一个积极的社区干预措施,让青少年与阿片类药物使用障碍及其家人一起参与
Kevin Wenzel1, Kamala Mallik-Kane1, Kathleen Anderson1
1Maryland Treatment Centers, 3800 Frederick Avenue, Baltimore, MD 21229, USA.
Child and adolescent psychiatric clinics of North America
|September 14, 2024
概括
青少年阿片类药物恢复支持 (YORS) 干预措施通过量身定制的支持,改善阿片类药物使用障碍 (OUD) 的年轻成年人的药物坚持. 这种方法解决了独特的发育挑战,以减少复发率并提高治疗的有效性.
科学领域:
- 成 药物 药物 药物 药物
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 对阿片类药物使用障碍 (MOUD) 的药物在治疗OUD时非常有效.
- 患有OUD的年轻人面临着明显的发育障碍和更高的复发率,影响治疗坚持.
- 现有的治疗方法可能无法完全满足这一群体的特定需求.
研究的目的:
- 描述青年阿片类药物恢复支持 (YORS) 干预措施的实施情况.
- 为适应YORS干预现实世界临床环境提供指导.
- 探索未来的研究和实践方向,以支持OUD的年轻人.
主要方法:
- 在YORS干预中,采用了基于发育的行为方法.
- 关键组成部分包括自信的外展,家庭参与,以及对延长释放MOUD的低障碍访问.
- 整合了应急管理,以鼓励遵守.
主要成果:
- 早期的研究表明,YORS干预措施的结果很有希望.
- 目前正在进行一项随机对照试验,以进一步验证疗效.
- 案例说明了YORS的实际应用和好处.
结论:
- YORS干预提供了一个有希望的策略,以提高年轻人对MOUD的坚持.
- 为临床环境提供了可适应的实施指南.
- 需要进一步的研究来优化和扩展这种方法,以治疗青少年和年轻人的OUD.
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
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
Operant Conditioning Intervention
52
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
52
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
Opioid Receptors: Overview
588
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
588
Psychosis: Goals of Pharmacotherapy
110
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
110


