This multiple-case study investigated the characteristics of successful high school substance abuse intervention programs. The unit of analysis for this multiple-case study is the public high school substance abuse intervention program of twelve selected Washington State high schools. Sub-units of analysis within the multiple-case study include the various components and attributes of a substance abuse intervention program. Examples of these sub-units include: formal drug education policies; staff training on substance abuse issues and intervention skills; formal curriculum and student instruction; central office administration and building administration support for the program; community support for the program, staff time to administer the overall program, a formalized identification strategy, a formalized referral process, a formal reentry (recovery) program and the availability of formal assessment services for students. The case study design developed by this researcher included two major activities: (1) A written survey of all Washington State public high school intervention programs that identified eight public high schools that were particularly successful and four that were relatively unsuccessful in their ability to identify those students who were harmfully involved with alcohol and/or other drugs and refer these students to appropriate services. (2) A comprehensive examination of the substance abuse intervention programs for twelve selected public high schools through site visitations that included staff interviews, student interviews and the collection of various documents. A cross analysis of the results from this multiple-case study indicate that successful substance abuse intervention programs share the following characteristics: (1) Formal, established identification programs; (2) The involvement of various staff members in identifying students harmfully involved with alcohol and/or other drugs. (3) The availability of training in identification strategies for various staff members. (4) The availability of specific training in referral strategies for various staff members. (5) The availability of formal drug assessments to all students at no cost. (6) Administrative support from building principals and central office staff regarding leadership and the allocation of resources.

published_or_final_version / Social Work / Master / Master of Social Work

Overcrowding is a serious problem in prisons and jails. Most people who are in prison and jail have substance abuse problems. Long-term, intensive, therapeutic community, substance abuse treatment in prison has proven effective in reducing arrests, amounts of incarceration and time until first arrest. Jails, with their shorter times of incarceration, make long-term treatment impossible and therapeutic communities or milieu therapy difficult. There are few substance abuse treatment programs in jails and even fewer outcome evaluations to determine effectiveness so it is not known if jail treatment is effective. Graduates of the Inmate Recovery Program (a short term, day treatment style, jail-based substance abuse treatment program) were compared four years before and up to five years after treatment with a nontreated control group and a treatment drop-out group. The IRP group had fewer arrests, less time incarcerated, a bigger drop in rates of incarceration and a longer time lapse until first arrest than the drop-outs. The IRP group had less arrests, a longer time lapse until first arrest, a bigger drop in rate of incarceration and less incarceration in two out of five years than the control group. IRP produced a conservative net avoided cost of incarceration of $786,593.89 alone. This is equivalent to an average savings of $3,480.50 per client for the average three and a half years after treatment. Experiences prior to IRP also impacted treatment results. Subjects with fewer previous prison sentences; fewer prior arrests; less time incarcerated the year of treatment; more prior alcohol and drug related arrests; a job, or another legal source of income; who were older; and had more DUII arrests before treatment were associated with fewer arrests and less time incarcerated after treatment. This information may help improve future IRP performance. Therefore the Inmate Recovery Program has a variety of favorable impacts and appears to also be a cost-effective program. / Graduation date: 1996

