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Annotated bibliography: Consumer participation in treatment programs

Becan, J. E., Knight, D. K., Crawley, R. D., Joe, G. W., & Flynn, P. M. (2015). Effectiveness of the Treatment Readiness and Induction Program for increasing adolescent motivation for change. Journal of Substance Abuse Treatment, 50(1), 38-49.

The aim of this study was to assess the effectiveness of the Treatment Readiness and Induction Program (TRIP) for treating for motivating adolescents involved in treatment programs. Motivation is a crucial factor in the success of treatment for substance abuse and includes problem recognition, a desire to seek help and a readiness to change. The authors stated that interventions that facilitate this are particularly important for adolescents. The data was collected from 519 adolescents from six residential programs. They completed assessments at treatment intake and again 35 days after admission. The study included a control sample (n = 281) that had commenced treatment prior to the implementation of TRIP, which were compared against clients who received standard treatment enhanced by TRIP (n = 238). Motivational levels were conceptualised utilising statistical tools, which allowed for variables such as gender and drug use severity. The adolescents using TRIP demonstrated greater levels of gains in problem recognition and TRIP was linked indirectly with gains in the desire to seek help and readiness for treatment. Limitations include that the study was confined to those in residential care and were still in treatment 35 days after admission.

Durbeej, N., Palmstierna, T., Berman, A. H., Kristiansson, M., & Gumpert, C. H. (2014). Offenders with mental health problems and problematic substance use: Affective psychopathic personality traits as potential barriers to participation in substance abuse interventions. Journal of Substance Abuse Treatment, 46(5), 574-583.

Treatment for substance abuse may reduce recidivism in offenders as substance abuse has been linked to re-offending. Participation in substance abuse treatment programs by offenders may be associated with severity of substance use and social problems, violence risk and psychopathic personality traits. This study examined the relationships between these characteristics and participation in substance abuse programs in Swedish offenders with comorbid mental illness and problematic substance abuse. The data was collected by interviews on three occasions: at the beginning of the study, shortly before release and at the end of the treatment period (mean time = 20.8 months) and standard assessment tools were used including the Alcohol Use Disorders Identification Test (AUDIT). The data was collected from 134 offenders who voluntarily participated in the study. It indicated that problem severity predicted participation in intervention but that affective psychopathic personality traits were negatively associated with intervention participation. It concluded that psychopathic personality traits should be considered when planning interventions and that cognitive behavioral therapy and dialectical behavioral therapy may be more applicable for these offenders. One of the limitations of the study is that it utilised an observational study design so was reliant on observed associations between variables, which may result in researcher bias.

Garrett, S. B., Doyle, S. R., Peavy, K. M., Wells, E. A., Owens, M. D., Shores-Wilson, K., & … Donovan, D. M. (2018). Age differences in outcomes among patients in the “Stimulant Abuser Groups to Engage in 12-Step” (STAGE-12) intervention. Journal of Substance Abuse Treatment, 84(1), 21-29.

Young adults (aged 18-29 years) have the potential to benefit from participating in twelve-step programs, but their uptake in these programs is relatively low. The aim of this study was to examine if age did effect attendance at twelve-step interventions and how it affected substance use. Data was obtained using a multi-site randomised controlled trial with assessments performed at baseline, mid-treatment (week 4), end-of-treatment (8 weeks) and at 3 and 6 months post treatment. The participants were all diagnosed with stimulant abuse or dependence utilising DSM IV (n = 450) and were enrolled in ten intensive outpatients substance use treatment programs in the USA. The study found that younger age was associated with improved treatment outcomes and that abstinence was greater in those who had participated in 12-step programs as opposed to treatment as usual (TAU). Conversely, for those who did not remain abstinent during treatment, younger age was associated with greater rates of stimulant use at follow up for those in 12-step as opposed to those in TAU. There were greater rates of participation in activities in young adults in 12-step programs than those in TAU programs. Users of non-stimulant drugs exhibited no differences in age by treatment interactions, but younger users were less likely to be abstinent at follow-up regardless of the treatment they had received. The study recommends ongoing assessment of the consumer’s readiness to change to guide the focus of treatment and that age appropriate treatment may benefit clinical outcome. Data collected was self-reported and was identified as a limitation of the study.

Hatch-Maillette, M., Wells, E. A., Doyle, S. R., Brigham, G. S., Daley, D., DiCenzo, J., & … Perl, H. I. (2016). Predictors of 12-Step Attendance and Participation for Individuals with Stimulant Use Disorders. Journal of Substance Abuse Treatment, 68(1), 74-82.

The authors of this study identified a gap in the research examining the effectiveness of 12-step peer recovery programs for drug use. They conducted a multi-site randomised clinical trial of 12-step facilitation on individuals with cocaine or methamphetamine use disorders (n =471) attending in one of ten settings. Participants were randomly assigned to 12-step with TAU or TAU alone for an eight week intervention. They were then assessed at 4 week and 8 weeks into treatment and again at 3 and 6 months after treatment commencement. Four outcome variables were examined:

  1. To what extent do treatment-seeking stimulant users choose 12-step interventions
  2. Do the factors, which predict 12-step participation in people with alcohol use disorders, apply in stimulant users?
  3. Which baseline “12-step readiness” factors predict program attendance and participation?
  4. Does choice of stimulant predict participation and attendance in 12-step programs?

The study found that attendance, speaking, allocated duties and peer were unrelated to demographics and substance use history or severity. Cocaine users were more likely to attend follow up meetings at 1, 3 and 6 months than methamphetamine users, as were those who perceived the groups as being beneficial to their recovery. Consumers who had attended the program prior to the study were also more likely to attend follow up sessions and participate in self-help activities, whereas those who perceived barriers to 12-step groups prior to the study were less likely to participate in these. Those who participated in self-help activities were more likely to volunteer for group duties. It concluded that continuity, prior attendance and active involvement with the 12-step programs were the main predictors for future program involvement and participation. The study was limited in that it only studied participants in a select set of treatment programs

Ibabe, I., Stein, J. A., Nyamathi, A., & Bentler, P. M. (2014). Predictors of substance abuse treatment participation among homeless adults. Journal of Substance Abuse Treatment, 46(3), 374-381.

This study examines the relationships among a history of trauma, a history of substance abuse, chronic homelessness and emotional distress in predicting participation in drug treatment programs, as enrolment and retention of clients in these programs is difficult, particularly among homeless people. Structural equation modelling was used, which indicated an association between chronic homelessness, trauma history and substance use history. This association significantly predicted recent emotional distress in the 853 participants, who were all homeless adults living in Los Angeles. Those with recent emotional distress were less likely to participate in substance abuse treatment, both formal and self-help. However, those with only a history of substance use were more likely to participate in treatment. It recommends providers focusing on dual-diagnosis interventions in order to encourage engagement and participation amongst this client group. They also cite the success of outreach services in establishing an initial contact with treatment services for this group as a method of reducing barriers to treatment seeking, including distrust. The authors state the over reliance on self-reporting is a limitation in this research.

