scholarly journals 4317 Using Failure Modes and Effects Analysis to Guide Adaptation of an Evidence-Based Parenting Program for Mothers with Substance Use Disorders

2020 ◽  
Vol 4 (s1) ◽  
pp. 151-152
Author(s):  
Elizabeth Peacock-Chambers ◽  
Peter Friedmann ◽  
Nancy Byatt ◽  
Nancy Suchman ◽  
Emily Feinberg
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Home Visiting ◽  
Failure Modes ◽  
Parenting Program ◽  
Advisory Panel ◽  
Evidence Based ◽  
Intervention Delivery ◽  
Potential Development ◽  
Study Population

OBJECTIVES/GOALS: To identify possible failures that could occur in the delivery of an evidence-based parenting program for mothers with substance use disorders (SUD) through existing home-visiting services, and to develop solutions to the most significant failures. METHODS/STUDY POPULATION: Using failure modes and effects analysis (FMEA) methodology, we conducted two 2-hour advisory panel discussions with 15 people from a variety of disciplines and life experiences related to SUDs. The intervention delivery process included five steps: (1) Recruitment, (2) Screening, (3) Matching, (4) Enrollment in person, and (5) Intervention delivery. Participants collectively determined possible failures, causes, and consequences. Participants then agreed on three scores (Likert Scale 0-10) for the likelihood of occurrence, detection, and severity of the failure, with 10 being the highest likelihood, difficulty detecting, or severity. A risk priority number (RPN) was calculated as the product of the 3 scores (maximum RPN = 1,000). The group then identified possible solutions for failures with higher RPNs. RESULTS/ANTICIPATED RESULTS: For each step in the process we identified the following number of failure nodes and RPN scores: (1) recruitment: 13 failures; RPN = 800, (2) screening: 102 failures; RPN = 10, (3) matching: 4 failures: RPN = 490, (4) enrollment: 6 failures; RPN = 80, (5) delivery: 11 failures; RPN = 80. The most critical failures related to recruitment and were perceived as being caused by potential development of mistrust in the community. Participants strongly encouraged the use of “strengths-based language,” clear referral plans for mothers that did not qualify, and inclusion of mothers that did not have custody of their children. These findings resulted in changes to the screening script, enrollment procedures, and inclusion criterial for the program. DISCUSSION/SIGNIFICANCE OF IMPACT: FMEA methodology was particularly effective in identifying possible failures for the integration of an evidence-based parenting program into existing home-visiting services as they related to the psychological safety of mothers with SUDs. The process resulted in direct changes to procedures for the anticipated program integration and study.

scholarly journals Evidence-Based Guidelines for Mental, Neurological, and Substance Use Disorders in Low- and Middle-Income Countries: Summary of WHO Recommendations

PLoS Medicine ◽  
2011 ◽  
Vol 8 (11) ◽  
pp. e1001122 ◽  
Author(s):  
Tarun Dua ◽  
Corrado Barbui ◽  
Nicolas Clark ◽  
Alexandra Fleischmann ◽  
Vladimir Poznyak ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Evidence Based ◽  
Middle Income ◽  
Middle Income Countries ◽  
Evidence Based Guidelines ◽  
Low And Middle Income

scholarly journals “Turning the tide” in Treatment of substance use: A nursing response

2017 ◽  
Vol 8 (2) ◽  
pp. 116 ◽  
Author(s):  
Julie Worley ◽  
Kathleen R. Delaney
Keyword(s):  
Substance Use ◽  
Healthcare Provider ◽  
Substance Use Disorders ◽  
Evidence Based ◽  
Review Of Literature ◽  
Evidence Based Treatment ◽  
The Impact

Objective: To analyze science and practice surrounding nursing approaches to substance use disorders (SUDs) and make recommendations for the future.Methods: A review of literature and topics related to healthcare provider stigma, science surrounding SUDs, nursing approaches to SUDs in education and practice and evidence based treatment was conducted, analyzed and synthesized.Results: Stigma is embedded in nursing approach to SUDs, up to date information regarding SUDs is not widely disseminated or practiced in nursing.Conclusions: To reduce the impact of stigma and to bring nurses into the “turning the Tide” movement requires an understanding of how beliefs root stigma, building knowledge related to SUDs as an illness, and expansion of nurses' skill when intervening with individuals dealing with SUDs.

