Day 2 :
Keynote Forum
Xiu Liu
Professor & Associate Director of the Graduate Program in Pathology, University of Mississippi Medical Center, USA
Keynote: Effects of opioid receptor blockade on nicotine-taking and -seeking behavior in rats: Clinical implications for smoking cessation medication
Time : 09:00-09:45
Biography:
Dr. Xiu Liu got his MD & PhD in China and completed postdoctoral training at the Scripps Research Institute in USA. He is a professor and associate director of the Graduate Program in Pathology at the University of Mississippi Medical Center. He has a two-decade track record of studying drug addiction, particularly nicotine and alcohol addictive behavior in animal models. His research has been funded by USA National Institute of Health and Food and Drug Administration grants and the State of California Tobacco-Related Disease Research Program grants. He has published 60 research papers, 6 book chapters and more than 80 research abstracts. Dr. Liu has served as a member of grant review panel for international and national research funding agencies and an editorial board member of more than a dozen reputed journals.
Abstract:
Statement of the Problem: Brain opioidergic neurotransmission has been implicated in reinforcement-related processes for several drugs of abuse. However, it remains not fully understood whether activation of opioid receptors plays a role in the reinforcing/motivational effects of nicotine and its associated environmental cues. The present work examined effects of pharmacological antagonism of opioid receptors on nicotine primary reinforcement and conditioned motivation by nicotine cues.
Methodology & Theoretical Orientation: Male Sprague-Dawley rats were trained to press a lever for intravenous self-administration of nicotine (0.03 mg/kg/infusion, free base). Nicotine conditioned stimuli (cues) were established via pairing sensory stimuli with each nicotine injection. In subsequent extinction test sessions, lever responses produced neither nicotine injection nor its associated cues. In relapse test sessions performed after extinction, lever responses resulted in re-presentation of the cues without nicotine injection. Opioid antagonists were administered prior to the test sessions.
Findings: Pretreatment with the non-selective opioid antagonist naltrexone (0, 0.25, 1, 2 mg/kg) effectively attenuated lever responses supported by nicotine cues. In contrast, naltrexone (both acute and chronic treatment) did not change lever responses for nicotine self-administration. However, further tests revealed that pretreatment with antagonists selective for µ receptors (Naloxanazine: 0, 5, 15 mg/kg) but not δ-receptors (Naltrindole: 0, 0.5, 5 mg/kg), or κ receptors (GNTI: 0, 0.25, 1 mg/kg) suppressed nicotine self-administration.
Conclusions & Significance: These results suggest a clinical potential of the non-selective opioid antagonists for preventing cue-triggered tobacco craving. Moreover, the results indicate that the µ rather than δ or κ subtype of opioid receptors plays a role in mediating the primary reinforcement of nicotine, suggesting that opioid neurotransmission via the µ receptors would be a promising target for the development of opioid ligands for curbing nicotine intake and stopping tobacco smoking.
Keynote Forum
Wai Kwong Tang
Professor, Department of Psychiatry, the Chinese University of Hong Kong, Hong Kong
Keynote: Ice induced psychosis: A literature review
Time : 09:45-10:30
Biography:
Wai Kwong Tang is a Professor in the Department of Psychiatry, the Chinese University of Hong Kong in 2011. His main research areas are addictions and neuropsychiatry in stroke. He has published over 100 papers in renowned journals and has also contributed to the peer review of 40 journals. He has secured over 20 major competitive research grants and has served the Editorial Boards of five scientific journals. He was also a Recipient of the Young Researcher Award in 2007, awarded by the Chinese University of Hong Kong.
Abstract:
Objective: To identify the risk factors, frequency, symptoms, pathomechanism and treatment of IIP through a comprehensive literature review.
Methodology: Systematic literature review. The author first screened the titles and abstracts of all 288 records; out of which 102 studies that do not meet the eligibility criteria; full-text version of the remaining 186 articles (151 original articles and 35 review articles) were then screened by the principal investigator. After this screening, 14 original articles and 3 review articles were excluded, leaving 169 articles (137 original articles and 32 review articles).
