scholarly journals Experiential education as a strategy to preserve Maqasid Al-Shariah by identifying and addressing stigmatic views held by pharmacy students of patients with substance use disorders.

2021 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Nor Hidayah Mohd Taufek ◽  
Syafiqah Nadiah Halimi ◽  
Norny Syafinaz Ab Rahman ◽  
Che Suraya Zin ◽  
Che Anuar Che Mohamad ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Experiential Education ◽  
Well Being ◽  
Structured Interview ◽  
Pharmacy Students ◽  
Access To Health Services ◽  
Post Intervention ◽  
Face To Face ◽  
Potential Strategy

Introduction: Stigmatising people with a history of substance use disorders (PHSUDs) is discriminatory, causes harm by hindering access to health services and promotes relapse. It jeopardises the preservation of Maqasid Al-Shariah, particularly the protection of life and well-being. Experiential education (EE) is a potential strategy to overcome stigma through direct experience with PHSUDs. This study aimed to identify stigmatised views of PHSUD's held by pharmacy students and, in accord with Maqasid Al-Shariah, the effectiveness of EE in changing those views. Materials and methods: Interviews were conducted with seven undergraduate pharmacy students who provided care to PHSUDs through an EE programme. A semi-structured interview guide was used to explore students' perceptions on stigma. Each interview was audio-taped, transcribed verbatim and translated into English. Data were manually sorted and coded using Microsoft Excel 2016 and subjected to thematic analysis. Results: The following themes related to stigma were identified: 1) individuals are to blame 2) moral versus biological views of addiction 3) stereotypes of unpredictability and dangerousness 4) lack of didactic education/training for pharmacy students regarding PHSUDs and 5) lack of face-to-face experiential education with PHSUDs. Less stigma and greater empathy towards PHSUDs were reported post-intervention attributable to increased knowledge about substance abuse and face-to-face interactions with PHSUDs. Conclusion: Pharmacy students have pre-conceived stigmatic views regarding PHSUDs modifiable through experiential education. Contact by pharmacy students with stigmatised patients promotes health care without discrimination as advocated in the teaching of Islam. Future interventions to reduce stigma are required to preserve Maqasid Al-Shariah.

scholarly journals Reflections of pharmacy students on experiential education in providing health services to people with history of substance use disorders in Malaysia

2021 ◽  
Vol 1 (2) ◽  
pp. 63-69
Author(s):  
Nor Hidayah Mohd Taufek ◽  
Syafiqah Nadiah Halimi ◽  
Norny Syafinaz Ab Rahman ◽  
Che Suraya Zin ◽  
Christopher John Turner
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Experiential Education ◽  
Skill Training ◽  
Curriculum Planning ◽  
Pharmacy Students ◽  
Communication Skill Training ◽  
Face To Face ◽  
Self Confidence ◽  
History Of

Introduction: Accreditation standards for pharmacy students’ education include the requirement for experiential education (EE) and acknowledge, in building life-long learning skills, the need to develop students’ skills in analysing their practice-based performance. The goal of this qualitative study was to assess students’ ability to reflect on their experience providing face-to-face care to patients with a history of substance use disorders (PHSUDs). Materials and methods: Interviews were conducted with undergraduate pharmacy students who provided care to PHSUDs in an EE programme. An interview guide was used to explore students’ experiences and their perceptions regarding the challenges they encountered, changes in their attitude towards PHSUDs and ways to improve their ability to care for PHSUDs. Data relevant to the study was extracted from interview transcripts, manually sorted and coded using Microsoft Excel and subjected to thematic analysis.  Results: The themes identified were 1) Increased self-confidence in face-to-face interactions with PHSUDs 2) Increased empathy towards PHSUDS 3) Reduction in stigmatised attitudes towards PHSUDs 4) Positive nature of the interactions with PHSUDs 5) Appreciation for the opportunity to apply knowledge in practice 6) Recognition of the need for improved communication skill training 7) Recognition of the need to improve training for dealing with unexpected questions and situations. Conclusion: Pharmacy students demonstrated reflective skills in identifying multiple positive learning outcomes stemming from a one-day EE programme involving PHSUDs. In addition, they provided insights useful to faculty in curriculum planning.

scholarly journals How Did The First COVID-19 Lockdown Affect Persons With Concurrent Mental Health and Substance Use Disorders in Norway? A Qualitative Study

