Browsing by Subject "dual diagnosis"

Now showing 1 - 4 of 4
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    Art Therapy in Opiate Use Disorder: Moving Toward an Integrated Treatment Framework
    (2021-05) Sentir, Alena; Misluk, Eileen
    Drug addiction is a major public health concern resulting in deleterious consequences to individuals and society. Yet, addiction is a recoverable disease with the right support. Although evidence-based treatments exist for opiate use disorder, many individuals remain treatment refractory and die from overdoses. These individuals often present to treatment with dual diagnosis and polysubstance use, which are conditions that increase client complexity and barriers to recovery. An integrative systematic literature review was conducted to examine how art therapy has been used in these populations and ways that it could be incorporated into current addiction neuroscience treatment. The culmination is a six-session proposal with the goal of increasing treatment retention in refractory populations. Through the framework of the Expressive Therapies Continuum and modern addiction neuroscience treatment, the proposal is theorized to integrate limbic to cortical functioning, stimulate motivation, increase empowerment, and support clients during recovery. Though the proposal gives special consideration to those with opiate use disorder in medication-assisted treatment, it inclusive of other substance use disorders and accounts for various client complexities, as well as being easily adaptable by an art therapist to different treatment settings.
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    Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study
    (2010-08) Tsai, Jack; Bond, Gary R.; Salyers, Michelle P.; Godfrey, Jenna L.; Davis, Kristin E.
    Housing is a crucial issue for adults with severe mental illness and co-occurring substance use disorders, as this population is particularly susceptible to housing instability and homelessness. We interviewed 40 adults with dual disorders, living in either supervised or independent housing arrangements, to examine housing preferences, decision making processes surrounding housing choices, and perceived barriers to housing. We found that many clients indicated their housing preferences had changed over time, and some clients related housing preferences to recovery. Although the majority of clients preferred independent housing, many also described benefits of supervised housing. Clients' current living situations appeared to be driven primarily by treatment provider recommendations and availability of housing. Common barriers to obtaining desired housing were lack of income and information. These findings have implications for supported housing models and approaches to providing housing for clients.
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    Nicotine Use in Schizophrenia: a part of the cure or the disease?
    (2012-03-16) Berg, Sarah A.; Chambers, R. Andrew; Czachowski, Cristine L.; Grahame, Nicholas J.; Breier, Alan, 1953-
    Nicotine use among individuals with schizophrenia occurs at extremely high rates. The prevailing theory is that individuals with schizophrenia smoke as a form of self-medication to ameliorate sensory and cognitive deficits. However, these individuals also have enhanced rates of addiction to several drugs of abuse and may therefore smoke as a result of enhanced addiction liability. The experiments described herein explored these two hypotheses by assessing the effect that nicotine has on working memory, addiction vulnerability (locomotor sensitization and self-administration), and nicotinic acetylcholine receptor (nAChR) expression as well as the developmental expression of these characteristics in the neonatal ventral hippocampal (NVHL) neurodevelopmental animal model of schizophrenia. The results from these studies indicate that NVHLs had working memory impairments in both adolescence and adulthood, with nicotine having a negligible effect. Additionally, NVHLs displayed enhanced locomotor sensitization to nicotine which emerged in adulthood as well as an enhanced acquisition of nicotine self-administration, administering more nicotine overall. These behavioral differences cannot be attributed to nAChR expression as nicotine upregulated nAChR to a similar extent between NVHL and SHAM control animals. These data indicate that the enhanced rates of nicotine use among individuals with schizophrenia may occur as a result of an enhanced vulnerability to nicotine addiction.
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    Understanding the Critical Ingredients for Facilitating Consumer Change in Housing First Programming: A Case Study Approach
    (2013-04) Watson, Dennis P.; Wagner, Dana E.; Rivers, Michael
    Housing First is a form of permanent supportive housing for chronically homeless consumers with mental health and substance abuse issues. In light of the model’s growing popularity and wide diffusion, researchers and policy makers have identified a need to better understand its critical ingredients and the processes through which they affect consumer outcomes. Researchers used a bottom-up approach to understand the critical ingredients of Housing First within community-based programs. Interviews and focus groups were conducted with 60 informants (staff and consumers) across 4 “successful” Housing First programs. Qualitative analysis demonstrated six program ingredients to be essential: (1) a low-threshold admissions policy, (2) harm reduction, (3) eviction prevention, (4) reduced service requirements, (5) separation of housing and services, and (6) consumer education.