Result: Psychotic symptoms are common amongst ice users, the frequency of any psychotic symptoms ranged from 16% to 81%, with a median of 78%. The prevalence of IIP ranged from 24% to 76%, the median of prevalence of IIP is 42%. The most frequently reported symptoms of IIP are delusions of persecution and auditory hallucinations.
Conclusion: Long-term studies that track the ice users for a decade or more are necessary to collect sufficient evidence to understand the relationship between Ice use and the development of IIP.
Keynote Forum
Spencer D. Li
Professor and Associate Dean, Faculty of Social Sciences, University of Macau, China
Keynote: Understanding the links among alcohol use, aggression and violence among chinese adolescents
Time : 10:30-11:15
Biography:
Spencer D Li is a Professor and Associate Dean in the Faculty of Social Sciences at University of Macau. His research interests include juvenile delinquency, substance abuse, child development and sociology of religion. He has served as a Principal Investigator on several publicly and privately funded projects related to juvenile delinquency, substance abuse and corrections, including grants from the US National Institutes of Health, US Administration for Children and Families and Social Welfare Bureau of Macao Special Administrative Region Government. His publications have appeared in several major academic journals, including Criminology, Journal of Research in Crime and Delinquency, Justice Quarterly, Evaluation Review and Journal of Early Adolescence.
Abstract:
Statement of the Problem: Past research has shown that alcohol use, aggression and violence are some of the most commonly observed delinquent activities among Chinese adolescents. Despite their high prevalence, the relationship among the three types of delinquent behavior in Chinese adolescent population has not been well understood. It is not known if alcohol use is similarly related to aggression and violence or if the relation varies by type of behavior and level of use. This study aims to answer these questions. This study first identifies the risk profiles of Chinese adolescents who used alcohol and perpetrated aggressive or violent acts. It then assesses the interrelationship among alcohol use, aggression and violence.
Spencer D Li is a Professor and Associate Dean in the Faculty of Social Sciences at University of Macau. His research interests include juvenile delinquency, substance abuse, child development and sociology of religion. He has served as a Principal Investigator on several publicly and privately funded projects related to juvenile delinquency, substance abuse and corrections, including grants from the US National Institutes of Health, US Administration for Children and Families and Social Welfare Bureau of Macao Special Administrative Region Government. His publications have appeared in several major academic journals, including Criminology, Journal of Research in Crime and Delinquency, Justice Quarterly, Evaluation Review and Journal of Early Adolescence.
Methodology & Theoretical Orientation: Survey data are collected from a multi-stage, stratified probability sample of 3,407 students who attended secondary schools in one of the largest metropolitan areas in China. Regression analyses are conducted to test the relationships among alcohol use, aggression and violence. It is posited that the impact of alcohol use on aggression and violence is resulted from an impaired capacity to attend to the instigative and inhibitory cues in situations conducive to aggression or violence.
Findings: Frequency of alcohol use is positively related to both aggressive and violent behavior although it is more strongly related to violence. Frequency of heavy drinking, which is the form of alcohol use known to reduce situational inhibition of violent impulses, predicts violence but not aggression.
Conclusion & Significance: Alcohol use appears to increase aggressive and violent behaviors among Chinese adolescents. Policy aimed at reducing adolescent involvement in aggression and violence should consider limiting underage drinking through promoting prevention programs and setting legal restrictions on adolescent alcohol use.
Keynote Forum
Ashley-Lynn Whyte
Founder, Clinical Director and Counsellor in Private Practice at ALW Emotional Health Services
Keynote: Understanding The Power, Control and Continuing Generational Cycle of Abuse: Analyzing, Dissecting and Exploring into All of The Deep Grey Areas of a not so Black and White Sensitive Topic: Domestic, Physical, Sexual and Emotional Abuse/Assault
Time : ---
Biography:
Abstract:
Statement of the Problem: How do different generational and family systems/dynamics play into/contribute to the cycle of abuse often ongoing and repetitive within generational and family relationships. Does the Power and Control interpersonal characteristic of Abuse including domestic, physical, sexual, financial and emotional abuse hold a long lasting and negative impact on one’s overall Emotional Health and Personal Well-Being? Further, are the resources available: including programming, the cross intersection of social systems and counselling frameworks currently help or hinder? Are resources available to provide both intervention and prevention awareness and education, programs for individuals, couples, families, children, and youth to further prevent the abuse cycle from repeating itself within families and relationships? The ultimate Goal being to break the cycle of abuse and create long lasting healthy, happy, positive energy relationships that deeply fulfill and enrich the personal and professional lives of all parties involved. Looking at all types of Abuse from an Intersectionality framework including: Domestic, Sexual, Physical, Emotional and Financial Abuse/ Assaults, the Impact of Abuse and the Long Lasting Effects of growing up in/ living with Abuse and in Abusive Relationships has on an Individual's Emotional Health and Personal and Professional State of Well-Being.