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Sammanfattning Syfte och frågeställningar Syftet med studien är att undersöka den fysiska aktivitetens betydelse för den psykiska och fysiska hälsan i samband med behandling hos personer i tidigare narkotikamissbruk kombinerat med samsjuklighet. - Hur påverkar fysisk aktivitet den upplevda fysiska och psykiska hälsan hos män i åldern 23-29 i tidigare narkotikamissbruk kombinerat med samsjuklighet(1)? - Hur upplever vårdarna att fysisk aktivitet påverkar klienternas generella mående efter utförd fysisk aktivitet? - Hur ser vårdarna på fysisk aktivitet som en del av behandling för tidigare narkotikamissbruk kombinerat med samsjuklighet? Metod I denna studie ingick 8 personer, fyra män i åldern 23-29 år som befann sig i behandling, och fyra anställda, varav två män och två kvinnor i åldern 27-76 år. Behandlingshemmet som studien genomfördes på erbjuder behandling för personer med olika former av missbruk och psykiska diagnoser. Den fysiska aktivitet som utförs på behandlingshemmet är gymträning och promenader. Semistrukturerade intervjuer genomfördes med både klienter och anställda om deras uppfattning kring fysisk och psykisk hälsa i samband med fysisk aktivitet i behandlingsprogrammet. Resultat Fysisk aktivitet kan positivt påverka främst den fysiska men också den psykiska hälsan hos män i åldern 23-29 år med tidigare narkotikamissbruk kombinerat med samsjuklighet. Enligt vårdarna påverkar den fysiska aktiviteten klienterna positivt till bland annat ett lugn och dämpad rastlöshet. Den fysiska aktiviteten ses även som en positiv faktor inom behandling då vårdarna anser att den kan tänkas hjälpa mot avhållsamhet, struktur i vardagen och mer samarbetsvilja. Slutsats Människor som tidigare haft narkotikamissbruk i kombination med samsjuklighet har uttryckligen beskrivit välmående, lugn och ett lättat sinne i samband med fysisk aktivitet. Dock kan studiens resultat inte alls appliceras på hela populationen i denna kategori. (1) Samsjuklighet saknar en tydlig definition, men kan innebära att klienten har komplexa vårdbehov och kan även innebära en funktionsnedsättning i kombination med missbruk, om somatiska sjukdomar finns hos klienten (Aleris 2017-05-07)

M.A. (Clinical Psychology) / The context of psychotherapy groups determine which factors are experienced as therapeutic. The nature of inpatient setting, the brief duration of the groups. and the concurrent nature of therapy were hypothesised as having a possible effect on which factors are perceived as therapeutic. For this particular study the added effect of substance dependency was taken into account. Each of these factors were discussed in a detailed review of the literature. The model of research used in the study was the attitudinal survey with the means of a questionnaire. The patients rank-ordered the relative importance of the various treatment experiences offered by Phoenix House. The primary research data was obtained by means of Yalom's (1985) therapeutic statement questionnaire. well validated in terms of reliability and validity. The statements have previously been used in a forced Q-sort method. In this study it was decided to leave it open as more factors may be rated as therapeutic than those achieved in a Q-sort. Time and expediency were also factors taken into account in using the questionnaire rating in an unforced manner. Open ended questions were used to obtain descriptive data regarding the helpfulness of group psychotherapy and their perceptions of concurrent therapy. A nonprobability sampling procedure was used. The present study addressed the following questions: 1. How do inpatients dependent upon substances perceive. in relation to other treatment methods, their group psychotherapy experiences? 2. Which aspects of the inpatient group psychotherapy experiences. as reflected in the therapeutic factors. seemto be perceived as most and least useful to people dependent upon substances? 3. How do the inpatients perceive their concurrent individual and group psychotherapy? 4. Do high and low valuers of inpatient group psychotherapy value different therapeutic factors?

