Question.4016 - Research Paper: Substance Use and Disability Write a Using the format and headings listed below, read, summarize, and react to four peer reviewed articles published in professional journals on the subject of addiction or drug use and disability. Disability can refer to physical, intellectual, or mental health. The subject you choose is entirely up to you, so long as it integrates disability and drug use or addiction. Do not use literature such as Psychology Today, Newsweek, Ladies Home Journal, etc. Make sure you narrow your topic so it isn’t too broad. Use research literature published in 2010 or later. Paper must be APA formatted: 1 inch margins, double-spaced, 12-point font, with the source referenced at the top of the paper per the example below in a. Each paper will consist of stating the source (in APA format) at the top of the page, summary of the paper, your reaction, and a final summary. The subject should in a rehabilitation, psychology, or related field. You do not have to provide citations in the paper (e..g, “According to recent data, X was found to be Y (Mlinar, 2024)”; (Mlinar, 2024) is the citation) in any of the sections. However, it would probably be easier if you did cite the article you’re talking about in the final summary and reaction section of the paper – because it can be hard to know which paper you’re referring to given that this section of the paper covers four articles. Alternatively, you can just refer to the paper in a less direct way, e.g., “according to the paper mentioned above on depression and substance use...” I just need to know which article you’re referring to in the final summary and reaction paper; using APA 7 with proper citations can make this easier, but it isn’t required. a. Source example (from the Purdue Online Writing Lab): Author, A. A., Author, B. B., & Author, C. C. (Year). Title of article. Title of Periodical, volume number(issue number), pages. b. Summary: Limit the summary to one and one-half typed pages or less in paraphrased fashion. Do not copy the printed abstract or copy verbatim from the articles. State the focal topic, purpose, and conclusions of the article. c. Reaction: This is the major focus of this assignment and is to represent your best effort in thinking and writing. In the space left following your Source and Summary, state the issue you are reacting to in the article and then provide your position on the issue. The reaction is to be a product of your critical thought and your conceptualization of the principles and issues explored by the article. Be sure NOT to make your reactions mere summaries of the material read. Your 4 reaction may take any form you wish but it must be substantiated by a given rationale or belief system which you explain in the reaction. Some suggested reaction topics might include: 1) Key concepts you find most useful and why. 2) Some of the ideas or techniques you would want to include in your helping style and why. 3) Major limitations of the author's presentation 4) Ideas with which you partially agree but would modify to some extent. 5) Ideas with which you disagree and why. d. Final summary & reaction: This will come only after you have read and reacted to all four articles. As a final report, prepare a ONE or TWO page summary/reaction to the four articles. Please do not merely recap your individual article summaries; your goal here is to synthesize all four articles into a “big picture” summary and reaction. You may address any learning you gained from your reading, comment on the overall impression you now have about the topic, list areas needing further research, or other appropriate impressions. Each of the four articles written about, including the final summary, should be no more than three typed pages. Paper Length: Cover page + (4 summaries & reactions X 3 pages) + 2 page final summary & reaction= 15 pages. Note: do not put an abstract at the beginning or reference page at the end. Note 2: please use the American Psychological Association’s guidelines and/or the Purdue’s Online Writing Lab for instructions on APA formatting: ? https://apastyle.apa.org/ ? https://owl.purdue.edu/owl/research_and_citation/apa_style/ apa_formatting_and_style_guide/general_format.html. Note 3: see the content section of D2L for an example paper indicating the APA and formatting guidelines I’m looking for.
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HYPERLINK "https://memphis.instructure.com/courses/134039/assignments/952062"Research Paper Julissa Montoya RHAB-4322-600 - Advanced Chemical Substance Use and Abuse HYPERLINK "https://www.sfasu.edu/"Stephen F. Austin State University December 12th, 2024 Research Paper: Substance Use and Disability Source 1 Substance Abuse and Mental Health Services Administration. (2024). Preventing substance use among young adults with disabilities. Retrieved from [SAMHSA](https://store.samhsa.gov/sites/default/files/substance-use-youth-disabilities-pep24-06-003.pdf) Summary The current advisory report has been prepared by the Substance Abuse and Mental Health Services Administration (SAMHSA) to seek to explain why young adults with disabilities between the ages of 18 and 25 years are more vulnerable to substance use than other individuals. The report finds that these demographics experience disparities such as loneliness, prejudice, and restricted opportunities to gain prevention and treatment. It particularly underlines the need to develop population-specific prevention approaches oscillating between the approaches belonging to the field of disability and those from the field of substance use prevention. This paper identifies specific causes of substance use in this group such as trauma, low income, and prejudice. Early adulthood accompanied by disability increases vulnerability to substances since young adults have no well-established support structures while they struggle to conform to many societal norms. According to the advisory, it