Alcohol and drug service providers\u27 perceptions of interagency collaboration with child welfare services

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Motivational interviewing : does it increase alcohol and other drug addicted clients\u27 retention in outpatient treatment?

This dissertation is a post-test only comparison group study. It tests the effects of additional Motivational Interviewing sessions during the first two weeks in an intensive outpatient clinic. The object is to learn whether these additional sessions will help to increase rates of treatment retention and completion with alcohol and other drug addicted individuals as well as those who are dually diagnosed with HIV/AIDS infection and addiction. It begins with the problems associated with alcohol and other drugs followed by problems related to HIV/AIDS and treatments for both illnesses. It uses Transtheoretical Stages of Change Model as a guide for intervention development. The latter part of the dissertation describes the method used to study this population and the results. The dissertation is divided into five chapters. Chapter I discusses the problems associated with alcohol and other drug addiction and HIV/AIDS followed by treatments related to those illnesses. Chapter II begins with reviewing the literature linked to treatment retention. This chapter identifies the theoretical perspectives of treatment retention and completion followed by an intervention development using Motivational Interviewing sessions as a means to address treatment retention and completion. While Chapters I and II are descriptive and theoretical in nature, Chapter III focuses on designing a study to test the effects of an intervention on retention and completion. It lays out the methodology of the study such as its purpose, design, instruments, sample and variables. Chapter IV discusses the results of the study and Chapter V discusses the implications of the results

The Effect of a Training Clinic on the Self-Efficacy of Counselors in Training

The primary focus of this study was to examine the differences between trainees’ perceived self-efficacy when they graduate from a counseling program that has a community based mental health training clinic versus a program without a training clinic. A web-based survey was developed with the questions from the Counseling Self-Efficacy Inventory (COSE) (Larson et al., 1992) and 45 (N = 45) participants took the survey online. Participants were students enrolled and taking a practicum or internship class in a counseling program with a training clinic (WTC) or in a counseling program without a clinic (WTTC). Mann-Whitney Wilcoxon test, a non-parametric statistical test, was used due to the small sample size to analyze the differences between the groups. Analyses revealed that there is no statistically significant difference between the groups

Alcohol Education for Elementary School Children

In 1992, close to 90% of high school seniors reported past experience with alcohol, while 50% stated use in the last month and 3% reported daily use of alcohol (Adger & Werner, 1994). According to a report in 1993, 78% of high school seniors had used alcohol in the past year and one-third stated that they drank heavily (Feaster, 1996). The average age of children first using alcohol, outside of the family or religious functions, was twelve years (Bosworth & Cueto, 1994; Feaster, 1996; Mason & Hodge, 1995). National data showed that adolescents and preadolescents used alcohol at age eleven (Harmon, 1993)

Jumping off the couch: Infusing creativity into counselor education

This study infused key elements of creativity into the process of counselor education, exposing students in a counseling skills and techniques course to a curriculum designed to promote tolerance for ambiguity, appropriate risk-taking behaviors, and improvisational skills. Employing a phenomenological strategy of inquiry, the researcher sought to explore the ways the participants made sense of their experience in the course, as well as the ways the experience informed their perspective of counseling and the role of a counselor. Participants recognized counseling as a profession replete with ambiguity and rife with personal and relational challenges. They came to appreciate a clinician\u27s role in establishing and maintaining rapport and developed an understanding of the need to read situations and reason on the fly. They realized counselors need to be self-aware and aware of their impact on others, open to exploring divergent viewpoints, and possessed of the divergent thinking skills needed to generate new perspectives. By connecting themselves to their students (through modeling), the students to one another (via experiential opportunities), and everyone to the subject (through lectures, interventions, and assignments designed as part of the curriculum), instructors and students alike recognized counseling as an interpersonal creative activity

Influences on University Staff Members Responsible for Implementation of Alcohol-Control Policies

