Emma Louise Barrett, Zachary W. Adams, Erin V. Kelly, Natalie Peach, Rachel Hopkins, Bronwyn Milne, Sudie E. Back and Katherine L. Mills
Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) frequently co-occur (PTSD+SUD). The onset of these disorders often occurs during adolescence. There is…
Abstract
Purpose
Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) frequently co-occur (PTSD+SUD). The onset of these disorders often occurs during adolescence. There is limited understanding of the perspectives of service providers working with this population. The purpose of this paper is to identify the practices, attitudes, experiences and training needs of Australian service providers treating adolescents with PTSD+SUD.
Design/methodology/approach
Service providers in Australia were invited to complete an anonymous online survey regarding their experiences working with adolescents who have PTSD+SUD. Ninety participants completed the 48-item survey that comprised multiple choice and open-ended questions.
Findings
Service providers estimated that up to 60 per cent of their adolescent clients with PTSD also have SUD. They identified case management, engaging with caregivers and difficult client emotions as specific challenges associated with working with this population. Despite this, providers rated treating PTSD+SUD as highly gratifying for reasons such as teaching new coping skills, developing expertise and assisting clients to achieve their goals. There were mixed perspectives on how to best treat adolescents with PTSD+SUD, and all participants identified a need for evidence-based resources specific to this population.
Originality/value
This is the first survey of Australian service providers working with adolescents who experience PTSD+SUD. The findings improve our understanding of the challenges and rewards associated with working with this population, and provide valuable information that can enhance clinical training and guide the development of new treatment approaches for this common and debilitating comorbidity.
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Natalie Peach, Ivana Kihas, Ashling Isik, Joanne Cassar, Emma Louise Barrett, Vanessa Cobham, Sudie E. Back, Sean Perrin, Sarah Bendall, Kathleen Brady, Joanne Ross, Maree Teesson, Louise Bezzina, Katherine A. Dobinson, Olivia Schollar-Root, Bronwyn Milne and Katherine L. Mills
Adolescence and emerging adulthood are key developmental stages with high risk for trauma exposure and the development of mental and substance-use disorders (SUDs). This study…
Abstract
Purpose
Adolescence and emerging adulthood are key developmental stages with high risk for trauma exposure and the development of mental and substance-use disorders (SUDs). This study aims to compare the clinical profiles of adolescents (aged 12–17 years) and emerging adults (aged 18–25 years) presenting for treatment of posttraumatic stress disorder (PTSD) and SUD.
Design/methodology/approach
Data was collected from the baseline assessment of individuals (n = 55) taking part in a randomized controlled trial examining the efficacy of an integrated psychological therapy for co-occurring PTSD and SUDs (PTSD+SUD) in young people.
Findings
Both age groups demonstrated complex and severe clinical profiles, including high-frequency trauma exposure, and very poor mental health reflected on measures of PTSD, SUD, suicidality and domains of social, emotional, behavioral and family functioning. There were few differences in clinical characteristics between the two groups.
Research limitations/implications
Similarity between the two groups suggests that the complex problems seen in emerging adults with PTSD + SUD are likely to have had their onset in adolescence or earlier and to have been present for several years by the time individuals present for treatment.
Originality/value
To the best of the authors’ knowledge, this is the first study to compare the demographic and clinical profiles of adolescents and emerging adults with PTSD + SUD. These findings yield important implications for practice and policy for this vulnerable group. Evidence-based prevention and early intervention approaches and access to care are critical. Alongside trauma-focused treatment, there is a critical need for integrated, trauma-informed approaches specifically tailored to young people with PTSD + SUD.
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Daniel Kusaila and Natalie Gerhart
Technology-enabled communication used in workplace settings includes nuanced tools such as emojis, that are interpreted differently by different populations of people. This paper…
Abstract
Purpose
Technology-enabled communication used in workplace settings includes nuanced tools such as emojis, that are interpreted differently by different populations of people. This paper aims to evaluate the use of emojis in work environments, particularly when they are used sarcastically.
Design/methodology/approach
This research uses a survey method administered on MTurk. Overall, 200 participants were included in the analysis. Items were contextualized from prior research and offered on a seven-point Likert scale.
Findings
Females are better able to understand if an emoji is used sarcastically. Additionally, older employees are more capable of interpreting sarcasm than younger employees. Finally, understanding of emojis has a negative relationship with frustration, indicating that when users understand emojis are being used sarcastically, frustration is reduced.
Research limitations/implications
This research is primarily limited by the survey methodology. Despite this, it provides implications for theory of mind and practical understanding of emoji use in professional settings. This research indicates emojis are often misinterpreted in professional settings.
Originality/value
The use of emojis is becoming commonplace. The authors show the use of emojis in a professional setting creates confusion, and in some instances can lead to frustration. This work can help businesses understand how best to manage employees with changing communication tools.
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Australian higher education is presently subject to a period of substantial change. The needs of the economy and workforce, together with the broader educational role of the…
Abstract
Australian higher education is presently subject to a period of substantial change. The needs of the economy and workforce, together with the broader educational role of the university, are leading to focus on lifelong learning as a tool for bringing together the apparently diverging needs of different groups. Within this broader context, the emphasis on lifelong learning and associated graduate capabilities is leading to opportunities for new partnerships between faculty and librarians, partnerships that bring the two groups together in ways that are helping to transform the experience of teaching and learning. This paper explores emerging partnerships in diverse areas, including research and scholarship, curriculum, policy, supervision, and staff development. They are in the early phases of development and result from a broad focus on the learning and information literacy needs of students, as opposed to a narrow focus on using the library and its information resources. Taken together, and viewed from a system‐wide perspective, these partnerships reveal a complex dynamic that is deserving of wider attention across the Australian higher education system and internationally.