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Artikel ; Online: Substance use disorders, physical health and recovery capital: Examining the experiences of clients and the alcohol and other drug workforce.

Osborne, Briony / Kelly, Peter J

2023 Band 42, Heft 6, Seite(n) 1410–1421

Abstract: Introduction: Challenges associated with the integration of physical health within alcohol and other drug (AOD) treatment services persist. The construct of recovery capital has gained currency within the sector, however, its potential in understanding ... ...

Abstract	Introduction: Challenges associated with the integration of physical health within alcohol and other drug (AOD) treatment services persist. The construct of recovery capital has gained currency within the sector, however, its potential in understanding the integration of physical health within AOD treatment has not been examined. This study explores the role of physical health in the process of recovery, examining the potential of 'recovery capital' frameworks to enhance integrated care. Methods: Interviews were conducted with residential and outpatient AOD services across New South Wales, Australia. Qualitative data was collected from clients (n = 20) and staff (n = 13) and transcribed. Data were systematically coded and analysed using the iterative categorisation method. Results: Unmanaged physical health issues compromised recovery, particularly when associated with hopelessness and pain. Improved physical health ameliorated sources of negative recovery capital such as boredom, social isolation and mental health symptoms. When addressed during treatment, physical health facilitated recovery capital resources through knowledge and skill acquisition, increased autonomy, enjoyment and immersive experience. Benefits extended to domains of 'social capital' (social connection) and 'cultural capital' (physical appearance). Discussion and conclusions: Physical health offers variegated pathways for building recovery capital. Findings support calls for a more assertive approach to addressing physical health when AOD treatment occurs outside of primary care settings. Future research should examine the potential of recovery capital as a heuristic for optimising care of physical health issues and health-related behaviour within AOD treatment services.
Mesh-Begriff(e)	Humans ; Australia ; New South Wales ; Substance-Related Disorders/therapy ; Substance-Related Disorders/psychology ; Social Isolation ; Workforce
Sprache	Englisch
Erscheinungsdatum	2023-05-30
Erscheinungsland	Australia
Dokumenttyp	Journal Article
ZDB-ID	1080442-0
ISSN	1465-3362 ; 0959-5236
ISSN (online)	1465-3362
ISSN	0959-5236
DOI	10.1111/dar.13689
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: A narrative review of outcome measures used in drug and alcohol inpatient withdrawal treatment research.

Wang, Jing / Deane, Frank P / Kelly, Peter J / Robinson, Laura

Drug and alcohol review

2023 Band 42, Heft 2, Seite(n) 415–426

Abstract: Issues: Assessing drug and alcohol inpatient withdrawal treatment programs is important, as these represent a first step of treatment among people with alcohol and drug problems. However, there are many ways of measuring outcomes making it difficult for ...

Abstract	Issues: Assessing drug and alcohol inpatient withdrawal treatment programs is important, as these represent a first step of treatment among people with alcohol and drug problems. However, there are many ways of measuring outcomes making it difficult for service providers to decide which domains and methods to use. This narrative review aims to clarify frequencies of the domains and methods used to assess withdrawal treatment outcomes. Approach: We reviewed published studies that examined outcomes of inpatient drug and alcohol withdrawal treatment. The types of outcome measures used and the frequency of use were summarised. Key findings: The review showed that assessment of withdrawal treatment outcomes goes beyond traditional abstinence measures. Outcomes mainly focus on biological and psychological outcomes, with social outcomes rarely measured. Even within outcome domains (e.g., cravings), there were many assessment methods. Implications: The review provides service providers with an outline of common outcome domains and measures. Given the importance of social functioning to recovery from alcohol and drug problems, greater emphasis on such measures is desirable. Future research could develop greater consensus on outcome measures for use in withdrawal management services to facilitate clarity around factors associated with treatment success. Conclusion: Outcome assessment in withdrawal treatment goes beyond abstinence to include holistic measurement of biological, psychological and some social outcomes; but more work needs to be done to cohere the different assessment methods and broaden the scope to include social functioning.
Mesh-Begriff(e)	Humans ; Alcoholism/therapy ; Substance Withdrawal Syndrome/therapy ; Inpatients ; Outcome Assessment, Health Care ; Treatment Outcome
Sprache	Englisch
Erscheinungsdatum	2023-01-12
Erscheinungsland	Australia
Dokumenttyp	Journal Article ; Review
ZDB-ID	1080442-0
ISSN	1465-3362 ; 0959-5236
ISSN (online)	1465-3362
ISSN	0959-5236
DOI	10.1111/dar.13591
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Goals and Reasons for Entering Inpatient Withdrawal Treatment, and Perceptions of Help Received.

