Camille Benson, Jacqueline Jane Cameron and Julaine Allan
Integrated care approaches have been recommended for co-occurring substance use and mental health disorders. The purpose of this study is to explore and map the research…
Abstract
Purpose
Integrated care approaches have been recommended for co-occurring substance use and mental health disorders. The purpose of this study is to explore and map the research literature regarding social work and its intersection with co-occurring substance use and mental health disorders.
Design/methodology/approach
An iterative and systematic search of five electronic databases CINAHL, Scopus, PsycINFO, Social Science Database and Medline was conducted to identify studies published between 2002 and 2022. Two reviewers independently screened publications in two successive stages of title and abstract screening, followed by a full-text screening of eligible studies. Data from each included publication were screened and extracted using Covidence.
Findings
A total of 38 eligible studies were included in the final scoping review. The included studies were conducted in eight different counties, including a range of study designs (e.g. cross-sectional, RCT, pilot studies). Only 8 of the 38 studies included people with co-occurring disorders as participants. Study settings were broad, for example, dual-diagnosis, military, homeless, substance use and community-based settings.
Originality/value
A review of the literature surrounding social work practice and its intersection with co-occurring mental health and Alcohol and other drug was warranted to document the evidence on this largely unexplored area of research. This review found that there was a paucity of literature that focused specifically on the role of social work practice in relation to individuals with co-occurring disorders, with a limited number of studies focusing on dual diagnoses.
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Ann Roche, Victoria Kostadinov, Alice McEntee, Julaine Allan, Nicholas Meumann and Lara McLaughlin
Risky alcohol and other drug (AOD) use is ubiquitous in some workplace cultures, and is associated with considerable risks to health, safety and productivity. A workplace drug and…
Abstract
Purpose
Risky alcohol and other drug (AOD) use is ubiquitous in some workplace cultures, and is associated with considerable risks to health, safety and productivity. A workplace drug and alcohol first aid program was developed to support supervisors and managers to recognize and respond appropriately to AOD problems, increase knowledge of AOD and reduce the stigma associated with AOD. The purpose of this paper is to undertake an evaluation to assess the program’s efficacy.
Design/methodology/approach
A self-report survey was administered to program participants before (T1), immediately after (T2) and three months following program completion (T3). Changes in alcohol/drug-related knowledge, role adequacy, motivation and personal views were examined using repeated measures ANOVA.
Findings
A total of 109 participants took part in the program, with only 26 completing scores at all three time points. Mean scores increased significantly (p<0.05) between T1 and T2 for knowledge (12.7–16.0), role adequacy (11.8–17.4), motivation (9.7–10.4) and personal views (9.0–9.6). Significant improvements were maintained at T3 for knowledge (15.1) and role adequacy (17.3).
Practical implications
Drug and alcohol first aid programs offer a potentially valuable initiative to improve the knowledge, skills and understanding of managers and supervisors in tackling workplace AOD risks, associated stigma and improving help seeking.
Originality/value
Workplace programs for managers can facilitate organization-wide responses to the reduction of AOD-related problems, increase implementation of appropriate policy and interventions, minimize associated harms and stigma and reduce negative imposts on productivity and profit.
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Hannah Walter, Jacqueline Jane Cameron, Helen Simpson, Kenny Kor, Sarah MacLean and Julaine Allan
This exploratory pilot study investigated the experiences and perceptions of young people who use N2O recreationally. To the best of the authors’ knowledge, this is the first…
Abstract
Purpose
This exploratory pilot study investigated the experiences and perceptions of young people who use N2O recreationally. To the best of the authors’ knowledge, this is the first qualitative research conducted in Australia with young people investigating this topic in detail. The purpose of this pilot study was to explore young people’s perceptions, motives and experiences of N2O use by exploring the positive and negative effects of N2O, motives for use, practices and methods and suggested advice to help define targeted harm reduction messages.
Design/methodology/approach
Participants were recruited via hard copy posters, social media advertisements and snowball sampling. Seven in-depth semi-structured interviews were conducted with young people aged between 18 and 25 years who had used N2O on at least ten occasions. The interview transcripts were analysed thematically. The study was completed in accordance with COREQ for qualitative research.
Findings
The findings identified four overarching themes about N2O use: the nature of N2O use; the appeal of N2O; influences on N2O use; and perception of risk and harms of N2O use.
Originality/value
Young people in the study described their experiences as being largely pleasurable. However, several identified negative impacts, although harms, were primarily disregarded. Exploration of N2O effects alongside other substance use highlighted how N2O is a unique substance and should be considered as such when developing harm reduction strategies.
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Damien Luke Correia, Rebecca Garvie and Julaine Allan
This paper reports a social work student’s experience of a mental health rehabilitation placement. The term “dual diagnosis” in this context includes people who experience both a…
Abstract
Purpose
This paper reports a social work student’s experience of a mental health rehabilitation placement. The term “dual diagnosis” in this context includes people who experience both a mental health diagnosis and a substance use disorder. The purpose of this paper is to highlight the student experience as the author learnt about some of the challenges that people with dual diagnoses face during the recovery process.
Design/methodology/approach
The author kept a journal during the placement. Critical reflection was used to interrogate the journal entries for key themes and events that contributed to the author’s learning about social work practice and dual diagnosis.
Findings
This study found that social workers are in a fortunate position to work in this multi-disciplinary setting and contribute the social work perspective to care for people with dual diagnosis. However, there are still some gaps in achieving optimal care.
Practical implications
Suggestions for further practice development include a more integrated approach between services, further training for clinicians and a focus on a community-based setting as opposed to an institutionalised one.
Originality/value
According to the author, the student experience is important because students see situations and settings with fresh eyes that can highlight things that experienced practitioners take for granted.
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Good social relationships and connections to place are key aspects of work‐life balance that are rarely considered by employers because of a focus on the work part of the…
Abstract
Purpose
Good social relationships and connections to place are key aspects of work‐life balance that are rarely considered by employers because of a focus on the work part of the dichotomy. In response to this omission, this paper aims to investigate women's experiences of frequent relocations due to their partner's employment in the mining industry.
Design/methodology/approach
Interviews were conducted with 20 women, who had partners employed in the mining industry. Thematic analysis focussed on participants' individual stories of relocation to identify common and divergent experiences.
Findings
Themes identified included the role of industry practices and expectations in supporting relocation; personal strengths and strategies developed over time; individual and family needs during relocation; the impact of life stage on decisions about relocation and the important aspects of place.
Research limitations/implications
Mining has a relocation culture common to those involved in the industry. While this culture presents challenges, most of the participants in this study also found benefits in moving often and had developed strategies to cope with relocation upheaval. Participants expanded their social relationships, adding to community resources of the places they lived in by participating in social and cultural events.
Practical implications
Relocation disrupts workforce stability and cohesion desired by industry. Understanding relocation culture is one way family members survive in the industry. It is critical for the mining industry to acknowledge the life part of work‐life balance.
Originality/value
The paper conceptualises relocation as a significant part of the mining industry's culture creating mining families as itinerant. This is the first paper that examines family experiences and social relationships, external to the industry they are connected to. The finding that family members of mining industry employees are very likely to live in remote locations at some point is new. The way these individuals can be used as resource in deprived locations requires further exploration.