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  • 1. Blevins, Wendy Factors Related to the Outcomes of a Residential Substance Abuse Treatment Program for Women

    Doctor of Philosophy (PhD), Ohio University, 2008, Counselor Education (Education)

    This study investigated certain demographic and treatment variables. The sample used included 125 successful completers of a residential substance abuse program with an average length of stay of 60 days. The program is located in Athens County, OH and serves adult women and allows them the opportunity to participate in treatment with their children. The research question asked in this study was: Is there a relationship between or among residential substance abuse treatment outcomes and selected demographic and treatment variables (i.e., housing status, education level, income level, single substance abuse diagnosis versus dual diagnosis, parent/child/pregnant participation/residence in treatment and employment status at the time of residential substance abuse treatment admission)? The results of this study indicated that pretreatment employment status was the only significant variable of those included in this study that is significant to treatment outcomes.
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    Committee: Jerry Olsheski Dr. (Committee Chair); Gordon Brooks Dr. (Committee Member); Tracy Leinbaugh Dr. (Committee Member); Mona Robinson Dr. (Committee Member) Subjects: Mental Health

  • 2. Mintz, Lora Substance Abuse Education for Newly Licensed Registered Nurses

    Doctor of Nursing Practice, Mount St. Joseph University , 2020, Department of Nursing

    Substance abuse is a chronic disease. The evidence shows that many nurses lack the knowledge, skills, attitudes and confidence needed to help those struggling with substance abuse and this ultimately impacts patient outcomes. This project asked the question: for newly graduated registered nurses hired as nursing residents on adult, inpatient units at a large health system hospital centralized in Northwest Ohio, how does a 30-minute live in-service on substance abuse impact these RNs' perceived confidence in caring for patients with a history of substance abuse immediately and 30 days post-education in comparison to pre-education perceived confidence levels? In keeping with Knowles' Principles of Adult Learning and supported by evidence, substance abuse education was created for the target audience. An evidence-based survey tool, the DDPPQ, was used before and after the education was presented in order to assess the participants' confidence levels in caring for substance abuse patients. The analysis of the pre- and post-education survey results indicate that the participants' confidence levels significantly increased after receiving the education. These results will be disseminated in a variety of ways and adapted for larger audiences.
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    Committee: Nancy Hinzman Dr (Advisor) Subjects: Education; Nursing

  • 3. Dixon, Shapree' The Association Between Academic Performance and Prescription Drug Misuse among Adolescents

    MA, University of Cincinnati, 2020, Arts and Sciences: Psychology

    In the U.S., approximately 2.3 million individuals ages 16-24 have not attained a high school diploma (National Center for Education Statistics [NCES], 2017). Those who drop out are three times more likely to be unemployed and earn incomes 27% less than those who graduate (Bureau of Labor Statistics [BLS], 2018, 2019). Academic failure is associated with higher rates of substance abuse (Trenz, Harrell, Scherer, Mancha, & Latimer, 2012), which can have a causal effect on academic performance. Prescription drug misuse (PDM), or taking drugs that are not prescribed to you or as intended, is the second most commonly abused drug class among teens after marijuana (excluding alcohol/cigarettes; NIDA, 2018). Nearly a quarter (23%) of adolescents report a lifetime history of PDM (MetLife Foundation, 2013). The current study evaluated the lifetime misuse of four different drug classes (i.e., sedatives, stimulants, tranquilizers, opioids) to understand the prevalence and correlates of PDM among this at-risk group. Results revealed that lifetime PDM among adolescents was at 8%, with the highest rates of use found among White youth, females, and individuals with family incomes at or above $75,000. Age and alcohol use were both significantly associated with lifetime PDM among youth. The odds of PDM were highest among 13-year-olds (B = .30, p = .05, OR = 1.36 [95% CI: 1.01, 1.83), indicating an increase in risk for this age group. There were decreased odds of PDM for youth engaging in alcohol use (B = -.28, p<.05, OR = .75 [95% CI: .69, 1.23). In terms of academic performance, youth who earned a D or less than D average had the highest odds of PDM (B = .52, p< .05, OR = 1.70 [95% CI: 1.16, 2.45]). Findings suggest that early adolescence and academic failure increase the risk for lifetime PDM among youth.
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    Committee: Monica Mitchell Ph.D. (Committee Chair); Quintino Mano Ph.D. (Committee Member); LaTrice Montgomery Ph.D. (Committee Member) Subjects: Psychology

