Research has demonstrated high rates of co-occurrence among anxiety and substance use disorders. However, few studies have specifically examined the relationship between substance use and social anxiety among individuals who are in substance abuse recovery. The present study examined social anxiety as a predictor of substance use among a sample randomized to a soberliving home versus usual aftercare. Given the social nature of many substance abuse treatment and aftercare programs, it was also hypothesized that high levels of social anxiety would reduce the length of stay in the sober-living home and negatively influence participation in self-help groups. Results suggested that social anxiety was a significant predictor of relapse at one time point, and that social anxiety decreased the likelihood for remaining in a sober-living house for six months or more. No significant relationship between social anxiety and participation in self-help groups were found. Implications for further research and substance abuse treatment are discussed.
There is a growing need for upstream suicide prevention in schools as well as guidance for program implementation that can maximize effectiveness and sustainability. This chapter highlights the benefits of using an implementation science framework to guide partnerships between schools, community partners, and healthcare organizations to enhance youth suicide prevention efforts. Examples illustrating this approach using the PAX Good Behavior Game and the Signs of Suicide Prevention Program (SOS) are described. Finally, policy implications and future directions are discussed.
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