Jaffe, A., Du, J., Huang, D., & Hser, Y. (2012). Drug-abusing offenders with comorbid mental disorders: Problem severity, treatment participation, and recidivism. Journal of Substance Abuse Treatment, 43(2), 244-250.

The aim of this study was to examine problem severity, treatment participation and recidivism in 1016 drug-abusing offenders who had a co-existing mental disorder. The participants were first assessed utilising the Addiction Severity Index (ASI) and their mental health diagnoses, treatment program participation and arrest records were obtained. The severity of their mental health disorder was then classified as mild or severe based on their specific diagnoses. Ordinal logistic regression was then used to examine predictors of recidivism separately for those with mild or severe mental health disorders. It was indicated that previous arrests, education level and treatment participation are predictors of recidivism generally. However, gender, age, primary drug, ASI score and treatment method are differentially important depending on the severity of the offender’s mental illness. The report recommends intervention strategies focusing on dual-diagnosis among offenders, to take into consideration the severity of their mental illness in order to increase their effectiveness and reduce recidivism. The data obtained is mainly self-reported which is identified as a limitation of the study.

Knight, D. K., Joe, G. W., Crawley, R. D., Becan, J. E., Dansereau, D. F., & Flynn, P. M. (2016). The Effectiveness of the Treatment Readiness and Induction Program (TRIP) for Improving During-Treatment Outcomes. Journal of Substance Abuse Treatment, 62(1), 20-27.

Engagement in treatment is an important factor in its success and this is consistently predicted by motivation. As problem recognition is an important aspect of motivation, it is essential to target efforts to improve this to achieve sustained recovery following treatment. This study aimed to compare the effectiveness of Standard Operating Practice (SOP) against SOP plus 8 sessions of TRIP on cognitive indicators and engagement in treatment for young people in 5 residential substance abuse treatment centres. The original sample consisted of 1228 adolescents (SPO = 749, TRIP = 479), which had reduced to 729 (SPO = 445, TRIP = 274) at the end of the study. Data was collected using the Texas Christian University Adolescent Screening and Assessment Package on admission (Time 1) and 30-45 days into treatment (Time 2), which was usually at the completion of the program. The study found that adolescents who received TRIP demonstrated higher problem recognition, decision-making and treatment engagement than those who received SOP only. This was true even when controlling for background factors such as demography and drug use severity. A limitation of this study was that only youths who completed the treatment were included in the final analysis.

McKay, J. R., Van Horn, D., Rennert, L., Drapkin, M., Ivey, M., & Koppenhaver, J. (2013). Factors in sustained recovery from cocaine dependence. Journal of Substance Abuse Treatment, 45(2), 163-172.

This study aimed to establish factors that predicted abstinence from cocaine use and shifts from use to abstinence over a 24-month period. The participants (n = 268) were recruited from three centres which provided intensive outpatient programs. The data was collected over 24-months and the participants were assessed within 2 weeks of admission and then at 3-monthly periods thereafter using a variety of screening tools. It identified that both abstinence from cocaine and transitioning into abstinence at the next follow-up were associated with older age, less education and lower severity of alcohol and cocaine use at baseline. Additional factors contributing to abstinence and transition to abstinence were higher self-efficacy, readiness to change, better social networks, lower depression and lower severity of co-existing problems. A limitation of the research was that it was correlational, so it is not conclusive if the variables resulted in the changes in cocaine use or if it was the changes in the predictors (e.g. raising self-esteem) that caused the reduction in cocaine use

Timko, C., Below, M., Schultz, N. R., Brief, D., & Cucciare, M. A. (2015). Patient and Program Factors that Bridge the Detoxification-Treatment Gap: A Structured Evidence Review. Journal of Substance Abuse Treatment, 52(1), 31-39.
Completion of detoxification and transitioning to substance use disorder (SUD) treatment and/or mutual self-help groups (MSHG) predict improved consumer outcomes. However, many consumers do not complete detoxification or receive SUD treatment afterwards. The authors conducted a structured evidence review on 26 articles to ascertain consumer, program and other factors associated with the successful completion of detoxification and transitioning to SUD treatment and/or MSHG. They found wide variations in the studies, between 45-95% of consumers completed detoxification and 14-92% transitioned to SUD treatment and/or MSHG. Family support and motivational-based approaches both contributed to completion of detoxification and transition to SUD care and/or MSHG. They suggest targeting these approaches at young people, who are less likely to complete detoxification and that barriers to detoxification and the subsequent transition to SUD care and/or MSHG can be overcome to improve consumer outcomes. The authors of this study relied on one database (PubMed) to collect their data, which is a major limitation of the study.

Zemore, S. E., & Ajzen, I. (2014). Predicting substance abuse treatment completion using a new scale based on the theory of planned behavior. Journal of Substance Abuse Treatment, 46(2), 174-182.

This study evaluated whether a 9-item scale based on the theory of planned behaviour (TPB) predicted the completion of substance abuse treatment. TPB is a general, social cognitive model of behaviour that has been useful in modelling a range of public health behaviours and can be applied to predicting treatment completion for SUDs. The data was collected from clients (n = 200) at a public outpatient program. The participants had all initiated treatment and baseline data was collected using surveys, which included attitudes towards treatment and perceived control and intention. The participants status on discharge was then collected using program records. TPB attitude and control components independently predicted intention and intention was positively related to treatment outcomes. TPB components were frequently related to readiness and were predictive of increased levels of coercion. Results indicate that the use of TPB improves treatment completion. A limitation of the study is the sample size and that the data was obtained from a single treatment program.

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March PD

You can add to the professional development post by commenting below or emailing the library.

Online resources

Webpage

National Rural Health Alliance:  This site provides access to resources such as factsheets to support rural health

Read – professional reading

Available from the library database

Hyder, S., Coomber, K., Pennay, A., Droste, N., Curtis, A., Mayshak, R., & … Miller, P. G. (2018). Correlates of verbal and physical aggression among patrons of licensed venues in Australia. Drug And Alcohol Review, 37(1), 6-13.

Skerrett, D. M., Gibson, M., Darwin, L., Lewis, S., Rallah, R., & De Leo, D. (2018). Closing the Gap in Aboriginal and Torres Strait Islander Youth Suicide: A Social–Emotional Wellbeing Service Innovation Project. Australian Psychologist, 53(1), 13-22.

Tomyn, A. J., & Weinberg, M. K. (2018). Resilience and Subjective Wellbeing: A Psychometric Evaluation in Young Australian Adults. Australian Psychologist, 53(1), 68-76.

