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1 – 4 of 4Sikini Labastilla, Maria Regina Hechanova, Antover Tuliao, Mariel Rizza C. Tee, Jigette Cyril Zalun and Romeo Canonoy Jr
This study aims to evaluate the delivery of a virtual community-based mental health and substance use program for Filipino drug users during the COVID-19 pandemic.
Abstract
Purpose
This study aims to evaluate the delivery of a virtual community-based mental health and substance use program for Filipino drug users during the COVID-19 pandemic.
Design/methodology/approach
It used a randomized control longitudinal design with data collected prior to the program and every two months for 10 months. The programs focused on building recovery skills, life skills and family modules. Program length ranged from a brief intervention of three sessions to 24 sessions depending on whether clients were low risk, moderate risk or those arrested for drug use.
Findings
Results revealed significant improvements in recovery skills of participants in the treatment group compared to those in the control group. Mental health illness symptoms decreased for both control and treatment groups; however, no differences were found in recovery capital and cravings.
Research limitations/implications
The lack of significant changes in certain variables, such as recovery capital, requires more data to understand the barriers to enable greater recovery. The study was limited to virtual delivery of rehabilitation services conducted during the COVID-19 pandemic. Future studies may wish to compare modalities of online and onsite delivery to enable a comparison of effectiveness.
Practical implications
Results suggest the feasibility of virtual delivery of mental health and substance use treatment implemented by trained paraprofessionals. However, it also highlights the necessity to build the capacity of service providers and address connectivity challenges.
Social implications
Stigma and discrimination prevent people who use drugs from seeking treatment. Virtual delivery of mental health and substance use treatment can provide a platform where people can seek help while maintaining some privacy.
Originality/value
The study provides evidence from under-represented populations – persons who use drugs in the Philippines.
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Ma Regina M. Hechanova, Trixia Anne C. Co, Jayson Soliman, Ana Maria Isabel Castro Guevara, Antover P. Tuliao, Nephtaly Botor and Ma Veronica Felipe
Drug prevention programs typically focus on providing information on the effects of drugs and developing refusal skills. However, there is evidence that adolescents use substances…
Abstract
Purpose
Drug prevention programs typically focus on providing information on the effects of drugs and developing refusal skills. However, there is evidence that adolescents use substances to cope with stress. As such, integrating mental health literacy is important in prevention programs. The purpose of this study was to test a video-based mental health and substance prevention program for Filipino youth.
Design/methodology/approach
The study used a cluster randomized trial and mixed methods design with 623 Filipino adolescents from 12 to 18 years old. The program consisted of six sessions focusing on stress, adaptive coping, effects of substances and drug refusal skills. It uses short psychoeducation videos along with self-reflection, and discussions to increase learner engagement.
Findings
Results revealed a significant increase in knowledge and negative attitudes toward substance of participants in the intervention group compared to the control group. Those in the intervention group reported improved use of adaptive coping skills particularly cognitive reappraisal, social support, problem-solving and relaxation compared to the control group.
Originality/value
This study adds to the literature on prevention from under-represented and non-Western contexts such as the Philippines. This study highlights how technology-mediated and integrated mental health and substance use programs can be useful in countries with few resources for mental health.
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Ma. Regina Hechanova-Alampay, Patrick Louis Angeles, Antover Tuliao, Edgar Hilario, Amadeus Fernando Pagente and Carol Villegas Narra
The purpose of this study was to test a mobile application for mental health created for Filipinos. Specifically, it tested the Lusog-Isip mobile app vis-à-vis a mental health…
Abstract
Purpose
The purpose of this study was to test a mobile application for mental health created for Filipinos. Specifically, it tested the Lusog-Isip mobile app vis-à-vis a mental health workbook as they affect psychosocial well-being and coping strategies of users.
Design/methodology/approach
This study used a randomized control trial design. Participants were assigned to two conditions: a treatment group using the mobile app and a control group that used an existing mental health workbook. Pre- and post-tests were conducted before and two weeks after.
Findings
Results revealed improved psychological well-being and use of cognitive reappraisal for both mobile app and workbook users. Users of the mobile app reported higher scores compared to those who used the workbook for emotional release.
Originality/value
This study adds to the dearth of knowledge on the use of a mobile application for mental health in low-resource countries. It highlights the potential of using digital technologies to provide access to mental health resources in underserved populations.
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Ma. Regina M. Hechanova, Jennel C. Reyes, Avegale C. Acosta and Antover P. Tuliao
The purpose of this study is to evaluate a psychosocial treatment program for prisoners incarcerated because of methamphetamine use. It compared the outcomes of prisoners who…
Abstract
Purpose
The purpose of this study is to evaluate a psychosocial treatment program for prisoners incarcerated because of methamphetamine use. It compared the outcomes of prisoners who received the program while incarcerated, those who were released and received the treatment as part of community-based drug recovery program and a waitlist-control group (WC) with no treatment.
Design/methodology/approach
A quasi-experimental design was use with pre- and post-test surveys administered to three groups: a WC group, a pre-release treatment-while-incarcerated (TWI) group, and a post-release outpatient treatment group (OP). Surveys measured recovery skills, life skills and substance use disorder (SUD) symptoms were administered before and after the intervention.
Findings
Results revealed that at baseline OP and TWI had significant higher recovery skills compared to WC group. However, in terms of life skills, there was no significant difference observed among the WC, OP and TWI group at baseline. TWI had a significantly lower number of SUD symptoms compared to the WC group at baseline. As hypothesized, findings revealed significant changes in recovery and life skills among the OP and TWI group compared to the WC group. No significant change in SUD scores were observed for all groups.
Research limitations/implications
A major limitation of the study was the use of a quasi-experimental design because legal issues did not allow a randomized control trial. Future research using randomized controlled trial designs would provide more robust conclusions on the impact of the intervention. The study design was also limited to pre- and post-evaluation. Further studies are encouraged to look at longitudinal outcomes of appears on SUD symptoms and possibility of relapse.
Practical implications
Given that there were no significant differences in outcomes between OP and TWI groups, results suggest that the program may serve either as a pre- or post-release program for incarcerated drug users. However, results also suggest that completion is higher when the program is used as a pre-release program. Delivering the program prior to release also reduces challenges related to attrition including conflict in schedules and the lack of resources for transportation.
Social implications
The study suggests the value of psychosocial treatment as opposed to punitive approaches in dealing with drug use. In particular, delivering interventions prior to release can prepare participants for problems they may encounter during reintegration and prevent recidivism. In a country where drug-related killings are on the rise, the study presents an alternate and restorative justice approach.
Originality/value
The study addresses a dearth in the literature on psychosocial intervention for methamphetamine users. It also fills a vacuum in studies from developing countries such as the Philippines.
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