Abstract:
BACKGROUND:Although integrated programs between child welfare and substance abuse treatment are recommended for families with co-occurring child maltreatment and substance use disorders, implementing integrated service delivery strategies with fidelity is a challenging process. OBJECTIVE:This study of the first five years of the Sobriety Treatment and Recovery Team (START) program examines implementation fidelity using a model proposed by Carroll et al. (2007). The study describes the process of strengthening moderators of implementation fidelity, trends in adherence to START service delivery standards, and trends in parent and child outcomes. METHODS:Qualitative and quantitative measures were used to prospectively study three START sites serving 341 families with 550 parents and 717 children. RESULTS:To achieve implementation fidelity to service delivery standards required a pre-service year and two full years of operation, persistent leadership, and facilitative actions that challenged the existing paradigm. Over four years of service delivery, the time from the child protective services report to completion of five drug treatment sessions was reduced by an average of 75 days. This trend was associated with an increase in parent retention, parental sobriety, and parent retention of child custody. Conclusions/Importance: Understanding the implementation processes necessary to establish complex integrated programs may support realistic allocation of resources. Although implementation fidelity is a moderator of program outcome, complex inter-agency interventions may benefit from innovative measures of fidelity that promote improvement without extensive cost and data collection burden. The implementation framework applied in this study was useful in examining implementation processes, fidelity, and related outcomes.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
Huebner RA,Posze L,Willauer TM,Hall MTdoi
10.3109/10826084.2015.1013131subject
Has Abstractpub_date
2015-01-01 00:00:00pages
1341-50issue
10eissn
1082-6084issn
1532-2491journal_volume
50pub_type
杂志文章abstract:INTRODUCTION AND AIM:Substance abuse exacts considerable social and health care burdens throughout the world. The aim of this study was to create a prediction model to better identify risk factors for drug use. DESIGN AND METHODS:A prospective cross-sectional study was conducted in South Khorasan Province, Iran. Of th...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1392981
更新日期:2018-05-12 00:00:00
abstract::This paper provides a brief introduction to current research concerned with alcohol and drug use, misuse, and treatment among displaced persons, including immigrants, refugees, and homeless individuals. Among the topics examined are theoretical issues related to our understanding of substance use processes among displ...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.3109/10826089609064003
更新日期:1996-11-01 00:00:00
abstract::We investigated the extent of jello shot consumption among underage youths. We conducted a pilot study among a nonrandom national sample of 108 drinkers, aged 16-20 years, recruited from the Knowledge Networks Internet panel in 2010 by using consecutive sampling. The prevalence of past 30-day jello shot consumption am...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2010.538886
更新日期:2011-01-01 00:00:00
abstract::Native American (NA) veterans have rarely been the focus of investigational efforts. We review studies relevant to an assessment of NA substance-use disorders, and discuss findings of the Drug Abuse Treatment Services Evaluation Project pertaining specifically to NA veterans. A larger proportion of NA veterans dischar...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089609045828
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Prior research suggests that both posttraumatic stress disorder (PTSD) and alcohol abuse affect behavioral healthcare utilization among combat-exposed military populations. However, their interactive effect is not well documented, especially after experiencing psychological trauma. OBJECTIVE:This study exam...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1133644
更新日期:2016-01-01 00:00:00
abstract::The concept of "forbidden fruit" has been popularly associated with adolescent cigarette smoking in the US. However, only a few empirical studies have been conducted to investigate how this construct operates among adolescents. We examined the concurrent and prospective relationships between two related concepts of fo...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826081003682230
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Alcohol use and alcohol-related problems represent a significant health concern. Few empirical researches focused on understanding the interrelationships and links between the parental bond, drinking motives, and alcohol use during adolescence. OBJECTIVES:The present study examined the relationships between...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1023454
更新日期:2015-01-01 00:00:00
abstract::This study explores the environmental, clinical, and personality factors that are associated with increased chronic psychotropic drug consumption in elderly patients. We collected data from 88 elderly individuals living in nursing homes, home-dwellings, and residential homes between December 2003 and June 2004. We ass...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826080903550521
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Alcohol use is a pervasive and costly public health problem in the United States. Relapse rates from alcohol use disorders are high. Although exercise has been proposed as a strategy to prevent relapse, lifestyle modification is the least studied aspect of relapse prevention programs, especially among racial...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1310245
更新日期:2017-11-10 00:00:00
abstract::Background: Alcohol harm is a major contributor to the burden of disease in South Africa. This study aimed to identify the extent of heavy drinking and symptoms of alcohol problems among adult drinkers and associated demographic and other risk factors in the Tshwane Metropole of South Africa. Methods: A household surv...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2019.1609987
更新日期:2019-01-01 00:00:00
abstract::An experimental application of Artificial Neural Networks to Eating Disorders is presented. The sample, composed of 172 cases (all women) collected at the Centre for the Diagnosis and Treatment of Eating Disorders of the 1st Medical Division of the St. Eugenio Hospital of Rome, was subdivided, on the basis of the diag...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089809115895
更新日期:1998-02-01 00:00:00
abstract::The relationship between psychosocial status and alcohol and drug use at 12-month follow-up was evaluated for clients of two addictions treatment programs (90 treated for alcohol; 51 for drugs or drugs and alcohol). Psychosocial status at follow-up was mostly unrelated to alcohol use among clients who were not using d...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089909039405
更新日期:1999-07-01 00:00:00
abstract::This article discusses ways in which randomized controlled trials do not accurately measure the impact of HIV behavioral interventions. This is because: 1. Such trials measure the wrong outcomes. Behavior change may have little to do with changes in HIV incidence since behavior change in events between HIV-concordant ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1007677
更新日期:2015-01-01 00:00:00
abstract::Pharmaceutical cognitive enhancement (PCE) represents the non-medical use of prescribed medication for the improvement of cognitive functioning and academic performance. Although there are some studies about PCE prevalence, it is less clear how users and non-users of PCE substances differ with respect to their positiv...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1267223
更新日期:2017-06-07 00:00:00
abstract::Harm reduction is explored, historically, in terms of ideologies, concepts, processes, types, stakeholders, legal, policy, service delivery, and ethical considerations and their micro and macro consequences. Necessary critical conditions underpinning ideologies and programs throughout their life cycle are examined, as...