Vo, H. T., Burgower, R., Rozenberg, I., & Fishman, M. (2018). Home-based delivery of XR-NTX in youth with opioid addiction. Journal Of Substance Abuse Treatment, 85(1), 84-89.

Yuke, K., Ford, P., Foley, W., Mutch, A., Fitzgerald, L., & Gartner, C. (2018). Australian urban Indigenous smokers’ perspectives on nicotine products and tobacco harm reduction. Drug And Alcohol Review, 37(1), 87-96.

Open Access Articles

Open access online journal

World Psychiatry: the official journal of the World Psychiatric Association

Open access textbook

Pradhan, B., Pinninti, N., & Rathod, S. (2015). Brief Interventions for Psychosis.

This book offers a clinical guide that brings together a broad range of brief interventions and their applications in treating psychosis. It describes two core approaches that can narrow the current, substantial gap between the need for psychotherapeutic interventions for all individuals suffering from psychosis, and the limited mental health resources available.The first approach involves utilizing the standard therapeutic modalities in the context of routine clinical interactions after adapting them into brief and effective formats. To that end, the book brings in experts on various psychotherapeutic modalities, who discuss how their particular modality could be adapted to more effectively fit into the existing system of care delivery.The second approach, addressed in detail, is to extend the availability of these brief interventions by utilizing the circle of providers as well as the social circle of the clients so that these interventions can be provided in a coordinated and complementary manner by psychiatrists, psychologists, clinical social workers, case managers, peer support specialists and other providers on the one hand, and by family members, friends, social and religious institutions on the other.

(Book Abstract)

e-Book of the month

Fall, K. A., & Howard, S. (2017). Alternatives to Domestic Violence : A Homework Manual for Battering Intervention Groups. New York, NY: Routledge.

This is an interactive treatment workbook designed for use with a wide variety of accepted curricula for domestic violence intervention programs. This new edition adds and revises the exercises and stories in every chapter, covering important topics such as respect and accountability, maintaining positive relationships, good communication, parenting, substance abuse, digital abuse, and sexuality. Chapters on parenting, substance abuse, and religion have also been heavily revised based on current literature and group member feedback. The chapters provide a comprehensive collection of vital topics, including topics rarely addressed in other curricula, and exercises help the group members learn new strategies for leading a life of cooperation and shared power. Continuing the tradition of past editions, this edition not only focuses on the content of a good BIPP curriculum, but it also stresses the group process elements that form the backbone of any quality approach.

(copied from EBSCO database)

Free to download for all HOA staff from the library catalogue on work computers

Attend – informal learning sessions, journal club, seminar series

Insight Queensland

Free training sessions at Biala Community Health Centre in Brisbane, unless otherwise specified including:

March 1-2: Cullturally secure AOD practice- featruring IRIS

March 2: Understanding psychoactive drugs (Townsville)

March 13: AOD crash course

March 15: Understanding psychoactive drugs

March 15: The problem gambling severity index (PGSI)

March 23: AOD clinical assessment

March 26: Young people and drugs

March 29: Harm reduction 101

More details and registration here

Online induction modules are a prerequisite to some of the courses. To access and download them visit www.insightqld.org

Turning Point seminars are online on their YouTube channel including:

Pathways out of addiction: the role of social groups and identity

Youth, moral panics and chemical cultures: a series of 4 short videos

Journal club TBA and will be on SKYPE

Attend – conferences 

QCOSS State Conference, May 16-17 at Brisbane: Movement for change. Cost $330-792 before March 16. Register here

  • Explore the current landscape in which we live and work, uncover the big issues and identify the stories that are dividing our community.
  • Develop an understanding of the evidence base for change and the current state of play from which we can move forward.
  • Explore reforms currently underway. Challenge your beliefs and attitudes and understand how these shape our actions and influence reform directions.
  • Hear from communities who have taken action, told a different story and have had success. How did they do it? What have they learned? Is this something we can all affect?
  • Learn from opinion leaders from different backgrounds and sectors who will discuss their experiences and how we can change how we think and tell our stories for the betterment of everyone.
  • Leave with an appetite and a recipe for action to take us closer to our desired future.

(QCOSS)

Listen – podcasts, webinars

Insight Qld

Free webinars on Wednesdays 10:00-11:00 (AEST).

  • March 7: AOD ‘our way’
  • March 14: Alcohol meets dementia- sorting through the maze
  • March 21: Codeine rescheduling: All you need to know but were too afraid to ask!
  • March 28: Treatment within corrections

Access at www.insight.qld.edu.au and enter participant code: 52365378

More details here

Australian and Indigenous Alcohol and Other Drugs Knowledge Centre have a selection of webinars including:

Harnessing good intentions: addressing harmful AOD use among Aboriginal Australians

A practical guide to community-based approaches for reducing alcohol harm

Assessed learning – short courses, certificates, diplomas, bachelors, post-grad

The art of CBT: Skillfully appying the manuals to common clinical problems: One day workshop:

Adelaide 18 May; Brisbane 1 June: see link for other major cities. Costs $110-455 depending on status. Register here

4 Day Intensive CBT Masterclass for AOD Professionals

Where: Melbourne,  17-20 April 2018, $990-1390

This course has been developed especially for alcohol and other drug professionals who want to build and strengthen the core CBT clinical skills that are the foundation for all best practice CBT protocols from traditional CBT to newer cognitive therapy models like the mindfulness-based therapies.

  • Get back to basics and understand exactly what makes CBT tick
  • Learn the why not just the how so you can apply core skills to any CBT type
  • Unlock the art and science of your practice to take it to the next level

Our unique interactive self-practice approach means you will really experience CBT from the inside, creating a deep understanding of how it works. Cognitive behaviour therapy is an umbrella term that includes a number of solution oriented therapies focusing on self-reflection, problem solving and learning skills that can be applied across situations:

  • Cognitive Therapy
  • Relapse Prevention
  • Mindfulness Based Cognitive Therapy
  • Acceptance and Commitment Therapy
  • Dialectical Behaviour Therapy
  • Compassion Focused Therapy

Find out how to use the core skills of CBT to drive change whatever model you use. Our focus is understanding and experiencing the drivers of change in CBT that underlie all CBT models. Book here

 

 

 

 www.insight.qld.edu.auwww.insight.qld.edu.au


Leave a comment

February PD

You can add to the professional development post by commenting below or emailing the library.

