The current study explored the effects of simulated adjustment domains (i.e., partial denial and social desirability) on specialized substance abuse measures in a sample of 104 inpatient offenders with substance use disorders. Results indicated nearly two thirds (57.9%) of offenders successfully escaped detection on the SASSI-4 and InDUC-2R. Further, subtle approaches employed by the SASSI-4 failed to detect unacknowledged substance use by simulators, and the remaining decision rules were redundant and most likely contributed to the false positive rates for non SU offenders. More promisingly, the current study developed an empirically based validity scale to bolster the SASSI-4's effectiveness in detecting response styles that showed initial promise. Results, a review of detection strategies for SU validity scales, and implications for assessment are further explored.

This study examines the relationship between substance abuse and the need for parent skills training. Predicted is that adults in substance abuse treatment are likely to be in need of parent skills training. Previous research has associated the lack of parent skills with inept parenting practices that often leads to developmental problems in children.

Substance abuse is an expensive problem facing the American public and the criminal justice field. Using secondary data analysis this study examined 1,921 participants across five substance abuse programs within California and New York jail systems. Specifically this study explored the impact of location, demographic characteristics, offense committed, and previous drug treatment on successful completion of the treatment program. Descriptive analyses were used to examine the demographic characteristics of the sample and the types of drugs used by participants in the thirty days prior to jail admission. Results from bivariate analyses indicated that location, demographic characteristics, and previous drug treatment were all significantly related to successful completion. Implications for current correctional treatment programs and future research on this topic are discussed

Analyzes the motivation of clients beginning a drug and alcohol treatment program to see if their level of motivation affects their success in the program, as measured by drug screens. Thirty-six participants from the Perris Valley Recovery Program (PVRP) in Southern California took a motivation for treatment questionnaire reflecting their levels of motivation for treatment. Results of the study found significant relationships between clients' motivation to be in substance abuse treatment and clean or dirty drug screens.

The purpose of this study was a qualitative exploration of how gay men experienced the spiritual base of a substance abuse treatment program. The specific clientele are gay men who completed at least sixty days participation in an intensive LGBT outpatient treatment program and were living in a sober residence known as The Studios of Palm Springs, CA. The research question asked whether this program worked to develop spirituality for gay men.

The aim of this study is to demonstrate how the complementary concepts of stability and change could manifest during the therapeutic process, specifically with clients showing the symptom of dependency. The study is guided by a literature study on systems/cybernetic theory with a focus on the cybernetic complementarity of stability and change. A brief description is provided of the symptom of dependency from a more traditional lineal perspective as well as a non-lineal (systemic) perspective. A single case study is utilized to describe how both stability and change could manifest in the therapeutic process. From this description the relevance and usefulness of addressing both stability and change during the therapeutic process emerge and are outlined. / Social Work / M. A. (Social Science Mental Health)

Thesis (MSc)--Stellenbosch University, 2015 / Stellenbosch : Stellenbosch University / ENGLISH ABSTRACT : Substance abuse is a major problem globally with immeasurable consequences to the health of users. Rehabilitation is one of the strategies that can help to fight against substance abuse. It is divided into two forms: in-patient and out-patient rehabilitation. In this study, we consider a compartmental model of substance users in rehabilitation, where a periodic function is included to illustrate seasonal oscillations of drug users entering rehabilitation. In this thesis, we derive two basic reproduction numbers R0 and [R0], where R0 is the model with periodicity and [R0] the model without periodicity. We show that the model has a drug-free equilibrium when the basic reproduction number R0 is less than one and drug persistent equilibrium when R0 is greater than one. We fit the model to data and obtained sneak preview of the future of these forms of rehabilitation. Our results indicate that when R0 is less than one, the in- and out-patient populations decrease quickly and when R0 is greater than one drugs persists and after a long period of time, individuals in rehabilitation approaches w-periodic solution. Sensitivity analysis is performed and the results show that control measures should focus on the effective contact rate between susceptibles and drug users so as to control the epidemic. These results have significant implications on the management and planning of rehabilitation programs in South Africa. / AFRIKAANSE OPSOMMING : Dwelm misbruik is wêreldwyd ‘n ernstige problem met onmeetbare gevolge vir die gesondheid van gebruikers. Rehabilitasie is een van die strategieë wat dwelm misbruik kan help beveg. Dit word in twee vorms verdeel: binnepasiënt- en buitepasiëntrehabilitasie. In hierdie studie ondersoek ons ‘n kompartementele model van dwelmgebruikers in rehabilitasie, waar ‘n periodieke funksie ingesluit word om seisoenale skommelings aan te toon met betrekking tot dwelmgebruikers wat rehabilitasie aanpak. In hierdie tesis lei ons twee basiese reproduksienommers af, R0 en [R0], waar R0 die model met periodisiteit en [R0] die model sonder periodisiteit is. Ons toon aan dat die model ‘n dwelmvrye ekwilibrium het wanneer die basiese reproduksienommer R0 minder as een is en ‘n dwelm-voortsettingsekwilibrium het wanneer R0 meer as een is. Ons pas die model op die data toe en verkry ‘n vooruitskouende blik op die toekoms van hierdie vorms van rehabilitasie. Ons resultate dui aan dat wanneer R0 minder as een is, die binne- en buitepasiënt-bevolkings vinnig verminder en wanneer R0 meer as een is, die gebruik van dwelms voortduur en dat nà ‘n lang tydperk individue in rehabilitasie nader aan w-periodieke oplossing beweeg. Sensitiwiteitsontleding word uitgevoer en die resultate toon aan dat daar ‘n bewustheid moet bestaan dat die graad van effektiewe kontak tussen vatbare individue en dwelmgebruikers beperk moet word ten einde die epidemie onder beheer te bring. Hierdie resultate het betekenisvolle implikasies vir die bestuur en beplanning van rehabilitasieprogramme in Suid-Afrika. / rs201601

