Medication-assisted treatment and self-help group participation among military veterans with opioid or alcohol use disorder

2021 ◽  
pp. bmjmilitary-2021-001845
Author(s):  
David L Albright ◽  
J T McDaniel ◽  
Z Suntai ◽  
M K Laha-Walsh ◽  
K Frick ◽  
...  
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Multinomial Logistic Regression ◽  
Military Veterans ◽  
Data Set ◽  
Medication Assisted Treatment ◽  
Self Help ◽  
Self Help Groups ◽  
Self Help Group

IntroductionMedication-assisted treatment (MAT) is a combination of behavioural therapy and medications to assist with recovery and has been administered to individuals with alcohol and opioid withdrawal symptoms. Military veterans seeking MAT could have barriers preventing them from receiving the care they desire. The present study sought to compare outcomes in individuals who received MAT or those who participated in self-help groups for opioid or alcohol use disorder. In addition, the present study sought to compare outcomes between veterans and non-military-connected individuals.MethodsWe used the 2015–2017 United States Treatment Episode Data Set Discharges data from the Substance Abuse and Mental Health Services Administration. The data set included 138 594 unique discharges. A multinomial logistic regression model was used to examine differences in substance use outcomes for veterans/non-veterans in MAT and a self-help group.ResultsFewer veterans (2.58%) than non-veterans (4.28%) reported usage of MAT. Fewer veterans (38.94%) than non-veterans (40.17%) reported signing up for a self-help group. Finally, those who participated in MAT and a self-help group had a better outcome (66.64%)—defined as no substance use at discharge—than those who only received MAT (43.02%) and those who did not participate in MAT or self-help groups (34.84%).ConclusionsRecommendations for future research on MAT and implementation for the veteran population would benefit the literature base.

scholarly journals Trends in the Use of Naltrexone for Addiction Treatment among Alcohol Use Disorder Admissions in U.S. Substance Use Treatment Facilities

2021 ◽  
Vol 18 (16) ◽  
pp. 8884
Author(s):  
Fares Qeadan ◽  
Nana A. Mensah ◽  
Lily Y. Gu ◽  
Erin F. Madden ◽  
Kamilla L. Venner ◽  
...  
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Addiction Treatment ◽  
Private Insurance ◽  
Substance Use Treatment ◽  
Trend Test ◽  
Hospital Inpatient ◽  
Care Providers ◽  
Data Set

Background: Naltrexone, a medication for addiction treatment (MAT), is an FDA-approved medication recommended for the treatment of alcohol use disorder (AUD). Despite the high prevalence of AUD and efficacy of naltrexone, only a small percentage of individuals with AUD receive treatment. Objectives: To identify trends for the prescription of naltrexone in AUD admissions in substance use treatment centers across the U.S. Methods: Data from the 2000–2018 U.S. Treatment Episode Data Set: Admissions (TEDS-A) were used in temporal trend analysis of naltrexone prescription in admissions that only used alcohol. Data from the 2019 National Survey of Substance Abuse Treatment Services (N-SSATS) were also used to characterize medication use among AUD clients across different treatment service settings. Results: Treatment of AUD with naltrexone was 0.49% in 2000 and tripled from 0.53% in 2015 to 1.64% in 2018 in AUD admissions (p < 0.0001 for the Cochran–Armitage trend test). Women, middle-aged adults, and admissions for clients living in the Northeast U.S. were more likely to be prescribed naltrexone than their respective counterparts, as were admissions with prior treatment episodes and referrals through alcohol/drug use care providers, who paid for treatment primarily through private insurance, used alcohol daily in the month prior to admission, and waited 1–7 days to enter treatment. Naltrexone was more commonly prescribed by AUD admissions compared to acamprosate and disulfiram and was more frequently prescribed in residential and outpatient services as opposed to hospital inpatient services. Conclusions: Naltrexone remains underutilized for AUD, and factors that influence prescription of medication are multifaceted. This study may contribute to the creation of effective interventions aimed at reducing naltrexone disparities for AUD.

Pengaruh Self Help Group Terhadap Kemampuan Keluarga Dalam Merawat Klien Skizofrenia Di Poli Jiwa Puskesmas Kalitidu

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Yusuf Efendi ◽  
Errix Kristian Julianto
Keyword(s):  
Mental Disorders ◽  
Group Intervention ◽  
Family Members ◽  
Wilcoxon Test ◽  
Sign Test ◽  
Significance Level ◽  
Self Help ◽  
Before And After ◽  
Self Help Groups ◽  
Self Help Group