is necessary to create the primary substance use prevention programs available only for the young adults with disabilities, through the equity, accessible, and trauma-informed perspectives. Further, the report explains how family and community can help young adults with disabilities. Therefore, the involvement of families in prevention interventions may increase the intervention success rate. It also notes the connection with other involved actors, including medical practitioners, educators, and community-based organizations, to work on a multifaceted support system that encompasses not only disability concerns but also substance use prevention. Reaction This focus on individual approaches to prevention efforts is especially important because it acknowledges the heterogeneous nature of the young adults with disabilities population. The use of trauma-specific practices can assist in making these behaviors more favorable in such persons during such a sensitive age of development. Through involving all the stakeholders, more emphasis is placed on general, more collaborative approaches that can, in fact, lead to enhanced intervention. It could still be enhanced by more precise examples of successful programs or interventions that have been launched in different communities. While the book includes equity and accessibility, samples of how such principles can be applied would have been helpful and practical. Moreover, future studies are also required to compare the effectiveness of these tailored interventions among different forms of disability. Lastly, this advisory gives important information on how to reduce substance use among young adults with disability. In view of this, it outlines key areas that can be used to build a framework for proactive preventative approaches that respond to the needs of this group. Source 2 Ledingham, E., Adams, R. S., Heaphy, D., Duarte, A., & Reif, S. (2024). Perspectives of adults with disabilities and opioid misuse: Qualitative findings illuminating experiences with stigma and substance use treatment. Retrieved from [PubMed Central] (https://pmc.ncbi.nlm.nih.gov/articles/PMC10168177/) Summary This paper focuses on the narrative undertaking to present the life accounts of a specific group of adults with disabilities who misuse opioids. To this end, the authors conduct and analyze interviews with participants of different ages, genders, and ethnicities to recognize regular themes of stigma and barriers to the treatment process. According to the research, people with disabilities have more challenges with opioids, and this is explained by this same comorbidity and social vulnerability. The research shows that more participants experienced isolation and helplessness concerning their recovery and treatment because of their disability. The authors acknowledge the need for improvement in awareness and education among healthcare practitioners to improve dedicated support and reduce prejudice. Another limit to the realization of rights for these disabled persons is constructs based on systems of downs that include lack of transport, financial issues, and poor health insurance, among others. Disability status and substance use history as the reasons that participants claimed they had experienced stigma by providers, making them avoid seeking services. In addition, the authors have focused on the need to develop appropriate treatment-related climates that aim at fostering comfort in patients and openness regarding various matters without prejudice. They support access in treatment facilities and make sure that staff are knowledgeable of the same for disabled persons. Reaction Stigma is also important to focus on because, much of the time, people are afraid or too ashamed to seek help for substance use problems. Stigma-related misconceptions and prejudices can be discreditably eliminated through education-awareness campaigns that would later make people seek the needed treatment services. I also like how the study underscores narratives; it is sometimes true that qualitatively driven findings can mean more than what quantitatively derived numbers convey. Finally, this study highlights the significance of providing Mental Health treatment services in opioid treatment programs while addressing the needs of multiple disadvantaged ID clients. Disability awareness and addiction education should be integrated with healthcare awareness in order to improve the awareness of patients. All the same, promoting health takes place outside the clinic or hospital, but these approaches should be supported by intervention studies at the individual level targeting people who already use health care services most intensively. Some people may not be capable of responding positively to mass campaigns without the support of healthcare givers who are conversant with their status. Finally, as suggested by Ledingham et al., there is a clarification of major challenges that patients with disability experience in their attempts to get assistance for opioid abuse, as well as drawing awareness to the systemic changes required in healthcare. Source 3 Garcia, M., & Robinson, T. (2023). The intersectionality of mental health disorders and substance abuse in disabled populations: Implications for rehabilitation services. Retrieved from [Frontiers in Psychiatry] (https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1295818/full) Summary This paper aims to examine the interaction between mental health disorders, substances, and the disabled community. The authors noted that consumers with disabilities have dual-diagnosed mental illnesses and SUDs. It states that dual diagnosis treatment should be provided in one unified system since they should not be provided separately. In the course of the present paper, several models are described in which mental rehabilitation is integrated into programs aimed at treating addiction. The authors write about the necessary approach to previous and