Methodology & Theoretical Orientation: Looking deep into and understanding/ beginning to understand The Impacts , Negative Effects and Trauma of the Abuse Cycle and the long lasting effects ultimately on an individual’s, couples and families Emotional Health and Well-being using a Feminist Analysis, and Intersectionality Approach/Framework. Primary focus is placed on family systems as a whole unit and family dynamics including and acknowledging through information gathering the family history, children’s upbringing, and parenting styles. Then acknowledging and being able to recognize and accept how these roles and systems effect and have an impact (positive or negative) on children’s, youth, and adolescents relationship choices, intimate partner relationship patterns and relationships with others outside of intimate partner relationships: i.e.: friendships, coworker relationships, etc.
Findings: All types of Abuse contribute to and have a significant impact on one’s individual Emotional Health and Personal state of Well Being. Family Systems, Family Dynamics, generational ‘baggage’ upbringing and deep rooted patterns of family knowledge, parenting styles, and learned vs inherited behaviour all play a huge role in both the intervention and prevention models of abuse and breaking the cycle of abuse within families and intimate partner relationships to further repeat the wheel of power and control behavioural traits when moving forward in new relationships and partnerships.
Conclusion & Significance: From a Neural Network Therapy(how patterns in the brains are formed to create patterns of behaviour and relations with others- See Canadian Family Health Collective.com) Counselling Approach and Primarily Emotional Health based focus/standpoint, it is imperative to look at the family system as a whole and to acknowledge and recognize from a neuroscience field how patterns of behaviour are formed, created and ultimately and ‘stick’ within our brains unwanted or wanted create our relationships with others based on past life experiences and events (whether perceived by one as positive or negative experience). For an individual’s Emotional Health and Personal Well-being it is both imperative and crucial that an individual acknowledges, recognizes and becomes personally aware of the warning and danger signs of abuse. Including but not limited to abuse behaviours, characteristic traits of abusers, why people abuse/ put down/ control/ ‘need’ others and how patterns of abuse are formed within one's subconscious mind over the developmental human lifespan from infancy to child, to adolescent and teens years to adulthood through generational baggage, family history and upbringing. Abuse stems from deep rooted fears and insecurities within an abusers mindset and interpersonal traits often from learnt behaviour/ passed down behaviours of what is the ‘norm’/ accepted, expected within family systems and family relationship roles with others within the family system and family dynamics. All types of abuse are highly correlated/ intersected. However, each in their own way hold their own challenges, complexities, lasting effects within the mind and body and can create a Traumatic response ultimately negatively affecting ones individuals Emotional Health and Well Being. There are many Grey areas to abuse and each case should be treated with care, exceptions and on an individual basis with thorough knowledge, understanding, informative screening of the family history and background information leading up to the relationships and experiences of abuse and assault. ABCS of Behavioural Motivation: The Antecedent followed by the Behaviour followed by the Consequence- repeats itself depending if the consequence was positively or negatively reinforced or whether it was encouraged/ positively or negatively enabled by others.
Next Steps: Design, Create and Implement Programming Moving Forward with a focus on preventive model framework instead of interventive based programming with the focus on young children, youth and school aged relationships: promoting positive, healthy energy, give and take reciprocal relationships. Programming focusing needs to be on young boys and young girls roughly before aged 12 in a fun, interactive way to prevent the cycle of abuse and domestic, sexual, physical and emotional abuse in relationships.
