Drug addiction
Drug treatment intend to help those addicted stop compulsive drug seeking.
Takes different forms, last for different time and happen in a variety settings.
Impact of social media on patient adherenceSilja Chouquet
Non-adherence to medication is common, with around 50% of patients failing to take their medication as prescribed. While traditionally seen as problematic, the document argues that non-adherence should be accepted as the norm given the challenges of lifelong treatment regimens. It presents research finding that patients in an online health community commonly report missing doses due to forgetting or feeling frustrated with side effects. However, engagement online also provides motivation, information, and social support that can improve adherence for some. The document calls for new approaches that empower patients and use digital tools to better support medication adherence in the real world.
This document discusses the importance of treatment for opioid use disorders. It notes the rise in prescription pain medication abuse and related harms like overdoses. Treatment options like medication-assisted treatment with drugs like methadone and buprenorphine combined with counseling can effectively treat opioid addiction, improving health and social outcomes. The Substance Abuse and Mental Health Services Administration promotes such evidence-based treatment approaches and prevention efforts to address the prescription drug abuse epidemic.
Supporting medicines adherence developing the pharmacist contributionPM Society
This document summarizes a presentation by Professor Graham Davies on supporting medicine adherence for patients with diabetes. It discusses a project in South London to train community pharmacists to help patients with diabetes better manage their medication. Key challenges discussed include the high rates of non-adherence to medications for long-term conditions and the need for integrated care approaches across health professionals to address patients' multiple conditions and needs.
The Role of the Pharmacy in Adherence Supporticapclinical
This document discusses the expanding role of pharmacists in supporting HIV treatment adherence. It provides examples of how pharmacists in Cote d'Ivoire, Kenya, and South Africa work to enhance adherence through patient education, integrated appointment and pill count systems, visual analogue scales to assess adherence, and task-shifting some responsibilities to peer educators. The document also presents case studies demonstrating pharmacist interventions around medication counseling, drug interactions, pediatric dosing, and adherence barriers.
Patient support programmes within medicines optimisation – the pros and consPM Society
Patient support programs have the potential to improve medication adherence and patient outcomes while also providing a return on investment. A personalized text message program for asthma patients improved adherence from 43% in the control group to 58% in the intervention group. The program continued to show benefits in adherence even after the intervention ended. A support program for age-related macular degeneration patients led to an 8-fold decrease in treatment discontinuation and a 941% return on investment. Personalized interventions that address patients' beliefs and perceptions have the most potential to positively impact adherence long-term.
Dano Beck from the Oregon Health Authority describes outcomes and lessons learned from the implementation and marketing of "Oregon Reminders" a mHealth service developed by YTH and the Oregon Health Authority. Presented at YTH Live 2014 session "Stick to it: Tech for Medical Adherence + Health Interventions."
Impact of social media on patient adherenceSilja Chouquet
Non-adherence to medication is common, with around 50% of patients failing to take their medication as prescribed. While traditionally seen as problematic, the document argues that non-adherence should be accepted as the norm given the challenges of lifelong treatment regimens. It presents research finding that patients in an online health community commonly report missing doses due to forgetting or feeling frustrated with side effects. However, engagement online also provides motivation, information, and social support that can improve adherence for some. The document calls for new approaches that empower patients and use digital tools to better support medication adherence in the real world.
This document discusses the importance of treatment for opioid use disorders. It notes the rise in prescription pain medication abuse and related harms like overdoses. Treatment options like medication-assisted treatment with drugs like methadone and buprenorphine combined with counseling can effectively treat opioid addiction, improving health and social outcomes. The Substance Abuse and Mental Health Services Administration promotes such evidence-based treatment approaches and prevention efforts to address the prescription drug abuse epidemic.
Supporting medicines adherence developing the pharmacist contributionPM Society
This document summarizes a presentation by Professor Graham Davies on supporting medicine adherence for patients with diabetes. It discusses a project in South London to train community pharmacists to help patients with diabetes better manage their medication. Key challenges discussed include the high rates of non-adherence to medications for long-term conditions and the need for integrated care approaches across health professionals to address patients' multiple conditions and needs.
The Role of the Pharmacy in Adherence Supporticapclinical
This document discusses the expanding role of pharmacists in supporting HIV treatment adherence. It provides examples of how pharmacists in Cote d'Ivoire, Kenya, and South Africa work to enhance adherence through patient education, integrated appointment and pill count systems, visual analogue scales to assess adherence, and task-shifting some responsibilities to peer educators. The document also presents case studies demonstrating pharmacist interventions around medication counseling, drug interactions, pediatric dosing, and adherence barriers.
