对急诊室中患有使用物质障碍的患者进行同行主导干预的早期实施:形成性定性评估的结果
Umedjon Ibragimov1, Nicholas A Giordano2, Sneha Amaresh3
1Center for Population Sciences and Health Equity, College of Nursing, Florida State University, Tallahassee, FL, United States of America.
Journal of substance use and addiction treatment
|September 12, 2024
概括
紧急部门的同行恢复教练 (PRC) 计划改善了物质使用障碍 (SUD) 治疗的准入. 关键策略包括员工教育,简化推,远程医疗支持,以及为成功实施优先考虑教练福祉.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
背景情况:
- 基于急救部门 (ED) 的同行恢复教练 (PRC) 计划提高了获得物质使用障碍 (SUD) 治疗的机会.
- 有限的文献存在于基于ED的PRC计划的早期实施阶段.
研究的目的:
- 在美国对ED PRC计划的实施进行质量评估.
- 识别项目实施的障碍和促进因素.
- 为ED PRC项目发展和可持续性提供可行的建议.
主要方法:
- 从39个关键信息人 (PRC,项目经理,ED工作人员,社区代表) 收集的定性数据.
- 通过6个重点小组和21次采访 (2023年2月至12月) 收集的数据.
- 用代码书主题分析转录和分析音频录音.
主要成果:
- 促进及时连接需要ED员工教育,建立信任,简化选择退出程序.
- 解决推障碍涉及温暖的交付,资源目录和提供商熟悉.
- 远程医疗实施需要物流解决方案,隐私保证和在线信任培训.
- 提高教练的福祉包括管理工作量,优先考虑质量,并提供支持性的监督.
- 通过社区参与,多样化的资金和倡导结构性变革来支持计划的采用.
结论:
- 汇编的最佳实践解决了ED PRC计划的众多实施障碍.
- 建议针对程序规划者,经理,冠军,医院领导和公共卫生机构.
- 这些发现支持通过加强治疗机会来应对SUD流行病.
更多相关视频
08:05A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
9.7K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.3K
相关概念视频
Community Based Intervention
36
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...
36
Substance Use Disorders Affecting Sleep
162
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,...
162
Drug Abuse and Addiction: Pharmacological Phenomena
448
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
448
Drug Dependence
989
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
989
