Social Networks of Individuals with Co-Occurring Disorders of Mental Illness, Substance Abuse & General Medical Conditions: What role(s) do they play?

2.50
Hdl Handle:
http://hdl.handle.net/10755/158435
Type:
Presentation
Title:
Social Networks of Individuals with Co-Occurring Disorders of Mental Illness, Substance Abuse & General Medical Conditions: What role(s) do they play?
Abstract:
Social Networks of Individuals with Co-Occurring Disorders of Mental Illness, Substance Abuse & General Medical Conditions: What role(s) do they play?
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Villena, Anna Liza, PhD
P.I. Institution Name:The Ohio State University
Title:Anna Liza Villena
Contact Address:1810 Ashland, Upper Arlington, OH, 43212, USA
Contact Telephone:510 367-2239
Co-Authors:A. Villena, College of Nursing, The Ohio State University, Columbus, OH;
Purpose: This interpretive study describes the relationships between social networks of individuals with COD and the management of their multiple mental and physical disorders. Specifically, do social networks alleviate or exacerbate the difficulties of coping with multiple morbidities? Background & Significance: Approximately 33 million people suffer from substance abuse disorder in a given year; 7-10 million of them will have co-occurring disorders (COD) of both mental illness and substance abuse. They have higher rates of other chronic health problems (i.e. HIV, hepatitis C), multiple re-hospitalizations, and over utilize emergent services. Research studies indicate that social networks of friends and family have complex and ambiguous roles within this population. There is a growing need to conduct an in-depth examination of how individuals with COD utilize social networks when managing their multiple mental and physical disorders. Method: A purposive sampling of twenty individuals with COD (11 males; 9 females) were recruited from community treatment centers and supportive housing sites. Participants were interviewed for one hour on two occasions. Narratives about social networks, health management of illness, and experiences with the healthcare system were conducted. Interviews were audiotaped and transcribed. Interpretive narrative analysis was employed to examine common and distinct experiences of participants. Thematic and paradigm case analyses were conducted. Findings: Preliminary findings indicated that types of network, length of association with known networks, relationships of the participants, severity of psychiatric diagnoses, and participants' illicit drugs and alcohol use were factors that mediated how each network functioned. Three networks were identified: healthcare providers (HPN), family (FAN), and friends (FRN). Length of association with HPNs facilitated participants' involvement with their own medical and behavioral care. Participants with secure attachment styles were more likely to utilize HPNs to help them cope with their multiple morbidities. Individuals in recovery were more likely to utilize FAN to help them with their medical illnesses. FRNs were scarce, volatile, and often worsened the participants' conditions.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSocial Networks of Individuals with Co-Occurring Disorders of Mental Illness, Substance Abuse & General Medical Conditions: What role(s) do they play?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/158435-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Social Networks of Individuals with Co-Occurring Disorders of Mental Illness, Substance Abuse &amp; General Medical Conditions: What role(s) do they play?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Villena, Anna Liza, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Ohio State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Anna Liza Villena</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1810 Ashland, Upper Arlington, OH, 43212, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">510 367-2239</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">villena71@sbcglobal.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">A. Villena, College of Nursing, The Ohio State University, Columbus, OH;</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This interpretive study describes the relationships between social networks of individuals with COD and the management of their multiple mental and physical disorders. Specifically, do social networks alleviate or exacerbate the difficulties of coping with multiple morbidities? Background &amp; Significance: Approximately 33 million people suffer from substance abuse disorder in a given year; 7-10 million of them will have co-occurring disorders (COD) of both mental illness and substance abuse. They have higher rates of other chronic health problems (i.e. HIV, hepatitis C), multiple re-hospitalizations, and over utilize emergent services. Research studies indicate that social networks of friends and family have complex and ambiguous roles within this population. There is a growing need to conduct an in-depth examination of how individuals with COD utilize social networks when managing their multiple mental and physical disorders. Method: A purposive sampling of twenty individuals with COD (11 males; 9 females) were recruited from community treatment centers and supportive housing sites. Participants were interviewed for one hour on two occasions. Narratives about social networks, health management of illness, and experiences with the healthcare system were conducted. Interviews were audiotaped and transcribed. Interpretive narrative analysis was employed to examine common and distinct experiences of participants. Thematic and paradigm case analyses were conducted. Findings: Preliminary findings indicated that types of network, length of association with known networks, relationships of the participants, severity of psychiatric diagnoses, and participants' illicit drugs and alcohol use were factors that mediated how each network functioned. Three networks were identified: healthcare providers (HPN), family (FAN), and friends (FRN). Length of association with HPNs facilitated participants' involvement with their own medical and behavioral care. Participants with secure attachment styles were more likely to utilize HPNs to help them cope with their multiple morbidities. Individuals in recovery were more likely to utilize FAN to help them with their medical illnesses. FRNs were scarce, volatile, and often worsened the participants' conditions.</td></tr></table>en_GB
dc.date.available2011-10-26T21:03:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:03:01Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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