A Meta-Analysis of the Efficacy of Case Management for Substance Use Disorders: A Recovery Perspective

Conclusions: The primary results from earlier meta-analyses were supported: case management is more effective than TAU conditions for improving outcomes, but this effect is significantly larger for treatment-related tasks than for personal functioning outcomes. Case management can be an important supplement to available services for improving linkage and retention, although further research is needed to assess its potential for supporting recovery from a longitudinal perspective. Introduction Rationale Substance use disorders (SUD) are associated with a wide range of consequences, including adverse health, social and economic outcomes (1–4). The health status of persons with alcohol and drug problems is often negatively affected by their substance abuse and SUDs contribute significantly to the global burden of disease (4, 5). Consequently, life expectancy and disability adjusted life years are often much lower among this population (6, 7). The co-existence of SUDs and other psychiatric disorders is widely documented and poses specific treatment challenges (8). Moreover, people with alcohol or drug use problems are more likely to be negatively affected on key employment measures such as being employed (9), maintaining productivity, and remaining in the workforce (10). Housing, judicial and relational problems are also pervasive among persons with SUDs, including a negative impact on partners, parents and children (11). Persons with SUDs frequently have signific...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research

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Source: Health Communication - Category: Health Management Authors: Source Type: research
Publication date: Available online 21 January 2020Source: Genes &DiseasesAuthor(s): W.E.I. Zilun, Y.A.N.G. Yining, L.I. Qiaoling, Y.I.N. Yong, W.E.I. Zhonghai, Z.H.A.N.G. Wenfeng, M.U. Dan, N.I. Jie, S.U.N. Xuan, X.U. BiaoAbstract and KeywordsHypertension (HT) is the most common public-health challenge and shows a high incidence around the world. Cardiovascular diseases are the leading cause of mortality and morbidity among the elderly (age> 65 years) in the United States. Now, there is widespread acceptance of the causal link between HT and acute myocardial infarction (MI). This is the first data-mining study to id...
Source: Genes and Diseases - Category: Genetics & Stem Cells Source Type: research
ConclusionHigh levels of lifestyle-related cancer-risk behaviors were found in most of the Hong Kong construction workers studied. The present study contributes to understanding how cancer-related lifestyle risk behaviors cluster among construction workers and relative impact factors of risk behaviors. It is essential to tailor health behavior interventions focused on multiple risk behaviors among different groups for further enlarging the effects on cancer prevention.
Source: Safety and Health at Work - Category: Occupational Health Source Type: research
Publication date: Available online 21 January 2020Source: Urology Case ReportsAuthor(s): Joseph Santiapillai, Sachin AgrawalAbstractA 61 year old gentleman had a large renal cyst, thought to be causing a ‘pseudo-hydrocalyx’ leading to recurrent stones. Definitive treatment with laparoscopic deroofing was planned, however intra-operatively this was abandoned due to complex anatomy and scared adherent tissue. Patient went on to have a flexible ureteroscopy and ‘through and through’ puncture of an intrarenal cyst with PCNL to treat his stones and renal cyst simultaneously. CT scan 12 months later showe...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
Publication date: Available online 21 January 2020Source: European UrologyAuthor(s): Taylor P. Kohn, Jaden R. Kohn, Ryan C. Owen, R. Matthew Coward
Source: European Urology - Category: Urology & Nephrology Source Type: research
Publication date: Available online 21 January 2020Source: European UrologyAuthor(s): Alberto Ferlin
Source: European Urology - Category: Urology & Nephrology Source Type: research
INTRODUCTION: Brazil has one of the highest traffic accident rates in the world. Cargo vehicles are the second most common type of vehicle involved in these accidents. Driving under the influence of drugs increases the risk of truck drivers being involved ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
BACKGROUND: Family history (FH) is an important risk factor for the development of alcohol use disorder (AUD). A variety of dichotomous and density measures of FH have been used to predict alcohol outcomes; yet a systematic comparison of these FH measures ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Being a family caregiver today is a demanding responsibility. If caregiving is stressful for the “typical” caregiver—a 49-year-old woman—think how much more is at stake when the caregiver is a child or teenager. Yet more than a million youngsters ages 8–18 take on challenging tasks to help a parent, grandparent, sibling, or other relative. While that number is undoubtedly an underestimate, it does not even include an emerging subgroup—children whose parents are struggling with opioid addiction. If we have limited information about the young people taking care of those with diabetes, canc...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Featured Population Health Public Health Quality Agnes Leu child caregivers family caregivers National Alliance for Caregiving Saul Becker United Hospital Fund Source Type: blogs
I didn’t vote for you. You see, I was born with a brain injury. Doctors at Children’s Hospital in Boston told my parents I would never be able to walk normally. Young children are mean. As a young boy, insults, and laughs became a daily ritual. When I walked into a classroom, a restaurant, or down a street, people didn’t look into my eyes. They always looked down as I limped awkwardly along. But I overcame and became a varsity athlete at a prep school outside of Boston. As a teenager, I grew strong, and anybody that made fun of my limp or my awkward gate became irrelevant. Frankly, Mr. President, the day ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
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