Biomedical subjects

Leonard A Jason

Publications and source records attributed to Leonard A Jason.

At least 19 recordsLinked to original sources

PubMed2006

The need for substance abuse after-care: longitudinal analysis of Oxford House.

AIMS: There is a need to explore the processes of social support and self-efficacy change over time among individuals in recovery homes, and to assess the extent to which residents remain abstinent, obtain and maintain employment, refrain from criminal activity, and utilize health care systems both while within the and after leaving such settings. DESIGN: Residents were recruited and interviewed at an initial baseline phase and then re-interviewed at three subsequent 4-month intervals. SETTING: Oxford Houses are recovery home residences for individuals with substance abuse and dependence problems who seek a supportive, democratic, mutual-help setting. PARTICIPANTS: A national US sample of Oxford House residents (n=897: 604 men, 293 women). MEASUREMENTS: Information was gathered on abstinence, social support, self-efficacy, employment, criminal history, and medical care utilization. FINDINGS: Change in cumulative abstinence was predicted by support for alcohol use, abstinence self-efficacy, and length of residency in OH (i.e., less than versus >or=6 months), even after controlling for initial time spent in OH. CONCLUSIONS: Results suggest that receiving abstinence support, guidance, and information from recovery home members committed to the goal of long-term sobriety may enhance residents' abstinence self-efficacy and enable persons recovering from alcohol and other drug addiction to reduce the probability of a relapse.

Adult↗

PubMed2006

Causes of death among patients with chronic fatigue syndrome.

Chronic fatigue syndrome (CFS) is a debilitating illness affecting thousands of individuals. At the present time, there are few studies that have investigated causes of death for those with this syndrome. The authors analyzed a memorial list tabulated by the National CFIDS Foundation of 166 deceased individuals who had had CFS. There were approximately three times more women than men on the list. The three most prevalent causes of death were heart failure, suicide, and cancer, which accounted for 59.6% of all deaths. The mean age of those who died from cancer and suicide was 47.8 and 39.3 years, respectively, which is considerably younger than those who died from cancer and suicide in the general population. The implications of these findings are discussed.

Accidents↗

PubMed2006

Monitoring and decreasing public smoking among youth.

This study examined the impact of tobacco possession laws on public smoking among youth. There were two intervention sites: a fast food restaurant and a shopping mall. Two control sites were also monitored for public smoking among youth. Preliminary findings suggest that when police issued tickets to minors for violating tobacco possession laws, the number of youth smoking in public declined in both towns, with a more dramatic decrease occurring at the fast food site. In contrast, public smoking among youth in the control sites was not affected. The significance of reducing number of youth smoking in public through tobacco possession laws is discussed.

Adolescent↗

PubMed2006

Differential diagnosis of chronic fatigue syndrome and major depressive disorder.

The goal of this study was to identify variables that successfully differentiated patients with chronic fatigue syndrome, major depressive disorder, and controls. Fifteen participants were recruited for each of these three groups, and discriminant function analyses were conducted. Using symptom occurrence and severity data from the Fukuda et al. (1994) definitional criteria, the best predictors were postexertional malaise, unrefreshing sleep, and impaired memory-concentration. Symptom occurrence variables only correctly classified 84.4% of cases, whereas 91.1% were correctly classified when using symptom severity ratings. Finally, when using percentage of time fatigue reported, postexertional malaise severity, unrefreshing sleep severity, confusion-disorientation severity, shortness of breath severity, and self-reproach to predict group membership, 100% were classified correctly.

Activities of Daily Living↗

PubMed2006

Cultivating and maintaining effective action research partnerships: the DePaul and Oxford House collaborative.

In this paper, we review the result of research conducted in the context of a 13-year collaborative partnership between DePaul University and a community-based, self-run, residential substance abuse recovery program called Oxford House. This collaborative effort highlights several examples of the research and action activities fostering a positive alliance that benefited both the research team and the Oxford House community. It also proposed practical guidelines for developing effective action research collaboratives that may be helpful to others who desire to cultivate and maintain similar mutually beneficial partnerships; including such processes as the development of trust, respecting the personal experiences of the community members and group, commitment to serving the community, validating findings with organization members, and accountability.

Communication↗

PubMed2006

Attitudes of a community members as a function of participatory research with Oxford Houses.