  • 4. Humphrey-Leclaire, Heather Therapists Who Specialize in Addiction: A Grounded Situational Analysis of a Stigmatized Profession

    Ph.D., Antioch University, 2020, Leadership and Change

    This study used the methodology of a grounded situational analysis to explore the lives of therapists who specialize in addiction. Historians have researched the history of addiction treatment itself and some have identified parallel processes of discrimination, stigma, and stigma by association for therapist and client, but the complex intersectionality between social processes and organizational issues have been largely invisible. In this study, therapists who specialize in addiction (including social workers, clinical mental health counselors, and alcohol and drug counselors) were asked about their sense of how others see them in their role. These conversations made visible the many, enmeshed challenges faced by these therapists and how the process of professionalization, with its promise of validation, has been thwarted by social and organizational processes. This study presents a comprehensive theoretical model of the supports and the problems facing therapists who specialize in addiction and ultimately supports a theory of how to redress these issues in the face of the increased need and resources available during the current opioid epidemic. This dissertation is available in open access at AURA: Antioch University Repository and Archive, http://aura.antioch.edu/ and OhioLINK ETD Center, https://etd.ohiolink.edu/
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    Committee: Elizabeth Holloway PhD (Committee Chair); Aqeel Tirmizi PhD (Committee Member); William Matthews PhD (Committee Member) Subjects: Health Care; Mental Health

  • 5. Smith, Donna Substance use attitudes and behaviors of students with learning disabilities

    Doctor of Philosophy, The Ohio State University, 2004, Physical Activity and Educational Services

    The focus of this study was to report and analyze the responses of students, grades 6 - 12, who had Specific Learning Disabilities (SLD) and attended schools in 17 public school districts and 12 parochial and private schools in and surrounding a major Midwestern city. The data were collected through the Primary Prevention, Attitude and Use Survey (PPAAUS, 2000) that was administered every 3 years to all students in Grades 6 - 12 in these schools. A random sample of 470 students with SLD, selected from a database of approximately 3,760 students, reported that they participate in classes for students with SLD. The independent variables established were Gender (Male and Female) and Grade Level (Middle School and High School), and the dependent variables were the responses to the items of Feelings; Perceptions of School Climate; Willingness to Use Alcohol, Tobacco, and Other Drugs; Frequency of Use; Age of First Use; and Location of Use. The results of the Feelings items indicated that Middle School students reported feeling more stressed and anxious about their school work than did High School students. Males reported being more sad and depressed, more angry, and more nervous and anxious than did females. Males also reported that they felt worse about their schoolwork. Middle School students with SLD had more positive perceptions of school climate than did High School students, and there was no difference between males and females and their reported perceptions of school climate. There was no difference between males and females and their reported use of alcohol, tobacco, and other drugs. High School students reported more actively using alcohol, tobacco, and other drugs than did Middle School students. No differences were found by Gender or Grade Level for locations of substance use. An examination of the age of first substance use indicated that students with SLD who used generally began using substances between the ages of 12 to 15 years. Recommendations for program (open full item for complete abstract)
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    Committee: Michael Klein (Advisor) Subjects:

  • 6. Hunt, Susan The Prevalence of Delinquency in Depressed and Substance Abusing Adolescent Girls

