The effectiveness of case management interventions for patients suffering from substance use disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. S873-S873
Author(s):  
L. Penzenstadler ◽  
A. Machado ◽  
Y. Khazaal
Keyword(s):  
Substance Use ◽  
Case Management ◽  
Health Care Providers ◽  
Psychosocial Problems ◽  
Care Providers ◽  
Management Interventions ◽  
Randomized Controlled Studies ◽  
Effect Of Treatment ◽  
Competing Interest ◽  
Overall Functioning

IntroductionSubstance use disorder (SUD) is a growing health problem which needs a very complex range of care due to the chronic and relapsing nature of the disorder and the multiple psychosocial problems involved. There are often difficulties in current outpatient programs to deliver and coordinate ongoing care and access to different health care providers. To improve treatment outcomes various case management (CM) models have been developed, at first in other psychiatric domains but also for patients with SUD.AimsThe aim was to assess the effectiveness of CM for patients with SUD using existing studies.MethodsSystematic review of CM interventions for patients with SUD by analyzing randomized controlled studies on this matter found on the electronic database PubMed published between 1996 and 2016.Results and conclusionsMost of the analyzed studies showed improvement on the chosen outcome measures, although, these varied in the different studies. Mainly the treatment adherence improved, but substance use only reduced in a third of the studies. Overall functioning improved in about half of the studies. Further, studies are necessary to determine inclusion criteria for CM treatment for patients suffering from SUD in order to orientate patients most likely to benefit from this approach to the specific CM programs. There are still only few studies on this intervention and SUD. Further, studies are needed to examine the effect of treatment intensity of the CM intervention. Also longitudinal studies are needed to ensure the effectiveness of these treatments.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Health care providers’ perception of the frequent emergency department user issue and of targeted case management interventions: a cross-sectional national survey in Switzerland

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oriane J. Chastonay ◽  
Melissa Lemoine ◽  
Véronique S. Grazioli ◽  
Marina Canepa Allen ◽  
Miriam Kasztura ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Management ◽  
Health Care Providers ◽  
Response Rate ◽  
Vulnerable Population ◽  
Perceived Usefulness ◽  
Public Hospitals ◽  
Care Providers ◽  
Management Interventions ◽  
Hospital Response

Abstract Background Frequent users of emergency departments (FUEDs) (≥5 ED visits/year) represent a vulnerable population with complex needs accounting for a significant number of emergency department (ED) consultations, thus contributing to EDs overcrowding. Research exploring ED staff perceptions of FUEDs is scarce. Objectives The current study aimed to evaluate in ED staff a) the extent to which FUEDs are perceived as an issue; b) their perceived levels of knowledge and understanding of FUEDs; c) levels of perceived usefulness of case management (CM) and interest in implementing this intervention in their ED service. Methods Head physicians of the EDs at all public hospitals in Switzerland (of various level of specialization) were sent a 19-item web-based survey, pilot tested prior to its dissemination. The head physicians were asked to forward the survey to ED staff members from different health professional backgrounds. Results The hospital response rate was 81% (85/106). The exploitable hospital response rate was 71% (75/106 hospitals) including 208 responding health professionals. Issues and difficulties around FUEDs were perceived as important by 64% of respondents. The perceived frequency of being confronted with FUEDs was higher among nurses in more specialized EDs. In total, 64% of respondents felt poorly informed about FUEDs, nurses feeling less informed than physicians. The understanding of FUEDs was lower in the French-Italian-speaking parts (FISP) of Switzerland than in the German-speaking part. Eighty-one percent of respondents had no precise knowledge of FUED-related interventions. The perceived usefulness of CM interventions after receiving explanations about it was high (92%). However, the overall level of interest for CM implementation was 59%. The interest in CM by physicians was low across all regions and ED categories. Nurses, on the other hand, showed more interest, especially those in EDs of high specialization. Conclusions The majority of ED staff reported being confronted with FUEDs on a regular basis. Staff perceived FUEDs as a vulnerable population, yet, they felt poorly informed about how to manage the issue. The majority of ED staff thought a CM intervention would be useful for FUEDs, however there appears to be a gap in their desire or willingness to implement such interventions.

Depression, Hostility and Substance Use Among University Students in Jordan

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Hamdan-Mansour
Keyword(s):  
Substance Use ◽  
University Students ◽  
Health Care Providers ◽  
Severe Depression ◽  
Psychosocial Problems ◽  
Target Population ◽  
Correlation Study ◽  
Study Data ◽  
Care Providers ◽  
The Impact

