Within-treatment changes in a novel addiction treatment program using traditional Amazonian medicine

Aims: The therapeutic use of psychedelics is regaining scientific momentum, but similarly psychoactive ethnobotanical substances have a long history of medical (and other) uses in indigenous contexts. Here we aimed to evaluate patient outcomes in a residential addiction treatment center that employs a novel combination of Western and traditional Amazonian methods. Methods: The study was observational, with repeated measures applied throughout treatment. All tests were administered in the center, which is located in Tarapoto, Peru. Data were collected between 2014 and 2015, and the study sample consisted of 36 male inpatients who were motivated to seek treatment and who entered into treatment voluntarily. Around 58% of the sample was from South America, 28% from Europe, and the remaining 14% from North America. We primarily employed repeated measures on a psychological test battery administered throughout treatment, measuring perceived stress, craving frequency, mental illness symptoms, spiritual well-being, and physical and emotional health. Addiction severity was measured on intake, and neuropsychological performance was assessed in a subsample from intake to at least 2 months into treatment. Results: Statistically significant and clinically positive changes were found across all repeated measures. These changes appeared early in the treatment and were maintained over time. Significant improvements were also found for neuropsychological functioning. Conclusion: These results provide evidence for treatment safety in a highly novel addiction treatment setting, while also suggesting positive therapeutic effects.

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Integrative Approaches to Healing

10.1093/med/9780190275334.003.0029 ◽

2018 ◽

Author(s):

E. Hitchcock Scott ◽

George E. Muñoz

Keyword(s):

Adverse Childhood Experiences ◽

Addiction Treatment ◽

Emotional Health ◽

Treatment Plan ◽

Well Being ◽

Childhood Experiences ◽

Traditional Concept ◽

Holistic Treatment ◽

Adverse Childhood

Emotional balance and stability are important aspects of long-term abstinence from non-prescribed mood altering chemicals. Labiality (extreme mood swings) can contribute to relapse. This chapter challenges the traditional concept of healing, defined as a return to prior levels of functioning. Adverse childhood experiences, with their long-term contribution to adolescent and adult mood problems are noted. Interventions for adverse childhood experiences are recommended as part of the healing journey for emotional wellness. The limitations of traditional addiction treatment are discussed, as well as various possible detractors to good emotional health and sobriety. Interventions, processes, and various counseling theoretical practices are suggested for improving mood, emotional well-being, and sobriety. Ongoing assessment and monitoring of emotional well-being and relapse risk are critical. The quality of the relationship between the practitioner and patient is crucial in order to co-create a viable, individualized, holistic treatment plan.

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Telehealth Services for Substance Use Disorders: A 3-month Longitudinal Assessment of Intensive Outpatient Programming and Data Collection Practices During the COVID-19 Pandemic (Preprint)

10.2196/preprints.36263 ◽

2022 ◽

Author(s):

Kate Gliske ◽

Justine Welsh ◽

Jacqueline E. Braughton ◽

Lance A. Waller ◽

Quyen M. Ngo

Keyword(s):

Substance Use ◽

Data Collection ◽

Addiction Treatment ◽

Well Being ◽

The United States ◽

Treatment Center ◽

Post Discharge ◽

Health Crisis ◽

Outcome Monitoring ◽

Intensive Outpatient

BACKGROUND The onset of the COVID-19 pandemic necessitated the rapid transition of many types of substance use disorder (SUD) treatment to telehealth formats, despite limited information about what makes treatment effective in this novel format. OBJECTIVE To examine the feasibility and effectiveness of virtual intensive outpatient program (IOP) treatment for SUD in the context of a global pandemic, while considering the unique challenges posed to data collection during an unprecedented public health crisis. METHODS The study is based on a longitudinal study with a baseline sample of 3,642 patients who enrolled in intensive outpatient addiction treatment (in-person, hybrid, or virtual) from January 2020 to March 2021 at a large substance use treatment center in the United States. The analytical sample consisted of patients who completed the 3-month post-discharge outcome survey as part of routine outcome monitoring (n = 1,060) (response rate = 29%). RESULTS No significant differences were detected by delivery format in continuous abstinence (χ2 = 0.42, P = .81), overall quality of life (F(2,826) = 2.06, P = .13), financial well-being (F(2,767) = 2.30, P = .10), psychological well-being (F(2,918) = 0.72, P = .49), and confidence in one’s ability to stay sober (F(2,941) = 0.21, P = .81). Individuals in hybrid programming were more likely to report a higher level of general health than those in virtual IOP (F(2,917) = 4.19, P = .01). CONCLUSIONS Virtual outpatient care for the treatment of SUDs is a feasible alternative to in-person only programming leading to similar self-reported outcomes at 3-months post-discharge. Given the many obstacles presented throughout data collection during a pandemic, further research is needed to better understand under what conditions telehealth is an acceptable alternative to in-person care.

