Broadening the scope of addiction medicine: Integrating co-morbid conditions, polysubstance use, and patient experiences into substance use treatment PDF Download
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Author: Matthew S. Ellis
Publisher: Frontiers Media SA
ISBN: 2832541186
Category : Medical
Languages : en
Pages : 113
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Book Description
Author: Matthew S. Ellis
Publisher: Frontiers Media SA
ISBN: 2832541186
Category : Medical
Languages : en
Pages : 113
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Book Description
Author: Evaristo Akerele
Publisher: Springer Nature
ISBN: 3030848345
Category : Medical
Languages : en
Pages : 238
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Book Description
This book reviews the myriad of elements that layer substance abuse disorder, a significant public health issue. It addresses the strong stigma associated with the disease, particularly in regard to the doctor patient relationships. The book begins by explaining the importance of integrating psychiatric and substance use disorder treatment by demonstrating the efficacy of this treatment model. Subsequent to this are chapters dedicated to specific addiction disorders, including cocaine, opioids, gambling, food, and sex addictions. Chapters also examine how addiction can differ among various neurobiological, genetic, socioeconomic, and age demographics. The book closes with histories, policies, and modalities of drug use which serve as a key component to building a foundation for effective and ethical health policy. Written by international experts in addiction psychiatry, Substance and Non-Substance Related Addictions: A Global Approach is a valuable resource for all practitioners seeking to expand their knowledge of addiction medicine.
Author: Jonathan D. Avery
Publisher: Springer Nature
ISBN: 3030864308
Category : Medical
Languages : en
Pages : 137
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Book Description
This book provides an accessible, up-to-date understanding of how to treat patients with substance and non-substance-related addiction. It covers all the typical substance and non-substance use disorders and presents evidence in a case-based format. Concise and comprehensive, opening chapters relay a preliminary assessment of addiction disorders and their neurobiology. Subsequent chapters then offer specific treatment options, challenges, and cases relating to the abuse of distinct substances. The substances mentioned earlier include alcohol, opioids, stimulants, hallucinogens, and sedatives. Additionally, one chapter covers the unique issues associated with treating behavioral addictions, such as sex and gambling. Each chapter will outline cases in a fashion that will optimize the reader's experience. In closing, the book examines co-occurring substance use disorders and mental illness. An invaluable addition to the Psychiatry Update Series, Addiction Medicine is an essential reference for mental health clinicians, as well as primary care and family medicine clinicians.
Author: Sarah E. Wakeman
Publisher: Springer Nature
ISBN: 3030808181
Category : Medical
Languages : en
Pages : 246
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Book Description
This book is an invaluable reference for medical practitioners seeking to integrate opioid use disorder (OUD) treatment into general medical settings, including primary care, the inpatient hospital, and the emergency department. It recognizes opioid-related deaths in the United States as a significant public health crisis and fills the gap in drug use and addiction treatment knowledge for care providers. Timely and concise, opening chapters examine the history of OUD pharmacology and treatment, as well as the principles of care and treatment. Subsequent chapters analyze the shortcomings of current approaches to opioid addiction, including the high cost and low value of acute care delivered by minimally trained providers and the fixation on short-term detoxification and rehab. The book offers specific guidance for practical integration of effective opioid use disorder treatment into a range of healthcare settings. Chapters also discuss the unique complexities of caring for special populations with OUD, such as pregnant people and those involved in the criminal legal system. The book concludes with personal experience from individuals with a history of OUD. Socially conscious and practical, Treating Opioid Use Disorder in General Medical Settings serves as a crucial evidence-based resource for physicians, nurse practitioners, physician assistants, nurses, and other healthcare professionals.
Author: Norman S Miller
Publisher: CRC Press
ISBN: 9780789003751
Category : Medical
Languages : en
Pages : 146
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Book Description
In The Integration of Pharmacological and Nonpharmacological Treatments in Drug/Alcohol Addictions, you?ll discover how traditional “clean and sober” recovery methods are being combined with “drug solutions” to successfully treat patients with addictive disorders. Up-to-date and filled with practical research, its integrated approach shows how you can significantly reduce morbidity and mortality due to long-term addiction. Providing the groundwork for future developments in integrated forms of treatment, The Integrations of Pharmacological and Nonpharmacological Treatments in Drug/Alcohol Addictions combines research and practice to give you the evaluative tools you need to move from an “all or nothing” approach to a level of balanced tolerance between “good and bad” when you and your patients are searching for a successful regimen of treatment. The in-depth studies will guide you in carefully rethinking the basic tenets of addictive disorder treatment. Specifically, you?ll read about: the integration of generalized vulnerability to drug and alcohol addiction psychopharmacotherapy for addictive and comorbid disorders psychosocial perspectives on integrating treatments for methamphetamine addiction integrating pharmacotherapies in existing alcoholic treatment programs the integrations of research in pharmacotherapy Contemporary research has taught us some humbling lessons--namely, that addictive disorders are complex biopsychosocial entities and not simple “either/or” cases. The Integration of Pharmacological and Nonpharmacological Treatments in Drug/Alcohol Addictions explores the newly emerging middle ground in addictive disorder treatment. You?ll find that it gives you sharper definitions of abstinence, recovery, and therapy and helps you best serve those patients whose needs lie somewhere between prescription and detoxification.