Patient support programmes within medicines optimisation – the pros and consPM Society
Patient support programs have the potential to improve medication adherence and patient outcomes while also providing a return on investment. A personalized text message program for asthma patients improved adherence from 43% in the control group to 58% in the intervention group. The program continued to show benefits in adherence even after the intervention ended. A support program for age-related macular degeneration patients led to an 8-fold decrease in treatment discontinuation and a 941% return on investment. Personalized interventions that address patients' beliefs and perceptions have the most potential to positively impact adherence long-term.
Dano Beck from the Oregon Health Authority describes outcomes and lessons learned from the implementation and marketing of "Oregon Reminders" a mHealth service developed by YTH and the Oregon Health Authority. Presented at YTH Live 2014 session "Stick to it: Tech for Medical Adherence + Health Interventions."
This study evaluated the impact of integrating a substance abuse treatment program into population-based behavioral health care. The program identified individuals at risk for medical issues from substance use disorders and engaged them in treatment. Participants had 16% fewer ER visits and 67% fewer hospitalizations after treatment compared to before. Healthcare costs for participants dropped 46% on average after treatment. The findings suggest integrating substance abuse treatment programs into population health strategies can increase enrollment in treatment and reduce costs.
RCPsychAGM10 - Quality of Care - Receipt of Follow-up Visits (June10)Alex J Mitchell
Only about one in five individuals prescribed treatment for depression receive good quality aftercare in primary care, defined as three or more follow-up visits over three months, according to a review of 19 studies. About 30% of patients saw their primary care physician within a month of an antidepressant prescription, and 60% had at least one documented follow-up visit in three months. In mental health care settings, about half of individuals received adequate aftercare. The review found a significant deficit in follow-up care for depression in primary care settings compared to specialist mental health settings.
First model of one stop service for drug users in drug dependent centers in s...Alexander Decker
This study developed and evaluated a "one stop service" model providing integrated care for drug users at a drug dependence treatment center in southern Thailand. Fifty-six intravenous and other drug users received services including methadone maintenance, HIV/AIDS testing and counseling, health education, tuberculosis screening, antiretroviral therapy, and harm reduction. Most participants were satisfied with the integrated services. The model helped address barriers to care by providing comprehensive services in a single location and establishing a self-help support group. The study concluded the one stop service model should be expanded to improve care for drug users and reduce HIV transmission in Thailand.
This document discusses patient adherence to medical treatment. It begins by noting estimates that 30-50% of medicines for long-term illnesses are not taken as directed, representing a loss for patients and the healthcare system. Common myths about non-adherence are debunked, and it is argued that patients' perceptions of their illness and prescribed treatment strongly influence adherence. Effective interventions should aim to improve the fit between patients' illness beliefs and treatment recommendations by addressing concerns about necessity and potential adverse effects through clear communication and education.
In order for the public to benefit from ground-breaking medical research, well-attended clinical trials are vital. We’ve put together five common myths about clinical trials, alongside measures to debunk them, giving participants the peace of mind they need to confidently join the clinical trial cause.
The NHS’ vision for medicines optimisation - the role for pharma in driving ...PM Society
The document discusses the challenges facing the NHS, including an aging population and rising costs of medicines. It notes that 30-50% of medicines are not taken as intended, leading to poor patient outcomes and increased healthcare spending. The NHS envisions a strategy of "medicines optimisation" to improve adherence, safety, and value. This will require engaging patients, health professionals, companies, and using health technology to optimize the use and management of medicines across care settings.
Medication non-adherence is a growing concern, as it is increasingly associated with negative health outcomes and higher cost of care. Tackling the burden of non-adherence requires a collaborative, patient-centric approach that considers individual patient needs and results in intelligent interventions that combine high-tech with high-touch.
This document describes a project by the Cochrane Tobacco Addiction Group (TAG) to prioritize future research areas on tobacco control and smoking cessation for their 20th anniversary. The project involved two surveys to gather uncertainties from stakeholders and rank identified research questions. The first survey identified 183 unanswered tobacco-related questions from 258 submissions. The second survey had 175 stakeholders rank the questions into 15 categories. A prioritization workshop with roundtable discussions then focused on Cochrane TAG's priorities moving forward. The project aims to raise awareness, identify further research needs, and set specific goals for Cochrane TAG.
Jeffrey Desmond, interim chief medical officer at the University of Michigan Health System, gave a presentation at an opioid overdose summit on December 1, 2015. He called on physicians to carefully assess addiction risk before prescribing opioids and to prescribe the smallest dose for shortest time possible. He also encouraged open discussions between doctors and patients about opioid risks and alternatives. The presentation discussed issues with controlled substance diversion at UMHS, including a nurse's death and doctor's overdose, and 16,000 missing pills. It outlined comprehensive programs implemented to improve accountability, security, and monitoring of controlled substances. The summit aimed to bring attention to the growing issue of prescription opioid abuse and facilitate research collaborations.
