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The Effects Of Integrating Comorbid Patients Such As Schizophrenics Heroin Addicts And Patients With Diagnostic Addictions And Dependences Into A Primary Care Environment
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Book Synopsis The Effects of Integrating Comorbid Patients Such as Schizophrenics, Heroin Addicts and Patients with Diagnostic Addictions and Dependences into a Primary Care Environment by : Matthew Hamilton
Download or read book The Effects of Integrating Comorbid Patients Such as Schizophrenics, Heroin Addicts and Patients with Diagnostic Addictions and Dependences into a Primary Care Environment written by Matthew Hamilton and published by Universal-Publishers. This book was released on 2005-03-17 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: The results of previous investigations have revealed very sparse information concerning the real life effects of treating patients in a traditional pri-mary care facility. These patients were violent, hallucinatory, boisterous, and manipulative. In addition, the majority sought to avoid primary medical care on every occasion. The process by which they were admitted and treated has been observed and reported in detail. Two hundred and fifty-six patients were enrolled over a period of five months in an integrated medical facility design. This facility provided both primary medical care and behavioral healthcare services. All patients were diagnosed as Mentally Ill Chemically Addicted (MICA). These patients consisted of schizophrenics, heroin addicts and patients with a myriad of addictions. Their treatment plans consisted of medical, behavioral and pharmacotherapy services. Receipt of methadone hydro-chloride was contingent upon total treatment plan compliance. This integrated facility was the first of its kind in full operation in the state of New Jersey. Medical encounters consisted of comprehensive examinations, laboratory work and other medical tests. The length of time in treatment for patients in an integrated setting was compared to the State of New Jersey s mandatory ex-amination protocols and summarized in the New Jersey Alcohol and Drug Abuse Data System (ADADS) six-month report for the period of January 1, 1998 July 1, 1998. The ages ranged from 0-55 and the n =29,857. The ADADS data indi-cates that 66% of all patients who entered a treatment program other than an integrated system were discharged in as little as 14 days. Conversely, the mean of time for all patients admitted into the study was 56.41 days, and the standard deviation was 34.94 days. The ages of the patients in the integrated setting were the same and the n = 256. Medical services dominated behavioral treatment by a ratio of 2:1. The analyses of these differences clearly suggest that integrated treatment is the best form of comprehensive care for these patients.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309439124 Total Pages :171 pages Book Rating :4.3/5 (94 download)
Book Synopsis Ending Discrimination Against People with Mental and Substance Use Disorders by : National Academies of Sciences, Engineering, and Medicine
Download or read book Ending Discrimination Against People with Mental and Substance Use Disorders written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-09-03 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309682681 Total Pages :123 pages Book Rating :4.3/5 (96 download)
Book Synopsis Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings by : National Academies of Sciences, Engineering, and Medicine
Download or read book Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-30 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
Book Synopsis Substance Use Disorder Treatment for People With Co-Occurring Disorders (Treatment Improvement Protocol) TIP 42 (Updated March 2020) by : U.S. Department of Health and Human Services
Download or read book Substance Use Disorder Treatment for People With Co-Occurring Disorders (Treatment Improvement Protocol) TIP 42 (Updated March 2020) written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2020-04-04 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Treatment Improvement Protocol (TIP) update is intended to provide addiction counselors and other providers, supervisors, and administrators with the latest science in the screening, assessment, diagnosis, and management of co-occurring disorders (CODs). For purposes of this TIP, CODs refer to co-occurring substance use disorders (SUDs) and mental disorders. Clients with CODs have one or more disorders relating to the use of alcohol or other substances with misuse potential as well as one or more mental disorders. A diagnosis of CODs occurs when at least one disorder of each type can be established independent of the other and is not simply a cluster of symptoms resulting from the one disorder. Many may think of the typical person with CODs as having a serious mental illness (SMI) combined with a severe SUD, such as schizophrenia combined with alcohol use disorder (AUD).
Download or read book Cumulated Index Medicus written by and published by . This book was released on 1999 with total page 1868 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 2454 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309486483 Total Pages :175 pages Book Rating :4.3/5 (94 download)
Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Book Synopsis Comorbidity of Mental Disorders and Substance Use by :
Download or read book Comorbidity of Mental Disorders and Substance Use written by and published by . This book was released on 2003 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cormorbity means the co-occurrence of one or more diseases or disorders in an individual. The National Comorbity Project aims to highlight this type of comorbity and identify appropriate strategies and policies responses.