journal_title:Substance use & misuse
pub_type: 历史文章,杂志文章
doi:10.1080/10826080601141990
更新日期:2007-01-01 00:00:00
abstract::This article assesses the operations of Porto Alegre, State of Rio Grande do Sul, (southern Brazil) needle exchange program (NEP), a setting where HIV infection rates have been on the rise among injection drug users (IDUs) in recent years, contrasting with substantial declines observed in this population, in major Bra...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080600667185
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Alcohol use disorder (AUD) is a costly public health concern; yet, many individuals with AUD never receive formal treatment. Prior studies have identified that "hitting bottom" may be an important factor in seeking treatment for AUD) and the notion that "hitting bottom" is necessary for recovery is commonly ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1293104
更新日期:2017-10-15 00:00:00
abstract::Although lesbians are believed to be at disproportionately high risk for smoking, few published studies have focused on smoking rates in this population. We examined and compared rates and demographic correlates of smoking among 550 lesbians and 279 heterosexual women in Chicago, Minneapolis/St. Paul, and in New York ...
journal_title:Substance use & misuse
pub_type: 杂志文章,多中心研究
doi:10.1080/10826080801914170
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Using an ecological perspective to examine the roles of contextual factors and proximal social processes, the current study examined problem behavior among adolescents. OBJECTIVE:The study examined how family, peer, and school processes mediate the relationship between cumulative contextual risk and problem...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1197938
更新日期:2016-11-09 00:00:00
abstract:BACKGROUND:Living in neighborhoods with a high density of alcohol outlets and socioeconomic disadvantage may increase residents' alcohol use. Few researchers have studied these exposures in relation to multiple types of alcohol use, including beverage-specific consumption, and how individual demographic factors influen...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1027927
更新日期:2015-01-01 00:00:00
abstract::A national sample of 25,106 out-of-treatment crack cocaine and injection drug users was examined to determine the effect of aging on HIV risk behavior. Injectors and crack cocaine users aged 55 and over were compared to those who were aged 18 to 54 years of age. Results showed that the behavior risk of older persons d...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826080009148221
更新日期:2000-08-01 00:00:00
abstract::The purpose of the present study was to develop a causal model that explains how personal and family characteristics influence the well-being of adult children of alcoholics (ACOAs). The causal model was developed based on family systems theory, coping theory, social learning theory, and social support theory. Eight-f...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089609063983
更新日期:1996-08-01 00:00:00
abstract::The majority of alcoholics who recover do so without the benefit of treatment, yet little is known about these individuals and the factors associated with their success. A better understanding is needed of the self-initiated and maintained change processes ("natural recovery") associated with such recoveries. In the c...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-100106958
更新日期:2001-09-01 00:00:00
abstract::Self-identification with ethnic-specific labels may indicate successful ethnic identity formation, which could protect against substance use. Alternatively, it might indicate affiliation with oppositional subcultures, a potential risk factor. This study examined longitudinal associations between ethnic labels and subs...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2013.795172
更新日期:2014-06-01 00:00:00
abstract::Many persons with chronic and severe substance use disorders (SUDs) enter and exit public substance dependence treatment systems with limited benefit, but continue overuse of high-cost health and human services. Less than a third holds jobs, earning income below U.S. federal poverty levels. Long-term integrated substa...
journal_title:Substance use & misuse
pub_type: 临床试验,杂志文章
doi:10.1081/ja-200034667
更新日期:2004-01-01 00:00:00
abstract::This study describes, through ethnographic interviews, the treatment experiences of Puerto Rican long-term heroin users who are at extremely high risk for HIV infection and the barriers they perceive to drug treatment. On the basis of this information we suggest policy recommendations for increasing drug treatment acc...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089909039434
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:Communal online folk pharmacology fuels the drive for short cuts in attaining muscle enhancement, fat loss, and youthful skin. OBJECTIVES:The study used "netnography" to explore female use of CJC-1295, a synthetic growth hormone analogue from the perspectives contained in Internet forum activity. METHODS:A...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.3109/10826084.2015.1082595
更新日期:2016-01-02 00:00:00
abstract::The Canadian Special Senate Committee on Illegal Drugs (2003) noted that little ethnographic research had been devoted to exploring why people use marijuana recreationally or the social contexts in which it is used. The purpose of this exploratory qualitative research is to better understand both of these neglected to...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080701884911
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:This study examined the relationship between religiosity (religious importance and public religion) and substance use (binge drinking and marijuana use) among Latino emerging adults. METHOD:Study utilized data (N = 2,442; 51.9% male) from wave 3 of the National Longitudinal Study of Adolescent Health (Add He...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2014.901384
更新日期:2014-08-01 00:00:00
abstract::The association between stimulant use and legal outcomes was examined in rural adults aged 18-21 years (n = 98) in the Mississippi River Delta of Arkansas from 2003 through 2008. Participants were interviewed at baseline and every 6 months for 2 years, using the Substance Abuse Outcomes Module, Addiction Severity Inde...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2010.526981
更新日期:2011-01-01 00:00:00