2021 ◽  
Author(s):  
Marja Leonhardt ◽  
Morten Brodahl ◽  
Nicola Cogan ◽  
Lars Lien
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Qualitative Study ◽  
Everyday Life ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Social Life ◽  
Well Being ◽  
Structured Interview ◽  
The Everyday

Abstract Background: The outbreak of COVID-19 with its severe social restrictions touched the daily life of most people. While everyday social life becomes difficult for citizens with economic and cultural capital, it becomes even worse for vulnerable groups such as persons with mental health and substance use disorders, who are particularly vulnerable to social exclusion. The aim of this study is to investigate how the first COVID-19 lockdown affected the everyday life and health of persons with co-occurring mental health and substance use disorders.Methods: This qualitative study reports data from 17 individual interviews and one focus group of five participants, all with a self-reported mental health and substance use disorder. Interviews were conducted based on a semi-structured interview guide in September and October 2020 in a medium-sized local authority in Norway. Data were analysed using thematic analysis. A reference group of people with varied knowledge and experiences of the phenomenon were involved in study design, recruitment, data generation and analysis.Results: The analysis identified four interrelated main themes, describing how the first lockdown affected the everyday life and health of persons suffering from a mental health and substance use disorder: 1) The COVID-19 outbreak as a perceived challenge, 2) A decline in mental health and well-being, 3) Increased substance use challenges, and 4) Diverse experiences with health and social services. The results show that people with a co-occurring disorder have challenges with digital tools and/or do not have the appropriate equipment. Further, participants were not concerned about becoming infected themselves, but infecting others.Conclusion:Persons with a mental health and substance use disorder face major challenges during the COVID-19 pandemic. There is a need to maintain continuous low-threshold services especially directed towards persons with co-occurring disorders during the pandemic. Furthermore, it is important to improve the digital skills of every service user or offer alternatives to digital consultations and meetings.

Application of the Non-adoption, Abandonment, Scale-up, Spread and, Sustainability (NASSS) Framework to evaluate the role of technology in the Pathways to Comorbidity Care (PCC) implementation project to improve management of comorbid substance use and mental disorders

2020 ◽  
Author(s):  
MariaGabriela Uribe Guajardo ◽  
Andrew James Baillie ◽  
Eva Louie ◽  
Vicki Giannopoulos ◽  
Katie Wood ◽  
...  
Keyword(s):  
Substance Use ◽  
Clinical Supervision ◽  
Mental Health Problems ◽  
Scale Up ◽  
Structured Interview ◽  
Barriers And Facilitators ◽  
Self Report ◽  
Evidence Based ◽  
Face To Face ◽  
Drug And Alcohol

Abstract (250 words)In substance use treatment settings, there is a high prevalence of comorbid mental health problems. Yet an integrated approach for managing comorbidity, implementation of evidence-based intervention in drug and alcohol settings remains problematic. Technology can help the adoption of evidence-based practice and successfully implement effective treatment health care pathways. This study sought to examine aspects of electronic resources utilisation (barriers and facilitators) by clinicians participating in the PCC training. MethodA self-report questionnaire and a semi-structured interview was designed to measure overall satisfaction with the PCC portal and e-resources available throughout the 9-month intervention for participating clinicians. An adapted version of the ‘Non-adoption, Abandonment, Scale-up, Spread and, Sustainability’ (NASSS) framework was used to facilitate discussion in regards to the study findings. ResultsA total of 20 clinicians from drug and alcohol services responded to all the measures. Facilitators of portal use included: i. clinician acceptance of the PCC portal; ii. guidance from the clinical supervisor or clinical champion that encouraged the use of e-resources. Some of the barriers included: i. complexity of the illness (condition), ii. clinicians’ preference (adopter system) for face-to-face resources and training modes (e.g. clinical supervision, clinical champion workshops), and iii. lack of face-to-face training on how to use the portal (technology and organisation).ConclusionBased on the NASSS framework, we were able to identify several barriers and facilitators including such as the complexity of the illness, lack of face-to-face training and clinician preference for training mediums. Recommendations include ongoing consultation of clinicians to assist in the development of tailored e-health resources and offering in-house training on how to operate and effectively utilise these resources.