    Psy. D., Antioch University, 2008, Antioch Seattle: Clinical Psychology

    Research conducted on the role of depression in delinquency among adolescent girls has found that depression can predict delinquency. It has been indicated that research should be conducted on how substance use and abuse play a role in depression and delinquency. Several studies have been conducted on adolescent girls in juvenile delinquent centres and institutions. Few studies have sampled subjects from community-based resources, i.e., street youth clinics, youth programs, or alternative schools. The central goal of the study was to explore delinquency in a group of depressed and substance-abusing adolescent girls in community-based settings including street clinics, youth programs, and alternative schools. Specific questions focused on examining the relationship among depression, delinquency, and substance use for adolescent girls, and the prevalence of 12 risk factors (i.e., thought problems, ADHD, rule behaviours, anxiety, aggression, attitude problems, externalized behaviours, self-esteem, social problems, and somatic complaints). Using a cross-sectional research design, the relationship among depression, substance use, and delinquency, as well as risk factors were examined for adolescent girls from community-based agencies and alternative schools. The participants included 100 adolescent girls, aged 13 to 18 years (mean age = 16.5 years). The data collection instruments that were used included the Children's Depression Inventory (CDI) (Kovacs, 1992), the Achenbach Youth Self-Report (YSR) for Ages 11-18 (ASEBA) (Achenbach, 2001), Adaptation of the Self-Reported Delinquency and Drug-Use Items as Employed in the National Youth Survey (Elliott & Ageton, 1980), and an Adolescent Self-Report Questionnaire. The study found that adolescent girls utilizing community-based street clinics and alternative schools are diverse, varying in age, culture, sexual orientation, background, and living arrangement. Substance use and delinquency were found to have a strong, signif (open full item for complete abstract)
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    Committee: Molly Reid Ph. D. (Committee Chair); Patricia Linn Ph.D. (Committee Member); Patricia O'Hagan Ph.D. (Committee Member) Subjects: Behaviorial Sciences; Mental Health; Psychology

  • 7. Doogan, Nathan A social network comparison of three interaction models to the inmate interactions in an Ohio therapeutic community /

    Master of Social Work, The Ohio State University, 2008, Graduate School

    Committee: Not Provided (Other) Subjects:

  • 8. Pinkney, Chanda The Impact of Parental Opioid Use Disorder on the Interpersonal Relationships of Adults: A Study From Childhood to Adolescence

    Doctor of Philosophy (PhD), Ohio University, 2024, Counselor Education (Education)

    Society and researchers acknowledge that substance use disorders impact the entire family, not just the user. Most research focuses on alcoholism within families and rarely deviates specifically to other substances such as opioids, cocaine, meth, or marijuana. At times, parents with substance use disorders, such as opioids, are not present, whether physically or emotionally, for their children. The parents' absences can impact their children's experiences, such as how they create and maintain interpersonal relationships during childhood and adulthood. Despite this acknowledgment, little research exists on the experiences of children living with parental opioid use disorders from their perspective, instead utilizing the user's perspective of how they believe their substance use disorder impacts their children. To better understand the resulting impact of parental opioid use disorders, the researcher used a phenomenological research design to explore the first-hand experiences of adults who lived with parental opioid use disorders and the different interpersonal relationships experienced during childhood and adolescence. This study identified patterns of shared experiences and encouraged more research related to the long-term effects of parental opioid use disorders in adults, its impact on their interpersonal relationships, and identifying and understanding the counseling needs of clients affected by their parent's opioid use disorder.
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    Committee: Bilal Urkmez (Committee Chair); Yuchun Zhou (Committee Member); Tamarine Foreman (Committee Member); Christine S. Bhat (Committee Member) Subjects: Cognitive Therapy; Counseling Education; Counseling Psychology; Developmental Psychology; Families and Family Life; Mental Health; Social Research; Sociology

  • 9. Miller, Mary To Discover The Knowledge, Attitudes, And Actions Regarding Starting A Substance Abuse Ministry At Living Word In Strong, Arkansas