An Interprofessional Approach to Substance Abuse in Primary CareASAMPUBS
An integrated model of treatment improves care by recognizing that patients need clear and consistent care from their primary care provider “in a way that thoroughly considers biological, social, behavioral, and psychological components of their presenting complaint” by integrating psychological, addiction, and other treatments into a cohesive whole.
The document discusses medication non-adherence and strategies for improving adherence and ensuring safe hospital discharges. It notes that 50% of prescribed medications are not taken correctly and identifies barriers to adherence like cost, side effects, and health literacy. It introduces the Case Management Adherence Guidelines (CMAG) which assess patient knowledge, motivation, and skills to improve adherence using tools like health literacy tests. CMAG provides an algorithm to improve understanding and motivate patients to take medications as prescribed. The document emphasizes the importance of educating patients before discharge to maintain treatment and ensure a safe transition to outpatient care.
Polypharmacy - What next? (Planning for Wessex) Workshop Polypharmacy - some human and practical aspects (Mike Simpson, CEO Age UK Mid Hampshire) March 2017
Using the Patient Activation Measure to improve quality of care for patients ...Ben Harris-Roxas
The document summarizes research using the Patient Activation Measure (PAM) to improve quality of care for patients with chronic conditions. The PAM gauges a patient's knowledge, skills, and confidence in managing their own health. The research included a literature review finding the PAM has been used to tailor care and assess risk profiles. A retrospective audit in one local health district found the PAM score improved after a pulmonary rehabilitation program. A pilot study is currently testing using the PAM in clinical practice to improve quality of care. Barriers and facilitators to implementing the PAM as a tailoring tool are being examined.
Polypharmacy - What next? (Planning for Wessex) Workshop - Clare Howard's pre...Health Innovation Wessex
Polypharmacy - What next? (planning for Wessex) Conference 30th March 2017
'Polypharmacy Prescribing Comparators' Opening Presentation by Clare Howard, Clinical Lead
This document discusses medication adherence and proposes a mHealth approach using automated medication reminders triggered from pharmacy dispensing data to improve adherence. Key points:
- Medication non-adherence is a major healthcare problem, with 50% of chronic patients not following treatment plans. This costs $100-290 billion annually in the US.
- An automated reminder system would use dispensing data like medication name, dose, frequency from pharmacies to set reminders in an app to prompt users when to take medications and track adherence.
- This approach could improve medication adherence rates especially as more use smartphones and wearables, helping address the large costs and health impacts of non-adherence.
SBIRT As A Harm Reduction Public Health Approach for At-Risk College StudentsKaren V. Duhamel
- SBIRT is a public health approach used to screen college students for substance abuse and dependence using the ASSIST screening tool. It involves brief intervention and referral to treatment for students identified as moderate or high risk.
- The purpose of this study is to assess college counselors' proficiency in using the SBIRT approach, including correctly identifying students' risk levels and providing appropriate brief interventions or referrals to treatment.
- SBIRT has been shown to significantly reduce substance use and improve health and social outcomes when used in medical settings, and can benefit college students by enabling early detection and treatment of substance use disorders.
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...mPulse Mobile
Leading patient activation researcher, Dr. Judith HIbbard, delves deep into the research findings of countless studies to reveal the definition, value and outcomes of patient activation during Activate 2017.
SBIRT As A Harm Reduction Public Health Approach for At-Risk College StudentsKaren V. Duhamel
The document discusses implementing Screening, Brief Intervention, and Referral to Treatment (SBIRT) with college students seeking counseling services to identify those with potential substance abuse issues. It proposes using the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) screening tool during intake interviews. Counselors' proficiency with SBIRT would be measured against established criteria. SBIRT is shown to be an effective public health approach through studies finding decreased substance use and improved outcomes for those receiving brief interventions or treatment referrals through similar SBIRT programs. The project aims to assess counselors' ability to identify and counsel at-risk students using SBIRT.
Answering key questions on malaria drug delivery: 8 years of researchACT Consortium
Presentation by David Schellenberg
Director, ACT Consortium
Professor of Malaria & International Health at London School of Hygiene & Tropical Medicine
This document discusses treatment options for alcohol use disorders. It notes that while treatment options have expanded beyond 12-step programs like Alcoholics Anonymous, most people with alcohol use disorders remain untreated. It summarizes recent research exploring improved diagnosis, medications, behavioral therapies, and ways to broaden treatment access, such as through primary care settings and emerging technologies like online therapy programs.