- Workshop
Session Introduction
Anouk Prop
Psychologists and Yoga Therapists, Thailand
Title: Mindfulness based yoga in recovery
Time : 11:35-12:25
Biography:
Anouk Prop is a Psychologist and registered Yoga Alliance (500RYT) Yoga Teacher and Trauma Therapist. With additional postgraduate education in trauma healing, she is an expert in addressing the roots of addiction, which are often nurtured by psychological stress, unresolved trauma and deep lack of self-love. She has a broad range of experience in the field, in clinical and rehabilitation settings in several countries, varying from working with children and adults with a history of abuse, addiction, anxiety disorders, depression, but also car-accidents and other traumatic events like war or natural disasters.
Abstract:
Nowadays there are many programs available to treat addiction and substance abuse. An increasing number is focusing on a more holistic approach, encompassing a variety of methods and tools to help achieve, maintain and enhance recovery. Yoga as a complementary health practice is increasingly being used in substance abuse treatment programs and throughout recovery to help prevent relapse, reduce withdrawal symptoms and cravings and provide a healthy outlet to cope with potential triggers and daily life stressors. Yoga has been used for thousands of years as a means of promoting physical, mental and spiritual health and is seen as a very beneficial coping tool in recovery. The physical benefits support increasing strength, flexibility and dealing with withdrawal pains. Breathing exercises, gentle motions and a mindfulness-based approach reduces stress, cravings and treats any psychological distress or trauma. The improved circulation lowers blood pressure and increases oxygen flow to the brain that has a mood altering effect on the accompanying depression in recovery. Self-awareness and self-discipline is enhanced through the practice of yoga and it is full on exposure therapy nature. Moreover, the origins of yoga are believed to have existed before many other belief systems were born, which provides a solid foundation for a connection with a higher power that has proven to be the crucial step in 12 step recovery programs. In addition, mindfulness based yoga focuses on the principles of acceptance and compassion that are key principles in recovery. In this session, best practices methods of mindfulness-based yoga as a tool in recovery are demonstrated in combination with an overview of its benefits and implications for practice.
Paul Schulte
Schulte Research, Hong Kong
Title: Using the example of military veterans in Community Outreach for the LGBT Community for Drug Addiction Treatment
Time : 12:25-13:05
Biography:
Paul Schulte has completed his BA and MA from The Catholic University of America (Washington DC) in Philosophy. He has obtained another MA from Tufts University in International Economics. He also has a degree in Alcohol and Drug Counseling from Loyola Marymount University in LA and he did his Internship at the UCLA School of Medicine. He has been active in LGBT drug addiction for 15 years and has established counseling groups for, among others, victims of sexual abuse and crystal meth users. He is the Founder and Editor of Schulte Research.
Abstract:
Many in the LGBT community seek drug-taking activity, particularly meth, in part because they have PTSD due to bullying, sexual abuse, rape, assault or homelessness. As with veterans, the problem is too big for a stretched mental health community. The LGBT community could use models that veterans employ to take care of their own who have PTSD. The absence of treatment of underlying issues like widespread PTSD makes continuous sobriety problematic. In my book- ‘Paths to Recovery for Gay and Bisexual Drug Addicts’, I examined methods used by the military veterans to help their brothers and sisters returning from battle to cope with PTSD. Military programs for soldiers with PTSD can be easily modified for the LGBT community. These include celebrations of life (with symbols and plays) as well as programs which offer mentors, leaders, values and moral compasses for the LGBT community. The mental health crisis in the LGBT community in Asian cities is deepening and needs urgent attention.
- Addiction Therapy
Session Introduction
Stuart Fenton
The Cabin Addiction Services Group, Thailand
Title: Residential treatment for LGBTI clients at resort 12 in Thailand
Time : 13:55-14:25
Biography:
Stuart Fenton is a Clinical Psychotherapist with over 12 years of experience working in the addiction treatment field. He has worked in residential long term and short-term rehabilitation settings, public and private sector rehabilitation, community health centers in addiction and family violence, outreach and GLBTI services whilst for the last ten years simultaneously building a private psychotherapy practice in Sydney and Melbourne. From 2011 to 2013, he facilitated two ongoing process groups in Sydney for gay men which were very popular. He is currently under training to become an IITAP certified Sex Addiction Therapist and regularly presents for AUSMED organization in Australia on the topics of resources and referral pathways, treatment approaches to crystal meth addiction and my own personal journey.