Online resources

Read – professional reading

Available from the library database

  • Chen, J. A., Owens, M. D., Browne, K. C., & Williams, E. C. (2018). Alcohol-related and mental health care for patients with unhealthy alcohol use and posttraumatic stress disorder in a National Veterans Affairs cohort. Journal of Substance Abuse Treatment, 85, 1-9.
  • Cunningham, M., Stapinski, L., Griffiths, S., & Baillie, A. (2017). Dysmorphic Appearance Concern and Hazardous Alcohol Use in University Students: The Mediating Role of Alcohol Expectancies. Australian Psychologist, 52 (6), 424-432.
  • Gair, S., & Baglow, L. (2017). Australian Social Work Students Balancing Study, Work, and Field Placement: Seeing it Like it Is. Australian Social Work, 1-12.
  • Powers, J. R., Loxton, D., Anderson, A. E., Dobson, A. J., Mishra, G. D., Hockey, R., & Brown, W. J. (2018). Changes in smoking, drinking, overweight and physical inactivity in young Australian women 1996–2013. Health Promotion Journal of Australia, 28(3), 255-259.
  • Thompson, K., & van Vliet, P. (2018). Critical Reflection on the Ethics of Mindfulness. Australian Social Work, 71(1), 120-128.
Open Access Articles

 

Open access online journal

Addictive behaviours

Open access textbook

Lester, D. (2014). The” I” of the Storm: Understanding the Suicidal Mind. Walter de Gruyter GmbH & Co KG.

Useful resources

Harm Reduction Australia, Opioid Treatment Programs 2017 Forum Reports: Queensland; NSW; Victoria

Hepatitis SA Library for resources and information on hepatitis

Open access resources for health sciences from Curtin University

e-Book of the month

Bhatia, S. C., Petty, F., & Gabel, T. (2017). Substance and Nonsubstance Related Addiction Disorder: Diagnosis and Treatment. [S.l.]: Bentham Science Publishers Ltd.

An accessible handbook about the two main types of addiction disorders. It is divided into three sections which cover 1) the scientific underpinnings of addiction disorders (neurobiology, addiction neural reward pathways, genetic and psychosocial basis of addiction, screening and treatment), 2) information about substances commonly used by addicts (pharmacology, diagnostics and treatment considerations) and 3) current understandings of the diagnosis and treatment of behavioral problems (such as gambling), respectively. Key features: covers both substance abuse and behavioral problems uses a reader friendly format with a patient education handout style includes key learning points listed in each chapter -includes clinical vignettes which outline brief history, evaluation, diagnostic considerations with successful pharmacological, psychological and social interventions -includes references in each chapter disorders. (copied from the EBSCO database)

Free to download for all HOA staff from the library catalogue on work computers

Attend – informal learning sessions, journal club, seminar series

 

National comorbidity guidelines free online training and website

The training program consists of 10 training modules that can be completed in any order. Registrants can choose which modules to engage in based on interest and experience. Those wishing to receive a certificate of completion must complete all modules (in any order) and successfully complete all quizzes.

At the end of each module, registrants will be presented with a quiz. All questions must be answered correctly before the module is completed, but there is no limit to how many times the quiz can be taken. Incorrect answers will refer participants to relevant sections of the Guidelines website.

At the completion of all modules, training participants will receive a certificate of completion.

Journal club TBA

Attend – conferences 

Australia and New Zealand Addiction Conference, 28-30 May 2018 at QT Gold Coast

This conference will cover a range of topics including  prevention, treatment, systematic responses, behaviours, mental health and harm reduction in relation to all types of addiction.  The program will include emerging trends and the various addictive habits of alcohol and other drugs, gambling, internet, sex, gaming,  food, shopping, pyromania, kleptomania.

Cost from $500-1000. Register here

Write – presentations and papers

Are you thinking of getting your work published in an academic journal? Read these tips of what not to do from a large publisher.

Call for abstract submissions for the Australia and New Zealand Addiction Conference. It can be in the form of a 3o minute presentation, a poster presentation or a panel presentation on one of the conference topics. Closing date 05/02/2018. More details are available here.

Listen – podcasts, webinars

NueRA talks:  a series of free online seminars which bring information on neuroscience research. Examples include:

  • Living loving schizophrenia
  • The neuroscience of resilience to stress

Insight presentation recordings available now on YouTube

Assessed learning – short courses, certificates, diplomas, bachelors, post-grad

Strengths based practice: This workshop will provide participants with the chance to practice strength based skills:

Date: 22/02/2018, 09:00-16:30

Location:      Lighthouse Resources Upstairs Training Room Kyabra Street RUNCORN, QLD. 4113

Cost: $240. Register here

Lighthouse Resources run a number of other workshops

 


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Annotated bibliography: Telephone counselling

Bassilios, B., Pirkis, J., King, K., Fletcher, J., Blashki, G., & Burgess, P. (2014). Evaluation of an Australian primary care telephone cognitive behavioural therapy pilot. Australian Journal of Primary Health, 20(1), 62.

This paper discusses a telephone-based cognitive behavioural therapy pilot project which was trialed from July 2008 to June 2010, using an Australian Government-funded primary mental health care program. Uptake, sociodemographic and clinical profile of consumers, precise nature of services delivered, and consumer outcome were all assessed using a web-based minimum datasets. Project officers and mental health professionals were interviewed to obtain details about the implementation of the pilot. In total, 548 general practitioners referred 908 consumers, who received 6607 sessions (33% via telephone) by 180 mental health professionals. Clients were mostly females with an average age of 37 years and had a diagnosis of depressive and/or anxiety disorders. Both telephone and face-to-face sessions of 60 minutes in length were run, delivering behavioural and cognitive therapy, often at no cost to clients. Several issues were identified by project officers and mental health professionals, during implementation. Face-to-face treatment is usually preferred by providers and clients, but having the option of telephone counselling is valued, especially for clients who would not otherwise access psychological services. Evidence from the positive client outcomes supports the practice of offering a choice of face-to-face or telephone counseling or a combination of the two. A limitation of this study was the absence of a non-treatment control group.

Best, D., Hall, K., Guthrie, A., Abbatangelo, M., Hunter, B., & Lubman, D. (2015). Development and implementation of a structured intervention for alcohol use disorders for telephone helpline services. Alcoholism Treatment Quarterly, 33(1), 118.

This article details a pilot study of a six-session intervention for harmful alcohol use via a 24-hour alcohol and other drug (AOD) helpline. It aimed to evaluate the viability of telephone-delivered intervention for AOD treatment. The intervention included practice features from motivational interviewing, cognitive behavioural therapy, and node-link mapping. It was evaluated using a case file audit (n=30) and a structured telephone interview a month after the final session (n=22). Psychological distress in the participants was significantly reduced and average scores on the Alcohol Use Disorders Identification Test (AUDIT) dropped by more than 50%. The results indicate that telephone intervention offers effective and efficient treatment for individuals with alcohol use disorders who are unable or unwilling to access face-to-face treatment.

Constant, H. M. R. M., Figueiró, L. R., Tatay, C. M., Signor, L., & Fernandes, S. (2016). Alcohol User Profile after a Brief Motivational Intervention in Telephone Follow-up: Evidence Based on Coping Strategies. Journal of Alcoholism and Drug Dependence, 4 (254), 2.