This study evaluated the impact of integrating a substance abuse treatment program into population-based behavioral health care. The program identified individuals at risk for medical issues from substance use disorders and engaged them in treatment. Participants had 16% fewer ER visits and 67% fewer hospitalizations after treatment compared to before. Healthcare costs for participants dropped 46% on average after treatment. The findings suggest integrating substance abuse treatment programs into population health strategies can increase enrollment in treatment and reduce costs.
RCPsychAGM10 - Quality of Care - Receipt of Follow-up Visits (June10)Alex J Mitchell
Only about one in five individuals prescribed treatment for depression receive good quality aftercare in primary care, defined as three or more follow-up visits over three months, according to a review of 19 studies. About 30% of patients saw their primary care physician within a month of an antidepressant prescription, and 60% had at least one documented follow-up visit in three months. In mental health care settings, about half of individuals received adequate aftercare. The review found a significant deficit in follow-up care for depression in primary care settings compared to specialist mental health settings.
First model of one stop service for drug users in drug dependent centers in s...Alexander Decker
This study developed and evaluated a "one stop service" model providing integrated care for drug users at a drug dependence treatment center in southern Thailand. Fifty-six intravenous and other drug users received services including methadone maintenance, HIV/AIDS testing and counseling, health education, tuberculosis screening, antiretroviral therapy, and harm reduction. Most participants were satisfied with the integrated services. The model helped address barriers to care by providing comprehensive services in a single location and establishing a self-help support group. The study concluded the one stop service model should be expanded to improve care for drug users and reduce HIV transmission in Thailand.
This document discusses patient adherence to medical treatment. It begins by noting estimates that 30-50% of medicines for long-term illnesses are not taken as directed, representing a loss for patients and the healthcare system. Common myths about non-adherence are debunked, and it is argued that patients' perceptions of their illness and prescribed treatment strongly influence adherence. Effective interventions should aim to improve the fit between patients' illness beliefs and treatment recommendations by addressing concerns about necessity and potential adverse effects through clear communication and education.
In order for the public to benefit from ground-breaking medical research, well-attended clinical trials are vital. We’ve put together five common myths about clinical trials, alongside measures to debunk them, giving participants the peace of mind they need to confidently join the clinical trial cause.
The NHS’ vision for medicines optimisation - the role for pharma in driving ...PM Society
The document discusses the challenges facing the NHS, including an aging population and rising costs of medicines. It notes that 30-50% of medicines are not taken as intended, leading to poor patient outcomes and increased healthcare spending. The NHS envisions a strategy of "medicines optimisation" to improve adherence, safety, and value. This will require engaging patients, health professionals, companies, and using health technology to optimize the use and management of medicines across care settings.
Medication non-adherence is a growing concern, as it is increasingly associated with negative health outcomes and higher cost of care. Tackling the burden of non-adherence requires a collaborative, patient-centric approach that considers individual patient needs and results in intelligent interventions that combine high-tech with high-touch.
This document describes a project by the Cochrane Tobacco Addiction Group (TAG) to prioritize future research areas on tobacco control and smoking cessation for their 20th anniversary. The project involved two surveys to gather uncertainties from stakeholders and rank identified research questions. The first survey identified 183 unanswered tobacco-related questions from 258 submissions. The second survey had 175 stakeholders rank the questions into 15 categories. A prioritization workshop with roundtable discussions then focused on Cochrane TAG's priorities moving forward. The project aims to raise awareness, identify further research needs, and set specific goals for Cochrane TAG.
Jeffrey Desmond, interim chief medical officer at the University of Michigan Health System, gave a presentation at an opioid overdose summit on December 1, 2015. He called on physicians to carefully assess addiction risk before prescribing opioids and to prescribe the smallest dose for shortest time possible. He also encouraged open discussions between doctors and patients about opioid risks and alternatives. The presentation discussed issues with controlled substance diversion at UMHS, including a nurse's death and doctor's overdose, and 16,000 missing pills. It outlined comprehensive programs implemented to improve accountability, security, and monitoring of controlled substances. The summit aimed to bring attention to the growing issue of prescription opioid abuse and facilitate research collaborations.
An Interprofessional Approach to Substance Abuse in Primary CareASAMPUBS
An integrated model of treatment improves care by recognizing that patients need clear and consistent care from their primary care provider “in a way that thoroughly considers biological, social, behavioral, and psychological components of their presenting complaint” by integrating psychological, addiction, and other treatments into a cohesive whole.
The document discusses medication non-adherence and strategies for improving adherence and ensuring safe hospital discharges. It notes that 50% of prescribed medications are not taken correctly and identifies barriers to adherence like cost, side effects, and health literacy. It introduces the Case Management Adherence Guidelines (CMAG) which assess patient knowledge, motivation, and skills to improve adherence using tools like health literacy tests. CMAG provides an algorithm to improve understanding and motivate patients to take medications as prescribed. The document emphasizes the importance of educating patients before discharge to maintain treatment and ensure a safe transition to outpatient care.
