Collegiate Recovery Communities Programs: What Do We Know and What Do We Need to Know?

As the broad construct of recovery increasingly guides addiction services and policy, federal agencies have called for the expansion of peer-driven recovery support services. The high prevalence of substance use and abuse in colleges and universities in the United States constitutes a significant obstacle to pursuing an education for the unknown number of youths who have attained remission from substance use dependence. Collegiate recovery programs (CRPs) are an innovative and growing model of peer-driven recovery support delivered on college campuses. Although no systematic research has examined CRPs, available site-level records suggest encouraging outcomes: low relapse rates and above-average academic achievement. The number of CRPs nationwide is growing, but there is a noticeable lack of data on the model, its students, and their outcomes. We review the literature supporting the need for the expansion of CRPs, present information on the diversity of CRP services, and outline key areas where research is needed.     

The Roles of Love and Happiness in Divorce Decision Making

Little is known about divorce decision making, the process of deciding whether to divorce when a marriage is distressed. The focus of this qualitative study was to explore the roles of love and happiness—two Western ideals that govern contemporary marital processes—in divorce decision making. Married participants (N = 30) with recent thoughts about divorce were interviewed about their conceptions of love and happiness in their decision-making processes. The resulting categories for love included: (a) importance of love, (b) change over time, and (c) marital love. The categories for happiness included: (a) fluidity of happiness and (b) balancing happiness. Implications of the findings are discussed.     

Access to Interprofessional Continuing Education in Integrated Care Through Digital Instructional Technology

ABSTRACT

In preparing the workforce for integrated care, continuing professional education serves a critical role. Within a rapidly changing health care landscape, matriculated students now benefit from pedagogical innovations supporting integrated care, particularly interprofessional education, and working professionals must not be excluded from this transformation. University-based digital instructional programs can support the learning needs of working professionals, providing an alternative and complement to brick-and-mortar classrooms and ad hoc onsite trainings. This paper describes the structure, content, digital approach, and outcomes of a continuing education program in integrated behavioral health and primary care, housed in a school of social work at a major university. The challenges of interprofessional digital education are described and future directions are suggested.     

Incarcerated Mothers: Trauma and Attachment Issues

ABSTRACT

Although men comprise the largest portion of the prison population in the United States, the number of women in prison has increased more than 800% during the past three decades. More than 60% of these women are mothers of children under 18 years of age. There continues to be a gap in our knowledge base regarding mothers who are incarcerated. In this study, unresolved issues of trauma and attachment are explored for 28 incarcerated mothers involved with the child welfare system. Data were collected using the Trauma Attachment and Belief Scale (TABS) and the Adult Attachment Interview (AAI). Findings from the TABS revealed scores of average and high average in beliefs related to five need areas that are sensitive to the effects of traumatic experiences, namely self-safety, self-trust, self-esteem, self-intimacy, and self-control. Most participants were classified as disorganized/disoriented based on their narrative responses to questions from the AAI protocol. Implications for the results are discussed.     

Moving Beyond Housing: Service Implications for Veterans Entering Permanent Supportive Housing

As a result of efforts to end homelessness among U.S. veterans, more former service members are entering permanent supportive housing (PSH). While PSH has been successfully used to house homeless veterans, more research is needed about services beyond housing placement and retention. This study uses the Gelberg–Andersen behavioral model for vulnerable populations to determine associations between predisposing, enabling, and need characteristics and recent service use (i.e., services to satisfy basic needs, occupational development, financial, healthcare, mental health) among unaccompanied homeless veterans (N?=?126) entering PSH in Los Angeles. Among the significant findings, as indicated using univariable logistic regression models, were veterans who had incarceration histories were more likely to utilize basic needs services, compared to those without incarceration histories. Veterans who received an honorable discharge were more likely to utilize occupational development services, compared to veterans with other discharge statuses. Veterans who had a case manager were more likely to utilize mental health services than those without a case manager, while those who received social security were less likely to utilize mental health services compared to veterans who did not receive social security. Veterans who met criteria for a psychological disability and veterans who met criteria for probable PTSD were more likely to use basic needs services and mental health services than veterans who fell below these thresholds. Clinical implications for social workers including “equal access to services,” “enhancing economic stability,” “providing safe and affordable housing with trauma-informed services,” and “training service social workers to deliver well-informed linkages and services” are discussed.     

Alcohol education provided to opioid treatment program patients: results of a nationwide survey

Alcohol-related problems are especially common among opioid treatment program (OTP) patients, suggesting that educating OTP patients about alcohol and its harmful effects needs to be a priority in OTPs. Using data collected in interviews with a nationwide U.S. sample of OTP directors (N = 200) in 25 states, we identified factors that differentiate OTPs that provided this education to all OTP patients from those that did not. Findings indicate that these factors include (1) providing this education in a greater variety of ways, (2) having a larger percent of staff knowledgeable about alcohol-related issues, (3) having a director who views alcohol issues as a high priority, and (4) having a written OTP policy.     

How Danish companies plan

A study of 12 Danish firms shows that many are trying to make the transition from a budgeting to a planning orientation. Quantitative techniques are de-emphasized; niche strategies are prevalent. Some firms are using rather unusual approaches which are worth monitoring.     

Legislators of the world

In ‘The Defence of Poetry’ 1821, Shelley claimedthat ‘poets are the unacknowledged legislators of theworld’. This has been taken to suggest that simply byvirtue of composing verse, they exert some exemplary moral power,in a vague unthreatening way. In fact, in his earlier politicalessay, ‘A Philosophic View of Reform’, he had writtenthat ‘Poets and philosophers are the unacknowledged’,etc. The philosophers, he was talking about, were revolutionary-minded:Thomas Paine, William Godwin, Voltaire and Mary Wollstonecraft. In addition, Shelley was, no mistake, out to change the legislationof his time. For him, there was no contradiction between poetry,political philosophy and active