Inpatient Initiation of Buprenorphine Maintenance vs. Detoxification: Can Retention of Opioid-Dependent Patients in Outpatient Counseling Be Improved?

Sixty-three male inpatient alcohol and drug addicts and 34 of their female partners participated in a study of variables associated with physical and nonphysical abuse of women. Results suggest that domestic abuse by male addicts is not directly related to experience of violence or addiction in the family of origin, external locus of control, or severity of alcohol abuse. Correlates of domestic abuse were an early onset of drug/alcohol-related problems; low income; a history of nonalcohol drug use, particularly cocaine; and a history of arrest and outpatient counseling.

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Health services research in colorectal cancer: a quasi-experimental interventional pilot study on in- and outpatient oncology

Journal of Cancer Research and Clinical Oncology ◽

10.1007/s00432-020-03454-w ◽

2020 ◽

Author(s):

Margarete Reiter ◽

Michael Gerken ◽

Patricia Lindberg-Scharf ◽

Alois Fuerst ◽

Gudrun Liebig-Hörl ◽

...

Keyword(s):

Colorectal Cancer ◽

Side Effects ◽

Cancer Patients ◽

Intervention Group ◽

Control Group ◽

Nutritional Counseling ◽

Oncology Nurse ◽

Gastrointestinal Side Effects ◽

Colorectal Cancer Patients ◽

Outpatient Counseling

Abstract Introduction Due to frequent treatment side effects and weight loss, colorectal cancer patients require oncologic care and nutritional counseling both during and after hospitalization. The current study evaluated differences in discharge and side effects management and nutritional behavior between colorectal cancer patients of a control group without systematic counseling and of an intervention group with access to structured in- and outpatient oncology nurse and nutritional counseling. Methods The presented explorative, quantitative, single-center, interventional pilot study is a health services research project with a quasi-experimental design. Using a self-designed standardized questionnaire, data were collected from the control group (n = 75) before and from the intervention group (n = 114) after the introduction of in- and outpatient oncology nurse and structured systematic nutritional counseling. The in- and outpatient counseling services were developed and evaluated in the form of a structured nurse-led counseling concept. Results Intervention group patients profited significantly from inpatient oncology nurse counseling in seven different areas of discharge management. No differences were observed concerning patient-reported general and gastrointestinal side effects except for xerostomia and dysphagia, but of the patients participating in both in- and outpatient oncology nurse counseling, 90.0% were better able to cope with general side effects of treatment. Patients with in- and outpatient structured systematic nutritional counseling more frequently received nutritional information (p = 0.001), were better at gauging food intolerances (p = 0.023), and followed the dietician's advice in cases of gastrointestinal side effects significantly more often (p = 0.003) than control patients. Counselor-reported outcomes concerning gastrointestinal side effects showed improvement in most of the patients taking part in systematic in- and outpatient nutritional counseling, except for weight loss in 4 patients. Conclusion In- and outpatient counseling in discharge and side effects management and nutrition improve the outcomes of colorectal cancer patients. Outpatient counseling should be further developed and evaluated in future studies.

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Social Workers and Involuntary Treatment in Mental Health

Advances in Social Work ◽

10.18060/110 ◽

2005 ◽

Vol 6 (2) ◽

pp. 240-250 ◽

Cited By ~ 3

Author(s):

Melissa F. Taylor

Keyword(s):

Mental Health ◽

Social Work ◽

Social Workers ◽

Personal Growth ◽

Involuntary Treatment ◽

Job Functions ◽

Practice Experience ◽

High Level ◽

Social Work Interventions ◽

Outpatient Counseling

Involuntary treatment is often a reality in mental health social work. The current research examined 330 mental health social workers’ involvement in and opinions about involuntary treatment as part of their primary job functions. Varieties of involuntary intervention and typical frequency were investigated. The most often cited areas of involuntary treatment proved to be mandated outpatient counseling and emergency hospitalization. In general, participants reported high level of support for the existence of involuntary intervention, both in “idea” and “implementation.” The study also explored the attitudes social workers have about these sometimes “ethically-complex” social work interventions and how these attitudes may have changed over the life of their practice careers due to practice experience and personal growth, job changes, and exposure to the reality of mental illness.

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Social workers and involuntary treatment in mental health

Advances in Social Work ◽

10.18060/180 ◽

2006 ◽

Vol 7 (2) ◽

Cited By ~ 4

Author(s):

Melissa Floyd Taylor

Keyword(s):

Mental Health ◽

Social Work ◽

Social Workers ◽

Personal Growth ◽

Involuntary Treatment ◽

Job Functions ◽

Practice Experience ◽

High Level ◽

Social Work Interventions ◽

Outpatient Counseling

Involuntary treatment is often a reality in mental health social work. The current research examined 330 mental health social workers' involvement in and opinions about involuntary treatment as part of their primary job functions. Varieties of involuntary intervention and typical frequency were investigated. The most often cited areas of involuntary treatment experience proved to be mandated outpatient counseling and emergency hospitalization. In general, participants reported a high level of support for the existence of involuntary intervention, both in "idea" and "implementation." The study also explored the attitudes social workers have about these sometimes "ethically-complex" social work interventions and how these attitudes may have changed over the life of their practice careers due to practice experience and personal growth, job changes, and exposure to the reality of mental illness.

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