Abstract:
Recent studies have shown that LGBTI clients who were in treatment with a specialized program tailored had much higher rates of abstinence once they completed the program than those who were not in treatment for LGBTI individuals. In different research it was found that 57% of the gay and bisexual participants in their particular study said that they thought their sexual orientation had negatively affected their treatment experience. Gay and bisexual men were less likely to complete their treatment programs than heterosexual men and were more likely to have left treatment because their needs were not being met. This presentation guides the audience through the reasoning for a LGBTI specific treatment facility and the best clinical practice approaches we are integrating here to achieve successful outcomes from individuals struggling with addiction, alcoholism and other problematic conditions.
Manju E Madhusudhanan
PSNA Engineering College of Engineering and Technology, India
Title: Addictions and the family: A dual Diagnosis
Time : 16:30-17:00
Biography:
Manju Madhusudhanan is currently working as an Assistant Professor in PSNA Engineering College of Engineering and Technology, India. She has 3 years of experience in bank as a Credit Manager and 8 years of experience in teaching. Currently, she is pursuing Doctorate research in service quality of rehabilitation centers for substance addiction.
Abstract:
Recovery from substance abuse is a supportive process; the support of family and friends often plays a large role in recovery from substance abuse. As a family member, spouse or friends, the supporting role can be crucial and confusable to help the loved ones focus on his or her health and recovery. The person addicted to any substance cannot be considered as cured as soon as they step out of a de-addiction or a rehabilitation center as recovery from substance abuse is just not quitting the substance, it is about the life style change of the affected person on a day to day basis which is impossible for him to do it alone. The role of family members in recovery from addiction has been discussed in several researches. This study tries to find out the effect of behavioral modification adopted by the family members to support the patient recovery after the treatment from de-addition and rehabilitation centers. For this research, suffering families were identified across Tamil Nadu state in India. Where, in few families were taught about BMT (Behavioral Modification Techniques) and reaming families could follow their own method of handling patient who had come out from the treatment centers. As a result, it has been observed from the study that families followed BMT were able to support their loved one’s recovery positively than with the families who didn’t follow the BMT.
- Addiction
Session Introduction
Wan Kyeong Park
Chonbuk National University, South Korea
Title: SNS addiction, SNS fatigue and Depression in South Korea
Time : 14:25:14:55
Biography:
Wan-Kyeong Park is a Certified Social Worker (level 1) and has been working in the internet and game addiction field. His main area of interest is behavioral addiction. In particular, he has been working to apply an advanced research method to this field. Currently he is working on the Korean government project.
Abstract:
Statement of the Problem: Social network service (SNS) is widely spread in Korean society; it has become part of everyday life. At the same time, fatigue or stress related to SNS over-commitment has become a social issue. The SNS fatigue cause SNS user’s behavioral reaction or change of satisfaction level. However, a little is empirically studied about SNS fatigue despite its seriousness.
Methodology & Theoretical Orientation: The main purpose of this study was to identify the relationship between SNS addiction, SNS fatigue and depression and to examine the moderated mediating effect of SNS usage intention among early middle aged adults. A total of 784 adults aged from 30-49 participated this study by using allocation standard sampling method.
Findings: The findings of this study are as follows: (1) SNS usage intention showed the moderated mediating effects on the relationship of SNS addiction, SNS fatigue and depression and (2) SNS usage intention divided into two groups: Interpersonal relationship intention group and information gathering and recreation intention group. There were significant differences the path from SNS addiction to SNS fatigue and the path from SNS addiction to depression. However, there were no significant differences the path from SNS fatigue to depression. So the SNS addiction to SNS fatigue in interpersonal relationship intention group showed higher prevalence than information gathering and recreation intention group. But the direct pathway from SNS addiction to depression showed higher prevalence in interpersonal relationship intention group.
