Inclusive and emancipatory approaches to occupational therapy practice in substance-use contexts

Godoy-Vieira, Aline; Soares, Cássia Baldini; Cordeiro, Luciana; Campos, Célia Maria Sivalli

doi:10.1177/0008417418796868

Cited by 14 publications

(24 citation statements)

References 27 publications

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“…It is necessary for health professionals and academic institutions to design collaborative prevention and intervention strategies. Given the relationship between environmental factors and substance abuse, and the impact of substance abuse on daily participation, behavior and performance, occupational therapists and psychologists could significantly contribute to the multidisciplinary team in order to promote healthy lifestyles in university students [80].…”

Section: Relationship Between Tobacco Smoking Alcohol Abuse and Illegal Drug Consumptionmentioning

confidence: 99%

Individual and Environmental Factors Associated with Tobacco Smoking, Alcohol Abuse and Illegal Drug Consumption in University Students: A Mediating Analysis

Delgado-Lobete

Montes-Montes

Vila-Paz

et al. 2020

IJERPH

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Substance abuse is a major and prevalent public health concern among university students. Tobacco smoking, risky alcohol behavior, and illegal drug consumption may lead to health problems and behavioral and academic issues. Several individual and environmental factors associate with substance abuse in this population, and the mediating effect of alcohol abuse in the relationship between tobacco smoking and drug consumption is yet to be explored. The purposes of this study were to evaluate the association of individual and environmental factors and substance use, and to analyze the relationship between tobacco smoking, alcohol abuse, and drug consumption, considering alcohol abuse as a possible mediator. A total of 550 Spanish undergraduate and postgraduate students completed several questionnaires regarding their smoking status, alcohol use, and drug consumption during the last six months. Bivariate and multivariate analyses were conducted to explore associations between factors. Direct, indirect and mediating effects were tested using a partial least squares approach (PLS-SEM). The results indicated that substance abuse is associated with being male, living with other students, and combined substance consumption. PLS-SEM showed a significant effect of tobacco smoking and alcohol abuse on drug consumption. Alcohol abuse plays a mediating role in the relationship between tobacco smoking and drug use.

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Section: Relationship Between Tobacco Smoking Alcohol Abuse and Illegal Drug Consumptionmentioning

confidence: 99%

Individual and Environmental Factors Associated with Tobacco Smoking, Alcohol Abuse and Illegal Drug Consumption in University Students: A Mediating Analysis

Delgado-Lobete

Montes-Montes

Vila-Paz

et al. 2020

IJERPH

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“…Included articles are represented in the extraction document (Table 1). Of the 18 included articles, three were quantitative (Detweiler et al, 2015;Peloquin andCiro, 2013a, 2013b), five were qualitative (Bell et al, 2015;Godoy-Vieira et al, 2018;Ribeiro et al, 2019;Stevens, 2003;Ussher et al, 2000), six were narrative descriptions of interventions (Gutman, 2006;Lakshmanan, 2014;Louie, 2012;Peloquin, 2010;Roush, 2008;Tayar, 2004) and four used mixed methods (Boisvert et al, 2008;Cardinale et al, 2014;Darko-Mensah, 2011;Wasmuth et al, 2016).…”

Section: Characteristics Of Included Articlesmentioning

confidence: 99%

“…Daily living skills and interventions A total of 12 publications referred to life skills and personal development as core occupational therapy interventions. Time management and routine planning were common interventions, included in nine publications (Boisvert et al, 2008;Godoy-Vieira et al, 2018;Gutman, 2006;Louie, 2012;Ribeiro et al, 2019;Roush, 2008;Stevens, 2003;Tayar, 2004;Ussher et al, 2000). Three papers (Bell et al, 2015;Peloquin andCiro, 2013a, 2013b;Ribeiro et al, 2019) Gutman (2006) supported life skill development in a case study, by drawing on the neurological process of addiction.…”

Section: Skills Trainingmentioning

confidence: 99%

“…Vocational skills, exploration and interventions Nine studies discussed vocational interventions in addiction treatment, stressing the importance of work in preventing relapse. Seven interventions facilitated vocational exploration including creating Curriculum Vitaes (CVs), supporting job applications and discussing vocational preferences (Bell et al, 2015;Darko-Mensah, 2011;Godoy-Vieira et al, 2018;Louie, 2012;Peloquin, 2010;Stevens, 2003;Tayar, 2004). Darko-Mensah's (2011) programme, "Career 101," focused solely on vocational exploration, education and work skills.…”

