描述女性住宅SUD治疗的多系统障碍:洛杉矶多站点定性分析
Dean Rivera1, Benjamin F Henwood2, Steve Sussman3
1Columbia School of Social Work, Columbia University, 1225 Amsterdam Ave., New York, NY, 10027, USA. drr2147@columbia.edu.
概括
药物使用障碍 (SUD) 治疗,解决问题法院 (PSC) 和儿童福利 (CW) 系统之间的价值观差异和沟通差距阻碍了妇女的康复. 解决这些问题对于有效的SUD治疗和支持至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 住房物质使用障碍 (SUD) 治疗方案面临着与解决问题的法院 (PSC) 和儿童福利 (CW) 系统整合的挑战.
- 不同的系统值和员工之间的沟通障碍可能会对女性的治疗疗效产生负面影响.
研究的目的:
- 探索SUD治疗提供者对不同价值观和沟通障碍如何影响妇女住房SUD治疗的观点.
- 确定SUD处理,PSC和CW系统的交集所产生的特定挑战.
主要方法:
- 对18名SUD治疗临床医生和来自四个妇女住院SUD治疗计划的六名主任进行了定性半结构化采访.
- 用专题分析来识别收集的数据中突出的主题.
主要成果:
- 出现了六个主要主题,突出了SUD,PSC和CW系统中不同价值和通信障碍的不利影响.
- 关键问题包括未解决的创伤,对SUD母亲的负面看法,收养和安全家庭法案 (ASFA) 时间表,系统间沟通不足以及竞争优先事项.
- 这些障碍对治疗协调,患者压力,治疗脱离,动机,保留和计划产生负面影响.
结论:
- 对于在SUD治疗中双重参与CW和PSC系统的女性而言,存在重大障碍.
- 调整系统价值,改善沟通,政策变化和跨系统培训至关重要.
- 重新评估ASFA时间表对于满足母亲长期SUD治疗需求至关重要.
更多相关视频
10:17High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
Published on: April 23, 2019
9.6K
08:53Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
Published on: May 31, 2019
5.2K
相关概念视频
01:30Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
01:21Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
01:28Drug Therapy
43
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
43
01:24Substance Use Disorders Affecting Sleep
166
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
166
01:30Specialized Care Centers and Settings-II
722
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
722
01:29Pulmonary Tuberculosis I
242
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
242