TY - JOUR
T1 - A systematic review of comprehensive interventions for substance abuse
T2 - Focus on victimization
AU - Sabri, Bushra
AU - Greene, Claire
AU - Lucas, Gregory M.
N1 - Funding Information:
This work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K99HD082350 and R00HD082350). Dr. Claire Greene was supported by the National Institute on Drug Abuse T32DA007292. Dr. Gregory Lucas was supported by National Institute on Drug Abuse K24DA035684.☆ This work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K99HD082350 and R00HD082350). Dr. Claire Greene was supported by the National Institute on Drug Abuse T32DA007292. Dr. Gregory Lucas was supported by National Institute on Drug Abuse K24DA035684.
Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Violence victimization is common among men and women who use substances and is associated with co-occurring health issues such as PTSD, depression and HIV. Substance use interventions, therefore, should include integrated components that are designed to address co-occurring health issues among victimized substance-using individuals. This systematic review synthesized the evidence on efficacy of comprehensive, integrated, multicomponent interventions for victimized substance-using individuals. The efficacy of integrated multicomponent intervention strategies was assessed for the following syndemic conditions: mental health, substance misuse, violence, and HIV risk. Seventeen studies were identified. Examples of effective components were empowerment strategies for violence, mindfulness-based stress reduction for mental health, social cognitive skill building for addressing HIV risk and psychoeducation for substance misuse. Although in this review, some components were found to be effective, we identified methodological limitations of included studies which calls for more rigorous research in this area. Further, there is lack of evidence base for multicomponent interventions for victimized substance-using individuals in developing countries. Additional studies are needed to establish rigorous evidence base for multicomponent interventions for victimized substance using individuals that help them cope effectively with their trauma of violence and address their needs.
AB - Violence victimization is common among men and women who use substances and is associated with co-occurring health issues such as PTSD, depression and HIV. Substance use interventions, therefore, should include integrated components that are designed to address co-occurring health issues among victimized substance-using individuals. This systematic review synthesized the evidence on efficacy of comprehensive, integrated, multicomponent interventions for victimized substance-using individuals. The efficacy of integrated multicomponent intervention strategies was assessed for the following syndemic conditions: mental health, substance misuse, violence, and HIV risk. Seventeen studies were identified. Examples of effective components were empowerment strategies for violence, mindfulness-based stress reduction for mental health, social cognitive skill building for addressing HIV risk and psychoeducation for substance misuse. Although in this review, some components were found to be effective, we identified methodological limitations of included studies which calls for more rigorous research in this area. Further, there is lack of evidence base for multicomponent interventions for victimized substance-using individuals in developing countries. Additional studies are needed to establish rigorous evidence base for multicomponent interventions for victimized substance using individuals that help them cope effectively with their trauma of violence and address their needs.
KW - HIV
KW - Interventions
KW - Mental health
KW - Substance use
KW - Violence
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U2 - 10.1016/j.avb.2019.08.006
DO - 10.1016/j.avb.2019.08.006
M3 - Review article
C2 - 33312052
AN - SCOPUS:85071480997
SN - 1359-1789
VL - 48
SP - 46
EP - 59
JO - Aggression and Violent Behavior
JF - Aggression and Violent Behavior
ER -