This descriptive study explored whether women in substance abuse treatment who report a history of sexual and/or physical abuse have different drug use profiles than women who do not report such abuse. The data originated from a NIDA (National Institute on Drug Abuse) study designed to evaluate the effects of different treatment modalities in inpatient substance abuse treatment for women. The study compared the drug profiles of women in four areas: drug of choice, frequency of use, problem severity, and level of psychological problems. The following groups were compared: 1) women who did not report abuse, 2) women who reported physical abuse only, 3) women who reported sexual abuse only, and 4) women who reported physical and sexual abuse. The study did not find significant differences in either drug choice, problem severity, or frequency of drug use. In the area of psychological problems, the study did find a significant difference in interpersonal sensitivity between participants who reported a sexual abuse history vs. the other abuse groups. This finding suggests that women with a sexual abuse history are more mistrustful in their relationships with others, and this may suggest that group treatment will be more difficult for sexually abused women than individual treatment. Overall, the findings may also suggest abused women do not need different drug or alcohol treatment approaches than non-abused women although it does not preclude attention to the effects of their abuse. / Master of Science

This study examines how substance-abusing women and their partners perceive their relationship and how these perceptions are related to women's treatment completion. The participant pool came from a larger study comparing the effects of adding couples therapy to traditional substance abuse treatment. All couples were in a committed relationship of at least six months duration. The sample was 166 mostly white and lower income women and their partners. The primary drugs of choice were opiates, alcohol, and cocaine. Relationship perceptions were assessed prior to treatment by using the Kansas Marital Satisfaction Scale, the Dyadic Formation Inventory, and the Family Assessment Device. These scales all measure relationship quality as perceived by the subjects. Perceptions of the women with substance abuse problems who completed treatment did not differ significantly from those who dropped out. The partners' perceptions did differ significantly. Partners of women who dropped out reported more couple commitment and more couple interaction as measured by the DFI, and higher overall general functioning, as measured by the FAD, than the partners of those who completed. These findings suggest the importance of partners' involvement in, and support for, the woman's drug treatment. / Master of Science

Despite the fact that much information is available in the literature regarding adolescents with a substance abuse problem, little exists that focuses on the parents' personal experience dealing with this problem. Not many researchers actually interviewed parents--when they did, it was usually for parents' observations of their adolescent or their views of treatment success--and seemingly none did so for the purpose of allowing parents to tell their own story in their own words. Furthermore, most of the existing literature has tended to see such parents in terms of their deficits, even when advocating the importance of their being included in the treatment process. Through the lens of a Family Systems perspective and by allowing parents to speak for themselves, this preliminary study explores what it was like for three parents to have had their sons go through a residential substance abuse treatment program. Six categories emerged from the semi-structured interviews: initial departure, settling in, homecoming, resources, costs and losses, and advice to other parents and professionals. The findings expand the primarily negative view of such parents to include a richer and more complex understanding. / Master of Science

No description available.

No description available.

No description available.

No description available.

This study investigated the relationship between selected adolescent characteristics and treatment completion in a large, national sample of adolescents receiving substance misuse treatment in 2011. Participants were de-identified adolescent entries between the ages of 12 and 17 in the Treatment Episode Dataset- Discharges (TEDS-D), which is a national census data system including persons discharged from public and private substance abuse treatment programs that received public funding. Chi-square tests of independence and logistic regressions were used to examine the relationships between adolescent characteristics and treatment completion. The results showed significant relationships between selected variables (sex, gender, primary substance problem, principal source of referral, frequency of use) and treatment completion, but with small to medium effect sizes. Implications, limitations and directions for future research are discussed. / School Psychology

Several studies show that African-Americans are less likely than whites to use alcohol or drugs. However, if African-Americans use drugs then they are more likely to become heavy and persistent users. African-Americans are also more likely to have a current substance abuse disorder. There is not much in the literature to explain this phenomenon. The purpose of this study is to examine the alcohol and drug abuse, use and dependence of blacks and whites in order to explain the differences in the course of the substance disorder, using data from the National Comorbidity Survey. There are many variables thought to contribute to the racial difference, such as socio-economic status (measured by income and education), religion, insurance, employment status, and marital status. The data in this literature indicate that the aforementioned variables do not explain the racial difference in substance disorders. However, after performing interaction analyses, it is clear that the effects of treatment are different for blacks and whites. Treatment is more effective for whites, and it may even cause the substance disorder to become worse for blacks. Several studies indicate that this may be the result of cultural differences between the treatment staff and the clients. / Master of Science

Stress is associated with poor mental health, specifically anxiety and depression, and stress and mental health problems are predictors of substance dependence and relapse. Social characteristics, such as racial/ethnic minority status, female gender, and low socioeconomic status, are often associated with increased psychological distress and substance use disorders. Pearlin’s social stress theory postulates that this association is due to increased exposure to stress and subsequent experiences of distress related to social disadvantage and decreased access to resources for coping with stress. This project uses a social stress theoretical perspective to examine predictors of substance use after treatment entry and follow-up addiction severity in a large sample of Kentucky substance abuse treatment participants (N = 1123). A conceptual model is tested to determine if social characteristics along with psychological distress, perceived stress, and economic hardship are predictors of substance use and follow-up addiction severity. In addition, since recovery support, efficacy, and self-control have been previously identified as mediators in the stress and relapse processes these factors were included as mediators in the model tested. The conceptual model was tested with three outcome variables, substance use between baseline and 12-month follow-up, follow-up alcohol addiction severity, and follow-up drug addiction severity. Bivariate and multivariate analyses, including logistic regression and ordinary least squares regression, were used to test conceptual models with the full sample and also with a subsample with baseline substance use indicative of potential substance dependence. Findings indicated that significance of predictors varied depending on outcome variable, although recovery support, efficacy, and self-control were significant predictors of all three dependent variables. Findings for each outcome variable are discussed, as well as limitations of the present study, implications for social work practice, and implications for future research.