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Loss and grief among substance users and the programs that provide treatment for them in Ontario

2016· article· en· W3017372807 on OpenAlex
Nick Doukas, Dhivya Balakrishnan

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
venuePublished in a venue whose home country is Canada.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueThe Canadian Journal of Addiction · 2016
Typearticle
Languageen
FieldPsychology
TopicGrief, Bereavement, and Mental Health
Canadian institutionsCentre for Addiction and Mental Health
Fundersnot available
KeywordsGriefDisenfranchised griefComplicated griefTraumatic griefSubstance abuseAddictionSubstance useMainstreamPsychologyPsychiatryPsychotherapistMedicinePolitical science

Abstract

fetched live from OpenAlex

Background: Grief is an area that needs to be addressed when working with individuals recovering from substance use because of the complicated loss associated with the lifestyle of problem substance users. Problem substance users may prefer accessing grief services from agencies that provide substance use services rather than seeking grief counselling from mainstream services because of the stigma associated with substance use. Objective: To report on the number of agencies in Ontario that provide substance use services and also offer grief counselling by accessing the Drug and Alcohol Registry for Treatment. Specifically this study determines which type of agencies provide grief counselling across different settings and service delivery. Results: Out of the 215 agencies that are registered with the Drug and Alcohol Registry for Treatment, 47.4% (102/215) responded to the questionnaire. Among the seven categorical settings the only two that reported a substantial level of grief counselling as a service was Short-Term Residential Centers (73.7%) and Long-Term Residential Centers (58.4%). The overall rate of agencies that provide grief counselling among the 102 agencies was 29.5% (30/102). Conclusion: This study has briefly outlined the necessity of grief therapy in addressing issues of complicated grief and substance use. It is clear that there is a discrepancy in the number of agencies which provide grief therapy to substance users. In addressing the grief component for substance users, the addiction component may slowly become addressed as both issues are intertwined and exasperate the other. Key Words: grief counselling, loss, addiction, substance use treatment centres. Contexte: Le deuil est un aspect qui doit être abordé avec les individus qui se remettent de leur consommation de substances en raison de la perte complexe associée au mode de vie des personnes vivant avec des troubles de consommation de substances. À cause du stigma associé à la consommation de substances, ces personnes peuvent préférer consulter des services en matière de deuil au sein d'agences prestataires de services en lien avec la consommation de substances plutôt que d'obtenir des services d'un conseiller grand public. Objectif: Rapporter le nombre d'agences en Ontario prestataires de services en lien avec la consommation de substances et des services de counselling en deuil à partir du répertoire de services Drug and Alcohol Registry for Treatment de l'Ontario. Plus spécifiquement, cette étude détermine quel type d'agences offrent des services de consultation en matière de deuil à travers différents milieux et différentes prestations de services. Résultats: Des 215 agences inscrites au répertoire, 47,4% (102/215) ont répondu au questionnaire. Des sept catégories de milieux, les deux qui rapportent un niveau substantiel de counselling en matière de deuil sont les centres résidentiels de courte durée (73,7%) et les centres résidentiels de longue durée (58,4%). Des 102 agences, le taux global offrant du counselling en matière de deuil est de 29,5% (30/102). Conclusion: Cette étude illustre brièvement la nécessité d'offrir une thérapie pour le deuil lorsque les problèmes de consommation de substances et du deuil complexe sont abordés. Il est clair qu'il existe une contradiction entre le nombre d'agences qui offrent la thérapie de deuil aux usagers de substances. En abordant la composante de deuil avec les usagers de substances, la composante dépendance peut petit à petit être abordé du même coup puisque les deux problèmes sont entrelacés et s'exacerbent l'un l'autre. Mots clés: counselling sur le deuil, perte, dépendance, centre de traitement pour la consommation de substances

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.597
Threshold uncertainty score0.610

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.048
GPT teacher head0.273
Teacher spread0.225 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it