Predicting homelessness among individuals diagnosed with substance use disorders using local treatment records

Moxley, Victor B.A.; Hoj, Taylor H; Novilla, M. Lelinneth B.

doi:10.1016/j.addbeh.2019.106160

Cited by 15 publications

(13 citation statements)

References 8 publications

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“…Participants reported a range of psychosocial risk factors that are common amongst methamphetamine uses, including interpersonal conflict (Dadhe & Bettman 2019 ; Maltman et al 2020 ), mental health difficulties including paranoia (Dadhe & Bettman 2019 ; McKetin et al 2019 ), impulsive and aggressive behaviors (Lanesman et al 2019 ) and unstable accommodation and homelessness (Jones et al 2020 ; Moxley et al 2020 ). These difficulties have also been identified in the literature as criminogenic risk factors (Andrews et al 2006 ) and are commonly experienced by incarcerated individuals who use methamphetamine (Semple et al 2008 ).…”

Section: Discussionmentioning

confidence: 99%

Associations between psychosocial risk factors, and changes in substance dependence and psychosocial functioning, during engagement with digital cognitive behavioral therapy for methamphetamine use: use of 'Breaking Free from Substance Abuse' by incarcerated people during the COVID-19 pandemic

Elison-Davies¹,

Newsome²,

Jones

et al. 2022

Health Justice

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Background Methamphetamine use can be associated with involvement with correctional services and incarceration. Traditionally, treatments for methamphetamine use have been delivered in-person – however, lockdowns initiated during the COVID-19 pandemic significantly reduced access to such in-person support in prisons. Therefore, in May 2020 a digital cognitive-behavioral therapy (CBT) program for substance use disorders - 'Breaking Free from Substance Abuse' - was made available across prisons in Ohio in order to meet this treatment gap. This represents the first time this digital CBT intervention has been made widely available to incarcerated people residing in prisons or jails in the United States (US). This was a within-subjects study using data from 2187 Ohio prison residents who engaged with this digital CBT program to address their methamphetamine use. Results Participants reported multiple psychosocial risk factors, including moderate to severe substance dependence, depression and anxiety; interpersonal conflict; aggressive behavior; paranoia; and difficulties with work, education and accommodation. Significant reductions in substance dependence, depression/anxiety and biopsychosocial impairment, and improvements in quality of life, were identified in the sample. Risk factors were associated with less positive outcomes, specifically interpersonal conflict and poor mental health. Completion of specific components of the program were associated with more positive outcomes – a dose response was also identified. Conclusions Digital CBT can be delivered in secure US correctional settings and may help to fill unmet needs for in-person treatment. Specifically, this digital CBT program may support incarcerated individuals to address methamphetamine use, with outcomes being associated with psychosocial risk factors and program engagement.

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Section: Discussionmentioning

confidence: 99%

Associations between psychosocial risk factors, and changes in substance dependence and psychosocial functioning, during engagement with digital cognitive behavioral therapy for methamphetamine use: use of 'Breaking Free from Substance Abuse' by incarcerated people during the COVID-19 pandemic

Elison-Davies¹,

Newsome²,

Jones

et al. 2022

Health Justice

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“…Housing instability conferred risk across discharge categories. It has been shown that, for persons in substance abuse treatment, ending up homeless at discharge is a fairly common outcome resulting from a breakdown in recognizing patients in need of housing assistance (Moxley et al, 2020). As such, housing resources should be of high priority for those being released from correctional, behavioral health, and healthcare facilities.…”

Section: Discussionmentioning

confidence: 99%

Substance use‐related suicide after release from correctional, behavioral health, and healthcare facilities using national violent death reporting system data

