A Systematic Literature Review and Narrative Synthesis of Effective Interventions for Family and Caregivers of People who use Methamphetamine

Sanatkar, Samineh; Heinsch, Milena; Tickner, Campbell; Hunt, Sally; Teesson, Maree; Geddes, Jenny; Gilbert, Jayden; Pedemont, Lauren; McKetin, Rebecca; Kay‐Lambkin, Frances

doi:10.1080/08897077.2022.2074600

Cited by 7 publications

(4 citation statements)

References 37 publications

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“…This is particularly important in light of the finding from this study that talking to someone is a coping strategy for caregivers of people using methamphetamine. It presents an encouraging opportunity for future research to design narrative interventions for friends and family members of people who use methamphetamine; an endeavour that is particularly urgent given the limited interventions specifically designed for this population [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, there is a lack of qualitative research exploring the experiences and coping strategies of friends and family members in managing, specifically, the psychosocial consequences of caring for a loved one using methamphetamine. Our recent scoping review which, after de-duplication sourced 2257 records, identified only four qualitative accounts of caregiver experiences and coping and two evaluation studies examining interventions for family members of people who use methamphetamine [ 19 ]. Findings from these studies revealed the elevated levels of stress experienced by caregivers, both as a consequence of their loved one’s mental health decline and problematic behaviours, and as a consequence of their own feelings of distress, grief, fear, guilt and shame [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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‘I no longer know that person’: Experiences of families living with someone using crystal methamphetamine

et al. 2023

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Background Crystal methamphetamine (‘ice’) use is a large and growing worldwide problem, yet few research studies have explored the impact of crystal methamphetamine use on affected friends and family members. We explored the experiences and narratives of family members and friends of people who use methamphetamine to inform the development of a Family and Friend Support Program. Methods This paper reports on a subset of findings from a mixed method study, which sought to better understand the experiences of family members and friends of people who use methamphetamine. Participants were recruited via Facebook advertising and asked to complete a survey outlining their experiences. At the end of the survey, participants were invited to be interviewed by a clinical psychologist on the research team, to discuss their experiences in greater depth; seventeen people agreed to be interviewed. This paper is based on a qualitative thematic analysis of these interviews using Braun and Clarke’s 6-stage approach to identify key areas of concern for friends and family members of people who use methamphetamine. Results Through thematic analysis, five key themes were developed, namely: (1) loss, (2) stigma, (3) support (or lack thereof), (4) ways of coping, and (5) the value in sharing personal experiences. The results of this study revealed the profound sadness, frustration and loss friends and family members experienced when caring for a loved one who uses methamphetamine. This loss was further complicated by societal stigma surrounding the use of methamphetamine, which often extended to friends and family members themselves. Since experiences of grief and loss were interwoven across the three themes, concepts of ambiguous loss, disenfranchised grief, and narrative constructivist approaches to understanding loss, were applied to the discussion of results. Conclusion This study provides a more complete picture of family and caregiver experiences when caring for a loved one using methamphetamine, which may further help inform the design of intervention programs. Implications for future research and practice with this population are considered.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

‘I no longer know that person’: Experiences of families living with someone using crystal methamphetamine

et al. 2023

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“…The results indicate helpline staff require evidence-based information, including brief interventions and other health promotion advice, on novel psychoactive substances and other substances for families, friends and treatment seekers. There is limited evidence on the impact of methamphetamine use on families, friends and concerned others [33,34], however qualitative studies on general AOD use highlight the feeling of helplessness and isolation experienced by caregivers and concerned others [35][36][37]. This may explain the pressure reported by some AOD helpline counsellors to find solutions for the caller, further compounded by the relative paucity of evidence-based interventions for the management of MED.…”

Section: Caller Groupsmentioning

confidence: 99%

Methamphetamine and emerging drugs of concern: A training needs analysis of Australian alcohol and other drug helplines