Polypharmacy - What next? (Planning for Wessex) Workshop Polypharmacy - some human and practical aspects (Mike Simpson, CEO Age UK Mid Hampshire) March 2017
Using the Patient Activation Measure to improve quality of care for patients ...Ben Harris-Roxas
The document summarizes research using the Patient Activation Measure (PAM) to improve quality of care for patients with chronic conditions. The PAM gauges a patient's knowledge, skills, and confidence in managing their own health. The research included a literature review finding the PAM has been used to tailor care and assess risk profiles. A retrospective audit in one local health district found the PAM score improved after a pulmonary rehabilitation program. A pilot study is currently testing using the PAM in clinical practice to improve quality of care. Barriers and facilitators to implementing the PAM as a tailoring tool are being examined.
Polypharmacy - What next? (Planning for Wessex) Workshop - Clare Howard's pre...Health Innovation Wessex
Polypharmacy - What next? (planning for Wessex) Conference 30th March 2017
'Polypharmacy Prescribing Comparators' Opening Presentation by Clare Howard, Clinical Lead
This document discusses medication adherence and proposes a mHealth approach using automated medication reminders triggered from pharmacy dispensing data to improve adherence. Key points:
- Medication non-adherence is a major healthcare problem, with 50% of chronic patients not following treatment plans. This costs $100-290 billion annually in the US.
- An automated reminder system would use dispensing data like medication name, dose, frequency from pharmacies to set reminders in an app to prompt users when to take medications and track adherence.
- This approach could improve medication adherence rates especially as more use smartphones and wearables, helping address the large costs and health impacts of non-adherence.
SBIRT As A Harm Reduction Public Health Approach for At-Risk College StudentsKaren V. Duhamel
- SBIRT is a public health approach used to screen college students for substance abuse and dependence using the ASSIST screening tool. It involves brief intervention and referral to treatment for students identified as moderate or high risk.
- The purpose of this study is to assess college counselors' proficiency in using the SBIRT approach, including correctly identifying students' risk levels and providing appropriate brief interventions or referrals to treatment.
- SBIRT has been shown to significantly reduce substance use and improve health and social outcomes when used in medical settings, and can benefit college students by enabling early detection and treatment of substance use disorders.
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...mPulse Mobile
Leading patient activation researcher, Dr. Judith HIbbard, delves deep into the research findings of countless studies to reveal the definition, value and outcomes of patient activation during Activate 2017.
SBIRT As A Harm Reduction Public Health Approach for At-Risk College StudentsKaren V. Duhamel
The document discusses implementing Screening, Brief Intervention, and Referral to Treatment (SBIRT) with college students seeking counseling services to identify those with potential substance abuse issues. It proposes using the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) screening tool during intake interviews. Counselors' proficiency with SBIRT would be measured against established criteria. SBIRT is shown to be an effective public health approach through studies finding decreased substance use and improved outcomes for those receiving brief interventions or treatment referrals through similar SBIRT programs. The project aims to assess counselors' ability to identify and counsel at-risk students using SBIRT.
Answering key questions on malaria drug delivery: 8 years of researchACT Consortium
Presentation by David Schellenberg
Director, ACT Consortium
Professor of Malaria & International Health at London School of Hygiene & Tropical Medicine
This document discusses treatment options for alcohol use disorders. It notes that while treatment options have expanded beyond 12-step programs like Alcoholics Anonymous, most people with alcohol use disorders remain untreated. It summarizes recent research exploring improved diagnosis, medications, behavioral therapies, and ways to broaden treatment access, such as through primary care settings and emerging technologies like online therapy programs.
Here are the 11 DSM-5 criteria for substance use disorder filled in with the blank (___) replaced with "alcohol":
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused
Research MethodsLaShanda McMahonUniversity o.docxverad6
Research Methods
LaShanda McMahon
University of Phoenix
Formulating the Problem Statement and the Purpose Statement
Over the past decade, there have been several changes in drug addiction treatment that has shown results that show reduced associated health and social costs by more than the cost of the treatments. It has been found that treatments cost much less that the alternatives, such as incarcerating people with addictions. There are many savings related to healthcare, which includes, total savings that can exceed costs with a ratio of 12 to 1. Major savings to the individual and to society also stems from fewer interpersonal conflicts; greater workplace productivity; and fewer drug-related accidents, including overdoses and deaths (Woody, M.D., 2018).
