Health and Life Concerns Among Patients Attending a Publicly Funded Sexually Transmitted Infection Clinic

Carey, Michael P.; Senn, Theresa E.

doi:10.1097/phh.0b013e31822d4bd5

Cited by 4 publications

(7 citation statements)

References 18 publications

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“…Our life concerns survey adapted items used previously with urban populations (Carey, Braaten, Jaworski, Durant, & Forsyth, 1999; Carey & Senn, 2013) and added to this list based on focus groups from the SSTAR detoxification program who identified a wider variety of concerns relevant to this population. We originally organized life concerns into five conceptual domains; physical health, mental health, economic concerns, concerns about community safety, and relationship concerns.…”

Section: 0 Materials and Methodsmentioning

confidence: 99%

“…The ability of opioid users to tolerate or manage their ongoing stressful circumstances varies, but recognition and assessment of life concerns could allow providers to better tailor their services to the context of their patients’ lives. Researchers have previously catalogued the life concerns of other urban populations with multiple life and psychosocial challenges (Carey, Braaten, Jaworski, Durant, & Forsyth, 1999; Carey & Senn, 2013) and documented that health-related issues may not be salient. Surprisingly, there is no research about current life concerns among treatment seeking opioid dependent patients.…”

Section: 0 Introductionmentioning

confidence: 99%

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Comparing the life concerns of prescription opioid and heroin users

Stein

Anderson

Thurmond

et al. 2015

Journal of Substance Abuse Treatment

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This study explored life concerns of prescription opioid (PO) and heroin users. Persons entering opioid detoxification rated their level of concern about 43 health and welfare items. Using exploratory factor analysis and conceptual rationale, we identified ten areas of concern. Participants (n = 529) were 69.9% male, 87.5% non-Hispanic Caucasian, and 24.2% PO users. Concern about drug problems was perceived as the most serious concern, followed by money problems, relationship problems, mental health, and cigarette smoking. PO users expressed significantly lower concern about drug problems (p=.017) and transmissible diseases (p<.001), but were more concerned about alcohol use (p<.001) than heroin users. There were no significant differences with regard to the other 7 areas of concern. Recognition of the daily worries of opioid dependent persons could allow providers to better tailor their services to the context of their patients’ lives.

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Section: 0 Materials and Methodsmentioning

confidence: 99%

Section: 0 Introductionmentioning

confidence: 99%

Comparing the life concerns of prescription opioid and heroin users

Stein

Anderson

Thurmond

et al. 2015

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

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“…We asked participants about life concern items previously validated with general urban population (Carey & Senn, 2013) and later used to characterize an opioid dependent population (Stein, et al, 2015). We asked each participant, “The following questions are related to concerns you may have about your health and welfare.…”

Section: 0 Methodsmentioning

confidence: 99%

“…Previous work has described the life concerns of other urban populations with multiple life and psychosocial challenges (Carey, Braaten, Jaworski, Durant, & Forsyth, 1999; Carey & Senn, 2013), including opioid users (Stein, Anderson, Thurmond, & Bailey, 2015). Life concerns—subjective worries—are distinct from specific stressful or negative life events such as the death of a friend, divorce, or a hospitalization (Veenstra, et al, 2006).…”

Section: 0 Introductionmentioning

confidence: 99%

Gender Differences in the Life Concerns of Persons Seeking Alcohol Detoxification

Stein

Risi

Flori

et al. 2016

Journal of Substance Abuse Treatment

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Background This study explored the life concerns of persons seeking alcohol detoxification, a group with multiple life and psychosocial challenges. Gender may be an important contributor to the particular life concerns of persons with alcohol use disorders. Methods Using a 32-item, previously-validated life concerns survey that captures ten conceptual domains, we interviewed persons entering inpatient alcohol detoxification asking them to rate their level of concern about health and welfare items. Results Participants (n = 189) were 27% female, with a mean age of 43.5 years. Overall, concern about alcohol problems was perceived as the most serious, followed by mental health, cigarette smoking, financial, and relationship problems. Men were significantly more concerned than women about six of the ten domains including money, drug use, transmissible diseases, and physical illness. Conclusions Recognition of the daily worries of persons seeking inpatient alcohol detoxification persons could allow providers to better tailor their services to the context of their patients' lives. Focusing on pressing life concerns such as mental health, financial, relationship problems, and other drug use may influence detoxification services and aftercare treatment choices.