    Doctor of Ministry , Ashland University, 2024, Doctor of Ministry Program

    This project discovered the knowledge, attitudes, and actions of Living Word Ministries congregates in Strong, Arkansas, regarding starting a substance abuse recovery ministry. Twenty participants completed a five-point Likert scale survey that was collected and analyzed. The data revealed the three top findings in knowledge and attitudes were the community had many individuals impacted by it, the Bible demanded it, and the pastor supported it. Finally, as it relates to actions, the data revealed that participants are willing to participate in a substance abuse recovery ministry, faith-based social activism and follow the pastor.
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    Committee: William Myers (Advisor) Subjects: African Americans; Black Studies; Rehabilitation

  • 10. Knauss, Zackery FENTANYL-INDUCED REWARD SEEKING IS SEX AND DOSE DEPENDENT AND IS PREVENTED BY D-CYSTEINE ETHYLESTER WHICH SELECTIVELY ALTERS FENTANYL CA2+ SIGNALING DYNAMICS IN THE PREFRONTAL CORTEX

    PHD, Kent State University, 2024, College of Arts and Sciences / School of Biomedical Sciences

    As of 2022, three million people in the US, and sixteen million worldwide were estimated to suffer from opioid use disorder (OUD). Despite widespread efforts to increase the public availability of medical therapies for OUD, only 2.28% of people suffering from OUD will seek out and be able to sustain abstinence for at least five years. The core objectives of this work were to 1) evaluate the dose- and sex-dependent effects of fentanyl to induce rewarding states, 2) the extent to which D-Cysteine ethylester (D-CYSee) alters affective state and the acquisition of fentanyl-induced reward seeking, 3) how the timing and concentration of fentanyl administration impacts the intrinsic Ca2+ activity of neurons and astroglia from the prefrontal cortex (PFC), and 4) the extent to which D-CYSee alters intrinsic Ca2+ activity in both the presence and absence of fentanyl. To evaluate the effects of fentanyl in the presence and absence of D-CYSee on Ca2+ signaling dynamics in PFC neurons and astrocytes, this work details the development of new methods in real-time fluorescent imaging of intrinsic Ca2+ activity using a non-genetic chemical indicator in cells isolated from the rat PFC in combination with post-hoc live-cell labeling for neurons and astroglia, and a customizable cell-type informed statistical analysis pipeline with backend support for data visualization and meta-analysis. Furthermore, a general characterization of the intrinsic Ca2+ activity in this PFC preparation was conducted; first by examining the involvement of extracellular Ca2+ sources and sodium channel conductance's, followed by a deeper evaluation of the role(s) of voltage-gated L, T, & N/P/Q-Type Ca2+ channels and an assessment of NMDA, AMPA receptor, and GABAA receptor signaling in the expression of intrinsic Ca2+ activity. The findings here support: 1) that fentanyl induces reward seeking in a concentration- and sex-dependent manner, 2) that D-CYSee could be an effective co-treatment with prescribed opioi (open full item for complete abstract)
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    Committee: Devin Mueller, Ph.D. (Advisor); Derek S. Damron, Ph.D. (Advisor); Stephen J. Lewis, Ph.D. (Committee Member); Colleen Novak, Ph.D. (Committee Member); Robert Clements, Ph.D. (Committee Member); Rafaela S. C. Takeshita, D.Sc., (Other) Subjects: Behavioral Psychology; Behavioral Sciences; Cellular Biology; Neurosciences

  • 11. Wernekinck, Uwe Healing from Childhood Sexual Abuse in the Context of Addiction Recovery: A Phenomenology of Male Survivors