Problem Statement
A common misperception is detoxification cures the addiction, yet addiction is a chronic disorder requiring long term multimodal treatment (Korsmeyer et al., 2009. Long-term treatment for substance abuse and co-occurring disorders might reduce recidivism rates and lessen costs for rehabilitation. Goldstein, A. (1997). examined the benefits of long-term substance abuse and posited the benefits. Goldstein further suggested not treating addiction appropriately or at all contributes to the high costs associated with substance use in the United States.
Insurance companies are reluctant to support long term substance abuse treatment; however, Weisner, Ray, Mertens, Satre and Moore (2003) noted patients receiving a minimum of six months substance treatment abstained from drug and alcohol use at least five years after treatment yet abusers of alcohol were less likely to remain sober for lengthy periods of time after treatment (Weisner et al., 2003).
According to the National Drug Institute (2012), every dollar invested in substance abuse treatment yields a return of $5.50 in reduced drug-related crime, costs associated with criminal justice, and theft. Healthcare savings can exceed costs by a 12 to 1 ratio. Therefore, drug addiction treatment reduces costs associated with primary care and is less costly than incarceration. Addressing addiction also contributes to the more positive aspects of life, such as increase in work productivity, and fewer incidents related to drug use, fewer overdoses and deaths.
Purpose Statement
The purpose of this correlational study is to see if a relationship exists among periods of sobriety and four levels of substance abuse treatment. The research will examine substance abuse treatment throughout various levels of care: higher levels (detox, Inpatient (IP), and Residential (RTC) and lower levels (partial hospitalization (PHP), Intensive Outpatient (IOP), and routine Outpatient (OP). Current trends in substance abuse treatment provides evidence that length of treatment is inadequate contributing to more frequent relapses among substance abusers. Longer treatment options for addiction may reduce the number of relapses, reduce costs asso.
Drug rehabilitation is the process of liberating the user from active addiction and includes two stages - physical detoxification and psychological detoxification.
The chapter discusses drugs and delinquency among youth. It finds that most drug use is experimental and involves alcohol, tobacco, and marijuana. The relationship between drug use and delinquency is complex, with evidence that drug use can both cause and result from delinquency. Effective interventions include life skills training to prevent drug use and treatment programs that combine legal action with individualized treatment plans, such as drug courts.
Effective therapies for drug and alcohol addiction include CBT, community reinforcement approach plus vouchers, contingency management/motivational incentives, motivational enhancement therapy, the Matrix Model, 12-step facilitation therapy, and behavioral couples therapy. Therapies created for adults like CBT, MET, and the Matrix Model need modifications to be effective for adolescents. Family-based therapies shown to work for adolescents include multisystemic therapy, multidimensional family therapy, and brief strategic family therapy. These therapies aim to improve individual and family dynamics that influence adolescent substance use.
Drug abuse has now become a major public health problem in Nigeria requiring urgent attention. Although drug abuse cut across all age groups, the youths are however the most affected. This study aimed at assessing Community Pharmacists involvement in the rehabilitation of drug abuse victims. The study was carried out in Abuja Municipal Area Council, questionnaires were administered to Community Pharmacists practicing within the Area Council. A total of 176 Community Pharmacists participated in the study, and slightly above a quarter (27.43%) of them had post-graduate degrees. More than three-quarters (79.5%) of the study participants had received training on drug abuse. A total of 89.2% of the study participants had come across persons suspected to be abusing prescription medicines. Almost all (96.6%) of the study participants indicated that they are willing to advise persons suspected to be abusing drugs on the dangers of drug abuse, and 88.1% of the study participants had spoken to clients concerning abuse of prescription medicines. Also, more than three-quarters (80.1%) of the study participants indicated that pharmacists’ role in the prevention of drug abuse is very important. The study has revealed that Community Pharmacists can play an invaluable role in the rehabilitation of drug abuse victims in Nigeria.
This document provides an overview of pharmacotherapy and the patient care process. It defines pharmacotherapy as the treatment of disease with medication. The key aspects covered include:
1) Identifying drug therapy problems through assessment of indication, effectiveness, safety, and compliance.
2) Developing a care plan to address problems or ensure goals are met, including establishing goals of therapy and selecting interventions.
3) Providing follow-up and evaluation to determine if the care plan is working or needs adjustment.
The overall focus is optimizing individual patient outcomes through appropriate medication selection and management.
Masters thesis differential effectiveness of substance abuse treatment by j f...Joyce Fuller
This thesis examines the differential effectiveness of standard substance abuse treatment for those with histories of drug use versus those arrested for drug trafficking. The study analyzed data from 1,348 individuals who completed drug and alcohol treatment. It found that outcomes tended to be poorer for drug traffickers than substance users across 64 of 77 outcome variables. Specifically, drug traffickers had significantly different and poorer outcomes than substance users in the categories of continued drug/alcohol use, reinstitutionalization, environmental issues, high-risk sexual behaviors, and relationship issues. The thesis considers why drug traffickers may receive treatment designed for substance users and potential alternative treatment options.