Evidence-Based Practice in Psychotherapy for Substance Use Disorders

2021 ◽  
pp. 217-228
Author(s):  
Fernanda Machado Lopes ◽  
Vanessa Dordron de Pinho ◽  
Laisa Marcorela Andreoli Sartes
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Evidence Based Practice ◽  
Evidence Based

The Complex Relationship Between Eating Disorders and Substance Use Disorders

2017 ◽  
pp. 60-78
Author(s):  
Amy Baker Dennis ◽  
Tamara Pryor
Keyword(s):  
Eating Disorders ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Treatment Plan ◽  
Integrated Treatment ◽  
Evidence Based ◽  
Complex Relationship ◽  
Adaptive Function ◽  
Case Examples ◽  
Evidence Based Treatments

Eating disorders (ED) and substance use disorders (SUD) frequently co-occur but are rarely treated in a comprehensive integrated manner. This chapter elucidates the complex relationship between ED and SUD to help the treating professional create an integrated treatment plan that addresses both disorders and any other co-occurring conditions. Evidence-based treatments for each disorder are discussed, and recommendations on how to take “best practices” from both fields to formulate a treatment plan that addresses the specific needs of the patient are presented. The chapter includes case examples that demonstrate the importance of understanding the adaptive function of both disorders when developing an effective intervention.

Programming

2015 ◽  
Author(s):  
Patrece Hairston ◽  
Ingrid A. Binswanger
Keyword(s):  
Substance Use ◽  
Criminal Justice ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Behavioral Interventions ◽  
The United States ◽  
Evidence Based ◽  
Mutual Aid ◽  
Criminal Justice Involvement ◽  
Federal Prisons

The nexus of substance use disorders and criminal justice involvement is considerable. This is particularly the case in the United States, where 48% of individuals in federal prisons were incarcerated for drug-related convictions in 2011. In the last year for which national data are available, approximately half of the individuals incarcerated in state and federal prisons met criteria for drug abuse or dependence. Tobacco and alcohol use are also more common in correctional populations than in the general, non-institutionalized population. Thus, criminal justice populations have a significant need for evidence-based treatment of addiction and interventions to reduce the medical complications of drug use. While many programs to address substance use disorder among correctional populations exist, many individuals fail to receive adequate care and continue to experience complications of substance use disorders. Thus, correctional clinicians and staff, researchers, and patients will need to continue to advocate for improved and enhanced dissemination of integrated, evidence-based behavioral and pharmacological treatment for substance use disorder across the continuum of criminal justice involvement. This chapter describes the evolution of addiction programming within correctional settings from the late 1700s to contemporary practices. Beginning with a discussion of mutual aid societies as one of the earliest providers of ‘treatment,’ this chapter outlines important aspects of early treatment. Additionally, current levels of care and specialized modalities for individuals involved in the criminal justice system are presented, such as cognitive-behavioral interventions, drug courts, therapeutic communities, pharmacologically supported therapy, and harm reduction approaches.

scholarly journals Heroin Overdose-Related Child and Adolescent Hospitalizations: Insight on Comorbid Psychiatric and Substance Use Disorders

2019 ◽  
Vol 9 (7) ◽  
pp. 77 ◽  
Author(s):  
Uwandu Queeneth ◽  
Narmada N. Bhimanadham ◽  
Pranita Mainali ◽  
Henry K. Onyeaka ◽  
Amaya Pankaj ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Odds Ratio ◽  
Nationwide Inpatient Sample ◽  
Child And Adolescent ◽  
Prescription Opioids ◽  
Demographic Trend ◽  
Heroin Overdose ◽  
Older Adolescents ◽  
Study Population

Objective: To evaluate the association between psychiatric comorbidities, substance use disorders and heroin overdose-related hospitalizations (HOD). Next, to understand the demographic trend of HOD hospitalizations and comorbidities. Methods: Using the Nationwide Inpatient Sample (NIS), we included 27,442,808 child and adolescent hospitalizations, and 1432 inpatients (0.005%) were managed primarily for HOD. The odds ratio (OR) of the association of variables in HOD inpatients were measured using a logistic regression model. Results: Adolescents had 56 times higher odds (95% CI 43.36–73.30) for HOD-related hospitalizations compared to 4.6% children under 11 years. About three-fifth of the HOD inpatients were male, and they had 1.5-fold higher odds (95% CI 1.30–1.64) compared to 43% females in the study population. Whites were considerably higher in proportion (81%) than other race/ethnicities. A greater portion of HOD inpatients (40%) were from high-income families. Most common comorbid psychiatric disorders were mood (43.8%) and anxiety (20.4%). The prevalent comorbid substance use disorders were opioid (62.4%), tobacco (36.8%) and cannabis (28.5%) use disorders. Conclusion: HOD-related hospitalizations were predominant in males, White and older adolescents (12–18 years). Prescription opioids are the bridge to heroin abuse, thereby increasing the vulnerability to other substance abuse. This requires more surveillance and should be explored to help reduce the heroin epidemic in children.

scholarly journals The International ADHD in Substance Use Disorders Prevalence (IASP) study: background, methods and study population

2013 ◽  
Vol 22 (3) ◽  
pp. 232-244 ◽  
Author(s):  
Geurt van de Glind ◽  
Katelijne Van Emmerik-van Oortmerssen ◽  
Pieter Jan Carpentier ◽  
Frances R. Levin ◽  
Maarten W.J. Koeter ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Study Population
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