The benefits of intervention in alcohol abuse varies among individuals in particular with relapse. This research studied alcohol cessation in 120 people over a 6 month period and evaluated the effect of brief motivational interviewing. The study surveyed 120 participants over the phone using the Coping Behaviours Inventory as a measure. The study included a control group of 50 participants who did not receive any intervention. Almost all those who received telephone counselling had quit drinking alcohol at the 6 month period, whereas most of those in the control group did not stop drinking alcohol. The study suggests this may be due to motivation to change and social support. A longer term study was recommended.

Gates, P. (2015). The effectiveness of helplines for the treatment of alcohol and illicit substance use. Journal of Telemedicine and Telecare, 21(1), 18.

While tobacco helplines or quitlines are thought to be effective, there is limited evidence on the effectiveness of helplines which treat other substance use. This study reviewed literature on illicit drug or alcohol (IDA) helplines to address this gap. Five databases were searched for literature published in English, which involved the use of a telephone counselling helpline for the treatment of illicit drug or alcohol use. The author excluded review papers, opinion pieces, letters or editorials, case studies, published abstracts and posters. The initial search identified 2178 articles which were reduced to 36 articles after removing duplicates and those meeting the exclusion criteria. Descriptive information was provided in 29 articles about 19 different IDA helplines internationally. Call rates in these services varied from 3.7 to over 23,000 calls per month. Evaluative information was found in nine articles covering eight different IDA helplines, four articles described an evaluation of treatment outcomes against a control group and five articles contained details on treatment satisfaction or service utilisation. The study indicates that there is evidence that these services are effective. The studies in the review had poor consistency in their measures with few using randomized control groups. Limitations included that the articles were not evaluated by two independent researchers and the authors of the articles were not contacted for further information.

Haregu, T. N., Chimeddamba, O., & Islam, M. R. (2015). Effectiveness of Telephone-Based Therapy in the Management of Depression: A Systematic Review and Meta-Analysis. SM Journal of Depression Research and Treatment, 1(2), 1006.

This review was conducted as a gap was identified in systematic reviews identifying the effectiveness of telephone-based therapy for the treatment of depression. A total of nine papers were identified as meeting the selection criteria and were reviewed by the authors. It concluded that telephone counselling delivered by experienced and trained therapists is effective in treating depression and it suggested it is more effective than face-to-face but further studies are recommended.

Heinemans, N., Toftgård, M., Damström-Thakker, K., & Galanti, M. R. (2014). An evaluation of long-term changes in alcohol use and alcohol problems among clients of the Swedish National Alcohol Helpline. Substance Abuse Treatment, Prevention, and Policy, 9(1), 22.

This study evaluated alcohol reduction and AUDIT scores in participants utilising a standalone telephone counselling service in the form of an alcohol hotline, employing trained counsellors. The data was collected by telephone survey from 191 participants at the first call and 12 months later. Change in AUDIT score was used as the primary outcome and the number of counselling sessions defined the exposure intensity. Most participants reduced their alcohol intake and AUDIT score in the year of the study and 50% reported better mental health. These figures were supported by other studies. They also cited a study which indicated that telephone counselling sessions with one face-to-face consultation had significantly better outcomes than face-to-face consultations alone.

Le Gresley, H., Darling, C., & Reddy, P. (2013). New South Wales rural and remote communities’ perception of mental health telephone support services. In 12th National Rural Health Conference, http://nrha. org. au/12nrhc/wpcontent/uploads/2013/06/Le-Gresley-Helen_ppr. pdf.

This study examined perceived barriers to telephone counseling in rural communities. The data was collected using surveys and there were 213 participants. Most of the participants felt it was a cost-cutting option which was not as effective as face-to-face counselling. Cost of accessing the services using a mobile phone was also quoted as being a barrier, as was being placed on hold or not getting through and having to repeat their story to different therapists. Poor marketing of the different services led to confusion on which was the best service to access.

Tse, S., Campbell, L., Rossen, F., Wang, C. W., Jull, A., Yan, E., & Jackson, A. (2013). Face-to-face and telephone counseling for problem gambling: A pragmatic multisite randomized study. Research on Social Work Practice, 23(1), 57.

This was a randomised study which aimed to compare the effectiveness of telephone and face-to-face counselling in treating problematic gambling. Psychological interventions were provided to 92 participants either by telephone or face-to-face over a 3 month period. Data was collected using surveys and questionnaires and significant changes were found over time in hours and money spent gambling and gambling beliefs. The study indicated that both face-to face and telephone counselling were equally effective in reducing problematic gambling. Limitations included the lack of a control group and the high rate of attrition of the participants, with only 27 completing the program.

Van Horn, D. H. A., Drapkin, M., Lynch, K. G., Rennert, L., Goodman, J. D., Thomas, T., … McKay, J. R. (2015). Treatment choices and subsequent attendance by substance-dependent patients who disengage from intensive outpatient treatment. Addiction Research and Theory, 23(5), 391.

This study examined continual engagement rates in alternative treatment options in patients who had previously disengaged from intensive outpatient programs (IOP). Alternatives included return to IOP, individual psychotherapy, telephone counselling, medication management and no treatment. Of the 96 people contacted 6 chose telephone counselling and there were no differences seen in engagement with any of the treatment options. The limitations included the very small sample size and that participants were contacted by a researcher with whom they had had no previous engagement and asked to select a treatment option.


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Annotated bibliography: Comorbidity

Bonevski, B., Regan, T., Paul, C., Baker, A. L., & Bisquera, A. (2014). Associations between alcohol, smoking, socioeconomic status and comorbidities: evidence from the 45 and Up Study. Drug and Alcohol Review, 33(2), 169-176.

This study aimed to examine if there were any links between mental illness and low socioeconomic status (SES) and concurrent tobacco and alcohol consumption. Data was obtained from the 45 and Up Study of 267153 adults aged over 45 in New South Wales, who completed a survey assessing alcohol, smoking, psychological distress, treatment for anxiety or depression and a range of SES factors. The research found strong links between low SES, treatment for anxiety or depression, psychological distress and concurrent tobacco smoking and alcohol misuse. It recommended a move away from the silo approach of addressing tobacco, alcohol and mental health, as it has proved ineffective in reducing the high smoking rates among people experiencing mental illness or seeking help for alcohol and other drug problems. It suggested a comprehensive and holistic approach was needed in treating these people. It also recommended more research to explore the potential for the community service sectors to provide treatment for people with multiple health and social concerns.

Brière, F. N., Rohde, P., Seeley, J. R., Klein, D., & Lewinsohn, P. M. (2014). Comorbidity between major depression and alcohol use disorder from adolescence to adulthood. Comprehensive Psychiatry, 55(3), 526-533.