Abstract EXPLORING SUBSTANCE USE DISORDERS COMMUNITY OUTPATIENT COUNSELORS’ EXPERIENCES TREATING CLIENTS WITH CO-OCCURRING MEDICAL CONDITIONS. AN INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS Lauretta Anne Cathers, Ph.D. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2013 Major Director: Amy Armstrong, PhD, Chair, Rehabilitation Counseling The Interpretative Phenomenological Analysis study presents the findings from a qualitative study examining substance use disorders (SUD) community outpatient treatment counselors’ experiences treating clients with co-occurring medical conditions. Interviews from five SUD community outpatient treatment counselors resulted in four emerging super-ordinate themes. The findings illustrate the relationships between SUDs, medical conditions and other predisposing, enabling and need factors. In order to assist clients in focusing on therapy, counselors work to identify resources to treat the basic needs of the clients, including medical care. Challenges included limited resources, complex system processes, and client fear and apathy. In addition, various unique challenges related to medical conditions treated by potentially habit forming medications and traumatic brain injury were identified. Counselors discussed how their roles and responsibilities have expanded to include case management and additional responsibility for the overall well-being of the clients they serve. They encouraged SUD educators to include more education on counselor self-care, trauma, pain conditions and the assessment process. Implications from the study highlight the need for integrated behavioral and physical health care.

La question de l’idéalisme leibnizien, qui permet d’entrer au cœur de la métaphysique de Leibniz, intéresse encore aujourd’hui de nombreux commentateurs. Ceux-ci utilisent les termes « réalisme », « idéalisme », voire « phénoménalisme », pour caractériser la métaphysique leibnizienne et un travail doit être fait pour rassembler et comparer leurs analyses, ce que nous proposons de faire d’abord dans ce mémoire. Ce sont surtout les textes mêmes de Leibniz qui seront abordés dans le présent travail et qui permettront de proposer la lecture suivante : si la métaphysique leibnizienne est réaliste en ce sens qu’elle met en place une entité elle-même « mind-independent », c'est-à-dire la monade, elle peut être considérée comme idéaliste (idéalisme substantiel), puisque cette entité, étant sans partie et sans étendue, est en ce sens idéelle. Et si tout peut se réduire à cette monade, c’est toute la fondation de la métaphysique de Leibniz qui se retrouve à être idéelle. Or, ceci ne règle pas le statut des corps qui peuvent être considérés soit comme de simples phénomènes réductibles aux perceptions des monades (idéalisme matériel), soit comme des êtres ayant une réalité indépendante d’un esprit, lesquels se réduiraient cette fois aux monades qui les composent (réalisme matériel). Face à ces deux possibilités, nous développerons une position mitoyenne qui défend l’idée que les corps sont en effet composés de monades qui leur procurent une certaine réalité, mais qu’ils dépendront toujours de l’action d’un esprit qui lui seul pourra leur procurer une certaine unité. / Many commentators try to read Leibniz either as an idealist or a realist, adding a phenomenalist reading to theses first two analyses. However, those terms are however often used with ambiguities, making Leibniz sometimes an even more complex philosopher. The first purpose of this master’s thesis is to gather and compare all these interpretations in order to clarify Leibniz’s thought. In this study, his writings will be used to defend the following interpretation : Leibniz can be considered as a realist since he develops a theory where monads act as « mind-independent » entities. Nonetheless, these monads are non-extended and without parts. Therefore, we can present an idealistic understanding of Leibniz, for they are the “basic building-blocks” of his metaphysic. Still, clarifications need to be made concerning the body. It can either be “real”, if it is seen as an aggregate of monads. Or, it can be considered a “mind-dependent” phenomenon if seen as the result of monadic perceptions. We will develop, between these two possibilities, an intermediate position stating that bodies are indeed aggregates of monads (matter realism). However they must be considered as phenomena for this same reason (phenomenalism). Corporeal aggregates require the action of the mind which alone can give them unity. On the contrary monads are said to be unum per se. Bodies are therefore phenomena but precisely well founded in the monads that compose them.

Thesis (M.G.S.)--Miami University, Dept. of Sociology and Gerontology, 2008. / Title from first page of PDF document. Includes bibliographical references (p. 47-49).