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Evaluating the Effectiveness of Drama Therapy by Psychodrama Method on Psychological Well-Being and False Beliefs of Addicts—Case Study: Persian Gulf Addiction Treatment Center in the City of Bushehr

Review of European Studies ◽

10.5539/res.v8n3p148 ◽

2016 ◽

Vol 8 (3) ◽

pp. 148 ◽

Cited By ~ 1

Author(s):

Elham Nikzadeh ◽

Mansour Soudani

Keyword(s):

Persian Gulf ◽

Irrational Beliefs ◽

Addiction Treatment ◽

Well Being ◽

Treatment Center ◽

Control Group ◽

False Beliefs ◽

Psychological Well Being ◽

The City ◽

Experimental Group

<p>This study aimed to determine the effectiveness of psychodrama on psychological well-being and false beliefs of people with drug abuse referred to Persian Gulf residential center in the city of Bushehr. The methodology of this study was experimental with pretest-posttest design and following up with the control group. For the purpose, among the people referring to this center, 30 patients (15 as experimental group and 15 as control group) were randomly selected. Research tools included a psychological well-being questionnaire (1986) and irrational beliefs of Jones (1969). Psychodrama interventional program was presented as a group to the participants of the experimental group during twelve 90-minute sessions. Analysis of data covariance showed that the psychodrama, in the experimental group, has significantly increased psychological well-being of subjects in making positive relations with others, autonomy, self-acceptance, environmental mastery, personal growth and a purposeful life, and reduced irrational beliefs such as emotional irresponsibility, avoiding dealing with the problems, helplessness in the face of change and demand for approval from others.</p>

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Exploring the efficacy of music in palliative care: A scoping review

Palliative & Supportive Care ◽

10.1017/s1478951520001042 ◽

2020 ◽

pp. 1-6

Author(s):

Mathew Nyashanu ◽

Deborah Ikhile ◽

Farai Pfende

Keyword(s):

Palliative Care ◽

Scoping Review ◽

Well Being ◽

Complementary Therapy ◽

Anxiety And Depression ◽

Therapeutic Effects ◽

Exclusion Criteria ◽

Spiritual Well Being ◽

Depression Management

Abstract Objective There is an increasing recognition of the significance of music as a complementary therapy in palliative care. Limited studies exist on how music is used as a coping mechanism by palliative care patients. Therefore, the purpose of this scoping review was to explore the efficacy of music interventions for palliative care. Method We conducted a literature search between June and November 2019 in the Cumulative Index of Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), and PubMed, which includes MEDLINE. The search identified eight articles which met the inclusion and exclusion criteria. Results Using thematic analysis, six themes were synthesied to show how music contributes to palliative care. The six themes include Pain management; Relaxation; Happiness and hope; Anxiety and depression management; Enhanced spirituality; and Improved quality of life. These themes reflect the psychological and emotional benefits palliative care patients derive from music therapies. Significance of results Music therapy can be an effective psychosocial approach when managing palliative symptoms through its therapeutic effects on physical, psychological, emotional, and spiritual well-being.

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CONTENT VALIDATION OF NURSING OUTCOMES IN RELATION TO FAMILY CAREGIVERS: CONTENT VALIDATION BY BRAZILIAN AND COLOMBIAN EXPERTS

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072017004820015 ◽

2017 ◽

Vol 26 (2) ◽

Author(s):

Leidy Johanna Rueda Diaz ◽

Diná de Almeida Lopes Monteiro da Cruz ◽

Rita de Cassia Gengo e Silva

Keyword(s):

Family Caregivers ◽

Content Validity ◽

Emotional Health ◽

Well Being ◽

Content Validation ◽

Nursing Outcomes ◽

Spiritual Well Being ◽

Different Cultures ◽

Secondary Results ◽

Nursing Sensitive Outcomes

ABSTRACT Objective: this study's aim was to estimate the content validity of nursing outcomes in relation to family caregivers. Method: eleven Brazilian and Colombian experts participated in the study. None of the 61 indicators of the four nursing outcomes were considered irrelevant; 42 (68.9%) were considered primary and 19 (31.1%) were considered secondary. Results: the indicators with higher validity scores were: family share care responsibilities for Caregiver well-being (CVI=0.85); disruption of family dynamics to Caregiver lifestyle disruption (CVI=0.85); perceived spiritual well-being and anger for Caregiver emotional health (CVI=0.79) and perceived general health to Caregiver physical health (CVI=0.79). Conclusion: the nursing outcomes studied had adequate content validity. It is recommended that content validation followed by clinical and construct validation of the nursing-sensitive outcomes be given in different cultures and care settings.

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NOVEL DATA AND APPROACHES TO THE STUDY OF HEALTH AND AGING IN NSHAP

Innovation in Aging ◽

10.1093/geroni/igz038.2968 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S806-S806

Author(s):

Linda J Waite

Keyword(s):

Repeated Measures ◽

Social Life ◽

Social Connectedness ◽

Emotional Health ◽

Well Being ◽

Community Dwelling ◽

Sensory Function ◽

Future Research ◽

The South ◽

Wide Range

Abstract The National Social Life, Health, and Aging Project (NSHAP) is a longitudinal, population-based study that seeks to improve an understanding of the well-being of older, community-dwelling Americans. It accomplishes this by affording researchers a wide range of high quality measures that enable examining interactions among physical health and illness, medication use, cognitive function, emotional health, sensory function, health behaviors, social connectedness, sexuality, and relationship quality. The panelists in this symposium use NSHAP data to shed light on previously un- or underexplored aspects of health during aging. Kaufman et al. use interviewer ratings of respondents’ skin shade along with respondents’ individual experiences of discrimination, neighborhood racial composition, and other factors to characterize heterogeneity in the racial experience and how heterogeneity relates to health inequities. Riley integrates information on respondents’ residential region at birth and in older age to show that older adults who left the South are less healthy than those who stay in the South, and that social embeddedness helps to explain the health benefits for those who stay. Huang et al. take advantage of rich structural and functional social connectedness data to show that self-reported hearing impairment is associated with depth but not breadth of social connections. Huisingh-Scheetz et al. capitalizes on performance measures of gait speed and chair stands obtained at each wave to examine whether repeated measures improve the ability to predict loss of independence in activities of daily living. Discussant will discuss the importance, strengths, and weaknesses of these papers, and consider implications for future research.

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