"Can we get a Black rehabilitation center"? Factors impacting the treatment experiences of Black people who use opioids.
"Can we get a Black rehabilitation center"? Factors impacting the treatment experiences of Black people who use opioids.
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DOI：
10.1016/j.jsat.2022.108805
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发表时间：
2022-11
影响因子：
3.9
通讯作者：
Stevens-Watkins, Danelle J.
中科院分区：
文献类型：
--
作者：
Hargons, Candice N.;Miller-Roenigk, Brittany D.;Malone, Natalie J.;Mizelle, Destin L.;Atkinson, Jovonna D.;Stevens-Watkins, Danelle J.
去年肯塔基州的阿片类药物过量率翻了一番，阿片类药物危机对该州产生了致命的影响。特别是在黑人中，吸毒过量的比率增加了近三分之一。因此，研究有效干预黑人人口以减少这一代表性不足人口死亡的方法至关重要。本研究利用专题分析来检查影响39名最近有阿片类药物使用史的黑人成年人的治疗观念和经验的因素。研究中强调的主要主题包括“自主可及性”、“提供者特征”和“关系支持”，这与自决理论是一致的。我们讨论了这些主题与治疗开始、参与和完成的关系，并讨论了本研究在黑人成人治疗中的意义。具体而言，我们讨论了使用处方阿片类药物的黑人成年人的治疗考虑因素，如确保自主性和合作治疗方法，特别是在强制性治疗中，采用动机性访谈等策略。此外，我们讨论了非评判性提供者的重要性，衡量客户对种族、民族和性别匹配的提供者的偏好，评估客户之间的支持网络，以及如何将这些网络整合或利用于治疗计划。
With opioid overdose rates doubling in the state of Kentucky over the last year, the opioid crisis is having a deadly impact on the state. Among Black individuals in particular, overdose rates have increased by nearly a third. As such, it is critical to examine ways to effectively intervene among Black populations to reduce deaths among this underrepresented population. The present study utilized a thematic analysis to examine factors influencing treatment perceptions and experiences among a sample of 39 Black adults with a recent history of opioid use. The primary themes highlighted in the study included “autonomous accessibility,” “provider characteristics,” and “relational support,” which are aligned with Self-Determination Theory. We discuss how these themes relate to treatment initiation, engagement, and completion and discuss implications of this research in treatment among Black adults. Specifically, we discuss treatment considerations among Black adults who use prescription opioids such as ensuring autonomy and a collaborative approach to treatment, especially in mandated treatment, with strategies such as Motivational Interviewing. Further, we discuss the importance of non-judgmental providers, gauging client preferences for racially, ethnically, and gender matched providers, and assessing support networks among clients and how these networks can be integrated or utilized in treatment planning.
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影响因子：
12.7
作者：
Larochelle, Marc R.;Slavova, Svetla;Samet, Jeffrey H.
通讯作者：
Samet, Jeffrey H.
影响因子：
3.8
作者：
Latuskie, Kiri A.;Andrews, Naomi C. Z.;Pepler, Debra J.
通讯作者：
Pepler, Debra J.
影响因子：
3.7
作者：
Li, Kevin J.;Smedberg, Diane L.;DeLisi, Lynn E.
通讯作者：
DeLisi, Lynn E.
DOI：
10.1177/0886109914531957
发表时间：
2015-02-01
期刊：
AFFILIA-JOURNAL OF WOMEN AND SOCIAL WORK
影响因子：
--
作者：
Jones, Lani V.;Hopson, Laura;James, Tana
通讯作者：
James, Tana
影响因子：
1.5
作者：
Boisvert, Rosemary A;Martin, Linda M;Clarie, Anna June
通讯作者：
Clarie, Anna June