René Drumm

“I'm a Health Nut!” Street Drug Users' Accounts of Self-Care Strategies

This qualitative study analyzes data from in-depth interviews to describe self-care strategies among chronic and injecting drug users. While the types of strategies varied from participant to participant, the theme of proactive self-care remained strong throughout the data. Researchers identified five self-care domains discussed by the study participants. The self-care domains include strategies to improve nutrition, increase physical activity, address medical concerns, regulate substance use, and reduce sexual risk. Overall, these data indicate that chronic drug users are actively involved in managing and improving their health and attempt to take self-protective actions, even while continuing to engage in active drug use. These findings are particularly relevant for primary care providers, walk-in clinics, drug treatment programs, outreach workers and those engaged in harm reduction efforts. Recognizing that drug users are actively involved in taking care of their health can be an important strategy to build into any intervention or risk reduction program.

Childhood Victimization and its Impact on Coping Behaviors for Victims of Intimate Partner Violence

This study explores patterns of victimization and coping in a conservative Christian denomination. Four types of coping behaviors are identified: informal coping, professional help-seeking, negative coping and crisis outreach. While religious behaviors are less influential than expected for this particular population, current victimization and childhood victimization play a significant role in establishing a model of coping and help-seeking for intimate partner violence (IPV) survivors in faith communities. Childhood victimization acts as an aggravating factor, predicting negative coping with IPV. At the same time, childhood victimization significantly increases the likelihood of seeking professional help. The study adds to the body of knowledge by contributing to a better understanding of the impact of childhood victimization on coping and help-seeking.

Gender Variation in Partner Abuse: Findings From a Conservative Christian Denomination

This study examines three areas of intimate partner violence in a conservative Christian denomination, noting gender differences in patterns of abuse among men and women. Specifically investigating patterns of victimization, the study identifies women as targets of intimate terrorism. Women who experienced escalating violence and sexual violence also reported emotional abuse, controlling behaviors, and symptoms of posttraumatic stress disorder (PTSD) that are typical of intimate terrorism. Women who endured potentially lethal violence had the added associated action of calling the police or 911. Although factors that are associated with male victimization also feature controlling behaviors, the control is not associated with PTSD or associated fear behaviors that are typical of intimate terrorism.

Back to basics: the role of health insurance in getting a physical exam.

Abstract The social work profession has a long history of advocacy to improve the human condition, especially for groups of people at high risk of discrimination and marginalization. Social workers have been instrumental in identifying, assessing, treating, and preventing illicit drug use as part of this commitment to advocacy. One component of social works endeavors on behalf of drug users and other populations-at-risk has been advocating for increased access to health care. This article examines the role that having health insurance plays in obtaining the most basic of all health caregetting a physical examination. Featuring a sample of 1,271 chronic and injecting street drug users and comparison group non-users, the analysis demonstrates that having health insurance enhances access and utilization of health care among this at-risk population. Subjects who had health insurance for even one month of the past twelve were twice as likely to participate in basic health care by having a physical exam.

“You Leave in a Body Bag or You Leave on the Points System”: Participant Perceptions of a Points and Levels System of Behavior Management

This qualitative study highlights the lived experiences of former residents of an adolescent residential treatment facility that utilizes the points and levels system of behavior management. Data from 30 in-depth interviews reveal participants’ overall perceptions of the lack of effectiveness of the points system for behavior change and emotional growth. Specifically, this analysis offers information about how the points system operated in this facility, helpful and hurtful aspects of the system, and ways in which the system itself forms barriers to genuine change. These findings strengthen advocacy for alternative methods in residential treatment that encourage meaningful and lasting behavioral and emotional change.

Clergy training for effective response to intimate partner violence disclosure: Immediate and long-term benefits

ABSTRACT This study reports findings from an intimate partner violence-training project in which 104 Seventh-Day Adventist pastors received a 4-hr training in responding effectively to intimate partner violence (IPV) disclosure. The educational endeavor targeted three areas for improvement in clergy response: (a) increasing pastors’ understanding of the unique dynamics in abusive relationships, (b) providing information on IPV resources and services, and (c) developing pastors’ abilities and motivations to be proactive in addressing IPV. Pretest, posttest and 1-year follow up data indicate that pastors who engaged in IPV training demonstrated immediate and long-term positive changes. Specifically, participants showed improvements in each of the targeted areas. Beyond the gains in knowledge and attitudes about IPV, the study results also indicate that pastors receiving training expanded their activities to positively address IPV in their congregations. Social workers can play a significant role in addressing clergy training needs by strengthening pastors’ abilities to respond appropriately to parishioners’ IPV disclosures.