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Models of Addiction and Health Seeking Behaviors: Understanding Participant Utilization of an Overdose Education and Naloxone Distribution Clinic.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Models of Addiction and Health Seeking Behaviors: Understanding Participant Utilization of an Overdose Education and Naloxone Distribution Clinic./
Author:	Floriano, Maureen Elizabeth.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	193 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-04, Section: B.
Contained By:	Dissertations Abstracts International83-04B.
Subject:	Cultural anthropology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28730811
ISBN:	9798535576404

Models of Addiction and Health Seeking Behaviors: Understanding Participant Utilization of an Overdose Education and Naloxone Distribution Clinic.
Floriano, Maureen Elizabeth.

Models of Addiction and Health Seeking Behaviors: Understanding Participant Utilization of an Overdose Education and Naloxone Distribution Clinic. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 193 p.

Source: Dissertations Abstracts International, Volume: 83-04, Section: B.

Thesis (Ph.D.)--Case Western Reserve University, 2021.

This item must not be sold to any third party vendors.

In an effort to combat the staggeringly high rates of opioid overdose deaths in the US, Overdose Education and Naloxone Distribution (OEND) clinics were established. This study was a collaborative partnership with a local urban hospital committed to harm reduction through their community-based OEND clinic. This study's purpose was twofold. First, to understand who utilized OEND clinics and the factors affecting their HSB (i.e. number of Naloxone kits). Second, to understand how OEND clients framed their understanding of their SUD and if their model of addiction affected HSB.The study was comprised of three distinct phases. Phase 1 Quantitative assessment examined the demographic characteristics (i.e., gender, race, education, SES, occupation), mental health concerns (i.e., anxiety, depression & general distress), breadth and satisfaction of social support, and addiction beliefs in 235 clients from a local OEND clinic in Cleveland, Ohio. Since all participants in this study were already a part the OEND clinic, the number of naloxone kits will serve as a proxy for HSB. Phase 2 Qualitative Assessment explored how 61 of the enrolled clients framed their understanding of their substance use disorder (SUD). Qualitative interviews were coded for themes related to SUD beliefs, the type of stigma experienced by clients as a function of their drug use, and their motivation behind the decisions to seek out Naloxone. Phase 3 involved informal clinic observations to understand clients' experiences and interactions with OEND clinic staff.Gaining a better understanding of patients' health-seeking behaviors (HSB) at OEND clinics is a critical first step along the road to combatting the opioid epidemic. Phase 1 data revealed that clients who chose to engage in the HSB of OEND clinic were primarily unemployed, Caucasian males who were approximately 38 years of age. They were highly anxious, depressed, and in need of more social support to assist in their recovery. The majority of the sample subscribed to multiple models of addiction (i.e., moral and medical). A new model of addiction measure was created for this study based on the ABI data. While, the adherence group measure proved ineffective for discriminating OEND program participation rate (i.e. number of kits requested), it was effective at differentiating mental health issues within this sample. Clients who endorsed the medical model were more anxious and depressed than clients who endorsed the mixed or moral models.Quantitative and qualitative data were both useful for understanding OEND clients HSB of the OEND clients. That said, the qualitative narrative data clarified the clients' lived experiences suffering from SUD. Interviews were useful for understanding the type and breadth of stigma experienced by clients. Stigma occurred at the level of the self, friends, family, providers, and bystanders. All forms of stigma had a powerful negative impact on motivation to engage in HSB. Addressing the Opioid epidemic is imperative to improve the quality of life for thousands of Americans. OEND clinics are an essential step along the recovery road for clients with SUD. The anthropological and clinical significance of the findings were discussed, as were limitations and future directions.

ISBN: 9798535576404Subjects--Topical Terms:

2122764
Cultural anthropology.
Subjects--Index Terms:

Substance use disorder

Models of Addiction and Health Seeking Behaviors: Understanding Participant Utilization of an Overdose Education and Naloxone Distribution Clinic.
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