Wang, Jing / Deane, Frank P / Kelly, Peter J / D Robinson, Laura

Journal of dual diagnosis

2023 Band 19, Heft 2-3, Seite(n) 166–176

Abstract: Objective: Abstinence has been the primary treatment goal for alcohol and other drug (AOD) users attending withdrawal treatment. However, other outcomes including harm reduction have also been identified. This observational study aimed to describe ... ...

Abstract	Objective: Abstinence has been the primary treatment goal for alcohol and other drug (AOD) users attending withdrawal treatment. However, other outcomes including harm reduction have also been identified. This observational study aimed to describe participants' goals and reasons for seeking inpatient withdrawal treatment and compare the needs of clients with comorbid mental health problems and those without. Methods: Participants completed questionnaires at intake and discharge. Questionnaires assessed reasons for entering withdrawal treatment, goals, comorbidity, and perceived help received. Results: The sample comprised 1746 participants (69.4% male). Participants endorsed diverse reasons for entering withdrawal treatment. The most and least endorsed reasons were "stop using" (97.9%) and "legal reasons" (43.1%). Comorbidity groups varied significantly in their endorsement of reasons for mental health, physical health, harm reduction, financial, and legal. Conclusion: AOD users enter withdrawal treatment with a variety of reasons and goals including harm reduction. Variations in rates of endorsement highlight the importance of identifying individual needs dependent on mental health comorbidity.
Mesh-Begriff(e)	Humans ; Male ; Female ; Goals ; Inpatients ; Alcohol Drinking ; Hospitalization ; Antisocial Personality Disorder
Sprache	Englisch
Erscheinungsdatum	2023-06-22
Erscheinungsland	United States
Dokumenttyp	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2179549-6
ISSN	1550-4271 ; 1550-4263
ISSN (online)	1550-4271
ISSN	1550-4263
DOI	10.1080/15504263.2023.2221980
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Organizational Update From the European Stroke Organization.

Dichgans, Martin / Sandset, Else Charlotte / Kelly, Peter J

Stroke

2022 Band 53, Heft 10, Seite(n) e450–e452

Mesh-Begriff(e)	Humans ; Organizations ; Stroke/therapy
Sprache	Englisch
Erscheinungsdatum	2022-09-26
Erscheinungsland	United States
Dokumenttyp	News
ZDB-ID	80381-9
ISSN	1524-4628 ; 0039-2499 ; 0749-7954
ISSN (online)	1524-4628
ISSN	0039-2499 ; 0749-7954
DOI	10.1161/STROKEAHA.122.039851
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Buch ; Konferenzbeitrag: Education and health

Kelly, Peter J.

[papers from the Bangalore Conference on Science and Technology Education and Future Human Needs]

(Science and technology education and future human needs ; 5)

1987

Körperschaft	International Council of Scientific Unions / Committee on the Teaching of Science
Veranstaltung/Kongress	Conference on Science and Technology Education and Future Human Needs (1985, Bangalore)
Verfasserangabe	[organized by the Committee on the Teaching of Science of the International Council of Scientific Unions]. Ed. by P. J. Kelly
Serientitel	Science and technology education and future human needs ; 5
Überordnung
Schlagwörter	Health Education / congresses ; Gesundheitserziehung
Schlagwörter	Gesundheitliche Aufklärung ; Gesundheitslehre ; Hygieneunterricht ; Kind ; Gesundheitsbildung ; Gesundheitspädagogik
Umfang	XI, 296 S. : graph. Darst.
Ausgabenhinweis	1. ed.
Verlag	Pergamon Pr
Erscheinungsort	Oxford u.a.
Erscheinungsland	Vereinigtes Königreich
Dokumenttyp	Buch ; Konferenzbeitrag
HBZ-ID	HT003119369
ISBN	0-08-033946-8 ; 0-08-033947-6 ; 978-0-08-033946-7 ; 978-0-08-033947-4
Datenquelle	Katalog ZB MED Medizin, Gesundheit

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1988 A 2510	bestellbar zur Ausleihe	Magazin

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Artikel ; Online: Temporal exploration of the interpersonal theory of suicide among adolescents during treatment.