Made available in DSpace on 2017-06-01T18:08:57Z (GMT). No. of bitstreams: 1 fabiola_barbosa_ramos_silva.pdf: 1453902 bytes, checksum: 0bad1ddecb5835e8b491b28700f6d213 (MD5) Previous issue date: 2014-07-05 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / In this research, drug addiction is not synonymous with the dependence on a psychoactive substance, but it is understood as an intense and exclusive relationship in which drug use is also established as a function in mental life. This work aims to analyze landslides in demand for treatment by drug addiction over voluntary admission. Its specific objectives are: to identify the specifics of the drug addict's entry into a treatment institution; investigate the demand of destinations in the accommodation of the route; place the management mode of the institutional place in clinical practice with drug addicts; and articulate the biases of the meeting - between drug addict and institution - with the discourse in vogue in post-modernity. The core of the research is to determine the natural effects of psychoanalytical listening at the institutional level, in favor of subversion of the subject. If to the addicted the drug participate as a dismissal of the subject, to be presented pasted, speaking of himself, only from his use of drugs, the way forward is to offer words. The direction of the treatment, to fetch hear the toxic function of the drug, rather than solely to mind with the use or non-use of a psychoactive substance, can enable the guy who works with his addiction to drugs find room for a significant slide, and that can be placed in work your enjoyment so. Therefore, an engaged institution in the addiction clinic needs to be doubly warned of its function: First, dodge the traffic in line with the institution's postmodern principles, which exalts excess joy and erasing the boundaries ; and second, should know that only to the price of standing in the place of the impossible that it appears as a possible place addressing. The survey was conducted in RAID Institute, an NGO, following the psychoanalytic in its clinical and institutional management and works in prevention and treatment of people of both sexes who voluntarily choose to join it because of problems related to abuse or addiction to alcohol and other drugs. Participated in this research, drug addicts in treatment, fully housed in the institution. Through interviews we tried to go the way that evokes addiction, and reflect the specificities of this Clinic. In conjunction with the cases it is possible to recognize the unique significance and representation of drug use in drug addiction, one of the ways of dealing with the discomfort to invest in toxic as real solution to the subjectivity. Such shifts promoted by the person who is named as abuse drug addict and brings his drug use and volunteer in the hospital, during the course can consent to realize the role that the toxic occupies in his psychic life, and get involved in that. The willingness in treatment is a fundamental ethical component, in that it only from the availability of each subject will be possible to build new itineraries for your own desire. / Nesta pesquisa, a toxicomania não é sinônimo de dependência de uma substância psicoativa, e sim, é compreendida como uma relação intensa e exclusiva, em que o uso de drogas se estabelece também como uma função na vida psìquica. Este trabalho se propõe analisar os deslizamentos na demanda de tratamento por parte do toxicômano, ao longo do internamento voluntário. Tem como objetivos especìficos: identificar as especificidades da entrada do toxicômano em uma instituição de tratamento; investigar os destinos da demanda no percurso do internamento; situar o modo de manejo do lugar institucional na prática clìnica com toxicômanos; e articular os vieses do encontro - entre toxicômano e instituição - com o discurso em voga na pós-modernidade. O cerne da investigação é averiguar os efeitos singulares da escuta psicanalìtica no âmbito institucional, em favor da subversão do sujeito. Se para o toxicômano a droga participa como uma destituição do sujeito, ao apresentar-se colado, falando de si, somente a partir do uso que faz da droga, a via indicada consiste em ofertar palavras. A direção do tratamento, ao buscar ouvir a função tóxica da droga, ao invés de tão somente ocupar-se com o uso ou não uso de uma substância psicoativa, pode possibilitar que o sujeito que atua com sua toxicomania encontre espaço para um deslize significante, e que seja possìvel colocar em trabalho o seu modo de gozo. Portanto, uma instituição engajada na clìnica da toxicomania precisa estar duplamente advertida de sua função: primeiro, esquivar-se do modelo de instituição consonante com os princìpios pós-modernos, que exaltam o excesso de gozo e o apagamento do limite; e segundo, deve saber que é só ao preço de conseguir suportar o lugar do impossìvel que ela configura-se como um lugar possìvel de endereçamento. A pesquisa foi realizada no Instituto RAID, uma Organização Não Governamental, que segue a orientação psicanalìtica em seu manejo clìnico-institucional e trabalha na prevenção e tratamento de pessoas de ambos os sexos que, voluntariamente, optam por acompanhamento devido a problemas relacionados ao uso abusivo ou dependência de álcool e outras drogas. Participaram desta pesquisa, toxicômanos em tratamento, albergados integralmente na instituição. Por meio de entrevistas buscou-se percorrer os sentidos que a toxicomania evoca, e refletir as especificidades dessa Clìnica. Na articulação com os casos é possìvel reconhecer a singular significação e representação do uso de drogas na toxicomania, um dos modos de lidar com o mal-estar ao investir no tóxico como solução real para a subjetivação. Tais deslocamentos promovidos pelo sujeito que se nomeia toxicômano e traz como queixa seu uso de drogas pode no curso do internamento voluntário consentir em perceber a função que o tóxico ocupa em sua vida psìquica, e implicar-se nisso. A voluntariedade no tratamento é um componente ético fundamental, na medida em que, somente a partir da disponibilidade de cada sujeito será possìvel a construção de novos itinerários para o seu próprio desejo.

No description available.

The study was conducted to see if there is as much or more of a difference in outcome of treatment for addiction in faith-based treatment than secular-based treatment. The research was conducted using a sample of thirty-seven respondents from various sites in Southern California who volunteered to fill out the questionnaire. Data was collected using a self-administrated survey questionnaire.

No description available.