The Assessment of Wellness and Nutrition in Residential Alcohol and Drug Treatment Programs
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The Assessment of Wellness and Nutrition in Residential Alcohol and Drug Treatment Programs A Dissertation Proposal Presented to the Faculty of the Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts by Barbara Koffske Reid, M.Ed., MA, LMFT Nutrition plays a vital role in creating health and alleviating the burden of disease, particularly chronic physical and mental health conditions. Among the most persistent and costly diseases is alcohol and drug addiction, a chronic relapsing brain disease that often co-occurs with a host of physical and mental health problems, one of the most common being depression (NIDA, 2008). People with alcohol and other drug abuse problems often have compromised nutritional status (Breslow et al., 2010), which may be the result of lifestyle and the effects of substances of abuse. The literature suggests that addressing aspects of wellness and nutrition can be instrumental in achieving better mental/behavioral health, in addition to the impact on overall health (Bidlack, 1996). What is not known is whether residential substance abuse programs are incorporating this evidence into their treatment approaches. The goal of this study is to understand what residential substance abuse treatment programs in Massachusetts are doing to integrate wellness and specifically nutrition into treatment. We will determine what efforts are underway to address wellness and nutrition, such as the types of foods and wellness activities within programs and the level of knowledge program directors have about nutrition. Rogers’ theory on the diffusion of innovation (Rogers, 2003) provides a model that is well suited to understand how residential treatment programs come to adopt wellness/nutrition into their day to day work with clients. It seeks to explain how ideas or innovations that are perceived as new are adopted. While nutrition is not a new concept as it relates to health, it is new in that it has not traditionally been an integral part of substance abuse treatment. The study aims to understand how these innovations have been adopted or why they have not.
Dissertation Committee: Sharon Reif, Ph.D., Chairperson Constance Horgan, Ph.D. Jennifer Perloff, Ph.D. Janet Forrester, Ph.D. Associate Professor, Dept. Public Health & Community Medicine, Friedman School of Nutrition, Tufts University School of Medicine
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