    Doctor of Philosophy, The Ohio State University, 2024, Social Work

    Substance misuse remains a serious public health problem in the United States and over 22 million Americans are currently living in recovery from a substance use disorder ([SUD], Kelly et al., 2017). Experiencing trauma is a well-known risk factor for substance misuse. More specifically, evidence has supported a strong association between experiences of childhood sexual abuse (CSA) and SUD (Fletcher, 2021; Maniglio, 2011). However, the role that healing from CSA plays in the context of SUD recovery is not well understood, particularly in male survivors. Although girls experience CSA at higher rates, significant rates of boys are subjected to sexual violence in childhood and more research is needed to better understand the unique characteristics of male healing. To fill this gap, this dissertation study explored and documented the connection between healing from CSA and addiction recovery by conducting in-depth interviews with male survivors of CSA who have been in long-term addiction recovery. A variety of sampling strategies were utilized to recruit a total of 25 adult men, most of them certified peer-recovery-supporters (PRS). Interviews were conducted in the Fall of 2023 via phone or Zoom calls and recorded with the permission of participants. Audio recordings were transcribed using Otter.ai. Using aspects of both phenomenology and grounded theory, data were analyzed using three rounds of coding. Themes emerged from the data that depict the connection between healing from CSA and SUD recovery. Participants shared that substance use was a coping skill to deal with the effects of CSA. They described addiction recovery as an individualized lifelong journey towards holistic well-being. Part of this journey was facing and healing their wounds from trauma, including CSA. The male healing journey from sexual abuse was described as a gender specific process including elements such as acceptance, forgiveness, re-evaluating masculinity, disclosing the abuse, and bui (open full item for complete abstract)
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    Committee: Susan Yoon, PhD (Committee Chair) Subjects: Counseling Psychology; Psychology; Psychotherapy; Social Work

  • 12. Dixon, Shapree Trends and Correlates of Prescription Drug Misuse, Other Substance Use, and Mental Health among African American Adults, 2015-2019

    PhD, University of Cincinnati, 2023, Arts and Sciences: Psychology

    Background: In 2020, 16.1 million individuals ages 12 and over endorsed past-year prescription drug misuse (PDM); opioids were the most misused prescription drug class (i.e., 9.3 million people). According to the Center for Disease Control and Prevention, prescription opioid misuse resulted in an average of 38 deaths per day in 2019, making pain relievers responsible for 28% of all opioid-related fatalities. The “opioid epidemic” was declared a public health emergency due to the widespread impact of drug overdose deaths in rural and suburban communities across the United States. This epidemic has traditionally been depicted as a crisis devastating non-Hispanic White populations, however, as opioid overdose deaths decrease within these communities, deaths among African Americans have increased over time. The prevalence and correlates associated with misusing prescription drugs have been outlined in the extant literature and the deleterious effects of PDM in the African American community have been observed, yet research investigating misuse among this population remains limited. A primary aim of this study was to examine the psychosocial factors (i.e., mental health, substance use) that increase the risk of PDM among African Americans. PDM trends were also analyzed to evaluate misuse over time. Method: Using pooled cross-sectional data (2015-2019) from the National Survey on Drug Use and Health (NSDUH), this study examined trends and correlates (i.e., mental health [major depressive episode, suicidal ideation, serious psychological distress], substance use [alcohol, marijuana, tobacco, illicit substances]) of PDM among African American adults (ages 18 and older) who endorsed lifetime misuse of prescription drugs. Results: Trend analyses revealed that lifetime PDM among African Americans was significantly lower in 2017 and 2018, relative to 2015. A similar relationship was observed for past 12-month PDM with significant differences indicating lower prev (open full item for complete abstract)
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    Committee: Monica Mitchell Ph.D. (Committee Chair); LaTrice Montgomery Ph.D. (Committee Member); Dale Mantey Ph.D. (Committee Member); Quintino Mano Ph.D. (Committee Member) Subjects: Psychology

  • 13. Rumford, Elizabeth Youth Substance Use and Abuse Concern and School Substance Use Prevention Methods During Covid-19