Differential Effectiveness of Substance Abuse Treatment by Joyce FullerJoyce Fuller
Study considers the differential effectiveness of standard treatment for person with actual histories of drug use vs those who have been arrested for drug trafficking, possession, dealing, sales and manufacturing, with little to no evidence or report of actual drug use who were placed in drug treatment.
A harm minimization approach to substance abuse treatment has three main objectives: 1) To minimize harm to individuals and communities from drug use, 2) To reduce hazardous drug use patterns in the community, and 3) To prevent initiation of harmful drug use especially among youth. Examples of harm reduction strategies include needle exchange programs, opioid substitution therapy, and overdose prevention programs. Research on therapeutic communities shows benefits for those who complete treatment, though dropout rates are high, suggesting multiple treatment attempts may be needed. Relapse prevention therapy aims to reduce relapse risk by addressing cravings, thoughts, and high-risk situations. Effective substance abuse treatment is individualized, readily available, and addresses multiple needs through continual assessment and modification.
Rethinking, rebuilding psychosocial care for cancer patientsJames Coyne
Presented as the 8th Trevor Anderson Psycho-Oncology Lecture, September 8, 2014, Melbourne, Australia.
Discusses how psychosocial care for cancer patients needs to be reorganized so that a broader range of cancer patients are served. Routine screening for distress is unlikely to be an efficient means of countering tendencies of cancer care more generally becoming more organized around time efficiency and billable procedures. Psychosocial care for many cancer patients involves discussions, negotiations, and care coordination they cannot be well fit into the idea of a counseling session. The unsung heroes of providing such care are underappreciated social workers and oncology nurses.
This document summarizes a presentation on closing treatment gaps in the health care and criminal justice systems for opioid use disorders. It introduces the presenters and moderator and provides learning objectives focused on improving identification and treatment of opioid use disorders in health care settings and strategies for improving outcomes for frequently incarcerated individuals. Disclosures are provided for the presenters stating that they have no relevant financial relationships.
Mechanisms Underlying Mindfulness-Based Addiction Treatment
versus Cognitive Behavioral Therapy and Usual Care for
Smoking Cessation
Claire Adams Spears1, Donald Hedeker2, Liang Li3, Cai Wu3, Natalie K. Anderson4, Sean C.
Houchins4, Christine Vinci5, Diana Stewart Hoover3, Jennifer Irvin Vidrine6, Paul M.
Cinciripini3, Andrew J. Waters7, and David W. Wetter8
1Georgia State University School of Public Health, Atlanta, GA
2The University of Chicago, Chicago, IL
3The University of Texas MD Anderson Cancer Center, Houston, TX
4The Catholic University of America, Washington, DC
5Rice University, Houston, TX
6Stephenson Cancer Center and The University of Oklahoma Health Sciences Center, Oklahoma
City, OK
7Uniformed Services University of the Health Sciences, Washington, DC
8University of Utah and the Huntsman Cancer Institute, Salt Lake City, UT
Abstract
Objective—To examine cognitive and affective mechanisms underlying Mindfulness-Based
Addiction Treatment (MBAT) versus Cognitive Behavioral Therapy (CBT) and Usual Care (UC)
for smoking cessation.
Method—Participants in the parent study from which data were drawn (N = 412; 54.9% female;
48.2% African-American, 41.5% non-Latino White, 5.4% Latino, 4.9% other; 57.6% annual
income < $30,000) were randomized to MBAT (n = 154), CBT (n = 155), or UC (n = 103). From
quit date through 26 weeks post-quit, participants completed measures of emotions, craving,
dependence, withdrawal, self-efficacy, and attentional bias. Biochemically-confirmed 7-day
smoking abstinence was assessed at 4 and 26 weeks post-quit. Although the parent study did not
find a significant treatment effect on abstinence, mixed-effects regression models were conducted
to examine treatment effects on hypothesized mechanisms, and indirect effects of treatments on
abstinence were tested.
Results—Participants receiving MBAT perceived greater volitional control over smoking and
evidenced lower volatility of anger than participants in both other treatments. However, there were
no other significant differences between MBAT and CBT. Compared to those receiving UC,
MBAT participants reported lower anxiety, concentration difficulties, craving, and dependence, as
Corresponding Author: Claire Adams Spears, Ph.D., Assistant Professor, Division of Health Promotion & Behavior, School of Public
Health, Georgia State University; [email protected]; Phone: 404.413.9335.
