flora K. Understanding the therapeutic factors of the main psychological treatment stage in a residential treatment setting: a qualitative approach. JOURNAL OF SUBSTANCE USE 2021. [DOI: 10.1080/14659891.2021.2018731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Katerina Flora
- Department of Psychology, University of Western Macedonia, Kozani, Greece
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Knapp KS, Cleveland HH, Apsley HB, Harris KS. Using daily diary methods to understand how college students in recovery use social support. J Subst Abuse Treat 2021; 130:108406. [PMID: 34118698 DOI: 10.1016/j.jsat.2021.108406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 02/06/2021] [Accepted: 04/07/2021] [Indexed: 10/21/2022]
Abstract
Collegiate Recovery Communities (CRCs) are important sources of support for college students building and maintaining recovery from substance use disorders. The current study used daily diary data from members of a CRC to examine with which sources of social support students engaged daily, and whether students connected with these sources more on days when they indicated higher-than-usual recovery difficulty, negative affect, and/or school stress. Results indicate that on days when students reported having greater difficulty with recovery maintenance than usual, they had higher odds of being in contact with family members and were expected to talk or spend time with family for longer than usual. Students also had higher odds of having recovery-focused conversations with both 12-step sponsors and CRC peers on days of greater-than-usual recovery maintenance difficulty. Recovery maintenance difficulty was uniquely associated with longer duration of family contact, above and beyond negative affect and school stress. Thus, the occurrence, amount, and nature of CRC members' interactions with important social network members varied in relation to perceived recovery challenges that same day. Findings highlight the importance of providing college students with multiple sources of support that they can use to maintain their recoveries despite daily challenges.
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Affiliation(s)
- Kyler S Knapp
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
| | - H Harrington Cleveland
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
| | - Hannah B Apsley
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
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McCann TV, Stephenson J, Lubman DI. Family Stress, Well-Being and Hope for the Future When Supporting a Relative with AOD Misuse: A Cross-Sectional Survey. Issues Ment Health Nurs 2021; 42:430-436. [PMID: 33886421 DOI: 10.1080/01612840.2020.1817207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
While families have a central role supporting relatives with alcohol and other drug (AOD) misuse, this can undermine their own well-being and hopefulness. The aims of this study were to assess the effect of supporting a relative with AOD misuse on affected family members' (AFMs) psychological and physical well-being and hope for the future about their relative, and to identify factors associated with AFMs' well-being and hope. A cross-sectional survey design with 90 AFMs. Over three-quarters of AFMs had not received any assistance from AOD services recently, nearly 80% experienced adverse effects on their physical health and ability to socialise with relatives and friends, and just over 50% reported detrimental effects on their paid employment. AFMs living with their relative with AOD misuse experienced more harmful stress than those who were not residing with their relative. Intimate partner AFMs experienced more mild-to-moderate physical and psychological ill health than non-partner AFMs. No socio-demographic factors were significantly associated with AFMs' levels of hopefulness-hopelessness. Measures are needed to increase AFMs' access to mental health nurses and other AOD clinicians for their own needs. Services and AOD clinicians should target, but not be restricted to, reducing stress and strengthening their physical and mental well-being and hopefulness.
