Master of Science in Counseling
http://hdl.handle.net/11558/993
2024-03-29T11:02:37ZBuprenorphine MAT's Impact on Opioid Relapse
http://hdl.handle.net/11558/7364
Buprenorphine MAT's Impact on Opioid Relapse
In 2020, opioids were involved in 68,630 overdose deaths, which accounted for 74.8% of all drug
overdose deaths (Centers for Disease Control and Prevention, 2022). In the past few decades, an increased
understanding surrounding the neurological, and subsequent physiological, dependence caused by
substances has shifted society’s ideology away from viewing addiction as a choice and instead towards a
disease that has claimed the lives of millions. Opioid addiction as outlined by the 5th edition of the
Diagnostic and Statistical Manual, indirectly effects arguably all Americans due to the financial toll and
how this disease impacts not only loved ones, but also communities surrounding individuals suffering
from addiction. Buprenorphine, a Food and Drug Administration (FDA) approved pharmacological
treatment option for opioid use disorder, has yielded drastically positive outcomes, especially when
combined with behavioral health interventions. More specifically, Greiner et al. (2021) found that of
those who retained treatment, fewer met relapse criteria (16.4% vs 38.9%), they had fewer opioid use
days in the past month (4.4 days vs 9.8 days), and they had less stimulant use (15.2% vs 27.7%). An
opposition to MAT options such as Buprenorphine, neglects the empirically sound evidence, disregards
the importance of combating the opioid epidemic, and exhibits a lack of urgency to save lives. It is
important to note that buprenorphine at any dose has been found to retain patients in recovery better than
a placebo (Reimer et al., 2020). The availability of these treatment options is vital to preserving the health
of Americans and combating years of stigma attributing to barriers individuals face when receiving
addictions treatment.
2022-01-01T00:00:00ZTrauma in Dyadic Relationships and Couple Counseling as Treatment
http://hdl.handle.net/11558/6536
Trauma in Dyadic Relationships and Couple Counseling as Treatment
This systematic review focuses on dyadic relationships, and seeks to answer the following questions: 1) How do traumatic life events impact survivors and partners in dyadic relationships? 2) Is couple counseling an effective treatment for mental health or relationship issues when one or both partners have experienced trauma? The review contains ten articles. Although there is some overlap, six articles focus primarily on trauma outcomes in dyadic relationships and address the first research question. Five articles address the second question, and center around the treatment of trauma. Included are a mixture of qualitative and quantitative research. One study was a randomized control trial (RCT), one was quasi-experimental (pre- and post-treatment data collection), two utilized in-depth interviews and thematic analysis, and one article was a collection of vignettes outlining treatment. The remainder were correlational.
2022-07-10T00:00:00ZWhat is Stopping Me from Stopping? Barriers to Evidence-Based SUD Treatment
http://hdl.handle.net/11558/6532
What is Stopping Me from Stopping? Barriers to Evidence-Based SUD Treatment
The United States houses around 4% of the world’s population, but approximately 33% of the world’s prisoners (Lee, 2020). Currently, the United States has adopted a punishment model for crime, in hopes that criminalized behavior will become less desirable. This model is associated with various movements such as the Tough on Crime movement and the War on Drugs, both popularized in the 70’s after crime surged in the 1960’s (Lee, 2020; Murphy, 2013; Tsai & Gu, 2019). While the goal has been to decrease drug dependence, incarceration rates continue to rise and addiction remains a major issue within the general and prison populations and continues to disproportionately affect minority groups (Clement et al., 2019; Murphy, 2013; Tsai & Gu, 2019). After over 50 years of staying ‘tough’, many are asking if this approach is causing more harm than good. This review seeks to identify barriers to receiving evidence-based treatment for Substance Use Disorders.
2022-07-10T00:00:00ZSystematic Review of Social and Executive Functioning in Women with ADHD
http://hdl.handle.net/11558/6531
Systematic Review of Social and Executive Functioning in Women with ADHD
ADHD is misunderstood and frequently underdiagnosed in females. The lack of proper intervention and treatment for females with ADHD can have an effect that last years. The articles I have studied backed that claim as well, but I wanted to know something a little more specific. Many women are believed to express ADHD symptoms through internalizing issues, so I wanted to know how that internalization of ADHD affects executive functioning, and I wanted to know how that internalization of ADHD affects social functioning. My research found that among several studies, girls diagnosed with ADHD, even when symptoms go into remission in late adolescence or adulthood, struggle significantly more than their peers with social and executive functioning. More research is needed to understand why this has such a long-term effect, and what treatments could be beneficial for these girls.
2022-07-24T00:00:00Z