Depression's Moderation of the Effectiveness of Intensive Case Management With Substance-Dependent Women on Temporary Assistance for Needy Families: Outpatient Substance Use Disorder Treatment Utilization and Outcomes

Kuerbis, Alexis; Neighbors, Charles J.; Morgenstern, Jon

doi:10.15288/jsad.2011.72.297

Cited by 13 publications

(7 citation statements)

References 53 publications

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“…Overall, the participants experienced family support, but most of them were deprived of any support by their family or husband in rehab. According to studies, being rejected by the family and conflict among the family members are among the barriers of sustainable rehabilitation, that the results of the present study complement their findings [14,36]. On the other hands, family could encourage the person to enter the rehabilitation process [37].…”

Section: Discussionsupporting

confidence: 81%

Ups and downs of drug rehab among women: a qualitative study

2020

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Background: According to recent studies, the number of women drug users is dramatically increasing. However, the information on the issue of drug rehab in women is not sufficient, and there are numerous traditional, organizational, political and cultural barriers to the provision of relevant information in this regard in Iran. This study, thus, aimed to explain the factors influencing the decision of these women to stop drug use. Methods: This qualitative study was conducted in two rehab camps of Isfahan (in Iran) on July to October 2017. Thirty participants (women drug users) were selected through purposive and theoretical sampling until data saturation was reached. Data collection was conducted through semi-structured interviews. The transcribed interviews were analyzed using conventional content analysis. Results: Based on the analysis of the obtained results, the women's experience of the ups and downs of stopping drug use yielded two themes and nine sub-themes. The themes were "the need for emancipation (the deviated path, being abused, compulsive drug use, acquaintance with God, a supportive family)" and "Sinking factors (non-assisting mates, proaddictive family, unawareness of assisting official organization and non-government organization, woman's lack of authority, ineffective opportunities)". Conclusions: It was concluded that addiction rehab strategies can lead to a brighter life for women drug users only when they are coupled with open-hearted assistance of the families and women specific rehab centers are established to help them meet their specific needs.

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Section: Discussionsupporting

confidence: 81%

Ups and downs of drug rehab among women: a qualitative study

2020

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“…On the other hand, active engagement through home visits, regular telephonic contacts and routine follow ups which are the characteristics of ICM, along with providing motivational interviewing and teaching patients relapse prevention strategies could have helped the patients in the ICM group. Indicating that ICM might be beneficial in increasing the number of abstinent days and engaging patients in treatment programme which is similar to that of results [14][15][21][22].…”

Section: Discussionsupporting

confidence: 70%

Preliminary Results From A Pilot Study - Intensive Case Management To Prevent Relapse Among Persons With Alcohol Withdrawal Delirium Tremens

Arthur¹,

Pandian²,

Murthy³

2017

IJMH

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Introduction: Alcohol withdrawal Delirium Tremens is a serious medical emergency. If not addressed, it could lead to serious complications including death. Given its manifestations and frequent accompaniment by seizures, interventions have been pharmacological in nature. Relapse prevention studies addressing this population are very sparse. In the current study, we report the results of a pilot study on Intensive Case Management for relapse prevention in persons with Alcohol Withdrawal Delirium. Methodology: A total of 10 patients were selected using a consecutive sampling technique. 5 patients received Intensive Case Management as an adjunct to routine treatment while the other 5 cases received treatment as usual (TAU). The patients were assessed at baseline, at 1 month post intervention and at 3 months post-intervention respectively. Outcome measures such as addiction severity, motivation, self efficacy and quality of life were assessed at different time points. Results: The ICM group showed better outcomes than the TAU group. 4 patients in the ICM group were abstinent while compared to 1 in the TAU group at the end of the 3 rd month follow up. All the patients in the ICM group were engaged in the treatment and showed better follow rates as compared to the TAU group where at the end of the study period 3 patients were lost to follow up. The ICM group showed better outcomes on readiness to change, self efficacy and quality of life at the end of 3 months. Conclusion: Our findings suggest that patients who received Intensive Case Management were engaged in treatment with higher retention rates and better outcomes. The results of the pilot study suggest that ICM is feasible to deliver after pharmacological treatment and may have some beneficial outcomes. Further systematic studies are warranted to test this intervention with larger groups and for long-term effects.

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“…Mindfulness interventions have been shown to reduce depressive symptoms and anxiety (Fjorback et al ., ; Hofmann et al ., ). Second, to reduce hassles by connecting mothers to appropriate resources and thus reducing their daily‐life burden, case management has shown to be effective among women with substance use disorders (Joo & Huber, ; Rapp et al ., ) as well as with people with both substance use disorder and mental health disorders (Kuerbis et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Predictors of parenting self‐agency among mothers receiving substance abuse or mental health treatment

Matsuda

Kim

Salani

et al. 2019

Int J Mental Health Nurs

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Mothers' mental health or substance use disorders impact the behaviours of their children both short‐term and long‐term. There is increased concern for mothers with mental health or substance use disorders to effectively handle parenting challenges. Children of these mothers are at risk for emotional and behavioural adjustment problems as well as poor academic performances. Parenting self‐agency refers to parents' perceptions of their confidence and ability to overcome barriers and manage issues in parenting. Examining the factors that predict parenting self‐agency aids in understanding how nurses can assist mothers and families. The purpose of this study was to explore predictors of parenting self‐agency among mothers who are impacted by mental health or substance use disorders. A secondary analysis was conducted using the baseline assessment data of a randomized trial that examined the efficacy of a nurse‐led family‐strengthening home‐health intervention. The data were obtained from 172 mothers who were receiving outpatient treatment for substance use or other mental health disorders and had children under 18. A multivariate linear regression analysis was conducted to find predictors of parenting self‐agency among participating mothers. The authors found that increased children's externalizing problems and intensity of hassle predicted lower parenting self‐agency, and family cohesion predicted higher parenting self‐agency. The authors conclude that treatments need to address family as a whole to increase mothers' parenting self‐agency, thus assisting these mothers in raising their children in the best possible environment.

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Depression's Moderation of the Effectiveness of Intensive Case Management With Substance-Dependent Women on Temporary Assistance for Needy Families: Outpatient Substance Use Disorder Treatment Utilization and Outcomes

Cited by 13 publications

References 53 publications

Ups and downs of drug rehab among women: a qualitative study

Ups and downs of drug rehab among women: a qualitative study

Preliminary Results From A Pilot Study - Intensive Case Management To Prevent Relapse Among Persons With Alcohol Withdrawal Delirium Tremens

Predictors of parenting self‐agency among mothers receiving substance abuse or mental health treatment

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