    Specialist in Education, Miami University, 2023, School Psychology

    The COVID-19 pandemic and school shutdown led to many challenges for school staff and students. The Ohio School Wellness Initiative (OSWI), a program that sought to increase support for the mental wellness of school staff and students, conducted a needs assessment survey to determine the needs of Ohio schools during the 2020-2021 school year. This study focuses on the Ohio school staff level of concern for youth substance use and abuse during the 2020-2021 school year. Results of the study did not support the hypotheses of staff reporting high levels of concern for youth substance use and abuse. Results also indicated that there was a higher level of substance use concern in schools that did have substance abuse prevention programs compared to schools that did not. The study reviews various reasons for these findings and discusses limitations and directions for future research.
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    Committee: Kristy Brann (Committee Chair); Sharon Custer (Committee Member); Amity Noltemeyer (Committee Member) Subjects: Education; Educational Psychology

  • 14. McKnight, Colleen Independently Licensed Michigan Counselors' Experiences, Perspectives and Processes When Treating Psychological Abuse Among the Substance Use Disorder Population

    Doctor of Philosophy, University of Toledo, 2023, Counselor Education

    Substance abuse continues to be a growing concern in America with more efforts to improve the overall quality of treatment for Substance Use Disorders (SUDs). A history of trauma experiences significantly increased the likelihood of an individual turning to substances to cope. However, psychological abuse remains understudied with its relation to substance use behaviors. This study will explore independently licensed counselors' experiences, perspectives, and processes when working with clients with substance use disorders who have experienced psychological abuse. A transcendental phenomenological tradition was used by the researcher and research team members to analyze the experiences of the participants (N = 12). The following themes were found within those experiences: a) Comprehending Contributing Factors to Clients' Addiction, b) Acknowledging Challenges to Proper Treatment, c) Implementing Clinical Interventions for Successful Treatment, and d) Observing Signs of Client Growth. Study limitations and implications for counseling, supervision and counselor education are provided.
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    Committee: Madeline Clark Ph.D (Committee Chair); John Laux Ph.D. (Committee Member); Susan Long Ph.D (Committee Member); Jeffrey Lindstrom Ph.D (Committee Member) Subjects: Counseling Education; Mental Health

  • 15. Martin, Kimberly An Integrative Approach to the Treatment of Adolescent Substance Abuse

    Psy. D., Antioch University, 2023, Antioch Santa Barbara: Clinical Psychology

    The following dissertation presents a proposal for a program developed on theoretical concepts of the False Self and Persona. Integrative treatment approaches, such as Sensorimotor Psychotherapy, surfing, equine therapy, and wilderness therapy combined with individual and group psychotherapy, may be helpful in diminishing adolescent substance abuse by increasing connection to their internal resources and exposure to healthy external support. Although there are various programs that have proven to be effective in the treatment of substance abuse in adolescence, they tend to neglect the subjective experience of the individual and fail to address the why, behind the desire to self-negate in adolescence. Thus, the focus of this program is to move towards true self functioning by increasing subjective well-being and fostering a greater connection to self. This program proposal will discuss the underlying goals and proposed implementation of these integrative approaches in the treatment of adolescent substance abuse. This dissertation is available in open access at AURA, https://aura.antioch.edu/ and OhioLINK ETD Center, https://etd.ohiolink.edu
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    Committee: Johanna Hays Psy.D (Committee Chair); Christopher Howard Psy.D (Committee Co-Chair); Bonnie Goldstein Ph.D (Committee Member) Subjects: Psychology; Psychotherapy; Spirituality

  • 16. Semilia, Diana Mental Illness among Pilots: An Assessment of Risk and Resolution

