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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

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


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Annotated bibliography: LGBTIQ+

The acronym LGBTIQ+ (lesbian, gay, bisexual, transgender, intersex, queer and other sexual minorities) is used in the title, but where other acronyms were used by the writers, these have been adopted in the bibliography.

Baskerville, N. B., Dash, D., Shuh, A., Wong, K., Abramowicz, A., Yessis, J., & Kennedy, R. D. (2017). Tobacco use cessation interventions for lesbian, gay, bisexual, transgender and queer youth and young adults: A scoping review. Preventive Medicine Reports.

Canadian statistics have indicated that LGBTQ+ youth and young adults have a significantly higher smoking rate than their non-LGBTQ+ counterparts. It has been suggested that this may be due to minority stress and discrimination. This has led to a need for culturally appropriate prevention and cessation programs tailored to the needs of this population. A scoping review aiming to map the literature on the programs available for LGBTQ+ young adults and youth was performed. It identified a large research gap in smoking prevention and cessation programs for this group, with little aimed specifically at the young LGBTQ+ age group. A need for community focused, effective and engaging community programs for this group was recognised.

Bond, K. S., Jorm, A. F., Kelly, C. M., Kitchener, B. A., Morris, S. L., & Mason, R. J. (2017). Considerations when providing mental health first aid to an LGBTIQ person: a Delphi study. Advances in Mental Health, 1-15.

The aim of this study was to develop guidelines for delivering appropriate and sensitive mental health first aid to LGBTIQ people, which can be used in conjunction with existing guidelines. The Delphi method was utilized, where a consensus is gained by a team, in this case a group of mental health professionals who either identified as LGBTIQ or had experience in working with this group. Numerous sources have identified a higher prevalence of mental health disorders, substance use disorders, suicidality and self-harm in LGBTIQ populations so the development of appropriate guidelines was deemed as important. A systematic review of journal articles, websites and books was performed to develop a questionnaire of the knowledge, skills and actions needed for assisting an LGBTIQ person experiencing a mental health problem. The experts rated these over three rounds as to whether they should appear in the guidelines. The results highlighted the complexity of supporting an LGBTIQ person experiencing mental health problems, along with the diversity of the population and their differing needs. The limitation was that the study focused on a Western, English speaking population. It recommended expanding it to examine the needs of Indigenous Australian and culturally and linguistically diverse LGBTIQ groups.

Colpitts, E., & Gahagan, J. (2016). The utility of resilience as a conceptual framework for understanding and measuring LGBTQ health. International Journal for Equity in Health, 15(1), 60.

LGBTQ health research has traditionally focused on the deficit model and not on the ways that individuals in this group can improve their health. It is argued by the authors of this paper that a culturally competent health policy requires an evidence base that is focused on strengths rather than weaknesses. A scoping review was performed on strength-based approaches to LGBTQ health which indicated the concept of resilience as a key component. This resilience may have been built up due to discrimination and adversity. It identified a need for further research into LGBTQ- specific models of health policy and measures of resilience. They concluded that the resilience of LGBTQ population is embedded in advancing their health, although more research needs to be done before it is useful as a measurement of LGBTQ health.

Kelly, J., Davis, C., & Schlesinger, C. (2015). Substance use by same sex attracted young people: prevalence, perceptions and homophobia. Drug and Alcohol Review, 34(4), 358-365.

Research has indicated that LGBT people use alcohol and drugs (AOD) more than their heterosexual counterparts, but usage by LGBT youth is less understood. The aim of the study was to investigate the prevalence and perception of AOD use in LGBT youth in comparison with heterosexual youth. The impacts of homophobia and minority stress were also examined. It found that AOD use is higher in LGBT youth than heterosexual youth, with significantly higher rates in LGBT people under 18 years old. Those who believed homophobia impacted on AOD use were much more likely to use AOD themselves. It recommended that AOD agencies better support LGBT youth by screening for sexuality and gender identity and exploring issues specific to this group to improve the services that are offered.

Kidd, S. A., Howison, M., Pilling, M., Ross, L. E., & McKenzie, K. (2016). Severe mental illness in LGBT populations: A scoping review. Psychiatric Services, 67(7), 779-783.

The impact of stigma on the mental health of sexual and gender minority groups has widespread recognition. This is coupled with a movement towards increasing diversity in mental health services, but relatively little has been developed for severe mental illness. The authors define severe mental illness as that which is associated with psychosis and requires extensive periods of inpatient or outpatient treatment. A literature review was conducted which aimed to answer the question “What factors and strategies need to be considered when developing services for individuals from sexual or gender minority groups who are experiencing severe mental illness?” The 27 articles reviewed were in the main North American. A general dissatisfaction in mental health services was identified amongst the LGBT population and little evidence regarding culturally specific interventions. An increased risk of severe mental illness has been suggested which has been associated with discrimination. The report highlighted a need for research into specific interventions for LGBT people with severe mental illness, along with studies to inform efforts to reduce morbidity associated with discrimination.