ABSTRAKDiera perkembangan jaman saat ini, beberapa keluarga dihadapkan dengan permasalahna tentang adanya angggota keluarga yeng mengaami gangguan jiwa, tak jarang keluarga tidak mengetahui bagaimana merawat angota keluarga dengan gangguan jiwa. Self help group pada keluarga dengan gangguan jiwa perlu dilakukan untuk membantu keluarga mengatasi permasalahannya yang diselesaikan bersama dalam kelompok. Manfaat yang didapatkan pada terapi ini adalah terdapatnya peningkatan pengetahuan keluarga tentang Skizofrenia. Peningkatan pengetahuan ini akan berdampak terhadap kemampuan keluarga dalam merawat klien Skizofrenia..Desain penelitian ini menggunakan desain pre eksperimental dengan rancangan one group pre-posttest design. Sampel pada penelitian ini adalah keluarga penderita Skizofrenia di PKU Jiwa Kalitidu yang berjumlah 32. . Data dikumpulkan menggunakan kuesioner kemudian dianalisis dengan menggunakan uji Wolcoxon sign dengan tingkat kemaknaan 0,05. Hasil penelitian menunjukkan bahwa kondisi responden sebelum dan sesudah dilakukan intervensi dengan self help group pada kemampuan merawat dengan  nilai uji wilcoxon sebesar 0,001 yang berarti ada pengaruh dari intervensi self help group dengan merawat keluarga dengan gangguan jiwa. Kata Kunci       : Self Help Group, Kemampuan Merawat, Skizofrenia   ABSTRACT. In the current era of development, some families are faced with problems about family members who suffer from mental disorders, often families do not know how to care for family members with mental disorders. Self help groups for families with mental disorders need to be done to help families overcome the problems that are solved together in a group. The benefit of this therapy is that there is an increase in family knowledge about Schizophrenia. This increase in knowledge will have an impact on the ability of families to care for Schizophrenia clients.The design of this study used a pre-experimental design with one group pre-posttest design. The sample in this study was the families of Schizophrenics in  Kalitidu public helath centre, amounting to 32.. Data were collected using a questionnaire and then analyzed using the Wolcoxon sign test with a significance level of 0.05.The results showed that the condition of the respondents before and after the intervention with self help group on the ability to care for Wilcoxon test value of 0.001, which means there is an influence of self help group intervention by caring for families with mental disorders. Keywords: Self Help Group, Caring Ability, Schizophrenia

scholarly journals The role of pubertal timing in the link between family history of alcohol use disorder and late adolescent substance use

2020 ◽  
Vol 210 ◽  
pp. 107955
Author(s):  
Alexander S. Weigard ◽  
Jillian E. Hardee ◽  
Robert A. Zucker ◽  
Mary M. Heitzeg ◽  
Adriene M. Beltz
Keyword(s):  
Substance Use ◽  
Family History ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Pubertal Timing ◽  
Adolescent Substance Use ◽  
Late Adolescent ◽  
Adolescent Substance ◽  
History Of

scholarly journals Pembentukan Self Help Group Keluarga Orang Dengan Ngangguan Jiwa (ODGJ)

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Efri Widianti ◽  
Taty Hernawaty ◽  
Titin Sutini ◽  
Aat Sriati ◽  
Nur Oktavia Hidayati ◽  
...  
Keyword(s):  
Group Therapy ◽  
Role Play ◽  
Self Help ◽  
Self Help Groups ◽  
Self Help Group

Kondisi yang dialami oleh klien gangguan jiwa seringkali menyebabkan ketakutan dan kecemasan pada keluarga dan masyarakat sehingga diperlukan suatu upaya untuk bisa membantu keluarga beradaptasi dengan proses perawatan keluarganya yang mengalami gangguan jiwa. Proses adaptasi keluarga lebih cepat diwujudkan ketika keluarga dengan masalah yang sama berkumpul dan sharing untuk mengatasi masalah yang sama dalam sebuah kelompok swabantu yang disebut self help group. Tujuan dari kegiatan pengabdian kepada masyarakat ini adalah untuk memfasilitasi pembentukan self help groups keluarga klien gangguan jiwa di wilayah kerja puskesmas Sukamerang Kabupaten Garut. Tahapan dalam kegiatan terdiri dari sosialisasi kegiatan nersama tokoh masyarakat setempat, pelatihan kader kesehatan, psikoedukasi keluarga, terapi suportif keluarga, dan proses pembentukan self help group. Metode pelaksanaan kegiatan pengabdian pada masyarakat ini adalah psikoterapi kelompok (group therapy) yang dimana dalam kelompok tersebut dilaksanakan diskusi, sharing experience, role play, dan tanya jawab. Luaran yang akan dihasilkan dalam kegiatan pengabdian kepada masyarakat ini adalah terbentuknya self help group atau kelompok swabantu pada keluarga klien dengan gangguan jiwa. Kesimpulan dari kegiatan ini adalah self help group yang terbentuk pada keluarga klien dengan gangguan jiwa merupakan suatu cara untuk menurunkan dampak psikososial pada keluarga dalam perawatan klien gangguan jiwa dan meningkatkan adaptasi dan produktifitas keluarga dalam merawat klien gangguan jiwa di rumah Kata Kunci: Gangguan jiwa,  kelompok swabantu,keluarga, self help group.

scholarly journals Impact of self help groups on empowerment of women: a study in dharmapuri district, tamilnadu.