    BS, Kent State University, 2022, College of Aeronautics and Engineering

    As the global economy has grown and regions throughout the world have become more connected, air transportation holds a significant role in its ability to bring people and products together. In addition, the air domain is important and essential for the delivery of emergency and humanitarian aid relief. Aircraft can quickly transport medical supplies and organs, especially in situations where access is a problem. However, with these many positives, the aviation domain, unfortunately, has become more stressful for everyone involved. Crew members are expected to have extensive training, as well as the skills and confidence to appropriately handle any situation. Moreover, pilots need to pay attention to weather, airport conditions, state of their aircraft, and also be mindful of other aircraft flying in the vicinity. Flight crew must maintain a constant awareness of any issues to make necessary reforms, and sometimes quick decisions, without hesitation. Terrorism immediately comes to mind for many people in thinking about threats to flight safety. However, psychological problems among pilots may pose additional threats of their own. For clarity, the term “psychological problems” will be used synonymously alongside those of the like such as “mental illness,” “mental health condition,” “psychiatric condition,” and more. Regardless of the terminology used, the idea is to understand the outcome of such can be catastrophic. With cycles of stigma existing in the aviation domain, pilots have been reluctant to disclose mental health problems for fear of losing their certification to fly. Many pilots may be managing depressive symptoms without treatment due to fear of negative career impacts. In fact, experts found, “Underreporting of mental health symptoms and diagnoses is probable among airline pilots due to the public stigma of mental illness and fear among pilots of being ‘grounded' or not fit for duty” (as cited in Wu et al., 2016, p. 2). On the other hand, C (open full item for complete abstract)
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    Committee: Jason Lorenzon J.D. (Advisor) Subjects: Psychology; Transportation

  • 17. Rivers, Essence Adolescent Pre-Treatment Characteristics as Predictors of Substance Use Treatment Process

    Doctor of Psychology (Psy.D.), Xavier University, 2021, Psychology

    Although adolescent substance experimentation is a relatively normative experience, there are significant risks associated with abusing substances during adolescence. Treatment programs have been designed to target and reduce substance abuse in adolescent populations; however, treatment retention remains a significant problem in adolescent populations. The current study aimed to examine the relationship between treatment motivation, substance abuse patterns, and session attendance in a sample of adolescents engaged in an intensive outpatient program (IOP). Using the measures administered during the intake interview, including the TCU ADOL MOTForm (a measure of treatment motivation), the SASSI-A2 (a commonly used measure to evaluate the need for treatment), and the ASAM PPC-2R (a clinician-rated form to determine the most appropriate level of care), the current study evaluated the relationship between scores from these measures and session attendance. There were no significant relationships between TCU scores, SASSI-A2 scores, or ratings on the ASAM PPC-2R and the number of sessions attended. Further, there were no significant differences between clients classified as high vs. low motivation and the number of sessions attended. There were significant correlations between scores on the TCU and some of the SASSI-A2 scores, suggesting that the SASSI-A2 may provide information related to treatment motivation. The current study suggests an ongoing need for adolescent treatment programs to continue to explore and identify factors that promote engagement and attendance in substance abuse treatment programs.
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    Committee: Kathleen Hart Ph.D., ABPP (Committee Chair); David Baum Psy.D., LICDC (Committee Member); Heather McCarren Ph.D. (Committee Member) Subjects: Behavioral Psychology; Clinical Psychology; Psychology

  • 18. Mast, Maria Understanding Risk Factors in Opioid Addiction in Franklin County, Ohio

    Doctor of Healthcare Administration (D.H.A.), Franklin University, 2021, Health Programs