Background:University student became a target population for number of research studies due to increased number and types of mental and psychosocial problems that they suffer from.Objective:To examine the relationship between depression, hostility and substance use among university students in Jordan.Study design:Descriptive correlation study. Data collected on demographics, depression, hostility, and substance use from 572 university students in Jordan.Results:Almost 75% of the university students had mild to severe depression. Tobacco, pain killers, stimulants, tranquilizers, inhalants, and alcohol respectively were the most used substances. Depression was negatively correlated with hostility(r = .10, p= .04) and tobacco use (r =.19, p < .001). Depression level has positive correlation with frequency of using pain killers, inhalants, stimulants, tranquilizers, and heroine (p < .05). Male and female university students were not different in their depression scores, hostility, and frequency of substance use.Conclusions:Depression, hostility and substance use were correlated. Mental health care providers have to understand the impact of depression among university students in Jordan.

scholarly journals Substance Use Among Older People Living With HIV: Challenges for Health Care Providers

2019 ◽  
Vol 7 ◽  
Author(s):  
Sherry Deren ◽  
Tara Cortes ◽  
Victoria Vaughan Dickson ◽  
Vincent Guilamo-Ramos ◽  
Benjamin H. Han ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Older People ◽  
Health Care Providers ◽  
People Living With Hiv ◽  
Care Providers ◽  
Living With Hiv

scholarly journals Effect of Case Management Interventions for Patients with Substance Use Disorders: A Systematic Review

2017 ◽  
Vol 8 ◽  
Author(s):  
Louise Penzenstadler ◽  
Ariella Machado ◽  
Gabriel Thorens ◽  
Daniele Zullino ◽  
Yasser Khazaal
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Case Management ◽  
Substance Use Disorders ◽  
Management Interventions

Barriers in Case Managers’ Roles: A Qualitative Systematic Review

2017 ◽  
Vol 40 (10) ◽  
pp. 1522-1542 ◽  
Author(s):  
Jee Young Joo ◽  
Diane L. Huber
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Case Management ◽  
Health Care Providers ◽  
Management Practices ◽  
Case Managers ◽  
Qualitative Studies ◽  
Complex Case ◽  
Bibliographic Databases ◽  
Care Providers

The challenges faced by case managers when implementing case management have received little focus. Several qualitative studies have been published that may be able to shed light on those challenges. This study is a systematic review of qualitative literature to identify barriers case managers have when implementing case management. Five electronic bibliographic databases were systematically searched, and 10 qualitative studies were identified for inclusion in the review which were published from 2007 to 2016. Through thematic synthesis of findings, five themes were identified as barriers to case management implementation: unclear scope of practice, diverse and complex case management activities, insufficient training, poor collaboration with other health-care providers, and client relationship challenges. This review study suggested that standardized evidence-based practical protocols and certification programs may help overcome case managers’ barriers and improve case management practices. Health policymakers, case management associations, and health-care management researchers should develop educational and practical supports for case managers.

scholarly journals Nurses’ knowledge and practices related to pain assessment in critically ill patients in a selected private hospital in Bangladesh

2018 ◽  
Vol 5 (10) ◽  
pp. 4219 ◽  
Author(s):  
Sipra Mondol ◽  
Faisal Muhammad ◽  
A. B. M. Alauddin Chowdhury
Keyword(s):  
Critically Ill ◽  
Health Care Providers ◽  
Pain Assessment ◽  
Subjective Experience ◽  
Sampling Technique ◽  
Care Providers ◽  
Cross Sectional ◽  
Management Interventions ◽  
The Mean ◽  
Nurses Knowledge

Background: Most of the time pain is difficult to assess and manage because of being inherently a subjective experience influenced by multiple factors. The perception and tolerance of pain may vary because of different psychological and social influences of the patient. Therefore it is important for health care providers to assess the pain so that individualized management interventions can be provided. This study was aimed to assess the nurses’ knowledge and practices related to pain assessment in critically ill patients.Methods: A descriptive cross-sectional study was carried out among 200 registered nurses working at different ICU in Square Hospital. The study was conducted within April to August 2017. A non-probability purposive sampling technique was used. The data was collected using pre-tested self-administered semi-structured questionnaire and it was analysed using SPSS 22.0 version.Results: About 81% of the respondents were in the age group 22-32 years and the mean age of the respondents was 27.74±12.06 years. About 79.0% of the respondents were female and 59.5% of the respondents had diploma in nursing. The mean monthly income of the respondents’ was 19450.5 taka. The majority (59.5%) of the respondents had less than 2 years’ service experience. About 85.5% of the respondents said it is important to assess the pain and need for analgesia before, during, and after wound care.Conclusions: Our findings reported that the nurses were reasonably knowledgeable about the principles of pain assessment. More than four-fifths of the respondents had adequate knowledge about pain assessment.

scholarly journals Community-Based Participatory Research and Drug Utilization Research to improve Childhood Diarrhea Case Management in Ujjain, India: A Cross Sectional Survey

2019 ◽  
Author(s):  
Aditya Mathur ◽  
Devendra Baghel ◽  
Jitendra Jaat ◽  
Vishal Diwan ◽  
Ashish Pathak
Keyword(s):  
Case Management ◽  
Drug Utilization ◽  
Health Care Providers ◽  
Household Waste ◽  
Care Providers ◽  
Childhood Diarrhea ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Utilization Research ◽  
Drug Utilization Research

