Stress and Addiction

Roche, Ann; Kostadinov, Victoria; Fischer, Jane

doi:10.1002/9781118993811.ch15

Cited by 8 publications

(4 citation statements)

References 127 publications

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“…These results are consistent with studies that associated managerialism with burn‐out, and job dissatisfaction, 15 and focus on threats to worker health and well‐being that are rooted in how their work is organized 26 . These results are also consistent with a vast body of research that has established pathways between working conditions/work stressors impact on physical health 27 (especially cardiovascular disease and hypertension), mental health 28 (especially burnout and depression), and behavioral health 29 (especially substance use). To our knowledge, this is the first study to identify an association between managerialism and specific health problems, and to suggest that ERI may mediate these associations.…”

Section: Discussionsupporting

confidence: 87%

Managerialism: A workforce health hazard in human service settings

Zelnick

Abramovitz

Pirutinsky

2022

American J Industrial Med

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Background This study assesses the relationship between managerialism and health among human service workers. Methods A total of 2154 New York City human service workers participated in an electronic survey that included validated measures of a system of work organization (the Organizational Commitment to Managerialism scale [OCTM]) and a work stressor (the Effort Reward Imbalance scale [ERI]), and single items about physical, mental, and behavioral health. Controlling for demographic variables, logistic regression models were used to predict health outcomes assess the potential role of ERI as a mediator. Results Managerialism was associated with increased risk of high blood pressure, neck and back pain, gastrointestinal difficulties, sleeping disorders, anxiety, and depression. Mediation analyses suggested that the effects of managerialism on health were partially explained by ERI. Conclusions Managerialism in human service agencies significantly increased the risk of adverse physical and mental health. Increased levels of a work stressor helped to explain part of this association.

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Section: Discussionsupporting

confidence: 87%

Managerialism: A workforce health hazard in human service settings

Zelnick

Abramovitz

Pirutinsky

2022

American J Industrial Med

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“…Should the present promising results be replicated, wide-spread implementation of the program – particularly in industries with high rates of problematic AOD use – is indicated. Consideration could also be given to expanding the program to address potential precursors of AOD use such as work stress (Roche et al , 2017, Frone, 2016) and the inclusion of stress management techniques such as stress inoculation training (Czabala et al , 2011).…”

Section: Discussionmentioning

confidence: 99%

“…As most people spend a substantial amount of time at their workplace it provides an opportunity for sustained exposure to a healthy (or unhealthy) environment (Blum and Roman, 2002). The culture, policies and physical environment of a workplace can either enhance worker safety, productivity and profitability, or contribute to poor health and trigger higher rates of stress and substance use (Roche et al , 2017; Frone, 2009, 2012; Pidd and Roche, 2008).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a workshop to address drugs and alcohol in the workplace

Roche

Kostadinov

McEntee

et al. 2019

IJWHM

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Purpose Risky alcohol and other drug (AOD) use is ubiquitous in some workplace cultures, and is associated with considerable risks to health, safety and productivity. A workplace drug and alcohol first aid program was developed to support supervisors and managers to recognize and respond appropriately to AOD problems, increase knowledge of AOD and reduce the stigma associated with AOD. The purpose of this paper is to undertake an evaluation to assess the program’s efficacy. Design/methodology/approach A self-report survey was administered to program participants before (T1), immediately after (T2) and three months following program completion (T3). Changes in alcohol/drug-related knowledge, role adequacy, motivation and personal views were examined using repeated measures ANOVA. Findings A total of 109 participants took part in the program, with only 26 completing scores at all three time points. Mean scores increased significantly (p<0.05) between T1 and T2 for knowledge (12.7–16.0), role adequacy (11.8–17.4), motivation (9.7–10.4) and personal views (9.0–9.6). Significant improvements were maintained at T3 for knowledge (15.1) and role adequacy (17.3). Practical implications Drug and alcohol first aid programs offer a potentially valuable initiative to improve the knowledge, skills and understanding of managers and supervisors in tackling workplace AOD risks, associated stigma and improving help seeking. Originality/value Workplace programs for managers can facilitate organization-wide responses to the reduction of AOD-related problems, increase implementation of appropriate policy and interventions, minimize associated harms and stigma and reduce negative imposts on productivity and profit.

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“…This was despite women in the sample being more likely than men to be unemployed, have childcare responsibilities, live with someone who also used substances, have been physically or sexually abused, and to have more psychiatric symptoms [ 20 ]. In Australia, however, women are less likely to participate in treatment for methamphetamine use disorder [ 21 ], making up only a third of people who access treatment [ 22 ], despite being as likely as men to use methamphetamine weekly [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

“There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia

Clifford

Gordon²,

Magee

et al. 2023

BMC Health Serv Res

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Background Australia has a high prevalence of regular use of methamphetamine. While half of people who use methamphetamine regularly are women, they make up only one third of people seeking treatment for methamphetamine use disorder. There is a lack of qualitative research into the facilitators and barriers to treatment for women who use methamphetamine regularly. The study seeks a better understanding of the experiences and treatment preferences of women who use methamphetamine, to inform person-centred changes in practice and policy that break down barriers to treatment. Methods We conducted semi-structured interviews with 11 women who frequently use methamphetamine (at least once a week), and who are not engaged in treatment. Women were recruited from health services surrounding a stimulant treatment centre at an inner-city hospital. Participants were asked about their methapmhetamine use and health service needs and preferences. Thematic analysis was completed using Nvivo® software. Results Three themes were developed from participants’ responses around experiences of regular methamphetamine use and treatment needs: 1. Resistance of stigmatised identity including dependence; 2. Interpersonal violence; 3. Institutionalised stigma. A fourth set of themes on service delivery preferences were also elicited, including continuity of care, integrated health care, and provision of non-judgmental services. Conclusion Gender-inclusive health care services for people who use methamphetamine should actively work to address stigma, support a relational approach to assessment and treatment, and seek to provide structurally competent health care that is trauma and violence informed, and integrated with other services. Findings may also have application for substance use disorders other than methamphetamine.

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Stress and Addiction

Cited by 8 publications

References 127 publications

Managerialism: A workforce health hazard in human service settings

Managerialism: A workforce health hazard in human service settings

Evaluation of a workshop to address drugs and alcohol in the workplace

“There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia

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