Author: Hamid Ghodse
Publisher: John Wiley & Sons
ISBN: 0470975946
Category : Medical
Languages : en
Pages : 452
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Book Description
Substance abuse disorders are among the most prevalent psychiatric disorders and are frequently comorbid with other psychiatric and health conditions and accompanied by social problems; however, they remain under-recognized and under-treated. Many physicians and mental health practitioners receive little-to-no training in the identification and treatment of these disorders. Approaches to their prevention include some of the major success stories in modern public health as well as some of the deepest controversies in public life. This new title in the WPA series Evidence and Experience in Psychiatry informs psychiatrists and a wide range of professional groups from health and social services about these disorders and their treatment and control. 'Highly Commended' in the Psychiatry section of the 2012 BMA Book Awards
Author: Eleanor J. Sullivan
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 192
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Book Description
EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.
Author: Julia Hodgson
Publisher: Springer Nature
ISBN: 303021611X
Category : Medical
Languages : en
Pages : 198
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Book Description
This first-of-its-kind title addresses the failures of an often fragmented healthcare system in managing vulnerable patients with multiple, chronic, co-morbid conditions -- patients who are frequently unresponsive to the methods and approaches used to treat other patients with conditions that are less complicated. The book emphasizes a holistic evaluation to patient care that looks at the whole patient, providing comprehensive formulations that describe the interacting problems that afflict the patient, including elements that are barriers to effective treatment of active medical problems and barriers to recovery. The book begins by defining integrated care, discussing the types of patients who benefit from this approach and some of the models of care, including financing, barriers to acceptance, and advocacy for patients. The second section discusses the structural elements of integrated care, including the building of a team approach, issues of leadership, and role definition, as well as the authors’ experiences in overcoming some of the problems. In the remaining sections, the book discusses major complicating features of the patients seen in integrative care settings, including a description of the kinds of problems, a model for formulation of patient cases, and successful approaches to treatment of these problems. Finally, some of the real-world applications where integrative care provides better outcomes is covered, including in terms of addictions, medically complex patients, and chronic pain patients. Integrative Medicine for Vulnerable Populations - A Clinical Guide to Working with Chronic and Comorbid Medical Disease, Mental Illness, and Addiction is a major contribution to the clinical literature and will be of great interest to health care professionals, administrators, policy stakeholders, and even interested patients and patient advocates.
Author: Philip Hemphill
Publisher: Routledge
ISBN: 100048341X
Category : Psychology
Languages : en
Pages : 109
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Book Description
This book emphasizes the importance of integrative care among the healthcare professionals involved in addiction treatment and includes a plan for executing and assessing the success of the system. Drawing on three decades of experience helping practitioners, managers, administrators, and funders understand and implement this treatment, Dr. Hemphill discusses the history and integration of coordinated care, and details how it works in practice from the medical and business perspectives. He outlines a model that encourages the expansion of detection systems and stresses the importance of behavioral health treatment in addiction treatment centers, which can reduce treatment costs and enhance care management. Resources are included for assessing organizational readiness, monitoring outcomes, and suggestions for continuous improvement to ensure a seamless transition, leading to better outcomes, patient engagement, and worker job satisfaction. This book offers innovative solutions that any healthcare professional practicing behavioral health and addiction medicine can utilize to ensure optimal care.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309672236
Category : Medical
Languages : en
Pages : 117
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Book Description
Behavioral health and substance use disorders affect approximately 20 percent of the U.S. population. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. Together, these disorders account for a substantial burden of disability, have been associated with an increased risk of morbidity and mortality from other chronic illnesses, and can be risk factors for incarceration, homelessness, and death by suicide. In addition, they can compromise a person's ability to seek out and afford health care and adhere to treatment recommendations. To explore data, policies, practices, and systems that affect the diagnosis and provision of care for mental health and substance use disorders, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine created the Forum on Mental Health and Substance Use Disorders. The forum activities are expected to advance the discussion and generate potential ideas on ways to address many of the most persistent problems in delivering mental health and substance use services. The inaugural workshop, held October 15-16, 2019, in Washington, DC, explored the key policy challenges that impede efforts to improve care for those individuals with mental health and substance use disorders. This publication summarizes the presentations and discussion of the workshop.