Bascombe,

Siefried,

Clifford

et al. 2023

Drug and Alcohol Review

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IntroductionFielding greater than 100,000 calls annually, telephone helplines are an important point of entry to alcohol and other drug (AOD) support and services in Australia. Methamphetamine and emerging drugs can present a particular challenge for this workforce. We sought to identify training needs for these services, so that appropriate targeted resources can be developed.MethodsWe distributed an anonymous, online, cross‐sectional survey to helpline staff from New South Wales, Queensland, South Australia, Victoria and Western Australia. Based on the WHO Hennessy‐Hicks training needs analysis tool, participants were asked: to rate on a 7‐point likert scale the importance of a topic to their practice and how well they perform in relation to the topic; open‐ended questions specifying their own self‐perceived training needs; and demographic data.ResultsOf 50 participants, 29 completed the full survey (median age 49 [IQR 30–57.5]; median time working in AOD sector 6 years [IQR 1–20]). The results identified a need for: practical community‐informed population relevant information for culturally and linguistically diverse populations and Aboriginal and Torres Strait Islander peoples for calls relating to methamphetamine and emerging drugs of concern; training and resources with a particular focus on families and friends of people who use methamphetamine and emerging drugs; and readily accessible up‐to‐date information on new and emerging drugs and treatment of related disorders.Discussion and ConclusionsThis training needs analysis provides a structured approach to supporting the first‐line AOD counsellors to provide up‐to‐date and accurate information to assist Australians seeking information, support and advice.

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“…The effects of dysregulation often associated with increased risk of suicide (9,12). Moreover, disordered behavior resulting from addiction creates a severe economic burden on families and society (13). Long-term use and dependence typically results in a variety of maladaptive behaviors and negative outcomes, and the current efficacy of existing interventions is limited.…”

Section: Introductionmentioning

confidence: 99%

Challenges and future trends in wearable closed-loop neuromodulation to efficiently treat methamphetamine addiction

Chen

Yang

et al. 2023

Front. Psychiatry

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Achieving abstinence from drugs is a long journey and can be particularly challenging in the case of methamphetamine, which has a higher relapse rate than other drugs. Therefore, real-time monitoring of patients’ physiological conditions before and when cravings arise to reduce the chance of relapse might help to improve clinical outcomes. Conventional treatments, such as behavior therapy and peer support, often cannot provide timely intervention, reducing the efficiency of these therapies. To more effectively treat methamphetamine addiction in real-time, we propose an intelligent closed-loop transcranial magnetic stimulation (TMS) neuromodulation system based on multimodal electroencephalogram–functional near-infrared spectroscopy (EEG-fNIRS) measurements. This review summarizes the essential modules required for a wearable system to treat addiction efficiently. First, the advantages of neuroimaging over conventional techniques such as analysis of sweat, saliva, or urine for addiction detection are discussed. The knowledge to implement wearable, compact, and user-friendly closed-loop systems with EEG and fNIRS are reviewed. The features of EEG and fNIRS signals in patients with methamphetamine use disorder are summarized. EEG biomarkers are categorized into frequency and time domain and topography-related parameters, whereas for fNIRS, hemoglobin concentration variation and functional connectivity of cortices are described. Following this, the applications of two commonly used neuromodulation technologies, transcranial direct current stimulation and TMS, in patients with methamphetamine use disorder are introduced. The challenges of implementing intelligent closed-loop TMS modulation based on multimodal EEG-fNIRS are summarized, followed by a discussion of potential research directions and the promising future of this approach, including potential applications to other substance use disorders.

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A Systematic Literature Review and Narrative Synthesis of Effective Interventions for Family and Caregivers of People who use Methamphetamine

Cited by 7 publications

References 37 publications

‘I no longer know that person’: Experiences of families living with someone using crystal methamphetamine

‘I no longer know that person’: Experiences of families living with someone using crystal methamphetamine

Methamphetamine and emerging drugs of concern: A training needs analysis of Australian alcohol and other drug helplines

Challenges and future trends in wearable closed-loop neuromodulation to efficiently treat methamphetamine addiction

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