Conclusion & Significance: Based on these findings, the research discussion reduced the high risk of SNS addiction among adults and suggested effective intervention programs for the mental health social worker.
Roop Chand Sidana
Prerna De-addiction and Rehabilitation Centre, Tek Chand Sidana Memorial Psychiatric Hospital and De-addiction Centre, India
Title: To study the prevalence of adult ADHD and its significance in substance abuse patients
Biography:
Dr. Roop Sidana is currently clinical director of Tekchand sidana memorial hospital and Prerna deaddiction and rehabilitation centre in Sriganganagar, Rajasthan, INDIA. He did his post-graduation in psychiatry from PGIMER Chandigarh in 1982. He has been the recipient of Dr. Gehlot award, Kota awards and Dr shivgautam oration awards in the past. He is currently serving as a member election commission IPS since 2016. He has been past president of IPS North Zone and IPS Rajasthan state. Currently he is a member advisory board of IAPP. Along with his vast clinical experience in private practice he also has great interest in academics. He has organized various conferences and CMES and also conducted workshop on rtms in India and Abroad. His major areas of interest are addiction psychiatry, psychosexual disorders, rtms. Along with this, he has also been a part of Nishkam foundation providing treatment to homeless persons with mental illness.
Abstract:
Statement of the Problem: Attention–Deficit/Hyperactivity Disorder (ADHD) is a common childhood disorder, with an estimated worldwide incidence of 8%-12%, yet it is now known that ADHD often persists into adulthood. Adult (ADHD) often co-occurs with substance use disorders (SUD) and is associated with early onset and more severe development of SUD such as polysubstance use. They present with greater psychiatric co morbidity, such as antisocial personality disorder, borderline personality disorder, anxiety disorders, bipolar disorders and/or post-traumatic stress disorders. Despite being in treatment more often, adults with ¬ADHD-SUD co morbidity have more difficulties remaining abstinent and report a reduced quality of life with more professional, social and personal problems.
Methodology & Theoretical Orientation: To study the prevalence of Adult ADHD among Substance abuse patients and other psychiatric co morbidities in such patients. Study the patterns of sociodemographic profile of patients with SUD and comorbid adult ADHD. Written informed consent was taken from the participant subjects. Sample sizes were 100. All cases were assessed using semi-structured questionnaire for socio-demographic profile and substance use. A detailed history, physical and mental status examination was done. The Adult ADHD Self Report Scale (ASRS-VI.1).
Conclusion and Findings: Symptoms of ADHD were significantly associated with severity of addiction, onset of substance abuse, relapses, responding to therapy after treatment among substance abuse patients. Co morbid psychiatric illness among substance abuse patients was strongly associated with symptoms of ADHD. The prevalence of Adult ADHD in substance abuse was 22% and 4.0% in non-substance abuse subjects. Comorbidity of Psychiatric disorders and problems is significantly high in those with substance use disorder. Adult ADHD in substance abuse appears to increase the relapse rate and increase the chances of mood fluctuations even in absence of affective disorders. Thus a routine screening for ADHD in substance abuse would better conceptualize the complex disorder. Thus research focusing on managing ADHD in substance use is the need of the day.
- Drug addiction
Session Introduction
Carmelo Jose Buhain
Health Education, Philippines
Title: Factors Influencing Non-use of Drugs Among Filipino Male Out-of-school Youth
Biography:
I am Carmelo, I am a drug advocate and I have the passion to create a drug-free community. I am living in a slum area where drug is rampant and it motivated me to take part to be a catalyst towards positive transformation in my beloved country, the Philippines. My country is renowned for its hospitable and joyful people, however when President Rodrido Duterte elected as the head of the state there was a huge change, there were plenty of unsolved cases of extra-judicial killings correlated to drug addiction. I am teaching in the Alternative Learning System for almost 7 years, which composed of the out-of-school youth and adult. I am empowered to influence my fellow youth. I am also serving in different jails teaching inmates and encouraging them that they too can still make a difference.