Excessive college student drinking is a complex problem associated with a range of consequences including deaths, injuries, damage, health risks, legal difficulties, and academic problems. State governing boards, trustees and executives have enacted policies aimed at reducing the negative effects of excessive drinking. This study examined influences on university staff members responsible for implementation of alcohol-control policies. Deeper understanding of factors influencing alcohol-control policy implementation may help leaders improve policy making, implementation and attainment of policy objectives. This mixed methods study utilized a sequential transformative mixed methods strategy with a quantitative survey, sequenced first, informing the prioritized qualitative multiple case study. Research was conducted at two public universities selected from a single state. In the quantitative phase students (n=1,252) completed a survey measuring student support for 33 alcohol-control measures. Staff (n=27) responsible for policy implementation completed a survey estimating student support for alcohol-control measures. Survey data informed development of the case study interview protocol. In the qualitative phase ten interviews were conducted at each case study site. The study’s theoretical and conceptual model was based upon Pressman and Wildavsky’s (1973) implementation framework and Kotter’s (1996) eight-stage process for leading change. Findings from the quantitative phase of the study revealed strong levels of support for alcohol-control policies at both campuses while staff members generally underestimated student support for alcohol-control policies. The key findings that emerged after coding case study data included the influences of: (a) executive leadership; (b) leadership transitions and policy saliency; (c) cognition and sensemaking; and, (d) anchoring changes in culture. Student support for alcohol-control policies was found to have no direct influence on staff members responsible for implementation of alcohol control policies

Audit of Antenatal Testing of Sexually Transmissible Infections and Blood Borne Viruses at Western Australian Hospitals

In August 2007, the Western Australian Department of Health (DOH) released updated recommendations for testing of sexually transmissible infections (STI) and blood-borne viruses (BBV) in antenates. Prior to this, the Royal Australian & New Zealand College of Obstetricians & Gynaecologists (RANZCOG) antenatal testing recommendations had been accepted practice in most antenatal settings. The RANZCOG recommends that testing for HIV, syphilis, hepatitis B and C be offered at the first antenatal visit. The DOH recommends that in addition, chlamydia testing be offered. We conducted a baseline audit of antenatal STI/BBV testing in women who delivered at selected public hospitals before the DOH recommendations. We examined the medical records of 200 women who had delivered before 1st July 2007 from each of the sevenWAhospitals included in the audit. STI and BBV testing information and demographic data were collected. Of the 1,409 women included, 1,205 (86%) were non-Aboriginal and 200 (14%) were Aboriginal. High proportions of women had been tested for HIV (76%), syphilis (86%), hepatitis C (87%) and hepatitis B (88%). Overall, 72% of women had undergone STI/BBV testing in accordance with RANZCOG recommendations. However, chlamydia testing was evident in only 18% of records. STI/BBV prevalence ranged from 3.9% (CI 1.5– 6.3%) for chlamydia, to 1.7% (CI 1–2.4%) for hepatitis C, 0.7% (CI 0.3–1.2) for hepatitis B and 0.6% (CI 0.2–1) for syphilis. Prior to the DOH recommendations, nearly three-quarters of antenates had undergone STI/BBV testing in accordance with RANZCOG recommendations, but less than one fifth had been tested for chlamydia. The DOH recommendations will be further promoted with the assistance of hospitals and other stakeholders. A future audit will be conducted to determine the proportion of women tested according to the DOH recommendations. The hand book from this conference is available for download Published in 2008 by the Australasian Society for HIV Medicine Inc © Australasian Society for HIV Medicine Inc 2008 ISBN: 978-1-920773-59-

Promoting health, preventing disease: objectives for the nation

Based on a conference held June 13-14, 1979, in Atlanta, Ga, organized by the Center for Disease Control and the Health Resources Administration."Fall 1980.

Network governance for the provision of behavioral health services to the US Army

Thesis (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, 2012.Cataloged from PDF version of thesis.Includes bibliographical references (p. 230-234).Under a charter from the Chairman of the Joint Chiefs of Staff, the author participated in a study of the military's behavioral health system for the purpose of determining the means and effectiveness of that system for the treatment of PTSD and related conditions. This work focuses on the architecture and means of control over the existing arrangement of semi-independent enterprises, organized into functional work groups that necessarily collaborate to provide a full spectrum of behavioral health services to service members and their families. The author suggests a rearrangement of the system architecture to enable integrated work across organizational boundaries in order to reduce waste generated through structural inefficiencies. Implementation of network architecture and control relies heavily on the development of shared strategic objectives that direct network processes in supporting overall organizational goals. Further, performance measurement systems and stakeholder behavior change through use of incentives are used as the drivers of inter-enterprise process development. Finally, a governance structure, focused on development of integrative processes and outcomes is established to foster inter-organizational relationships, direct process improvement, and resolve system conflicts.by Shane P. Scott.S.M