Family Resilience and Recovery from Opioids and Other Addictions (Emerging Issues in Family and Individual Resilience)

The book examines the relationship between family resilience and recovery from substance use disorders. It presents information on etiology of substance use disorders within the family system as well as new research on resilience in addiction recovery. The book facilitates the development of evidence-based resilience practices, programs, and policies for those working or dealing with families and addiction. Key topics addressed include: Protecting workers from opioid misuse and addiction. Neuroscience-informed psychoeducation and training for opioid use disorder. New models for training health care providers. Role of families in recovery capital. Family Resilience and Recovery from Opioids and Other Addictions is a must-have resource for researchers, professors, and graduate students as well as clinicians and related professionals in family studies, public health, and clinical psychology and all interrelated disciplines, including behavioral health, social work, and psychiatry. Preface Acknowledgments Contents Contributors About the Editors About the Series Editors Chapter 1: Barriers to Care for Pregnant Women Seeking Substance Use Disorder Treatment 1 Literature Review 1.1 Problematizing Stigma 1.2 Punitive Legal Frameworks 1.3 Racism 1.4 Access 2 Findings from Respondents in Baltimore, Maryland 2.1 Methodology 2.2 Autonomy and Harm Reduction 2.3 Lack of Access 2.4 Fear of State Involvement 2.5 Co-occurring Mental Health Illness and Lack of Housing 2.6 Stigma 2.7 Self-Awareness 2.8 Lack of Awareness of Options Available 2.9 Implications 3 Conclusions and Future Directions Glossary of Terms Questions for Thought and Discussion References Chapter 2: Protecting Workers from Opioid Misuse and Addiction 1 Introduction Background on the Public Health Crisis 1.1 Deaths of Despair 1.1.1 “Worst Man-Made Epidemic in Modern Medical History” 1.2 Cost of the Opioid Crisis 1.3 Determining Work Relatedness 1.3.1 Massachusetts Department of Public Health Study 1.3.2 National Institute for Occupational Safety and Health (NIOSH) Study 1.3.3 Reported Work-Related Injuries, Illnesses, and Fatalities 1.4 Applying the Public Health and Industrial Hygiene Approach to Prevention 1.4.1 Primary Prevention 1.4.2 Ergonomics 1.4.3 Occupational Stress 1.4.4 Secondary Prevention 1.4.5 Tertiary Prevention 1.5 History of Punitive Workplace Substance Abuse Policies 1.5.1 The War on Drugs 1.6 Putting Programs in Place to Reduce Stigma in the Workplace 1.6.1 Peer Support Programs 1.7 Model Nonpunitive Workplace Substance Abuse Program 1.8 Conclusion Glossary of Terms Questions for Thought and Discussion References Chapter 3: Enhancing Cognitive Resilience in Adolescence and Young Adults: A Multidimensional Approach 1 Introduction 1.1 Background 1.2 Promoting Cognitive Resilience (ProCoRe) for Resilience 1.2.1 Brain Challenge Scenarios 1.2.2 Brain Concepts 1.2.3 Brain Tips 1.2.4 Brain Exercises 1.2.5 Brain Boxes 1.2.6 Brain Planner 1.3 Cognitive Targets in ProCoRe Program 1.3.1 Attention 1.3.2 Interoception 1.3.3 Saliency Processing 1.3.4 Memory 1.3.5 Executive Control 1.4 EASICoRe Model in ProCoRe for Resilience 1.5 Public Health and Clinical Implication of ProCoRe for Drug Use Prevention 1.6 Feasibility Study with ProCoRe 1.7 Challenges and Future Directions Glossary of Terms Questions for Thought and Discussion References Chapter 4: Family-Centered Care Approaches for Neonatal Abstinence Syndrome: Caring for Mothers and Infants 1 Literature Review 1.1 Clinical Presentation and Features of NAS 1.2 Epidemiology 1.3 Neurodevelopmental Outcomes Associated with NAS 1.4 Assessment and Treatment of NAS 1.5 Family-Centered Care for NAS 1.6 Barriers to Family-Centered Care for NAS 2 Implications 2.1 Implications for Understanding Family Resilience 2.2 Implications for Practice and/or Policy 3 Conclusion and Future Directions Glossary of Terms Questions for Thought and Discussion References Chapter 5: Adverse Childhood Experiences and Addiction 1 Enduring Effects of Adverse Childhood Experiences (ACEs) 1.1 Effects of ACEs on Neurodevelopment 1.2 Effects of ACES on Executive Function and Regulation 1.3 Effects of ACEs on Parent–Child Attachment and Interpersonal Relationships 1.4 Effects of Biobehavioral Adaptations Associated with ACEs on Addictive Behaviors 2 Treating Addiction by Healing the Effects of ACEs 2.1 Mindfulness-Based Interventions 2.2 Protective and Compensatory Experiences (PACEs) for Children and Adults 2.3 Attachment-Based Intervention to Interrupt Intergenerational Patterns 3 Implications 3.1 Implications for Understanding Family Resilience 3.2 Implications for Practice and Policy 4 Conclusions and Future Directions Glossary of Terms Questions for Thought and Discussion References Chapter 6: Recovery and Recovery Capital: Aligning Measurement with Theory and Practice 1 Recovery: What Is It? 2 Recovery Capital 2.1 Relationship Between Recovery and Recovery Capital 3 Measurement Approaches for Studying Recovery 4 Measurement Approaches for Studying Recovery Capital and Its Relationship to Recovery 5 Where Recovery Happens: Recovery Support Services 5.1 Distinguishing Between Professional and Peer-Delivered Recovery Support Services 5.1.1 Collegiate Recovery Communities 5.1.2 Recovery Housing 5.1.3 Measurement in CRCs and Recovery Housing 6 Implications 6.1 Implications for Understanding Family Resilience 6.2 Promising Applications 7 Conclusion and Future Directions Glossary of Terms References Chapter 7: Seven Generations Mindset to Address Substance Use Disorders Among Native Americans 1 Introduction: Seven Generations 2 Literature Review 3 Seven Generations/Legacy 3.1 Dialogue 3.2 Summary of Main Themes of Dialogue 4 Discussion Glossary of Terms Questions for Thought and Discussion References Chapter 8: Associations Between SUD in the Family, PFC Functioning, and Codependency: Importance of Family Member Recovery 1 Introduction 1.1 Addiction as a Family Disease 1.1.1 Family Power Dynamics 1.1.2 Family Rules 1.1.3 Family Roles 1.1.4 Family Boundaries 1.1.5 Family Structure 1.2 Codependency, Co-suffering, and Co-impairment 1.3 The Brain, Stress, and the Prefrontal Cortex 1.4 Neuropsychology and PFC Functioning of SUD-Impacted Family Members 1.4.1 Altered PFC Functioning Among Family Members 1.4.2 Codependency and PFC Functioning 1.5 Implications 1.5.1 Implications for Understanding Family Resilience 1.5.2 Implications for Practice and/or Policy 1.6 Conclusion and Future Directions 1.6.1 Concluding Remarks 1.6.2 Considerations Moving Forward Glossary of Terms Questions for Thought and Discussion References Index