Abstract:
The study sought to identify factors influencing the non-use of drugs among Filipino out-of-school youth in both the micro- and macro-level environments in terms of Personal Vulnerability, Family Structure, Peer Selection and Influence, Social Activity and Social Awareness. This study also explores the role of formal, informal and non-formal education in developing resilience to drugs. Five Filipino male out-of-school youth non-users ages 15-30 years old from Barangay Nangka in Marikina city were the participants for this study and data from questionnaire, life-story essay, unfinished statements, participant observation and social media post were triangulated to ensure objectivity. This study made use the modified grounded theory approach for it permitted the researcher to get immersed deeply within the data. The study reveals five factors influencing non-use of drugs among Filipino male out-of-school youth and these are the following: strong spiritual foundation, close family ties, positive peer relationship, interest in recreational activities and active community involvement. The contribution of formal, informal and non-formal education to the non-use of drugs among male Filipino OSY was found to be strongly relevant as it helps them in developing life skills and values for a sound drug literacy. The researcher desire that this study will serve as stepping stone towards exploring other issues concerning drug use in the Philippines particularly those that can help provide evidence on the effectiveness of local drug prevention initiatives, as well as strengthening Values Education program by integrating it across learning areas in all grade levels in formal education and non-formal education, and incorporating spiritual education and development of sports and social support system under the Alternative Learning System curriculum.
Mafia Shahzadi
Cyberjaya University College of Medical Sciences, Malaysia
Title: Friends’ company affected my life
Time : 14:55-15:20
Biography:
Mafia Shahzadi is a Clinical Psychologist in Pakistan and visiting supervisor at university of management technology Lahore, Pakistan. Mafia has worked as clinical psychologist at Punjab Institute of Mental Health Lahore Pakistan and Fountain House Lahore Pakistan (Pakistan) Apart from this, Mafia also has worked experience in various drug rehabilitation centers as an Addiction Counselor for more than 2 years (Pakistan). Nowadays, mafia is doing a Post Graduate Diploma in Addiction Sciences from Cyberjaya University College of Medical Sciences. (Malaysia).This Diploma is fully scholarship based and the duration for this diploma till September 2018.
Abstract:
Statement of the Problem: There is no doubt that a friend adds to the fullness of life. Friends become increasingly important to health and happiness in individual’s life. Some friends may even be closer when compared to some of the others and their company affects a lot on individual’s behavior. It is evidence based that humans are influenced by the people they spend their time with. In Pakistan, many adolescents start to take drugs due to the influence of their friends. Friend’s sway has a high impact on individual’s decision making and most of individuals learn how to use drugs. The use of substance leads toward substance dependence and addiction; therefore, drug addiction is a chronic and rapid spreading problem in Pakistan which is destroying the social velvet of the society.
Methodology & Theoretical Orientation: In this case study, the method which the researcher has used to identify the client’s problems deeply was subjective and objective components of assessment such as: Behavioral observation, clinical interview, mental status examination, subjective rating of the problems, trait anger and expression scale and addiction severity index. The researcher selected a client was case study which was admitted in a XYZ hospital of Lahore of Pakistan for substance use treatment and rehabilitation.
Finding: According to behavioral observation technique, this case study showed that client’s weight was below average as compare to his height. Client maintained eye contact most of the time during the session, but the speech content was not appropriate because of cocaine’s withdrawal symptoms. Moreover, the result of clinical interview revealed that the client was suffering from anger (8/10), fatigue (7/10), muscle pain (7/10) and disturbed sleep (6/10). Whereas, the result of trait anger and expression scale’ showed that the client was suffering high level of anger and expression as his score on this scale was 60. Lastly, addiction severity index highlighted that the client was suffering a high level of substance use dependence.
Implementation: In this case study, the client reported to researcher that the main cause of his taking drugs was his friends and due to this he could not sustain recovery. It is evidence based that no client can sustain recovery if the root cause of problem is not sorted. This study is very important in the field of addiction sciences as this case study will help to other researchers to identify root cause of addiction and will provide the psychological interventions e.g., counseling, cognitive behavior therapy and rehabilitation related to root cause of individual.
Conclusion: The result of this case study showed that only main reason of client’s problems was friends’ company and this company totally affects his life not only biological but also psychological and social perspective as well.
