Perspectives of cannabis use in the life experience of men with schizophrenia

Abstract

Substance use amongst people with schizophrenia is well-established: up to 50% report using illicit substances. The occurrence of both conditions can also induce people to disengage from mental health services. The research question sought to understand, from the perspective of both service users and clinicians, cannabis use within the experience of people with schizophrenia. The transcripts of the seven participants and the two focus groups were analysed using interpretative phenomenological analysis. Service Users and Clinicians were recruited from Assertive outreach community-based teams. seven male service users who described their ethnic identity as 'black', diagnosed with schizophrenia and a history of treatment disengagement and 12 clinicians who worked with this client group. The two component study involved semi-structured interviews with the Service Users and two focus groups with the Clinicians. Service Users perceived cannabis use as a means by which they could 'reestablish their identity' that had been damaged and the social consequences of diagnosis. Clinicians similarly perceived drugs, cannabis in particular, as a significant part of the service users' life. This study provides greater depth to understanding cannabis use within the experience of people with a diagnosis of schizophrenia.

Significados do uso de maconha por pessoas com diagnóstico de esquizofrenia

“…A partir de uma revisão da literatura, foram levantados estudos qualitativos que atendem a temática buscando compreender as motivações das pessoas que fazem uso de maconha e que possuem um diagnóstico psiquiátrico. Esses estudos foram realizados em diferentes países, como Austrália (Costain, 2008;Wagstaff et al, 2017), Alemanha (Buadze et al, 2010), África do Sul (Parshotam & Joubert, 2015), Noruega (Pettersen et al, 2013) e Inglaterra (Asher & Gask, 2010;Childs et al, 2011;Lobbana et al, 2010). Muitos desses trabalhos reconhecem a influência do consumo de substâncias sobre o quadro clínico.…”

Utilizing Trauma-Focused Cognitive Behavioral Therapy as a Framework for Addressing Cultural Trauma in African American Children and Adolescents: A Proposal

“…CBPR's benefits are well documented across disciplines (e.g., Collins et al, 2018;Green, 2007;Lightfoot et al, 2014;Lindamer et al, 2008;O'Brien et al, 2018;Yuan et al, 2016). These benefits include researchers' ability to utilize research outcomes to advocate for clients (Gray & Price, 2014;Horowitz et al, 2009;McElfish et al, 2015), advance health disciplines (O'Fallon & Dearry, 2002;Israel et al, 2013), increase participant contributions (Case et al, 2014;Wagstaff, Graham, Farrell, Larkin, & Tatham, 2018), address multifaceted client issues (Corrigan, Pickett, Kraus, Burks, & Schmidt, 2015), improve mental health services (Case et al, 2014), and foster interprofessional relationships (Hergenrather, Geishecker, Clark, & Rhodes, 2013). Despite CBPR's acceptance as a research tool and demonstrated benefits for increasing the effectiveness of researcher-practitioner communication, the counseling literature lacks counseling research specific to CBPR competency training guidelines.…”

“…The CBPR competencies developed in this study serve to foster relationships between researchers and counseling practitioners in the community. Through these relationships, researchers, practitioners, and the communities they represent can work to reduce the gap between research and practice through enhanced community-researcher communication (Teachman et al, 2012;Wagstaff et al, 2018) and the translation of research outcomes into counseling practice (Wester & Borders, 2014). One aim of identifying the CPBR competencies was to provide mentoring to community partners, particularly counseling practitioners, on how to use research results to create effective community interventions.…”

Miscarriage: An Ecological Examination

“…CBPR's benefits are well documented across disciplines (e.g., Collins et al, 2018;Green, 2007;Lightfoot et al, 2014;Lindamer et al, 2008;O'Brien et al, 2018;Yuan et al, 2016). These benefits include researchers' ability to utilize research outcomes to advocate for clients (Gray & Price, 2014;Horowitz et al, 2009;McElfish et al, 2015), advance health disciplines (O'Fallon & Dearry, 2002;Israel et al, 2013), increase participant contributions (Case et al, 2014;Wagstaff, Graham, Farrell, Larkin, & Tatham, 2018), address multifaceted client issues (Corrigan, Pickett, Kraus, Burks, & Schmidt, 2015), improve mental health services (Case et al, 2014), and foster interprofessional relationships (Hergenrather, Geishecker, Clark, & Rhodes, 2013). Despite CBPR's acceptance as a research tool and demonstrated benefits for increasing the effectiveness of researcher-practitioner communication, the counseling literature lacks counseling research specific to CBPR competency training guidelines.…”