Lea, T., Kolstee, J., Lambert, S., Ness, R., Hannan, S., & Holt, M. (2017). Methamphetamine treatment outcomes among gay men attending a LGBTI-specific treatment service in Sydney, Australia. PloS One, 12(2), e0172560

Gay and bisexual men (GBM) report higher rates of methamphetamine use compared to heterosexual men, and thus have a heightened risk of developing problems from their use. We examined treatment outcomes among GBM clients receiving outpatient counseling at a LGBTI-specific, harm reduction treatment service in Sydney, Australia. GBM receiving treatment for methamphetamine use from ACON’s Substance Support Service between 2012–15 (n = 101) were interviewed at treatment commencement, and after 4 sessions (n = 60; follow-up 1) and 8 sessions (n = 32; follow-up 2). At each interview, clients completed measures of methamphetamine use and dependence, other substance use, injecting risk practices, psychological distress and quality of life. The median age of participants was 41 years and 56.4% identified as HIV-positive. Participants attended a median of 5 sessions and attended treatment for a median of 112 days. There was a significant reduction in the median days of methamphetamine use in the previous 4 weeks between baseline (4 days), follow-up 1 (2 days) and follow-up 2 (2 days; p = .001). There was a significant reduction in the proportion of participants reporting methamphetamine dependence between baseline (92.1%), follow-up 1 (78.3%) and follow-up 2 (71.9%, p < .001). There were also significant reductions in psychological distress (p < .001), and significant improvements in quality of life (p < .001). Clients showed reductions in methamphetamine use and improved psychosocial functioning over time, demonstrating the potential effectiveness of a LGBTI-specific treatment service (copy of abstract used).

Skerrett, D. M., Kõlves, K., & De Leo, D. (2015). Are LGBT populations at a higher risk for suicidal behaviors in Australia? Research findings and implications. Journal of Homosexuality, 62(7), 883-901.

This is a review of Australian peer-reviewed literature published between 2008 and 2012 about suicidality in LGBT populations. It was performed to collect evidence on their reportedly higher incidence of suicidality and to identify predictive factors such as coming out, homophobia and non-acceptance by family and friends. The authors studied twelve articles, none of which was population-based. The evidence confirmed that LGBT people are at higher risk of suicidal behaviours Gaps in the literature included a lack of research on suicide deaths and a reliance on cross-sectional studies and convenience sampling usually with self-selected participants. Risk factors for suicidal behaviour in common with the non-LGBT population included mental illness and substance abuse, along with the unique factors discussed earlier. It was confirmed that gay men are a higher risk of suicidality than heterosexual men are, but at lower risk than bisexual men. The authors recommend that further research be undertaken to provide the evidence for future targeted intervention programs.

Stanley, N., Ellis, J., Farrelly, N., Hollinghurst, S., Bailey, S., & Downe, S. (2017). “What matters to someone who matters to me”: using media campaigns with young people to prevent interpersonal violence and abuse. Health Expectations, 20(4), 648-654.

This article examine ways that media campaigns could be used to prevent interpersonal violence and abuse (IPVA). Whilst not specifically about LGBT young adults it was identified that as although there is evidence of IPVA in LGBT communities on a par with heterosexual young adults, there is a lack of materials aimed at this group. This can be complicated by the threat of unwanted ‘outing’, particularly in young adults who may still be coming to terms with their sexuality. This lower disclosure rate results in a reluctance to access support and consequently support services are scarcer. Research and consultation with the target audience is important in producing effective campaigns.

Su, D., Irwin, J. A., Fisher, C., Ramos, A., Kelley, M., Mendoza, D. A. R., & Coleman, J. D. (2016). Mental health disparities within the LGBT population: A comparison between transgender and nontransgender individuals. Transgender Health, 1(1), 12-20.

A 2011 survey in the USA indicated that 41% of the transgender population had considered suicide compared to 1.6%of the general population. This could be associated with discrimination, which is a risk factor for depression. Transgender people commonly experience discrimination, including in healthcare settings. In addition, they often experience feelings of shame, rejection, isolation and anger, all of which may lead to depression. The study compared transgender participants with non-transgender participants for discrimination, depression and attempted suicide. It identified that transgender people had a higher incidence of all three, which was reduced with self-acceptance of their identity.

Talley, A. E., Gilbert, P. A., Mitchell, J., Goldbach, J., Marshall, B. D., & Kaysen, D. (2016). Addressing gaps on risk and resilience factors for alcohol use outcomes in sexual and gender minority populations. Drug and Alcohol Review, 35(4), 484-493.

This mini literature review aimed to examine the state of alcohol-related research in LGBT populations and in doing so identify any gaps in knowledge. Research was classified according to age groups and biological gender. The research contributed to a growing understanding of the differences in sub-groups within the LGBT population. Influences which account for these differences were identified but there are still large gaps in the knowledge, including the role of gender identity. The importance of how minority stress and society and relationships contribute to alcohol misuse over time were also identified. More studies are recommended to gain a clearer understanding.

 

With the exception of the articles from Drug and Alcohol Review all these articles are Open Access and can be retrieved using the links. The Drug and Alcohol Review articles are available on the library database to Healthy Options Australia staff and volunteers.


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NHRMC Comorbidity Webinars

Registration for these free webinars is recommended in advance using the “register here” link

 Australian trends in cannabis use and attitudes towards cannabis legalisation in a period of international policy change 

Presented by Dr Wendy Swift

 Monday 6th November 2017: 11.00AM AEDT Register here

Identifying mental disorders and related conditions among patients with alcohol and other drug conditions

Dr Christina Marel & A/Prof Katherine Mills
Tuesday 7th November, 2017: 7.00pm AEDT Register here

Managing and treating co-occurring mental and substance use disorders

Dr Christina Marel & A/Prof Katherine Mills
Tuesday 21st November, 2017: 7.00pm AEDT  Register here

Managing the physical health of people with co-occurring mental and substance use disorders

Dr Christina Marel & A/Prof Katherine Mills
Tuesday 5th December, 2017: 7.00pm AEDT  Register here

Effects of ice on the brain and body, and implications for responding
A/Prof Nicole Lee
Thursday 16th November, 2017: 11.00am AEDT. Register here

The link between anxiety and alcohol use: Implications for treatment and early intervention
Dr Lexine Stapinski
Tuesday, 27th February, 2018: 1.00pm AEDT. Register here

Past webinars are also available to view here