Purpose: Individuals with hearing impairment have higher risks of mental illnesses. We sought to develop a richer understanding of how the presence of any hearing impairment affects three types (prescription medication, outpatient services, and inpatient services) of mental health services utilization (MHSU) and perceived unmet needs for mental health care; also, we aimed to identify sociodemographic factors associated with outpatient mental health services use among those with hearing impairment and discuss potential implications under the U.S.
View Article and Find Full Text PDFBackground: Approximately 17.3 million US adults had at least one major depressive episode (MDE) in 2017. Of those, about two-thirds received mental health services from health professionals.
View Article and Find Full Text PDFAlthough caffeine is the most widely used mood-altering drug in the world, few studies have operationalized and characterized Diagnostic and Statistical Manual IV (DSM-IV) substance dependence criteria applied to caffeine. As a part of a nosological study of substance use disorders funded by the National Institute on Drug Abuse, we assessed caffeine use and dependence symptoms among high school and college students, drug treatment patients, and pain clinic patients who reported caffeine use in the last 7 days and also reported use of alcohol, nicotine, or illicit drugs within the past year (=167). Thirty-five percent met the criteria for dependence when all seven of the adopted DSM dependence criteria were used.
View Article and Find Full Text PDFJ Empir Res Hum Res Ethics
September 2008
LONGITUDINAL RESEARCH ON street-recruited out-of-treatment drug users involves ethical issues concerning enrollment and retention of participants, remuneration and benefits. In contrast to practices of excluding such high-risk populations from research and assuming that they would not comply with a protocol requiring repeated measures over a 12-month period, this report presents examples from 15 years of community-based studies that have enrolled drug-using participants and achieved a 96% retention rate. We also examine ethical issues connected with cash remuneration, and describe methods to elucidate the kinds of benefits that are most meaningful to this population.
View Article and Find Full Text PDFFor social work practitioners to engage fully in efforts designed to improve the quality of social services, they need to understand what is meant by quality of care, grapple with its complexity, and know how to identify and leverage the key factors most likely to influence it. This article introduces a conceptual model that articulates numerous influences on the quality of social services. It details the macrosystem, consumer, advocacy, organizational, and practitioner influences on technically proficient and sensitively delivered social services that affect consumer outcomes in desired ways.
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