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“…Sexual health clinics are specialized settings for the prevention, diagnosis, and treatment of sexually transmitted infections (STI) and reproductive health concerns (Masaro et al 2012;Tanton et al 2017). While these clinics are mandated to focus on STI and reproductive health, interactions with sexual health clinicians often lead to much more than a STI diagnosis or pregnancy test (Carey and Senn 2013). Several studies have suggested a high burden of mental health needs (depression, anxiety, history of sexual abuse, relationship challenges, other mental health conditions) and substance use reported by clients in sexual health clinics (Achterbergh et al 2018;Bauer et al 2002;Cook et al 2006;Erbelding et al 2001;Seivewright et al 2004;Senn et al 2010).…”

Section: Introductionmentioning

confidence: 99%

From silos to buckets: a qualitative study of how sexual health clinics address their clients’ mental health needs

Black

Salway

Dove

et al. 2020

Can J Public Health

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Objectives To describe the current constraints, facilitators, and future prospects for addressing mental health and substance use (MHSU) concerns within sexual health clinics in two cities in British Columbia, Canada. Methods We conducted in-depth interviews with 22 providers (14 nurses, 3 physicians, 3 administrators, 2 other health professionals) from six sexual health clinics. Results Providers consistently affirmed that MHSU-related concerns co-occur with sexual health concerns among clients presenting to sexual health clinics. Three factors constrained the providers' abilities to effectively address MHSU service needs:(1) clinic mandates or funding models (specific to sexually transmitted infections (STI)/HIV or reproductive health); (2) "siloing" (i.e., physical and administrative separation) of services; and (3) limited familiarity with MHSU service referral pathways. Mental health stigma was an additional provider-perceived barrier for sexual health clinic clients. The low barrier, "safe" nature of sexual health clinics, however, facilitated the ability of clients to open up about MHSU concerns, while the acquired experiences of sexual health nurses in counselling enabled clinicians to address clients' MHSU needs. In response to this context, participants described actionable solutions, specifically co-location of sexual health and MHSU services. Conclusion Sexual health clinicians in British Columbia generally affirm the results of previous quantitative and client-focused research showing high rates of MHSU-related needs among sexual health clinic clients. Providers prioritized specific short-term (referral-focused) and long-term (healthcare re-organization, co-location of sexual and MHSU services) solutions for improving access to MHSU services for those using sexual health services. RésuméObjectifs Décrire les contraintes, opportunités et les idées novatrices pour adresser les problèmes de santé mentale et de toxicomanie dans des cliniques de santé sexuelle dans deux villes de la Colombie-Britannique au Canada. Méthodes Nous avons effectué des entrevues en profondeur avec 22 professionnels de la santé (14 infirmières, 3 médecins, 3 administrateurs et 2 autres professionnels en santé) provenant de six cliniques de santé sexuelle. Résultats Les professionnels confirmaient que les problèmes de santé mentale et de toxicomanie surviennent de façon concurrente avec les problèmes de santé sexuelle parmi les usagers des cliniques de santé sexuelle. Trois facteurs contraignaient la capacité des professionnels à adresser efficacement les besoins en santé mentale et en toxicomanie des usagers : 1) le mandat ou le modèle de financement (mandat de clinique précis, traitant les ITS/VIH et la santé sexuelle); 2) le fait de travailler en isolation (la séparation physique et administrative des services); et, 3) le manque de connaissance pour l'aiguillage vers les services en santé mentale et de toxicomanie. Les professionnels ont aussi souligné que la stigmatisation des problèmes de santé mentale est un obstacle import...

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Health and Life Concerns Among Patients Attending a Publicly Funded Sexually Transmitted Infection Clinic

Abstract: Sexually transmitted infection clinics provide a unique setting to provide health and mental health services to an at-need, underserved population; however, patients may prefer assistance with economic issues.

Cited by 4 publications

References 18 publications

Comparing the life concerns of prescription opioid and heroin users

Comparing the life concerns of prescription opioid and heroin users

Gender Differences in the Life Concerns of Persons Seeking Alcohol Detoxification

From silos to buckets: a qualitative study of how sexual health clinics address their clients’ mental health needs

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