    The opioid epidemic in the United States is responsible for thousands of overdoses annually. Recent data from the CDC (2017) deduces that there have been 115,186 opioid-related mortalities from 2010-2015 in the U.S., which is in the region of approximately 23,000 patients on an annual basis, equating to nearly 2,000 deaths per month and close to 64 deaths each day (Centers for Disease Control and Prevention). Many studies demonstrate the causes, longevity, death rates, along with treatment approaches. While all of the subtopics mentioned above are of significant value, the focus on prevention significantly lacks in comparison. Given the widespread issue, further research focusing on data analytics to identify key disposition factors is critical to affecting change by way of policy and prevention. It is essential for the overall population, along with upcoming generations, that the country is aware and providing education to young adults about the potential hazards associated with the crippling effects of opioid addiction. Addiction is a multifaceted diagnosis and requires appropriate analysis to determine why individuals become addicted and how addiction can be avoided in the future.
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    Committee: Andy Igonor Dr. (Committee Chair); Leslie Mathew M.D. (Committee Member); Alyncia Bowen Ph.D. (Committee Member) Subjects: Behaviorial Sciences; Biostatistics; Public Administration; Public Health; Public Health Education; Social Research

  • 19. Smith, Alexis Emotion Regulation in a Residential Substance Abuse Program for Veterans

    Doctor of Psychology (Psy.D.), Xavier University, 2020, Psychology

    Research on emotion regulation while in residential substance abuse treatment is scarce, and even more so within the veteran population. This present data analysis examined the relation between emotion regulation and various aspects of residential substance abuse treatment. First, it was found that difficulties with emotion regulation significantly decreased from admission to post-completion of a veteran residential substance abuse program. In addition, treatment persistence, or the act of remaining in treatment for the recommended duration, was examined. This data analysis tested the hypothesis that fewer difficulties regulating emotions would increase the chances veterans would remain in the 21-day program. This hypothesis, however, was not supported. In addition to veterans voluntarily leaving the program earlier than recommended, some veterans are involuntarily asked to leave due to violating program rules. As such, it was hypothesized that fewer emotion regulation difficulties upon admission would lessen the likelihood of committing rule infractions; this hypothesis was not supported. Lastly, it was found that the greater the change in DERS scores from admission to discharge, the lower the likelihood of returning to aftercare treatment (e.g., outpatient follow-up appointments); these results were contrary to what was hypothesized. Although emotion regulation difficulties can significantly decrease after a 21-day program, further research is needed to determine variables associated with remaining in treatment, following program rules, and attending recommended follow-up care.
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    Committee: Nicholas Salsman Ph.D. (Committee Chair) Subjects: Psychology

  • 20. Kaufman, Julia Psychological Maltreatment Subtypes and Associated Long-Term Effects: A Person-Centered Approach

    Doctor of Philosophy, Miami University, 2020, Psychology

    Despite evidence indicating that psychological maltreatment (PM) has pernicious, long-lasting effects, research on this form of child maltreatment has been slow to progress. PM in childhood has been found to be a predictor of adult symptoms of anxiety and depression, substance use, and substance-related problems. Although a range of abusive and neglectful parenting behaviors can be considered psychological maltreatment, different subtypes of PM are rarely assessed. The available research examining subtypes of PM suggests that children experience distinct, and perhaps predictable, combinations of PM subtypes. Yet, research has not explored how subtypes of PM naturally co-occur or how these subtypes may differentially affect adult psychological functioning. Using latent profile analysis, the present study explored the natural co-occurrence of PM subtypes (i.e., terrorizing, spurning, exploiting/corrupting, isolating, and denying emotional responsiveness) and differences in adult psychological functioning in a community sample of 491 young women. Results indicated the best fit was a three-class model reflecting exposure to low, moderate, and high PM, across PM subtypes. Distinct PM groups were characterized by severity, but not subtype. Results also revealed statistically significant differences between the three PM groups on symptoms of anxiety and depression, substance use, and substance-related problems such that exposure to more severe PM tended to be associated with greater symptom severity. Importantly, PM did not occur in isolation as participants in the moderate and high PM groups reported high rates of child physical and sexual abuse. Research and clinical implications are discussed.
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    Committee: Terri Messman-Moore PhD (Committee Chair); Kevin Bush PhD (Committee Member); Elise Clerkin PhD (Committee Member); Aaron Luebbe PhD (Committee Member) Subjects: Clinical Psychology; Psychology