Childhood diarrhea continues to be a major cause of under-five (U-5) mortality globally and in India. In this study, 1571 U-5 children residing in nine rural villages and four urban slums in Ujjain, India were included with the objective to use community participation and drug utilization research to improve diarrheal case management. The mean age was 2.08 years, with 297 (19%), children living in high diarrheal index households. Most mothers (70%) considered stale food, teething (62%) and hot weather (55%) as causes of diarrhea. Water, sanitation, and hygiene (WASH)-related characteristics revealed that most (93%) households had toilets, but only 23% children used them. The study identified ineffective household water treatment by filtration through cloth by most (93%) households and dumping of household waste on streets (89%). The results revealed low community awareness of correct causes of diarrhea (poor hand hygiene, 21%; littering around the household, 15%) and of correct diarrhea treatment (oral rehydration solution [ORS] and zinc use, 29% and 11%, respectively) and a high antibiotic prescription rate by health care providers (83%). Based on the results of the present study, context-specific house-to-house interventions will be designed and implemented.

A Psychosocial Study of Albinism in a Predominately Mulatto Caribbean Community

1993 ◽  
Vol 73 (3_part_1) ◽  
pp. 1007-1010
Author(s):  
Wayne Westhoff
Keyword(s):  
Health Care Providers ◽  
Skin Color ◽  
Skin Pigmentation ◽  
Psychosocial Problems ◽  
Special Populations ◽  
Care Providers ◽  
Social Characteristic ◽  
White Skin ◽  
Caribbean Community ◽  
Sensitive Issues

Psychosocial data collected from 12 albinos in rural and isolated parts of the Dominican Republic suggest a stigma is associated with the absence of skin color. The general population living in the area has a skin pigmentation of dark brown. The purpose of the investigation was to assess whether there were psychosocial problems for albinos with white skin and hair. Prior studies imply albinism is a negative social characteristic associated with prejudice and apartheid in a predominately mulatto community. This researcher recommends that psychologists and health-care providers be familiar with similar sensitive issues among special populations.

Supporting Women with Substance Use Issues: Trauma-Informed Care as a Foundation for Practice in the NICU

2014 ◽  
Vol 33 (6) ◽  
pp. 307-314 ◽  
Author(s):  
Lenora Marcellus
Keyword(s):  
Substance Use ◽  
Health Care Providers ◽  
Service Systems ◽  
Trauma Survivors ◽  
Significant Shift ◽  
Care Providers ◽  
Current State ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
The Impact

ABSTRACTInfants with neonatal abstinence syndrome and their mothers require extended support through health and social service systems. Practitioners are interested in exploring innovative approaches to caring for infants and mothers. There is now compelling evidence linking women’s substance use to experiences of trauma and violence. A significant shift in the fields of addiction and mental health has been awareness of the impact of trauma and violence on infants and children, women, their families, and communities. In this article, the current state of knowledge of trauma-informed care is reviewed, in particular for application to practice within the NICU. Trauma survivors are at risk of being retraumatized because of health care providers’ limited understanding of how to work effectively with them. Recognizing the impact of trauma and implementing evidence-based trauma-informed practices in the NICU holds promise for improving outcomes for women and their infants.

“Hear me out”: Experiences of mothers suffering from severe mental illness with health care providers – A qualitative perspective

2017 ◽  
Vol 41 (S1) ◽  
pp. s899-s899 ◽  
Author(s):  
D. Banerjee ◽  
G. Desai ◽  
P.S. Chandra
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Health Care Providers ◽  
Service Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Seeking Help ◽  
Competing Interest

BackgroundContrary to popular myth, majority of mentally ill women are mothers with increasing number of them seeking help. Little is known about their own experiences in this regard and the extent to which their needs are met.ObjectivesTo assess the barriers and facilitators in seeking help from mental health care providers in matters of pregnancy and parenting.MethodsThe study used qualitative design with social constructivist paradigm. A purposive sample of 30 mothers with severe mental illness was obtained. Data was collected through one-to-one in-depth semi-structured interviews. After verbatim transcription, inductive thematic analysis was used to explore transcripts.ResultsMost women considered motherhood “central” to their lives and almost all of them experienced the burden of the “dual role”. Main barriers in seeking help were stigma, treatment side effects, wrong information and time constraints. Whereas self-advocacy, early engagement, education of women and involvement of the family with service providers were the facilitating factors. The prime expectations of the mothers as identified were early and direct communication, patient audience and basic guidance in regards to child health and parenting issues.ConclusionWomen who are mothers and also users of mental health services face special challenges in managing the contradictory aspects of their dual identity. Hearing their voices are essential for service provision and ensuring adequate mental health needs. Early and direct intervention along with understanding and addressing critical areas are necessary for proper care of both the mother and child.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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