HHS Public Access
Author manuscript
J Consult Clin Psychol. Author manuscript; available in PMC 2018 November 01.
Published in final edited form as:
J Consult Clin Psychol. 2017 November ; 85(11): 1029–1040. doi:10.1037/ccp0000229.
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Drug Addiction Final pptx
1. THE EFFECTIVENESS OF DRUG ADDICTION
TREATMENT
Hussein Abouelnaga
Westcoast university
Professor. Cesar Landeros
03/04/2018
2. How effective is drug addiction treatment
Background
Data has shown that drug addiction affects many of
the public in one way or another, directly or indirectly.
It is a chronic disease characterized by compulsive, or
uncontrollable, drug seeking and use despite harmful
consequences and changes in the brain, which can be
long-lasting. There have been many treatments
techniques for this and I would like to find the
effectiveness of them. This is after finding that there
are many who continue suffering from addiction even
after going through various treatment procedures.
There also those who respond positively fast to the
treatments than others. According to NSDUH, in
2013, more than 95 percent of those who needed
specialty substance abuse treatment, and didn’t receive
it, didn’t think they needed it (Sinha 2001).
Methods
Used questionnaire, a primary data collection
technique. The questionnaire involved majority of the
affected parties in the addiction sectors; from the
addicted patients to the doctors who attend to these
patients.
Sampling methods
Convenient sampling - uses a technique where the
available study units at the time of data collection are
selected for sampling and this is for convenience
purpose.
Maximum sampling method - the aim is to select study
units and units represent a wide range of variation in
dimensions of how the patients respond to treatment.
Questionnaire
How old are you and when did you start using drugs?
Which drug do you use?
Have you tried visiting a healthcare facility to seek
assistance?
Do you have fear of visiting healthcare facilities?
Do you think seeking medical assistance helps to
reduce drug addiction?
When did you start using drugs?
Did you start with influence from your friends or any
peer group?
Results
Drug addiction treatments require a prolonged follow
up to the patients. This brings better results as it is
clear that addiction is likely to relapse and if it does,
appropriate measures are taken. Most of the people
who need treatment for addiction, but don’t get it,
don’t feel they need it.
Conclusion
Our data is clearly showing that for a drug addiction
treatment to be more effective it should be prolonged.
Drug addiction treatment faces a lot of resistance
mostly from those addicted as they are surrounded by
myths that make them keep off seeking medical
assistance. This shows the importance of all of us
taking part in fighting addiction as it is clearly seen as
seriously affecting many in our society.
Reference
Sinha, R. (2001). How does stress increase risk of
drug abuse and relapse?. Psychopharmacology,
158(4), 343-359.
0
1
2
3
4
5
6
7
8
9
10
Bhang
addiction
Cigaratte
addiction
Alcohol
addiction
Prescribed
drugs
addiction
Other drugs
addiction
0
1
2
3
4
5
6
7
8
9
10
pre treatment
during
treatment
post
treatment
3. DRUG TREATMENT INTEND TO HELP
THOSE ADDICTED STOP
COMPULSIVE DRUG SEEKING.
TAKES DIFFERENT FORMS, LAST
FOR DIFFERENT TIME AND HAPPEN
IN A VARIETY SETTINGS.
Introduction
Drug Addiction Treatment
4. Drug addiction
Drug addiction is a significant public health
concern.
Teenagers are the most affected.
70% of them have taken alcohol, 40% have
smoked,20 prescribed drugs and 45% other drugs.
Well shown is the figure generated from my
questionnaire.
5. Conceptual Issues In Treatment
Need for service on addressing early stages drug
involvement.
Effective techniques that would address even the factors
leading to drug involvement (Sinha 2001).
Use of inappropriate treatment methods on patients.
For instance;
Group therapy on teenagers
Treating without solving issues leading to drug use e.g family issues,
job loss, idleness etc
6. Duration Effectiveness On Treatment
The data in the poster shows that a
prolonged or a follow-up on patient after
treatment is more effective than a short
treatment duration.
Combining use of drugs and therapies are
also more effective than either of them
separately.
7. Research Method
Combining Qualitative and quantitative
methods facilitates effectiveness of the
research process.
Qualitative method gave detailed information
very helpful in understanding drug addiction
treatment.
Quantitative method gave numerical analysis
on data collected.
8. Conclusion
Reducing drug involvements on teenagers would also
reduce the rate of drug addiction.
Appropriate techniques to regulate drug use at early
stages should be put in place if this issue is to be
addressed.
Drug addiction affects many, thus, should be addressed
with seriousness as the rate is still increasing (Sinha
2001).
9. Reference
Sinha, R. (2001). How does stress increase risk of drug
abuse and relapse?. Psychopharmacology, 158(4), 343-
359.