Citizen participation in research may include involvement in generating original ideas, planning appropriate designs, collecting data, and helping to implement interventions. Unfortunately, little is known about the attitudes of the community members who participate in such research processes. In the present exploratory study, a team of community members (4 men, 3 women; age > 30 years old) who were employed as investigator research associates to evaluate an innovative substance abuse recovery home were asked for their perspectives about their involvement in the research effort. Findings indicated that these community members felt their participation was a positive experience. Moreover, while their understanding and sense of participation in the research process increased, their identification and affiliation with their support organization was not reduced. Results imply that there is a need to better understand how citizen members of community organizations are affected by their involvement in the research process.

Adult↗

PubMed2006

Creating a home to promote recovery: the physical environments of Oxford House.

The interior and exterior physical characteristics of substance abuse recovery program dwellings (11 woman, 44 men) from three geographic sections of the United States were assessed at creating a "house-as-home" for residents. Although each house was independently governed and operated by residents, results indicated vast similarities among the interior characteristics, amenities, and structural aspects. These rented dwellings also had similar well-maintained exterior characteristics, despite their geographic locations. Follow-up interviews of former residents indicated that these house characteristics and amenities helped create a sense of home not found in traditional institutional facilities. Results suggested that residents of self-governed independently operated recovery houses may create and maintain safe and sober settings that elicit a sense of home among residents.

Convalescence↗

PubMed2006

This is my neighborhood: comparing United States and Australian Oxford House Neighborhoods.

The number of Oxford Houses, communal-living, mutual help settings for persons in recovery of alcohol and substance abuse, has spread across the United States and recently in and around Melbourne, Australia. In this study 55 US and 6 AU Houses were compared descriptively for their neighborhood characteristics. Across settings, there were greater similarities than significant differences in the locations. Results imply that Australian Oxford Houses are "safe and sober" settings for persons in recovery consistent with the original United States model in physical dwelling settings.

Australia↗

PubMed2006

The influence of policy on the differential expansion of male and female self-run recovery settings.

The present study used archival data to examine the differential growth among self-governed substance abuse recovery homes for men (N = 443) and women (N = 125). The number of these homes increased dramatically across the U.S. from 1988-1999 when state loan funds were made available to states and technical assistance was utilized by organizations developing the houses. State loan programs and the utilization of technical assistance, however, had the strongest impact on the expansion of women's houses compared to men's houses. The implications of these findings in relation to the scarcity of recovery options for women are discussed.

Female↗

PubMed2006

Economic costs of Oxford House inpatient treatment and incarceration: a preliminary report.

The Oxford House model for substance abuse recovery has potential economic advantages associated with the low cost of opening up and maintaining the settings. In the present study, annual program costs per person were estimated for Oxford House based on federal loan information and data collected from Oxford House Inc. In addition, annual treatment and incarceration costs were approximated based on participant data prior to Oxford House residence in conjunction with normative costs for these settings. Societal costs associated with the Oxford House program were relatively low, whereas estimated costs associated with inpatient and incarceration history were high. The implications of these findings are discussed.

Adult↗

PubMed2006

Stress and coping: the roles of ethnicity and gender in substance abuse recovery.

This study investigated ethnic and gender differences in reported resource losses and gains for recovering substance abusers living in Oxford Houses (OH). Participants (n = 829) completed a version of Hobfoll's (1998) Conservation of Resources (COR) Evaluation. Results indicated significant individual differences in resources, based on gender, ethnicity, and the length of OH residential stay. Men reported fewer resource gains and losses than women. With respect to ethnicity, African-Americans reported greater gains and losses in resources than European-Americans. Individuals with less time in an OH also reported having experienced more losses in the past 3 months.

Adaptation, Psychological↗

PubMed2006

Structural social support: impact on adult substance use and recovery attempts.

This study examined the structural social support of 132 men residing in a network of self-run, substance abuse recovery homes. The impact of different types of social relationships on individuals' substance use patterns and recovery attempts was investigated. Results suggest that varying relationship types (i.e., parents, significant other, friends, children, coworkers) have significantly different influences on use and recovery. Additionally, each type of relationship had differential impacts on use versus recovery. Children were the sole relationship type that affected both substance use and recovery attempts in a positive nature, suggesting that children may have a beneficial impact on reducing.