The aim of this study was to examine the development of comorbidity between alcohol use disorder (AUD) and major depressive disorder (MDD). It focussed on the relationship between the disorders at different time periods in adolescence and young adulthood. Participants were interviewed at ages 16, 17, 24 and 30. There were 861 participants who were predominantly white and equally split between male and female. Comorbidity was found to be low in adolescence but increased in adulthood, with most individuals with one disorder having the other. The exception was women with MDD. Adolescents with AUD were at increased risk of developing MDD and young adults with MDD were more likely to develop AUD. People diagnosed with comorbidity of MDD and AUD had an increased risk of alcohol dependence, suicide attempts and life dissatisfaction than those diagnosed with either MDD or AUD. Lifetime rates of comorbid MDD and AUD were higher than in previous studies and the report recommended screening for the other disorder at regular intervals when an individual presented with either MDD or AUD.

Carter, M., Fisher, C., & Isaac, M. (2013). Recovery from comorbidity: depression or anxiety with alcohol misuse—a systematic and integrative supradisciplinary review and critical appraisal. SAGE Open, 3(4), 2158244013512133.

Comorbidity of mood and anxiety disorders with alcohol misuse is not unusual. The study conducted a systematic literature review across different disciplines and research methodologies. Inconsistencies were found in definitions and measurements in the literature reviewed. Little evidence was found to support treatment plans. Competing paradigms in mental illness and addiction pose a barrier to progress and consumers frequently fall between the gaps. Clinicians feel undertrained and may be judgmental or unrecognise comorbidity, particularly in high risk populations. It suggested a consideration of different combinations of comorbidity and other factors such as social support, housing and employment which are crucial to recovery. It also recommended a need to build on the limited evidence and generalisation that was available.

Debell, F., Fear, N. T., Head, M., Batt-Rawden, S., Greenberg, N., Wessely, S., & Goodwin, L. (2014). A systematic review of the comorbidity between PTSD and alcohol misuse. Social Psychiatry and Psychiatric Epidemiology, 49(9), 1401-1425.

This systematic review was performed to ascertain the prevalence of comorbidity of post-traumatic stress disorder (PTSD) and alcohol misuse and any associations between the conditions. The literature reviewed was limited to that published between 2007 and July 2012.   A total of 42 papers were included in the review, after reviewing 620 abstracts. The incidence of PTSD comorbid to alcohol misuse ranged from 2 to 63% and alcohol abuse comorbid to PTSD 9.8 to 61.3%, with most of the prevalence rates being greater than 10%. These results indicated a strong association between the disorders. Significant evidence was found for association between alcohol misuse and numbing symptoms and hyperarousal. The evidence from the review supports the need for screening comorbidity in individuals who are known to have PTSD or alcohol misuse.

Gorka, S. M., MacNamara, A., Aase, D. M., Proescher, E., Greenstein, J. E., Walters, R., … & Digangi, J. A. (2016). Impact of alcohol use disorder comorbidity on defensive reactivity to errors in veterans with posttraumatic stress disorder. Psychology of Addictive Behaviors, 30(7), 733.

Evidence suggests that people who suffer from both PTSD and alcohol use disorder (AUD) have a heightened defence reactivity. This then maintains both their drinking behaviours and their anxiety or hyperarousal symptoms. Few studies however, have established whether people with PTSD and AUD have greater defence reactivity than those with PTSD without AUD. The aim of this study was to test this hypothesis. Error–related negativity (ERN) was measured, which is increased in anxious individuals and is thought to reflect defence reactivity to errors. Participants consisted of 66 male military veterans who were split into three groups:

  1. Controls with no PTSD or AUD
  2. Those with PTSD and no AUD
  3. Those with both PTSD and AUD

Those from the third group exhibited heightened ERN, whereas those in the first and second groups did not. This suggests that PTSD with AUD is a unique subtype of PTSD, with the comorbidity of AUD enhancing the defence reactivity in people with PTSD. The limitations in the study include the group size and demographics.

Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological Bulletin, 141(1), 176.

The research on comorbidity between emotional disorders and cigarette smoking has centred on the symptoms of anxiety and depression rather than clinical and theoretical advancement. The researchers who performed this study hypothesized that emotional vulnerabilities or behavioural traits, which reflect maladaptive emotional responses link various depressive and anxiety disorders to smoking. They did a literature review on three emotional vulnerabilities implicated in smoking:

  1. Anhedonia (Anh.)
  2. Anxiety sensitivity (AS): fear of anxiety related sensations
  3. Distress tolerance (DT): ability to withstand distressing situations

They concluded that the three collectively form a foundation for multiple emotional disorders; amplify the anticipated and actual affect enhancing properties of smoking; promote progression towards the smoking pathway and therefore are promising targets for smoking intervention. They used the information collected to propose a model linking emotional psychopathology to smoking:

  • Anh. amplifies smoking’s actual and expected pleasurable effects
  • AS increases smoking’s anxiety reducing effects
  • Low DT increases smoking’s distress reducing effects.

Together these factors reinforce smoking for individuals suffering from emotional disorders, which increases their risk of smoking initiation, progression, maintenance, not stopping, avoidance and relapse. They conclude that the results can be used for clinical and scientific implications that can be expanded to other comorbidities.

Riga, D., Schmitz, L. J., Van Der Harst, J. E., Van Mourik, Y., Hoogendijk, W. J., Smit, A. B., … & Spijker, S. (2014). A sustained depressive state promotes a guanfacine reversible susceptibility to alcohol seeking in rats. Neuropsychopharmacology, 39(5), 1115-1124.

The reported rates of comorbidity between AUD and MDD are high, but preclinical models studying how primary depression affects secondary AUD are lacking. This results in inadequate testing of drug treatment. The authors combined social defeat-induced persistent stress (SDPS) with operant self-administration (SA) concepts to assess causality between the disorders. They used guanfacine, a drug used to reduce cravings in humans against SDPS-induced change of operant alcohol SA. They socially defeated and isolated rats for at least 9 weeks, during which time they assessed depressive symptomology. The rats were then exposed to 5 months of operant SA concept, studying acquisition, motivation, extinction and cue-induced reinstatement of alcohol seek. Then at 6 months they measured the effects of the drug on motivation and relapse. The SDPS rats demonstrated significant changes to social and cognitive behaviour several months after defeat and increased motivation to obtain alcohol. Guanfacine reduced the effects on motivation caused by SDPS. The authors state that their model mimics the symptomology of a sustained depressive state and resultant vulnerability to alcohol abuse and that SDPS is strongly associated with alcohol intake and relapse. They argue that the study indicated that guanfacine has potential as a new treatment for patients with MDD and AUD comorbidity, as it is effective in reducing the sensitivity to alcohol and alcohol-induced stimuli. The limitation to this study is that it was performed on rats so may not translate to humans.