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Affiliation(s)
- Terence V McCann
- Turning Point, Eastern Health Clinical School, Melbourne, Victoria, Australia.,Disciplines of Nursing and Midwifery, Victoria University, Melbourne, Victoria, Australia
| | - John Stephenson
- School of Human and Health Sciences, University of Huddersfield, Huddersfield, West Yorkshire, UK
| | - Dan I Lubman
- Turning Point, Eastern Health Clinical School, Melbourne, Victoria, Australia.,Monash University, Melbourne, Victoria, Australia
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7
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Tambling RR, Russell B, D'Aniello C. Where is the Family in Young Adult Substance Use Treatment? The Case for Systemic Family Therapy for Young Adults with Substance Use Disorders. Int J Ment Health Addict 2021; 20:1659-1670. [PMID: 33424512 PMCID: PMC7781401 DOI: 10.1007/s11469-020-00471-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/15/2020] [Indexed: 01/31/2023] Open
Abstract
Despite the prevalence of SUDs, many individuals remain untreated (Grant et al., JAMA Psychiatry, 73(1), 39-45, 2016). Substance use disorders (SUDs) in young adults present unique challenges and stressors to parents of these individuals (D’Aniello et al., American Journal of Family Therapy, 2020; Kaur et al., International Journal of Community Medicine and Public Health, 5(6), 2380-2383, 2018; Shumway et al., Alcoholism Treatment Quarterly, 37(1), 75-98, 2019). Parents and caregivers often facilitate their children’s care and provide pragmatic and emotional support to their children; this high level of care is challenging to maintain, as with any chronic, relapsing condition. In the case of SUDs, the challenges caregivers face may be exacerbated by the stigma and the blame associated with parents in the development and maintenance of children’s SUDs, and the strains that come with navigating barriers related to accessing treatment in the USA. Estimates suggest that healthcare spending for substance use treatment is relatively low and few utilize therapeutic family treatment. This disconnect between widespread SUD prevalence, and service underutilization, indicates that families who need treatment are not accessing it. The present paper synthesizes the extant literature on the role of family members in SUD treatment, as families are a primary context of care for their children’s treatment across many chronic, relapsing conditions. Finally, we identify the utility of family therapy in addressing family member’s unique needs related to their loved one with a SUD, in the family and in a treatment context.
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Affiliation(s)
- Rachel R Tambling
- Department of Human Development and Family Sciences, University of Connecticut, 348 Mansfield Rd., U-1058, Storrs, CT 06269-1058 USA
| | - Beth Russell
- Department of Human Development and Family Sciences, University of Connecticut, 348 Mansfield Rd., U-1058, Storrs, CT 06269-1058 USA
| | - Carissa D'Aniello
- Community, Family, and Addiction Services, Texas Tech University, 2500 Broadway, Lubbock, TX 79409 USA
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Kulich RJ, Keith DA, Vasciannie AA, Thomas HF. Interprofessional Collaboration in the Assessment and Management of Substance Use Risk. Dent Clin North Am 2020; 64:571-583. [PMID: 32448460 DOI: 10.1016/j.cden.2020.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Substance use disorder assessment strategies are increasingly being employed by dentistry, while adequate evaluation requires reaching out to other cotreating providers and collaborating on patient care. The field of dentistry has a range of barriers often not experienced in other professions, including limitations on e-record communication and clinical practice setting often isolated from the patient's general medical care. Barriers can be overcome if the dentist facilitates communication.
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Affiliation(s)
- Ronald J Kulich
- Tufts University School of Dental Medicine, Department of Diagnostic Sciences, Craniofacial Pain & Headache Center, 1 Kneeland Street, Boston, MA 02111, USA; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
| | - David A Keith
- Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Boston, MA, USA
| | - Alexis A Vasciannie
- Department of Diagnostic Sciences, Tufts University School of Dental Medicine, 1 Kneeland Street, Boston, MA 02111, USA
| | - Huw F Thomas
- Tufts University School of Dental Medicine, One Kneeland Street, Room 1163, Boston, MA 02111, USA
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McCann TV, Polacsek M, Lubman DI. Experiences of family members supporting a relative with substance use problems: a qualitative study. Scand J Caring Sci 2019; 33:902-911. [DOI: 10.1111/scs.12688] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Accepted: 03/12/2019] [Indexed: 12/25/2022]
Affiliation(s)
- Terence V. McCann
- Institute of Health and Sport Victoria University Melbourne Vic. Australia
| | - Meg Polacsek
- National Ageing Research Institute Melbourne Vic. Australia
| | - Dan I. Lubman
- Turning Point Eastern Health Clinical School Monash University Melbourne Vic. Australia
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10
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An Evaluation Study of the “RESTART” Program—Short-Term Residential Treatment for Addiction. Int J Ment Health Addict 2018. [DOI: 10.1007/s11469-018-9933-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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11
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McCann TV, Lubman DI. Help-seeking barriers and facilitators for affected family members of a relative with alcohol and other drug misuse: A qualitative study. J Subst Abuse Treat 2018; 93:7-14. [DOI: 10.1016/j.jsat.2018.07.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Revised: 07/11/2018] [Accepted: 07/11/2018] [Indexed: 11/26/2022]
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