Adolescent↗

PubMed2006

Medical care of individuals residing in substance abuse and recovery homes: an analysis of need and utilization.

The current study examined medical care need and utilization patterns among a substance abusing and recovering population (n = 876), investigating factors such as employment and drug use categories (e.g., pharmaceutical use, cocaine use, heroin use, alcohol use). It was found that those who were unemployed needed and utilized greater medical care than those who were employed. Results indicated that heroin, cocaine, and/or alcohol use was not predictive of medical care need or utilization, whereas pharmaceutical drug use was predictive of medical care need and utilization. Trauma and risky use of substances were not significant predictors of medical care need or utilization whereas the suicide severity composite was significant. Potential implications for misuse of medical services (e.g., to obtain pharmaceutical drugs of use) and federal medical care expenditure allocation are discussed.

Adult↗

PubMed2006

African American Oxford House residents: sources of abstinent social networks.

The current study found that African American residents of Oxford House (OH) used Narcotics Anonymous (NA) at high rates, and that both OH and NA strongly contributed to abstinent social networks. Having siblings and other family members in one's network predicted substance use among network members, whereas spouses, parents, and children did not have an effect on the rate of substance use. These findings suggest that OH and NA may be effective sources of abstinent social support for African Americans recovering from substance abuse. However, family members are well represented in the support networks of African Americans in OH.

Adult↗

PubMed2006

Children, women, and substance abuse: a look at recovery in a communal setting.

This study explored the sense of community among women (n = 21) and women with children (n = 30) living in Oxford Houses, with emphasis on how the presence of children might affect the household. Sense of community did not vary between participants with more or less than three months residence. Residents reported very high levels of satisfaction with the home, possibly because of a ceiling effect of little room for increases in their sense of community over time. Participants reported that they were getting along with the children in the home, that mothers could count on babysitting help, and that the children had a positive effect on the household and their own recovery process. This effect did not differ between mothers and non-mothers, suggesting that non-mothers might view the children in the home with a sense of responsibility and sensitivity comparable to that of the mothers. Implications are discussed.

Adult↗

PubMed2006

Women leadership in Oxford House: examining their strengths and challenges.

This study examined the perspectives and definition of leadership by women and mothers with children (n = 40) affiliated with Oxford Houses, a communal mutual-help recovery setting. Participants were asked questions relating to their experiences living in an Oxford House including the strengths and challenges encountered and how leadership impacted the stability in their house. Results illustrated the value of female leadership and highlighted the characteristics deemed important for women leaders in Oxford House, as well as some differences between these women's perception of leadership and the standard definition of leadership. The implications of the findings and how they may be useful to women's and mothers' with children houses are discussed.

Adult↗

PubMed2006

Oxford House: deaf-affirmative support for substance abuse recovery.

Deaf individuals seeking substance abuse recovery are less likely to have access to treatment and aftercare services because of a lack of culturally and linguistically specific programs and insufficient information about existing services. Previous research indicates that Oxford House, a network of resident-run recovery homes, serves a diverse group of individuals in recovery. However, research has not addressed the experiences of Deaf Oxford House residents. The present study found no significant differences between Deaf and hearing men living in Oxford House in terms of sense of community and abstinence self-efficacy. However, while most of the hearing participants were employed, none of the Deaf Oxford House members were. The study's findings indicate that Oxford House may be a promising Deaf-affirmative alternative for individuals seeking recovery from substance abuse. However, since Oxford Houses are self-supporting, Oxford Houses designed for the Deaf community may face unique economic challenges.

Adult↗

PubMed2006

Communal housing settings enhance substance abuse recovery.

Oxford Houses are democratic, mutual help-oriented recovery homes for individuals with substance abuse histories. There are more than 1200 of these houses in the United States, and each home is operated independently by its residents, without help from professional staff. In a recent experiment, 150 individuals in Illinois were randomly assigned to either an Oxford House or usual-care condition (i.e., outpatient treatment or self-help groups) after substance abuse treatment discharge. At the 24-month follow-up, those in the Oxford House condition compared with the usual-care condition had significantly lower substance use, significantly higher monthly income, and significantly lower incarceration rates.

Aftercare↗