Epidemiology
This phenomenon describes the finding that some first generation immigrants have lower rates of substance use than that of U.S. born individuals despite facing socioeconomic challenges
What is the immigration paradox
True or False: Being a first-generation immigrant is a protective factor against alcohol misuse
What is true!
When working with second generation immigrants, whom must interventions include rather than focusing solely on the individual?
What is the family (or family system)?
Citizen children of non-citizen immigrants are [more/less] likely to have access to healthcare than their counterparts whose parents are citizens?
Less likely
What stressful event occured in Prof Steen's driveway that he shared the first week of class?
Car accident with a neighbor
Compared with their immigrant parents, second generation immigrants often show this trend in substance use risk
What is increased risk of substance use over time across generations
This is one of the biological systems affected by alcohol misuse
What is/are neurological, endocrine, immune, circulatory/cardiovascular, gastrointestinal, musculoskeletal (only one needed)
The systematic process of modifying an existing evidence-based intervention to align with the culture, language, and values of a specific group.
What is cultural adaptation?
There is a link between substance use and this co-occurring mental health disorder, which is associated with experiencing a violent or life threatening event.
What is PTSD?
Prof. Steen has studied the mental health and substance use disorders (and service use) of which population?
Social workers!
This stress occurs when individuals experience conflict between their family's cultural expectations and the dominant culture
What is acculturative stress
This is the feeling of pressure to conform to both one’s heritage cultural stream and the new homeland in which one has settled
What is bicultural stress
Translating intervention workbooks into a community's native language or hiring staff from the same ethnic background are examples of this level of structure.
What is surface structure?
Immigration law demonizes substance use; it can be grounds for what kind of penalty?
Deportation
What was the name of the org Mel talked about in class last week?
Warm Up Boston
According to epidemiological research, second generation immigrants often have alcohol use rates that are more similar to this population than to first generation immigrants
Who are U.S. born non-immigrant individuals
This is one of the cancers, like liver cancer, that is of increased risk for someone with an AUD
What is/are head and neck, oral cavity, pharynx, larynx cancers, esophageal, breast, colorectal (only one needed)
This deep level of adaptation goes beyond materials to address core cultural norms, traditional parenting values, and underlying beliefs that drive behavior.
What is deep structure (or deep-level adaptation)?
How might you go about working with a client with alcohol use disorder but whose culture uses alcohol for spiritual reasons?
Explore harm reduction and spirituality
Who was our original professor before Prof. Steen stepped in?
Prof. Kelton (Damen)
This percent of foreign-born parents have experienced trauma during the migration process (5% margin)
What is 34%
This widely used 10-item global screening tool was found to be a reliable measure for detecting at-risk drinking and alcohol dependence.
What is the AUDIT (Alcohol Use Disorders Identification Test)?
What does the violence of ICE have to do with substance use risk for 2nd generation immigrants?
Increased trauma, political and racial violence on family members and friends, increased burden to care for family members, etc.
What state is Prof Steen moving to?
What is Ohio