Book Synopsis Companion to Psychiatric Studies E-Book by : Eve C Johnstone
Download or read book Companion to Psychiatric Studies E-Book written by Eve C Johnstone and published by Elsevier Health Sciences. This book was released on 2010-07-26 with total page 845 pages. Available in PDF, EPUB and Kindle. Book excerpt: * 2011 BMA Book Awards - Highly Commended in Psychiatry * A new edition of a classic textbook now published for the first time with colour. Covering the entire subject area [both basic sciences and clinical practice] in an easily accessible manner, the book is ideal for psychiatry trainees, especially candidates for postgraduate psychiatry exams, and qualified psychiatrists. - New edition of a classic text with a strongly evidenced-based approach to both the basic sciences and clinical psychiatry - Contains useful summary boxes to allow rapid access to complex information - Comprehensive and authoritative resource written by contributors to ensure complete accuracy and currency of information - Logical and accessible writing style gives ready access to key information - Ideal for MRCPsych candidates and qualified psychiatrists - Expanded section on psychology – including social psychology – to reflect the latest MRCPych examination format - Discussion of capacity and its relationship to new legislation - Text updated in full to reflect the new Mental Health Acts - Relevant chapters now include discussion of core competencies and the practical skills required for the MRCPsych examination - Includes a section on the wider role of the psychiatrist – including teaching and supervision, lifelong learning, and working as part of a multidisciplinary team (including dealing with conflict, discipline and complaints) - Includes new chapter on transcultural aspects of psychiatry - Enhanced discussion of the use of the best current management options, both pharmacological and psychotherapeutic, the latter including CBT (including its use in the treatment of psychosis) and group, couple and family therapy.
Book Synopsis Biomedical Index to PHS-supported Research by :
Download or read book Biomedical Index to PHS-supported Research written by and published by . This book was released on 1991 with total page 1104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Stigma of Addiction by : Jonathan D. Avery
Download or read book The Stigma of Addiction written by Jonathan D. Avery and published by Springer. This book was released on 2019-01-09 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the stigma of addiction and discusses ways to improve negative attitudes for better health outcomes. Written by experts in the field of addiction, the text takes a reader-friendly approach to the essentials of addiction stigma across settings and demographics. The authors reveal the challenges patients face in the spaces that should be the safest, including the home, the workplace, the justice system, and even the clinical community. The text aims to deliver tools to professionals who work with individuals with substance use disorders and lay persons seeking to combat stigma and promote recovery. The Stigma of Addiction is an excellent resource for psychiatrists, addiction medicine specialists, students across specialties, researchers, public health officials, and individuals with substance use disorders and their families.
Author :National Collaborating Centre for Mental Health (Great Britain) Publisher :RCPsych Publications ISBN 13 :9781908020307 Total Pages :332 pages Book Rating :4.0/5 (23 download)
Book Synopsis Psychosis with Coexisting Substance Misuse by : National Collaborating Centre for Mental Health (Great Britain)
Download or read book Psychosis with Coexisting Substance Misuse written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text sets out clear recommendations for healthcare staff (based on the best available evidence) on how to assess and manage adults and young people (aged 14+) who have both psychosis and a substance misuse problem, in order to integrate treatment for both conditions and thus improve their care.
Book Synopsis Alcohol and Other Drug Screening of Hospitalized Trauma Patients by : Peter O. Rostenberg
Download or read book Alcohol and Other Drug Screening of Hospitalized Trauma Patients written by Peter O. Rostenberg and published by . This book was released on 1995 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Seeking Safety by : Lisa M. Najavits
Download or read book Seeking Safety written by Lisa M. Najavits and published by Guilford Publications. This book was released on 2021-05-07 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse. For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion webpage. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.
Author :American Psychiatric Association Publisher :American Psychiatric Pub ISBN 13 :0890426821 Total Pages :226 pages Book Rating :4.8/5 (94 download)
Book Synopsis The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder by : American Psychiatric Association
Download or read book The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2018-01-11 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
Book Synopsis Opioid-Use Disorders in Pregnancy by : Tricia E. Wright
Download or read book Opioid-Use Disorders in Pregnancy written by Tricia E. Wright and published by . This book was released on 2018-05-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.
Book Synopsis TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) by : U.S. Department of Health and Human Services
Download or read book TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-19 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