Janackovski, Atanas / Deane, Frank P / Kelly, Peter J / Hains, Alex

Journal of consulting and clinical psychology

2022 Band 90, Heft 9, Seite(n) 682–695

Abstract: Objective: The interpersonal theory of suicide (ITS) predicts perceived burdensomeness, thwarted belongingness, and hopelessness lead to suicidal ideation and recommends burdensomeness and belongingness should be the targets of treatment. Limited ... ...

Abstract	Objective: The interpersonal theory of suicide (ITS) predicts perceived burdensomeness, thwarted belongingness, and hopelessness lead to suicidal ideation and recommends burdensomeness and belongingness should be the targets of treatment. Limited research has tested if burdensomeness and belongingness temporally predict suicidal ideation during treatment. This study examined the bidirectional relationships between burdensomeness, belongingness, hopelessness, depression, and suicidal ideation in young people seeking treatment for suicide-related behaviors. Method: A sample of 638 Australian young people (69.3% females, Mage = 16.61 [SD = 2.99]) completed measures of burdensomeness, belongingness, hopelessness, depression, and suicidal ideation at each session of treatment (Msessions = 5.24 [SD = 2.16]). A random-intercept cross-lagged panel model examined the within-person direction of effects across the first five occasions of treatment. Results: Autoregressive paths showed hopelessness had carryover effects across all time points. All other variables had carryover effects at four time points. Cross-lagged paths varied, with suicidal ideation predicting depression, burdensomeness, and hopelessness. Belongingness, burdensomeness, and hopelessness predicted suicidal ideation on one occasion. Hopelessness predicted burdensomeness and depression at three time points and predicted belongingness on one occasion. Conclusions: Results are partially consistent with the ITS, but in contrast to the theory, the most consistent predictor of suicidal ideation was prior suicidal ideation. Prior levels of hopelessness, belongingness, and burdensomeness did influence suicidal ideation at some time points, but the most consistent effects were from hopelessness toward burdensomeness. Theoretical and treatment implications for these findings are discussed, particularly the need to directly address hopelessness in treatment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Mesh-Begriff(e)	Female ; Adolescent ; Humans ; Male ; Interpersonal Relations ; Australia ; Suicide ; Suicidal Ideation ; Self Concept ; Psychological Theory ; Risk Factors
Sprache	Englisch
Erscheinungsdatum	2022-10-03
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	121321-0
ISSN	1939-2117 ; 0022-006X
ISSN (online)	1939-2117
ISSN	0022-006X
DOI	10.1037/ccp0000758
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Identifying Patients at High Risk of Coronary Events After Stroke: A Prerequisite for Better Prevention.

Kelly, Peter J / Price, Chris

Stroke

2019 Band 50, Heft 12, Seite(n) 3335–3336

Mesh-Begriff(e)	Brain Ischemia ; Coronary Artery Disease ; Humans ; Ischemic Attack, Transient ; Myocardial Infarction ; Percutaneous Coronary Intervention ; Stroke
Sprache	Englisch
Erscheinungsdatum	2019-10-22
Erscheinungsland	United States
Dokumenttyp	Editorial ; Comment
ZDB-ID	80381-9
ISSN	1524-4628 ; 0039-2499 ; 0749-7954
ISSN (online)	1524-4628
ISSN	0039-2499 ; 0749-7954
DOI	10.1161/STROKEAHA.119.026726
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Inflammation and Stroke Risk: A New Target for Prevention.

Kelly, Peter J / Lemmens, Robin / Tsivgoulis, Georgios

Stroke

2021 Band 52, Heft 8, Seite(n) 2697–2706

Abstract: New therapeutic approaches are required for secondary prevention of residual vascular risk after stroke. Diverse sources of evidence support a causal role for inflammation in the pathogenesis of stroke. Randomized controlled trials of anti-inflammatory ... ...