Section: Skills Trainingmentioning

confidence: 99%

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A scoping review of occupational therapy interventions in the treatment of people with substance use disorders

Ryan

Boland

2021

IJOT

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Purpose Diagnosis of substance use disorders and addictive behaviours are growing worldwide. It is timely to examine and collate literature on the nature of occupational therapy intervention in this field, to increase understanding of current practice and inform future directions. The purpose of this paper is to source and synthesise literature on occupational therapy interventions used in the treatment of people experiencing addiction. Design/methodology/approach Four databases were searched in August 2019. A total of 597 titles were screened, and 18 studies with varying methods met inclusion criteria. A narrative synthesis of the included literature was arranged into themes to summarise key findings. Findings Findings were grouped into three themes about occupational therapy provision to people experiencing addiction: single occupation focused intervention; skills training (including sub-themes on daily living skills and vocational skills); and establishing a community-based sober routine. Research limitations/implications Further research on this topic should focus on efficacy of treatments and build on current findings to develop more rigorous research with appropriate sample sizes to support evidence-based practice. Originality/value This study presents a synthesis of how occupational therapy interventions have been used to treat people experiencing addiction issues. Findings indicate occupational therapy appears to fit well within addiction treatment and assert that occupational therapy is most supportive when interventions go beyond the teaching of skills alone to prioritise occupational engagement and client centred practice.

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“…Poverty, class, caste and gender inequities, sexism, colonialism, racism, disablism, homophobia and transphobia, that are well-documented determinants of health, are also determinants of occupational opportunity and engagement (e.g. Beagan & Etowa, 2009;Bergan-Gander & Von Kürthey, 2006;Björnsdóttir & Traustadóttir, 2010;Dowers et al, 2019;Gamieldien & Van Niekerk, 2017;Godoy-Vieira et al, 2018;Murthi & Hammell, 2018;Nelson, 2009;Trani et al, 2018); indeed, "[…] occupational injustices that are experienced at the individual level frequently point to larger structural issues of injustice" (Kinsella & Durocher, 2016, p. 163). I support the contention […] that occupational therapists need to continue to advance the development and application of collective approaches to occupational justice to enable broader participation of people in their lives (Malfitano et al, 2016, p. 177) and believe this would contribute to increasing the social relevance and impact of the occupational therapy profession.…”

Section: Occupational Injustices and Occupational Inequities = Occupamentioning

confidence: 99%

Ações nos determinantes sociais de saúde: avançando na equidade ocupacional e nos direitos ocupacionais

Hammell¹

2020

Cad. Bras. Ter. Ocup.

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Epidemiologists have sought to focus global attention on the "social determinants of health"-the conditions in which people are born, grow, live, work and age-and on the impact of the inequitable distribution of these determinants on people's opportunities to be healthy. Evidence demonstrates, unequivocally, that occupation is a determinant of human health and wellbeing. Because inequitable social determinants shape the availability of health-promoting occupational opportunities, occupational therapists have raised the importance of addressing occupational injustices. However, theoretical scholarship pertaining to occupational justice and occupational injustice has been disproportionately dominated by the culturally-specific perspectives of Anglophone theorists from the Global North. The purpose of this paper is to highlight some of the problems and confusions arising from Anglophone scholarship on occupational injustices; and to highlight the importance of action on the social determinants of health through occupation. Confused definitions of various occupational injustices are unhelpful to practitioners. The occupational therapy profession could actively address the social determinants of occupation through focusing on occupational equity and occupational rights, informed by existing scholarship on human capabilities. Issues of occupational rights, denial of occupational rights (occupational injustices), and of in/equities of occupational opportunities ought to be fundamental issues for the occupational therapy profession, whose most pressing concern should surely be: how can occupational therapists most

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Inclusive and emancipatory approaches to occupational therapy practice in substance-use contexts

Abstract: Approches inclusives et émancipatoires de la pratique ergothérapique dans les contextes de l'usage de substances psychoactives

Cited by 14 publications

References 27 publications

Individual and Environmental Factors Associated with Tobacco Smoking, Alcohol Abuse and Illegal Drug Consumption in University Students: A Mediating Analysis

Individual and Environmental Factors Associated with Tobacco Smoking, Alcohol Abuse and Illegal Drug Consumption in University Students: A Mediating Analysis

A scoping review of occupational therapy interventions in the treatment of people with substance use disorders

Ações nos determinantes sociais de saúde: avançando na equidade ocupacional e nos direitos ocupacionais

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