- Child & Adolescent Substance Abuse
Session Introduction
Madubashini Balasooriya
Rajarata University, Sri Lanka
Title: Health promotion intervention for schooling adolescents on harm of alcohol and industry strategies improved awareness and generates collective actions against alcohol use in the community: Example from rural Sri Lanka
Time : 15:20-15:45
Biography:
Madubashini B A N is currently pursuing BSc in Health Promotion at Rajarata University of Sri Lanka. She works with the community for health promotional works for more than three years. She has studied about human resource management, informational technology and psychology. She has interests to work on control substance use and control non-communicable diseases of the rural community.
Abstract:
Statement of the Problem: Alcohol is the single most important cause of preventable illness and premature deaths worldwide. Behavior change and pharmacotherapy are the two key interventions to reduce alcohol consumption. Alcohol industry use diverse strategies to attract teenagers who are vulnerable and adventurous. Hence counter strategies such as improving knowledge on industry agenda and real harm of alcohol are needed to reduce alcohol use among teenage groups. This study reveals effectiveness of an intervention designed to generate collective actions through improving knowledge among schooling adolescents on real harm of alcohol and industry strategies. The study was conducted in a rural area where educational facilities are low and 140 schooling adolescents from the same area were recruited.
Methodology & Theoretical Orientation: A self-administrated questionnaire which focused on knowledge and attitudes on real harm and alcohol industry strategies were used to assess participants’ knowledge and as a part of intervention. Focus group discussions were also conducted for the same purpose. An interactive workshop was conducted by expert to discuss industry strategies used to attract them, myths spread though advertisements and promotions and privileges given to drunkards in the society. Changes of knowledge and attitude of participants were assessed using qualitative methods and structured observations during focus group discussions following the intervention.
Finding: Students showed improvements in knowledge on physical, economic and social harms of alcohol. They also have improved view on strategies used by alcohol industry. Number of participants took actions to reduce alcohol consumption of their fathers and started showing disagreement with alcohol use in public by criticizing behavior of alcohol users. Students can be inspired to initiate and take part in collective actions and make supportive environment to quit alcohol and substance use.
Conclusion & Significance: Similar health promotion intervention targeting alcohol can be used in similar setting targeting teenage groups or student groups as change makers.
Biography:
Dilshani Kaarunarathne is currently pursuing BSc in Health Promotion and she is interested in working with community level empowering programs. She has worked in the field for more than two years. She tries to apply health promotion principles in action with different communities. She was the Secretary of Health Promotion Society. She is a certified Health Promotion Practitioner and presently studying further about prevention of alcohol and other substances.
Abstract:
Statement of the Problem: There are over 3.3 million deaths due to harmful use of alcohol around the world and this figure is 0.02 million in Sri Lanka. The percentage of alcohol users has increased to 26% from 37% in Sri Lanka by 2014. Hiding the real harm and boosting up the image of alcohol emphasize the habit as an ideal way for adulthood. This study was conducted in a rural area where vulnerability and school drop outs are high among adolescents. The aim of this study is to see the effectiveness of a health promotion intervention on improving the ability of identifying alcohol company strategies by adolescents in Mihintale.
Methodology & Theoretical Orientation: The sample size was 40 students who are from the same geographical area. This study is based on a health promotion intervention with qualitative and quantitative assessments. An interviewer administered questionnaire which is focused on students’ knowledge on identifying industrial strategies was used for the data collection. This questionnaire was expected to be part of the intervention as well. Focus group discussions were conducted with students on industrial strategies and about identifying the real harm of alcohol use. Responses of the participants assessed using semi-structured observations and analyzed using content analysis.
Findings: Positive attitudes of students on alcohol changed following the intervention. Students have gained skills of identifying alcohol industrial strategies and breaking down the heroic status given to alcohol users by criticizing them openly. They identify the real economic harm, physiological harm, dependency and social harm attribute to alcohol.
Conclusion & Significance: This health promotion intervention was effective in breaking down the norms of alcohol image and in identifying industry strategies among adolescents. The intervention inspired students, generated curiosity and led to a beneficial way to the community action.