scholarly journals Redefining Pain and Addiction: Creation of a Statewide Curriculum

2020 ◽  
Vol 135 (6) ◽  
pp. 756-762
Author(s):  
Lisa Villarroel ◽  
Aram S. Mardian ◽  
Cara Christ ◽  
Shakaib Rehman

Objectives In response to a declared statewide public health emergency due to opioid-related overdose deaths, the Arizona Department of Health Services guided the creation of a modern, statewide, evidence-based curriculum on pain and addiction that would be relevant for all health care provider types. Methods The Arizona Department of Health Services convened and facilitated 4 meetings during 4 months with a workgroup comprising the deans and curriculum representatives of all 18 medical, osteopathic, physician assistant, nurse practitioner, dental, podiatry, and naturopathic programs in Arizona. During this collaborative and iterative process, the workgroup reviewed existing curricula, established a philosophical framework, and developed a flexible and practical structure for a curriculum that would suit the needs of all program types. Results The Arizona Pain and Addiction Curriculum was finalized in June 2018. The curriculum aims to redefine pain and addiction as multidimensional public health issues and is structured as 10 core components, each supported by a detailed set of evidence-based objectives. The curriculum includes a set of annual metrics to collect from both programs (focused on implementation progress and barriers) and learners (focused on knowledge, attitudes, and practice plans). Conclusions To our knowledge, this is the first example of a statewide collaboration among diverse health professional education programs to create a single, standard curriculum. This collaborative process and the nonproprietary Arizona Pain and Addiction Curriculum may serve as a useful template for other states to enhance pain and addiction education.

2012 ◽  
Vol 20 (3) ◽  
pp. 453-461 ◽  
Author(s):  
Beatriz Rosana Gonçalves de Oliveira ◽  
Neusa Collet ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.


2017 ◽  
Vol 46 (2) ◽  
pp. 555-556 ◽  
Author(s):  
Sandul Yasobant

The number of elderly people is increasing rapidly because of decreasing mortality rates and increasing lifespans throughout the world. Policies and programs for elderly people are limited, and existing programs/policies are not implemented effectively towards the goal of healthier aging. Unlike other public health issues and actions, there is an urgent need to build an evidence-based comprehensive public health action policy for healthy aging.


2015 ◽  
Vol 43 (S1) ◽  
pp. 87-90 ◽  
Author(s):  
Hosea H. Harvey ◽  
Dionne L. Koller ◽  
Kerri M. Lowrey

This article advances, for the first time, a framework for situating public health law interventions as occurring in a predictable four-stage process. Whether the intervention is related to mandatory seat-belt laws, HIV prevention through needle-exchanges, or distracted-driving laws, these public health law interventions have generally been characterized by the following four stages. First, a series of publicized incidents, observances, or outcomes generate significant media attention, and are framed as public health harms. Then, a few select states evaluate such harms and proactively seek testimony or evidence designed to support a law-based intervention. After this initial public engagement, states enact legal frameworks designed to minimize or reduce the harm, often in the absence of full information about the scope of harm or potential effectiveness of the intervention. In contrast, scholars have proposed that at these early stages, lawmaking should be evidence-based and “developed through a continuous process that uses the best available quantitative and qualitative evidence.”5 Our experience evaluating youth sports traumatic brain injury (TBI) lawmaking suggests that, like other public health issues with sudden and intense media (and, therefore, constituent) attention, an evidence-based approach was lacking during these early stages.


1990 ◽  
Vol 14 (5) ◽  
pp. 316-316
Author(s):  
M. M. Tannahill

In August 1989 the NHS Management Executive of the Department of Health issued Health Authorities with Circular HC(89)24 which lays down planning guidelines and resource assumptions for 1990/91. In five terse pages, the document sets the scene for the Government's priority health issues over the next two years. Several of these issues are of interest and importance to psychiatrists, as they are concerned with the implementation of the White Paper Caring for People: Community Care in the Next Decade and Beyond. Health Authorities are asked to “identify the health care needs of their populations” and to set targets, based on reports of their Directors of Public Health, to improve the overall health of their population.


2000 ◽  
Author(s):  
Eileen Woodford ◽  
A. Hopkins ◽  
M. MacDonald ◽  
S. Paredes ◽  
A. R. Ho ◽  
...  

Author(s):  
Ken C. Winters ◽  
Eric Wagner ◽  
Walker Krepps

The chapter “Addressing Adolescent Drug Abuse,” in School Mental Health Services for Adolescents, examines several topics related to adolescent substance use: brain development and its implications for mental health services, evidence-based prevention and intervention programs, and the utility of clinical services adapted for school settings. Substance use by adolescents continues to be a public health concern. Not only does recent research show relatively high rates of use, but the onset of substance use during the teenage years has been linked to subsequent substance use disorders and is associated with a wide range of social, learning, and psychological consequences. The need is great for schools to address this public health issue by utilizing the growing number of existing evidence-based prevention and intervention programs.


1987 ◽  
Vol 1 (4) ◽  
pp. 19-22 ◽  
Author(s):  
GM Green MD

Economic and technologic development cause Increasingly complex health problems for the environmental health professional to resolve. The public health professional, who will be charged to give counsel and solve problems in major environmental health Issues currently may have an Insufficient educational background for the adequate performance of such responsibilities. This paper will explore the rationale for identifying and formalising improved criteria for the interdisciplinary education of the environmental health professional and describe briefly an experimental programme.


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