The value of a support group for medical professionals with substance use disorders

Wile, Cheryl; Jenkins, Kym

doi:10.1177/1039856213498289

Cited by 8 publications

(7 citation statements)

References 12 publications

(19 reference statements)

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“…Similar offers are found internationally e.g. (Wile and Jenkins 2013). Ill physicians' tendencies towards self-treatment and avoidance of help-seeking appeared to be a profession-specific issue that was also found by (Hahn 1985;Brooke et al 1991;Good 1994;Rosvold et al 1998;Nielsen 2001).…”

Section: Medical Socialisation Self-medication and Social Technologiessupporting

confidence: 60%

How physicians professional socialisation and social technologies may affect colleagues in substance use disorders

Sørensen

2018

Addiction Research & Theory

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Often, discussions of physicians' substance use (both licit and illicit) are framed in quantitative terms. The present article provides a complimentary qualitative and posthumanist perspective on substance use challenges illuminated through in-depth interviews with substance use disorder (SUD) recovered physicians' about their experiences with substance use and SUD within their work culture. SUD recovered physicians' experiences include descriptions of fears about being revealed as a substance user, self-medicating to enhance performances during operation or morning conferences and the like. The article draws attention to the role of physician work culture in the development and management of physicians own substance use and SUD. It reports results from my Danish study analysing how professional socialisation and social technologies affect physicians disclosure of their own SUD and their help seeking at work. The work-related aspects that in some cases affect the development of substance use and SUD include hierarchical pressure, emotional strain from critical patient cases and work-related competition. In the analysis a disciplinary paradox concerning the social technologies intended to normalise and standardise physicians' conduct and ensure the quality of treatment. Ironically, the social technologies seemed to have an unintended consequence: to conserve and maintain SUD rather than facilitating treatment and recovery. For instance, I show how the fear of social sanctions in the form of a loss of certification and prescription rights keeps physicians in SUD from seeking external treatment. Rather than producing normalisation as intended, the social technologies in some cases seem to have an adverse effect of strengthening deviance. ARTICLE HISTORY

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Section: Medical Socialisation Self-medication and Social Technologiessupporting

confidence: 60%

How physicians professional socialisation and social technologies may affect colleagues in substance use disorders

Sørensen

2018

Addiction Research & Theory

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“…Another related area that past research examined was recovering counselors' seeking and receiving social support to cope with challenges in the workplace. Participation in self-help groups (Doukas & Cullen, 2010), recovery-focused clinical supervisions (Bathish et al, 2017;Deane et al, 2019), and in-house training on selfcare and organizational structures (Wile & Jenkins, 2013) were found to be essential for recovering counselors to cope with jobrelated stress. However, studies found that many recovering counselors were reluctant to attend support groups and were less likely to use recovery-focused supervision because they perceived that their participation might interfere with their credibility as counselors (Robinson, 2018;Warren et al, 2011).…”

Section: Recovering Sud Counselorsmentioning

confidence: 99%

People in Recovery from Substance Use Disorders: What Motivates Them to Enter Addiction Treatment Agencies as Counselors?

Shaari

2021

JSSH

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This qualitative study aimed to understand the motivations of people recovering from substance use disorders (SUDs) to work in addiction treatment agencies as counselors. A purposive and snowball sampling technique was used to recruit 18 recovering counselors from Long Island, New York. Most of the participants self-identified as Caucasian, and a third identified as African American. All interviews were audio-recorded and transcribed verbatim. The results indicate that want to give back, perceived self-efficacy to work with SUD clients, and previous experiences with addiction treatment services motivated people in recovery from SUD to become counselors. The respondents also reported the role of intrinsic rewards, such as witnessing clients’ progress over time and the opportunity to sustain their recovery, which influenced their decision to continue working in the addiction treatment field. Understanding work motivations has significant implications for assessing the staffing needs and professional development of SUD treatment programs, including recruitment, retention, and the overall size and capacity of the addiction treatment workforce.

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“…Medical doctors appear to do well based on life expectancy metrics [5]. However national and international studies reveal concerning levels of stress and burnout amongst medical students and doctors, associated with increased rates of mental illness, and maladaptive behaviours such as substance use and suicide [4][5][6][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…Hence whilst it is reassuring to note the low acceptabil-157 ity of medical students towards alcohol intoxication, their views on other substances may 158 be a concern. The Australian Victorian Doctors Health Caduceus Program for doctors with 159 substance use problems found that more than 15% of doctors undergoing treatment had 160 been abusing drugs since medical school [12]. 161 162…”

mentioning

confidence: 99%

Opinions Towards Medical Students’ Self-care and Substance Use Dilemmas- a Future Concern Despite a Positive Generational Effect?

McGurgan¹,

Calvert²,

Nathan³

et al. 2022

Preprint

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This study examines demographic factors which may influence opinions concerning medical students’ self-care and substance use behaviors as a means of providing insights into how future doctors view these issues compared to Australian doctors and members of the public. We conducted national, multicenter, prospective, on-line cross-sectional surveys using hypothetical scenarios to three cohorts- Australian medical students, medical doctors, and the public. Participants’ responses were compared for the different contextual variables within the scenarios and the participants’ demographic characteristics. In total 2,602 medical students, 809 doctors and 503 members of the public participated. Compared with doctors and the public, medical students were least tolerant of alcohol intoxication, and most tolerant of using stimulants to assist with study, and cannabis for anxiety. Doctor respondents more often aligned with the public’s opinions on the acceptability of the medical students’ behaviors. Although opinions are not equivalent to behaviour, Australian students’ views on the acceptability for cannabis to help manage anxiety, and inappropriate use of prescription-only drugs are concerning; these future doctors will be responsible for prescribing drugs and managing patients with substance abuse problems. However, if current Australian medical student’s opinions on alcohol misuse persist, one of the commonest substance addictions amongst doctors may decrease in future.

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The value of a support group for medical professionals with substance use disorders

Abstract: It is recommended that such support groups for doctors who have substance use disorders be more widely available in jurisdictions other than Victoria.

Cited by 8 publications

References 12 publications

How physicians professional socialisation and social technologies may affect colleagues in substance use disorders

How physicians professional socialisation and social technologies may affect colleagues in substance use disorders

People in Recovery from Substance Use Disorders: What Motivates Them to Enter Addiction Treatment Agencies as Counselors?

Opinions Towards Medical Students’ Self-care and Substance Use Dilemmas- a Future Concern Despite a Positive Generational Effect?

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