Abstract	New therapeutic approaches are required for secondary prevention of residual vascular risk after stroke. Diverse sources of evidence support a causal role for inflammation in the pathogenesis of stroke. Randomized controlled trials of anti-inflammatory agents have reported benefit for secondary prevention in patients with coronary disease. We review the data from observational studies supporting a role for inflammation in pathogenesis of stroke, overview randomized controlled trials of anti-inflammatory therapy in cardiac disease and discuss the potential implications for stroke prevention therapy.
Mesh-Begriff(e)	Animals ; Anti-Inflammatory Agents/administration & dosage ; Colchicine/administration & dosage ; Drug Delivery Systems/methods ; Drug Delivery Systems/trends ; Gout Suppressants/administration & dosage ; Humans ; Inflammation/diagnosis ; Inflammation/epidemiology ; Inflammation/prevention & control ; Mendelian Randomization Analysis/methods ; Observational Studies as Topic/methods ; Risk Factors ; Secondary Prevention/methods ; Secondary Prevention/trends ; Stroke/diagnosis ; Stroke/epidemiology ; Stroke/prevention & control
Chemische Substanzen	Anti-Inflammatory Agents ; Gout Suppressants ; Colchicine (SML2Y3J35T)
Sprache	Englisch
Erscheinungsdatum	2021-06-24
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	80381-9
ISSN	1524-4628 ; 0039-2499 ; 0749-7954
ISSN (online)	1524-4628
ISSN	0039-2499 ; 0749-7954
DOI	10.1161/STROKEAHA.121.034388
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Inflammation, Cholesterol, and Stroke Risk: Building Evidence for a Dual Target Strategy for Secondary Prevention.

McCabe, John J / Kelly, Peter J

Stroke

2021 Band 52, Heft 9, Seite(n) 2837–2838

Mesh-Begriff(e)	Anticoagulants ; Atrial Fibrillation ; Cholesterol ; Humans ; Inflammation/epidemiology ; Secondary Prevention ; Stroke/epidemiology ; Stroke/prevention & control
Chemische Substanzen	Anticoagulants ; Cholesterol (97C5T2UQ7J)
Sprache	Englisch
Erscheinungsdatum	2021-07-20
Erscheinungsland	United States
Dokumenttyp	Editorial ; Comment
ZDB-ID	80381-9
ISSN	1524-4628 ; 0039-2499 ; 0749-7954
ISSN (online)	1524-4628
ISSN	0039-2499 ; 0749-7954
DOI	10.1161/STROKEAHA.121.035676
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Suicidal ideation predicted by changes experienced from pre-treatment to 3-month postdischarge from residential substance use disorder treatment.

Haynes, Chloe J / Deane, Frank P / Kelly, Peter J

Journal of substance abuse treatment

2021 Band 131, Seite(n) 108542

Abstract: Purpose: Individuals with substance use disorders (SUD) are at an elevated risk for suicide. Abstinence and drug-related treatment outcomes remain integral to SUD treatment, but recovery incorporates more than just the absence of substance use or mental ...

Abstract	Purpose: Individuals with substance use disorders (SUD) are at an elevated risk for suicide. Abstinence and drug-related treatment outcomes remain integral to SUD treatment, but recovery incorporates more than just the absence of substance use or mental illness and including positive mental health indices in assessment and treatment of suicidality is needed. Aims: The current study investigates the role of traditional indicators of recovery, as well as positive psychology constructs, in predicting suicidal ideation following residential SUD treatment. Method: The study utilized a longitudinal design with baseline and 3-month postdischarge follow-up assessments of 791 individuals who attended residential SUD treatment in Australia. Results: Rates of suicidal ideation decreased from baseline to follow-up, and the magnitude of change in most indices was associated with suicidal ideation at follow-up assessment. In a hierarchical logistic regression, baseline suicidal ideation, as well as a reduction in psychological distress, increase in refusal self-efficacy, and increase in self-forgiveness, emerged as significant predictors of follow-up suicidal ideation. The final model correctly classified 98.8% of participants as not experiencing SI, and 8.7% of participants as experiencing SI at follow-up, resulting in a total predictive accuracy of 86.9%. Conclusions: The results suggested that changes in traditional recovery indices may facilitate reductions in suicidality. As a whole, changes in positive psychology indices did not add to the ability to predict suicidal ideation once traditional indices had been accounted for, but this does not preclude the importance of these indices to SUD treatment and suicide prevention efforts.
Mesh-Begriff(e)	Aftercare ; Humans ; Patient Discharge ; Risk Factors ; Substance-Related Disorders/therapy ; Suicidal Ideation ; Suicide, Attempted
Sprache	Englisch
Erscheinungsdatum	2021-06-17
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	605923-5
ISSN	1873-6483 ; 0740-5472
ISSN (online)	1873-6483
ISSN	0740-5472
DOI	10.1016/j.jsat.2021.108542
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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