further experiences and emphasize that interventions must be based on individual experience and specific approaches to enhance rehabilitation outcomes. According to the article, the following are challenges disabled persons face in accessing integrated care services. Some of these barriers include; physical barriers in the narcotic treatment centers, few staff who are knowledgeable in substance dependence as well as disability, and inadequate financial resources in providing extensive substance dependence care services. In addition, Garcia and Robinson demanded transformations at both the local and national levels in an attempt to increase funding for rehabilitation services and make them available and equally accessible to everyone, regardless of disability status or personal or family income. Reaction One is the integrated model by Garcia and Robinson, a model I fully endorse; it is only reasonable to address mental health and substance use disorders as a single package for a lasting change. Their work shows that there is a major failure in current rehabilitation practices in that these two areas are virtually distinct. However, for the cultural competence concept within rehabilitation services with cultural diversity, I would prefer the needs of this population to be discussed more. There are often paradigm differences between cultures and mental health as well as addiction; therefore, these details should be pursued for interventions. Although the article provides a clear understanding of the challenges arising from the lack of access to integrated care services, the article lacks suggestions on how to fix these challenges systematically. A refinement that would enhance this contribution is where the author highlighted effective practicing of integrated care admission or effective models that are already in practice that could offer direction to the practicing clinicians interested in practicing integrated care approaches. Thus, Garcia and Robinson give certain recommendations for improving the rehabilitation services based on the integrated model, but more focus on culturally sensitive matters is needed to reach all the diverse clients. Source 4 Wang, Y., & Li, X. (2024). Stigma toward substance use disorders: A multinational perspective. ?Retrieved from [ScienceDirect](https://www.sciencedirect.com/science/article/pii/S1936657422000255) Summary This article focuses on the issue of the social shame directed at patients with Substance Use Disorders (SUDs) worldwide. At the same time, the featured article focuses on stigma as a barrier to treatment and the consequences on health for people with SUDs, particularly those with disabilities. Based on the literature reviewed by the authors, upstream, multifaceted interventions are suggested to address the problem of stigma and enhance the quality of service to clients. The paper analyses cross-sectional research conducted worldwide to show how cultural beliefs about addiction affect the communitys perception and policy on users of substances with dependence potential. The authors propose that to eliminate stigma, community participation, together with policy adjustments to ensure people with the conditions get support without prejudice, must be adopted. Wang and Li also touch on the importance of education in eradicating stigma from the wider society and healthcare settings, especially among the carers of persons with substance dependency problems, rather than construe such problems as examples of the individuals being bad. Reaction Stigma reduction is relevant for the oxidation and availability of treatment to those with SUDs and disability, but it is also important for positive health outcomes. There is high agreement with the call for embodied interventions suggested; a best practice of people orientation, which requires community support involvement, can greatly reduce stigma levels while at the same time improving health. I like how Wang and Li talk about educative measures against stigma; depending on how society perceives addiction as a weakness or a disease it is possible to encourage more empathetic treatment by society. Although they can still be stereotypical and stigmatizing at times, I think more focus should be placed on using people diagnosed with SUDs in educational capacities; real stories captivate people well. In conclusion, based on the insights from this article, there is a critical necessity for fighting stigma concerning SUD together with showing how especially the population with disabilities is affected; correspondingly, there is a critical necessity for the development of sophisticated, multifaceted initiatives for addressing the issue of stigma concerning disability alongside presenting the need for coverage concerning the need for diverse types of care pertaining to addiction recovery. Final Summary & Reaction Comorbidity of substance dependency and disability is a complex socio-medical issue that has a number of important aspects related to the disability experience. The four articles included in this paper give concrete information about this topic, each of them offering valuable perspectives on prevention, stigmatization, integration of treatment, and the identification of multidimensional approaches that can help persons affected by mental disorders. The key finding in the national report by the Substance Abuse and Mental Health Services Administration SAMHSA stresses the need for developmental prevention programs unique for young adults with disabilities. It shows how those demographics build different challenges, such as social exclusion, discrimination, and poor availability of treatment platforms. The implication is that collective endeavors of healthcare, education, and community sectors should design environments that promote recovery. This focus on collaboration is important; understanding and dealing with substance use issues among young adults with a disability requires more strategies and