Mennicke

Kaniuka

Pruneda

et al. 2021

Suicide & Life Threat Behav

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Introduction: Suicide and substance use are prevalent problems among persons discharged from facilities. This study (1) articulated rates of substance-related suicide deaths among those discharged correctional, behavioral health, and healthcare facilities, and (2) identified factors associated with substance-related suicide deaths unique to, or generalizing across, facility discharge. Methods: We used data from the National Violent Death Reporting System. Suicide deaths (N = 105,968) were aggregated from 2003 to 2017. Chi-square and independent samples t-tests were used to examine associations between drug/ alcohol-related deaths and each correlate. Logistic regression was employed to identify the most robust substance-related suicide death-related factors.Results: Suicide deaths were commonly marked as being substance-related: 69% from correctional institutions, 54% from behavioral health facilities, 45% from those not released from a facility, and 39% from healthcare facilities. Regression models indicated housing interruptions and interpersonal stressors increased odds of the suicide death being marked as substance-related across discharge categories. Each discharge category also had unique predictors, underscoring the need for tailored prevention.Conclusions: Substance-related suicide deaths are particularly common among adults discharged from correctional and behavioral health facilities. Findings are discussed with respect to community-focused, discharge planning, and clinical care suicide prevention strategies.

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“…There is also scope to enhance cultural and ethnic speci c issues in treatment recommendations. Roles of community based services such as community pharmacy and voluntary sectors should be better stipulated in the guidelines (59)(60)(61).…”

Section: Implication Of Practice and Researchmentioning

confidence: 99%

How well do international clinical guidelines on mental health and substance misuse address their coexistence? a systematic review of scope, quality and inclusivity

Alsuhaibani¹,

Smith²,

Lowrie³

et al. 2021

Preprint

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Objective: It is estimated that up to 75% of patients with severe mental illness (SMI) also have substance use disorder (SUD). The aim of this systematic review is to explore the scope, quality and inclusivity of international clinical guidelines on mental health and/or substance misuse in relation to diagnosis and treatment of such co-existing disorders and considerations for wider social and contextual factors in treatment recommendations.Method: A protocol (PROSPERO CRD42020187094) driven systematic review was conducted. A systematic search was undertaken using six databases including MEDLINE, Cochrane Library, EMBASE, PsychInfo from 2010 till June 2020; and webpages of guideline bodies and professional societies. Guideline quality was assessed based on ‘Appraisal of Guidelines for Research & Evaluation II’ (AGREE II) tool. Data was extracted using a pre-piloted structured data extraction form and synthesized narratively. Reporting was based on PRISMA guideline.Result: A total of 12,644 records were identified. Of these, 21 guidelines were included in this review. Three of the included guidelines were related to coexisting disorders, 11 related to SMI, and 7 guidelines were related to SUD. Seven (out of 18) single disorder guidelines did not adequately recommend the importance of diagnosis or treatment of concurrent disorders despite their high co-prevalence. The majority of the guidelines (n = 15) lacked recommendations for medicines optimisation in accordance with concurrent disorders (SMI or SUD) such as in the context of drug interactions. Social cause and consequence of dual diagnoses such as homelessness and safeguarding and associated referral pathways were sparsely mentioned.Conclusion: Despite very high co-prevalence, clinical guidelines for SUD or SMI tend to have limited considerations for coexisting disorders in diagnosis, treatment and management. There is a need to improve the scope, quality and inclusivity of guidelines to offer person-centred and integrated care.

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Predicting homelessness among individuals diagnosed with substance use disorders using local treatment records

Cited by 15 publications

References 8 publications

Associations between psychosocial risk factors, and changes in substance dependence and psychosocial functioning, during engagement with digital cognitive behavioral therapy for methamphetamine use: use of 'Breaking Free from Substance Abuse' by incarcerated people during the COVID-19 pandemic

Associations between psychosocial risk factors, and changes in substance dependence and psychosocial functioning, during engagement with digital cognitive behavioral therapy for methamphetamine use: use of 'Breaking Free from Substance Abuse' by incarcerated people during the COVID-19 pandemic

Substance use‐related suicide after release from correctional, behavioral health, and healthcare facilities using national violent death reporting system data

How well do international clinical guidelines on mental health and substance misuse address their coexistence? a systematic review of scope, quality and inclusivity

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