Scott, C. K., Dennis, M. L., & Lurigio, A. J. (2015). Comorbidity among female detainees in drug treatment: an exploration of internalizing and externalizing disorders. Psychiatric Rehabilitation Journal, 38(1), 35.

This study examined the incidence and comorbidity of major psychiatric disorders in female prisoners who were participating in drug treatment programs in a large American prison. The Needs Inventory was used, which includes a large mixture of methods to capture demographics, psychological problems, substance use and drug treatment histories and their criminal thinking tendencies. Two hundred and fifty-three women participated in the study, who were then split into three groups: those with substance use disorders (SUD) but no psychiatric disorders (24%); those with one psychiatric disorder (34%) and those with both internalising and externalising comorbidities (42%). Over 75% of the participants had comorbid psychiatric disorders and SUD, which are linked to lower self-esteem, increased drug use severity and levels of criminal thinking. The authors concluded that female prisoners in drug treatment programs need interventions focussing on both criminal and psychiatric recidivism, both whilst in prison and in the post-release phase. Limitations in the study are that it is a female only study and results may differ in a male population, and it was limited to those in drug treatment.

Emmerik‐van Oortmerssen, K., Glind, G., Koeter, M. W., Allsop, S., Auriacombe, M., Barta, C., … & Casas, M. (2014). Psychiatric comorbidity in treatment‐seeking substance use disorder patients with and without attention deficit hyperactivity disorder: results of the IASP study. Addiction, 109(2), 262-272.

Previous studies have indicated the attention deficit hyperactive disorder (ADHD) is highly comorbid with SUD, and that both ADHD and SUD are associated with other comorbid conditions including mental health disorders. The studies show that the disorders both independently and together increase the risk of comorbidity with psychiatric disorders. The objective of the study was to examine comorbidity patterns in adults seeking treatment for SUD, with or without ADHD. Different subtypes of ADHD and comorbidity patterns were examined, along with differences in gender and primary substance of abuse. They focussed on MDD, current (hypo)manic episode (HME), antisocial personality disorder (ASPD) and borderline personality disorder (BPD). They screened 3558 people from 47 centres in 10 countries, with a final group of 1205 participants. They found that MDD, BPD, ASPD and HME were all more prevalent in participants with ADHD than those without. Both BPD and MDD had increased comorbidity when alcohol was the primary substance of abuse as opposed to drugs. Comorbidity differed between ADHD subtypes with increased MDD in the inattentive and combined subtypes, increased HME and APSD in the hyperactive/impulsive and combined subtypes and increased BPD in all subtypes. The incidence of at least one comorbid disorder was 75% in those with ADHD, compared to 37% in those without. They concluded that treatment-seeking SUD patients with ADHD are at a very high risk of developing psychiatric disorders. The limitations of the study include the data collected was all self-reported and standardised measurement tools were not used between the different centres.

All the articles except the first one are Open Access and can be read by clicking on their titles. The top one is available from our library database to all staff and volunteers at Healthy Options Australia.

 


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January Professional Development

You can add to the professional development post by commenting below or emailing the library.

Online resources

Webpage

Australian Indigenous HealthInfoNet contains useful resources about Indigenous health

Useful resources

Drug and Alcohol Research Connections. December 2017

NIDA Notes. The latest in NIDA drug abuse research

 Read – professional reading

Available from the library database

  • Gomes de Matos, E., Kraus, L., Hannemann, T., Soellner, R., & Piontek, D. (2017). Cross‐cultural variation in the association between family’s socioeconomic status and adolescent alcohol use. Drug and Alcohol Review, 36(6), 797-804.
  • Hallgren, K. A., Dembe, A., Pace, B. T., Imel, Z. E., Lee, C. M., & Atkins, D. C. (2018). Variability in motivational interviewing adherence across sessions, providers, sites, and research contexts. Journal of Substance Abuse Treatment, 84(1), 30-41.
  • Harris, N., Miles, D., Howard, E., Zuchowski, I., King, J., Dhephasadin Na Ayudhaya, P., & … Puthantharayil, G. (2017). International Student Exchange in Australian Social Work Education. Australian Social Work, 70(4), 429-440.
  • Laux, J. M., DuFresne, R., Dari, T., & Juhnke, G. A. (2017). Substance Use Assessment Instruments: 13 Years Later. Journal of Addictions & Offender Counseling, 38(2), 115-124.
  • Li, W. W., & Miller, D. J. (2017). The impact of coping and resilience on anxiety among older Australians. Australian Journal of Psychology, 69(4), 263-272.

Open Access Articles

Open Access Journal

NADA Advocate is published four times a year, raises significant issues relating to the NSW non-government alcohol and other drug sector, and develops knowledge about, and connections within the sector.

 e-Book of the month

Free to download for all HOA staff from the library catalogue on work computers

Reiter, M. D. (2015). Substance Abuse and the Family. New York, NY: Routledge.

Substance Abuse and the Family demonstrates what it means to view addiction through a systems lens by considering biology and genetics, family relationships, and larger systems. Throughout the text, Michael D. Reiter shows how to examine a person’s predilection to become addicted, his or her social environment around substance use, the functionality of his or her family, and various treatment options. Chapters are organized around two sections: Assessment and Treatment. The first section pays attention to how the family system organizes around substance use and abuse. Here family roles, culture, and other issues such as family violence and resilience are covered. Two chapters are also included on the neuroscience and genetics of addiction, with contributions from Jaime L. Tartar and Christina Gobin. There are also chapters on working with partial systems, using genograms, and working in a culturally-sensitive way (with contributions from Dalis Arismendi), with culture-specific consideration paid to African American, Hispanic and Latin American, Asian American, and Native American families. The second half of the book explores what a systems orientation means in practice and goes over self-help groups for individuals and families. An overview of the major family therapy theories is included, which examines intergenerational, experiential, communication approaches, strategic, systemic, and post-modern models. A separate chapter examines issues faced by both youth and adult children of alcoholics. Intended for undergraduate and graduate students, as well as beginning practitioners, this text is one of the most penetrating and in-depth examinations on the topic available.

(copied from EBSCO site)

Attend – informal learning sessions, journal club, seminar series

National comorbidity guidelines free online training and website

The training program consists of 10 training modules that can be completed in any order. Registrants can choose which modules to engage in based on interest and experience. Those wishing to receive a certificate of completion must complete all modules (in any order) and successfully complete all quizzes.

At the end of each module, registrants will be presented with a quiz. All questions must be answered correctly before the module is completed, but there is no limit to how many times the quiz can be taken. Incorrect answers will refer participants to relevant sections of the Guidelines website.

At the completion of all modules, training participants will receive a certificate of completion.