2011 ◽  
Vol 1 (2) ◽  
pp. 107-118
Author(s):  
Lakshmi R ◽  
Vadivalagan G
Keyword(s):  
Sampling Method ◽  
Well Being ◽  
Women Empowerment ◽  
Secondary Sources ◽  
Self Help ◽  
Participation Of Women ◽  
Self Help Groups ◽  
The Relationship ◽  
Ranking Technique ◽  
Self Help Group

Women empowerment is a process in which women challenge the existing norms and culture, to effectively promote their well being. The participation of women in Self Help Groups (SHGs) made a significant impact on their empowerment both in social and economical aspects This study addresses women empowerment through self help groups in Dharmapuri district of Tamilnadu . The information required for the study has been collected from both the primary and secondary sources A multistage random sampling method has been followed. Average and percentage analysis was carried out to draw meaningful interpretation of the results. Garret ranking technique was used to find the reasons for joining the Self help group. Factor analysis was used to measure thedetermine the relationship between the observed variables The results of the study revealed that the SHGs have had greater impact on both economic and social aspects of the beneficiaries.

scholarly journals An Exploration of Stree Shakti Programme in Karnataka through Self-Help Groups: With Special Reference to Chitradurga District

2012 ◽  
Vol 11 (2) ◽  
pp. 21-39
Author(s):  
Kavitha S ◽  
P Laxmana
Keyword(s):  
Special Reference ◽  
Women Empowerment ◽  
Huge Number ◽  
Self Help ◽  
Self Help Groups ◽  
Self Help Group

For the Empowerment of women, government has come up with many schemes. Among those, Self Help Group (SHG) is found to be the strongest route. The purpose of the Programme is to endow women economically and socially by bringing them in self-help groups, and it spent corers of rupees at a time in the project taken up for the development of  women and organizing women empowerment in such huge number.

scholarly journals Meningkatkan Kesehatan Mental Penderita Diabetes Melitus di Komunitas dengan Kegiatan Kelompok Swabantu (Self Help Group)

2019 ◽  
Vol 1 (2) ◽  
pp. 92
Author(s):  
Tesaviani Kusumastiwi ◽  
Lilis Suryani ◽  
Denny Anggoro P
Keyword(s):  
Diabetes Mellitus ◽  
Mental Health Problems ◽  
Clinical Symptoms ◽  
Term Treatment ◽  
Self Help ◽  
Long Term Treatment ◽  
Patients With Diabetes ◽  
Self Help Groups ◽  
Self Help Group ◽  
Diabetes Melitus

Diabetes melitus merupakan penyakit metabolik yang memiliki prevalensi yang cukup tinggi di Indonesia. Penanganan jangka panjang pada penyakit ini dapat memberikan beban baik fisik maupun mental pada penderitanya. Munculnya masalah kesehatan mental pada pasien diabetes melitus akan memperburuk prognosis pasien. Penanganan holistik baik fisik dan mental diharapkan dapat dilakukan pasien diabetes melitus, salah satunya melalui kelompok swabantu (self help group) yakni kelompok yang terdiri dari para penderita diabetes melitus yang saling berbagi permasalahan dan memberikan dukungan satu sama lain. Program pengabdian masyarakat kelompok swabantu  penderita diabetes mellitus dilaksanakan di Desa Bogoran, Trirenggo, Bantul. Kegiatan swabantu berisi tentang sharing dari masing-masing penderita yang dipantau/dimonitor oleh dokter ahli jiwa. Pada kelompok swabantu di Desa Bogoran, Trirenggo, Bantul ditemukan komorbiditas gejala klinis depresi dan cemas pada penderita diabetes. Beberapa permasalahan yang dialami oleh para penderita adalah manajemen stres, gangguan tidur, kepatuhan minum obat, ketakutan akan komplikasi dan penyesuaian gaya hidup. Kegiatan kelompok swabantu selain dapat membantu para penderita diabetes dalam menangani permasalahan yang dihadapi terkait dengan diabetes melitus, juga dapat memberikan rasa kebersamaan dan saling menguatkan antar penderita diabetes.Kata kunci: diabetes melitus, kelompok swabantu, kesehatan mentalAbstractDiabetes mellitus is a metabolic disease that has a high prevalence in Indonesia. Long-term treatment of this disease can provide physical and mental burden on the sufferer. The emergence of mental health problems in patients with diabetes mellitus will worsen the patient's prognosis. Holistic handling both physically and mentally is expected to be carried out by patients with diabetes mellitus, one is through self-help groups (self-help group), which is a group consisting of people with diabetes mellitus who share problems and provide support for each other. The community service program for self-help groups with diabetes mellitus was carried out in Bogoran Village, Trirenggo, Bantul. Self-help activities are about sharing from each sufferer who is monitored by a psychiatrist. In the self-help group in the Bogoran Bantul area, comorbid clinical symptoms of depression and anxiety were found in diabetics. Some of the problems experienced by sufferers are stress management, sleep disorders, compliance with medication, fear of complications and lifestyle adjustments. Self-help group activities besides being able to help diabetics in dealing with problems faced with diabetes mellitus, they can also provide a sense of togetherness and mutual support among diabetics.

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