The prevalence of cognitive impairment in a rural in-patient substance misuse treatment programme

Allan, Julaine; Kemp, Michael; Golden, Annette

doi:10.1080/17523281.2012.711767

Cited by 17 publications

(11 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lives Lived Well’s research program has used both state-wide and local treatment episode data to highlight the need for treatment services to address homelessness in treatment planning [12]; identify the prevalence of people in treatment who have a cognitive impairment [14] and investigate access of Aboriginal women to drug and alcohol treatment [15]. To appropriately shape service delivery an analysis of amphetamine treatment episodes was required.…”

Section: Study Contextmentioning

confidence: 99%

Increased demand for amphetamine treatment in rural Australia

Allan¹,

Kemp

et al. 2019

Addict Sci Clin Pract

Self Cite

View full text Add to dashboard Cite

Background A substantial increase in substance treatment episodes for methamphetamine problems suggests characteristics of the treatment population could have changed and that targeted treatment programs are required. To determine who methamphetamine treatment should be designed for this study has two aims. First, to empirically describe changes in amphetamine treatment presentations to a rural NSW drug and alcohol treatment agency over time. Second, to examine how these characteristics may affect the likelihood of being treated for amphetamines compared to other drugs. Method The Australian Alcohol and Other Drug Treatment Services National Minimum Data Set (AODTS-NMDS) containing closed treatment episodes from a single agency from three time periods was used. Characteristics of people receiving amphetamine treatments in these three periods were compared and the effects of these characteristics on the odds of being treated for amphetamine were estimated using a logistic regression model. The characteristics utilised in the analysis include age, sex, Indigenous status, usual accommodation, living arrangement, source of referral and source of income. Results The proportion of amphetamine treatment episodes doubled from 2006/2007 to 2015/2016 and overtook alcohol as the most commonly treated principal drug of concern. The estimated proportion of amphetamine treatments showed an increment across all ages and for men and women. It was found that younger people, women, people in temporary accommodation or homeless, people who were self-referred and people whose main source of income was not through employment are more likely to be treated for amphetamine use. Conclusion Significant changes over time in the age, sex and Indigenous status of people receiving treatment for amphetamine as the principal drug of concern requires service delivery to match demand from younger people, particularly women; and Indigenous people. The needs and preferences for treatment of younger women who use amphetamine will be important factors in treatment planning service providers who are more used to providing treatment for young men who use cannabis and older men who use alcohol. Further research on women’s experiences in treatment and outcomes would be useful for informing treatment practices. Electronic supplementary material The online version of this article (10.1186/s13722-019-0144-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Study Contextmentioning

confidence: 99%

Increased demand for amphetamine treatment in rural Australia

Allan¹,

Kemp

et al. 2019

Addict Sci Clin Pract

Self Cite

View full text Add to dashboard Cite

show abstract

“…For example, it has been suggested that cognitive dysfunctioning often associated with MBID (e.g. attentional dysfunctioning, impaired organisational and planning skills and impaired self-monitoring) hamper the usefulness of treatment programmes based on cognitive and behavioural change (Allan et al 2012). Identifying such factors in an early phase of the treatment thus guides practitioners in their choices for treatment interventions.…”

Section: Discussionmentioning

confidence: 99%

The Usefulness of Implicit Measures for the Screening, Assessment and Treatment of Problematic Alcohol Use in Individuals with Mild to Borderline Intellectual Disability

Duijvenbode

Didden

Korzilius

et al. 2016

Adv Neurodev Disord

View full text Add to dashboard Cite

Although the neuropsychological underpinnings of problematic alcohol use have been studied extensively, this research has not yet been generalised to individuals with mild to borderline intellectual disability (MBID). In this paper, we present the main findings of a research project aimed at studying the deficiencies in information processing associated with problematic alcohol use in problematic drinkers with and without MBID. The objectives were to develop and test indirect measures of cognitive biases and executive dysfunctioning of problematic drinkers with MBID and studying the extent and nature of the influence of IQ and executive control on these deficiencies. In addition to extending the fundamental knowledge about problematic alcohol use, the research findings provide practical implications that can be translated into the screening, assessment and treatment of problematic drinkers-both with and without MBID. Based on our results, we discourage the use of indirect, reaction time-based measures for cognitive biases for clinical purposes. The word association task, on the other hand, provides better opportunities, for example as a way to identify high-risk situations for alcohol use. With regard to cognitive and executive functioning, we advise practitioners to conduct a thorough assessment in an early phase of the treatment but withhold from incorporating neurocognitive treatment protocols in the treatment of problematic alcohol use.

show abstract

“…In their prevalence study, Allan et al (2012) defined cognitive impairment as an umbrella term used to refer to the impacts of long-term drug or alcohol use, acquired or traumatic brain injury, intellectual disability, or Foetal Alcohol Spectrum Disorder (FASD) [21]. While each of these conditions can vary in severity and impact, they have similar broad effects on executive function [18, 22].…”

Section: Introductionmentioning

confidence: 99%

“…While each of these conditions can vary in severity and impact, they have similar broad effects on executive function [18, 22]. Individuals with some form of cognitive impairment will typically experience one or more of the following: impaired ability to plan and make decisions, reduced ability to evaluate consequences, a preference for reward-seeking goals, impulsivity and attentional dysfunction, lack of initiative, memory deficits, impaired self-monitoring and self-regulation, and an inability to benefit from experience [18, 21]. Further, those with some form of cognitive impairment are more likely to experience poor concentration, depression, emotional instability, irritability, impulsive or inappropriate behaviour, reduced ability to problem-solve and inflexible thinking [23, 24].…”

Section: Introductionmentioning

confidence: 99%

The process of change for people with cognitive impairment in a residential rehabilitation program for substance problems: a phenomenographical analysis

Allan¹,

Collings

Munro

2019

Subst Abuse Treat Prev Policy

Self Cite

View full text Add to dashboard Cite

Cognitive impairment is prevalent among people with substance problems and a factor affecting retention in treatment. Empirical phenomenography was used to systematically explore how people with cognitive impairment viewed a novel residential rehabilitation program – Project RE PIN – designed with cognitive compensatory behaviour change activities and from a strengths-based approach. Twelve participants took part in semi-structured interviews and cross-case analysis identified the overarching theme of change. Key program elements were the safe environment, structured routines, modified psycho-educational material and staff support. Critical changes that participants attributed to the program were in dealing with their own and others’ emotions, experiencing daily life without drugs or alcohol and reframing their self-view. Fear and anxiety about relapse were common and few participants had strategies or support to cope in the future. This study demonstrates that program activities changed participants’ thoughts, feelings and behaviours about themselves and their substance use. The results indicate that RE-PIN’s modified content and processes can benefit people with cognitive impairments in treatment. The study highlights that some treatment users may be vulnerable to resumption of drug use despite gains made during a residential program and their desire to remain substance-free.

show abstract

The prevalence of cognitive impairment in a rural in-patient substance misuse treatment programme

Cited by 17 publications

References 19 publications

Increased demand for amphetamine treatment in rural Australia

Increased demand for amphetamine treatment in rural Australia

The Usefulness of Implicit Measures for the Screening, Assessment and Treatment of Problematic Alcohol Use in Individuals with Mild to Borderline Intellectual Disability

The process of change for people with cognitive impairment in a residential rehabilitation program for substance problems: a phenomenographical analysis

Contact Info

Product

Resources

About