(copied from National Comorbidity website)

Journal club TBA

Attend – conferences 

The 2018 Australian and New Zealand Addiction Conference will be held on Monday 28 and Tuesday 29 May with optional workshops on Wednesday 30 May at QT Gold Coast.

The 4th annual conference will cover a broad range of topics including prevention, treatment, systematic responses, behaviours, mental health and harm reduction in relation to all types of addiction.  Emerging trends and the various addictive habits of alcohol and other drugs, gambling and the internet are also covered.

Early bird registration from $599-899.

Write – presentations and papers

NADA invites abstract submissions for oral papers, workshops, panel presentations and poster presentations for the 2018 NADA Conference: Exploring therapeutic interventions.

This is an opportunity for you to showcase your innovative practice and research addressing the diverse and complex needs of people accessing AOD services.

Download the Call for Abstracts – information flyer for further details.

Abstracts must be submitted by Wednesday 28 February 2018 at 5pm EST to conference@nada.org.au

The NADA Conference will be held on 7-8 June 2018 at Sheraton on the Park, Sydney.

(copied from NADA website)

Listen – podcasts, webinars

Insight presentation recordings available now on YouTube

The Struggle of Mental Health TED Playlist

People who have struggled with mental illness tell their stories in this series of 10 talks.

Assessed learning – short courses, certificates, diplomas, bachelors, post-grad

Tools for Hard Conversations

Date: 11 January 2018 Facilitator: Kath Reid Workshop Duration: 1 day Workshop Time: 09:30 — 16:30 Early Bird Rate: $220.00 for registration received by 25/12/2017 Fees: $240.00 including morning tea and lunch, statement of attendance and all associated material and handouts. Workshop Venue: Lighthouse Resources Upstairs Training Room, Kyabra Street RUNCORN, QLD. 4113

(copied from Lighthouse website)

Registration/more information


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December PD

You can add to the professional development post by commenting below or emailing the library.

Online resources

Webpage

The Healing Foundation is an Aboriginal and Torres Strait Islander organization that partners with communities to address the ongoing trauma caused by actions such as the forced removal of children.

Read – professional reading

Available from the library database

  • Davis, A. K., Rosenberg, H., & Rosansky, J. A. (2017). American counselors’ acceptance of non-abstinence outcome goals for clients diagnosed with co-occurring substance use and other psychiatric disorders. Journal Of Substance Abuse Treatment, 82(1), 29-33.
  • Fitzpatrick, J. P., Oscar, J., Carter, M., Elliott, E. J., Latimer, J., Wright, E., & Boulton, J. (2017). The MaruluStrategy 2008–2012: overcoming Fetal Alcohol Spectrum Disorder (FASD) in the Fitzroy Valley. Australian And New Zealand Journal Of Public Health, 41(5), 467-473.
  • Gass, J. C., Morris, D. H., Winters, J., VanderVeen, J. W., & Chermack, S. (2018). Characteristics and clinical treatment of tobacco smokers enrolled in a VA substance use disorders clinic. Journal Of Substance Abuse Treatment, 84(1), 1-8.
  • Godden, N. J. (2017). The Love Ethic: A Radical Theory for Social Work Practice. Australian Social Work, 70(4), 405-416.
  • Meredith, S. E., Rash, C. J., & Petry, N. M. (2017). Alcohol use disorders are associated with increased HIV risk behaviors in cocaine-dependent methadone patients. Journal Of Substance Abuse Treatment, 83(1), 10-14.

Open Access Articles

Open access online journal

Harm Reduction Journal is a peer-reviewed international journal of original research and scholarship on drug use and its consequences for individuals, communities, and larger populations.

Open access textbooks

Open textbook library

Useful resources

Cracks in the ice resources for health professionals

Dovetail Drug Slang and Acronym List

Drug and alcohol findings is  a UK-based resource which bridges the gap between research and practice

SMART Recovery Australia Worksheets

Reports

Australian Institute of Health and Welfare. (2017). Australia’s Welfare 2017

Whetton, S., Shanahan, M., Cartwright, K., Duraisingam, V., Ferrante, A., Gray, D., Kaye, S., Kostadinov, V., McKetin, R., Pidd, K., Roche, A., Tait, R.J. and Allsop, S. (2017). The Social Costs of Methamphetamine in Australia 2013/14. National Drug Research Institute, Curtin University, Perth, Western Australia. Summary

e-Book of the month

Petry, N. M. (2012). Contingency Management for Substance Abuse Treatment : A Guide to Implementing This Evidence-Based Practice. New York: Routledge.

Isn’t it unethical to pay people to do what they should be doing anyway? Won’t patients just sell the reinforcers and buy drugs?Others didn’t get prizes for not using. Why should they? The concerns surrounding Contingency Management (CM) are many and reflect how poorly understood and rarely utilized this evidence-based treatment model is in practice settings. Despite being identified as the most efficacious intervention for substance use disorders, a significant gap persists between research and practice, at the client’s expense. Nancy Petry, an experienced researcher and consultant for organizations such as the National Institute of Health, has begun to fill this gap by authoring the first clinician-oriented text that focuses on CM protocol development and implementation. In this well-organized and clear book she provides a foundation for understanding CM and details how to design and implement a program that can work for any clinician, whether he or she works for a well-funded program or not. She also addresses realistic concerns such as: How to describe CM to eligible and ineligible patients How to calculate the costs of CM interventions How to solicit donations and raise funds to support CM interventions How to stock a prize cabinet and keep track of prizes Over 50 charts, worksheets, and tables are provided to help the clinician pinpoint exactly which behaviors to target, brainstorm how to reinforce change, and develop a treatment plan that incorporates cost, length of treatment, and method for determining patient compliance. More than just filling a void, Dr. Petry provides all of the tools clinicians require to successfully apply a novel treatment in practice. (Description from EBSCO database)

Free to download for all HOA staff from the library catalogue on work computers

Attend – informal learning sessions, journal club, seminar series

Insight Queensland

Free training session:

Introduction to motivational interviewing for AOD use

1 December, 09:00-16:30 at Cairns

Prerequisite: Online Induction Material – Module 5

This workshop develops core skills in working with clients who are ambivalent about making change to their substance use. This interactive skills-based course covers:

• motivational interviewing principles and processes

• using the OARS micro-counselling skills

• brief motivational assessment

• motivational interviewing strategies

• practical skills development

For more details contact jennifer.Brazier@health.qld.gov.au

Online induction modules are a prerequisite to some of the courses. To access and download them visit www.insightqld.org

Listen – podcasts, webinars

All in the mind is a series of podcasts about mental health from the ABC

Cracks in the ice on demand webinars about methamphetamine

Disasters, trauma and mental health is a podcast about how disasters and trauma impact on an individual’s mental health presented by the Centre for Rural and Remote Mental Health