approaches. The qualitative study by Ledingham et al. brings out the perception of misuse of opioids among the adult population with disability. Thus, the results show that stigma is a major factor influencing peoples behavior and discourages them from seeking help. For alcohol and other substance use disorders, participants complained of themes of isolation and exclusion, especially during treatment, which worsened their conditions. This underscores the requirement for healthcare givers to undertake disability competence and complaints regarding the impact of the treatment setting on disabled people that need to be worked on. Moreover, the study provides evidence regarding environmental factors preventing people from receiving care, including transportation problems and insufficient insurance. All of these are factors that need to be overcome to ensure the provision of equal opportunities for treatment for any sick person out there. In their article, Garcia and Robinson focus on difficult-to-treat comorbidity, mental health disorders combined with substance use in disabled people. Some advocate for the co-occurring disorder model of rehabilitation services to mean that rehabilitation services must be offered as a single package that attends to the mental state and substance use at the same time. Such a view is important because a large part of the disabled population has other disorders that recreate the process of rehabilitation. According to the authors, client-centered interventions are very helpful and should be incorporated into rehabilitation programs since the delivery of timely and individualized care will enhance rehabilitation goals. However, they report that there is a lack of integrated care, which they define and explore until a set of barriers, such as physical accessibility, and a shortage of professionals with dual competencies in addictions and disability. Thus, their elimination with the help of the policy shift and augmentation of the funding of the comprehensive care programs is vital to promoting necessary support for individuals. Wang and Li's review aver that stigma related to substance use disorders is not a narrow conception across cultures. They explain how cultural perceptions towards dependency affect decision-making processes and prognosis pertaining to disabilities among dependent individuals in a society. Based on the findings, the authors call for multi-sectoral anti-stigma approaches, which include appropriate awareness creation in the community. Their focus is education; spreading the word about what addiction is, is a disease, not a character flaw, is likely to elicit less hostility from the rest of society. Collectively, these articles underscore several key themes that are critical for addressing substance use disorders among individuals with disabilities: 1. Tailored Interventions: General and focused prevention and treatment programs for people with various forms of disability are lacking in society. Such programs should consider the risk factors associated with this group, such as loneliness, prejudice, and prejudice, as well as mental disorders. 2. Addressing Stigma: Perceived stigma continues to be ranked as one of the biggest deterrents to people seeking support regarding substance use problems. Stigma-related education programs, including community, health care provider, and client education, should be an integral component of epilepsy care. 3. Integrated Care Models: Rehabilitation service delivery, therefore, needs to adopt a dual diagnosis treatment process that tackles mental illness and substance use disorder at the same time. This means a need to educate healthcare professionals on the matters of disability and the need to provide physical access to treatment centers. 4. Collaboration Among Stakeholders: Subsequently, positive changes in the social context must be achieved through the cooperation of multiple sectors, such as healthcare and community agencies, along with families and policymakers. 5. Policy Changes: Health care service delivery for those with a disability, substance use, and trust issues requires systems transformation. This is in relation to removing financial constraints to service provision, mobility issues, and the need to ensure adequate funding for health schemes that support greater extension of integrated care services. Analyzing these topics, one understands the fact that the issue of the treatment of substance use disorders in the disabled population needs a proper approach that will focus on the concrete subject, as well as social conditions. Mental health services coordination with addiction treatment is especially necessary; there are difficulties people with disabilities have that cannot be resolved by standard therapy techniques. However, there is still a lack of sufficient literature on more detailed identification of various types of disabilities and how these correlate with substance use. For example, learning how the various specific difficulties affect the use of substances will help in designing better therapies to treat people with different conditions. In totality, the findings in these articles underscore a critical need to ensure equal access to treatment for people living with a disability who are struggling with substance use disorders. We have recommended four strategic priorities: personalized prevention and treatment, destigmatization, coordination of care, stakeholder collaboration, and policy advocacy to achieve greater equity in healthcare delivery systems. All in all, it can be suggested that remarkable developments have been observed in the sphere, yet it still remains highly problem-oriented. It is with this information that concepts such as empathy, advocacy, and evidenced-based practice can be put to use to continue altering the environment to allow for personal growth throughout the recovery process.More Articles From Others
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