scholarly journals The impact of poly-traumatization on treatment outcomes in young people with substance use disorders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sidsel Karsberg ◽  
Morten Hesse ◽  
Michael Mulbjerg Pedersen ◽  
Ruby Charak ◽  
Mads Uffe Pedersen
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychological Trauma ◽  
Well Being ◽  
Traumatic Experiences ◽  
Treatment Entry ◽  
Trauma Types ◽  
Using Data ◽  
The Impact ◽  
Drug Use Disorder

Abstract Background It is believed that clients with psychological trauma experiences have a poor prognosis with regard to treatment participation and outcomes for substance use disorders. However, knowledge on the effect of the number of trauma experiences is scarce. Methods Using data from drug use disorder (DUD) treatment in Denmark, we assessed the impact of having experienced multiple potentially traumatic experiences on DUD treatment efficacy. Baseline and follow-up data from 775 young participants (mean age = 20.2 years, standard deviation = 2.6) recruited at nine treatment centers were included in analyses. Results Analyses showed that participants who were exposed multiple trauma experiences also reported a significantly higher intake of cannabis at treatment entry, and a lower well-being score than participants who reported less types or no types of victimization experiences. During treatment, patients with multiple types of trauma experiences showed a slower rate of reduction of cannabis than patients with few or no trauma experiences. The number of trauma types was not associated with number of sessions attended or the development of well-being in treatment. Conclusion Overall, the results show that although traumatized youth in DUD treatment show up for treatment, helping them to reduce substance use during treatment is uniquely challenging. Trial registration ISRCTN88025085, date of registration: 29.08.2016, retrospectively registered.

scholarly journals A Casual Video Game with Psychological Well-Being Concepts for Young Adolescents: Protocol for an Acceptability and Feasibility Study (Preprint)

2021 ◽  
Author(s):  
Russell Pine ◽  
James Mbinta ◽  
Lisa Te Morenga ◽  
Theresa Fleming
Keyword(s):  
New Zealand ◽  
Video Game ◽  
Therapeutic Potential ◽  
Well Being ◽  
Research Process ◽  
Future Research ◽  
Post Intervention ◽  
Psychological Well Being ◽  
Face To Face ◽  
Zealand Secondary School

BACKGROUND Many face-to-face and digital therapeutic supports are designed for adolescents experiencing high levels of psychological distress. However, promoting psychological well-being among adolescents is often neglected despite significant short-term and long-term benefits. OBJECTIVE This research has 3 main objectives: (1) to assess the acceptability of Match Emoji, a casual video game with psychological well-being concepts among 13-15-year-olds in a New Zealand secondary school (2) to identify the feasibility of the research process (3) to explore the preliminary well-being and therapeutic potential of Match Emoji. METHODS Approximately 40 participants aged 13–15-years from a local secondary college in Wellington, New Zealand will be invited to download and play Match Emoji 3-4 times a week for 5-15 minutes over a 2-week period. Participants will complete 4 assessments at baseline, post intervention and 3 weeks later to assess psychological well-being and therapeutic changes. Statistical analysis will be used to synthesize data from interviews and triangulated with assessment changes and game analytics. This synthesis will help to assess the acceptability and feasibility of the Match Emoji. RESULTS The key outputs from the project will include the acceptability, feasibility, and therapeutic potential of Match Emoji. CONCLUSIONS Data from the study is expected to inform future research on Match Emoji including a randomized control trial and further adjustments to the design and development of the game. CLINICALTRIAL This study received ethics approval from the New Zealand Health and Disability Ethics Committee (21/NTA/34) on the 28th of May 2021

scholarly journals Community-Engaged Research (CER) as the Avenue to Promoting Well-being and Recovery in Drug Court

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
John Robert Gallagher ◽  
Anne Nordberg ◽  
Raychel Minasian ◽  
Sydney Szymanowski ◽  
Jesse Carlton ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Support Groups ◽  
Drug Court ◽  
Well Being ◽  
The United States ◽  
Drug Courts ◽  
Recidivism Rate ◽  
Criminal Recidivism ◽  
Community Engaged Research

Drug courts are an alternative to incarceration for individuals who have substance use disorders and have been arrested for drug-related crimes (e.g. possession of a controlled substance). The first drug court began in 1989 in Florida and it is estimated that there are over 3,000 drug courts now operating throughout the United States.  This community-engaged research (CER) evaluated the St. Joseph County (Indiana) drug court by identifying who was most likely to graduate, who was most likely to recidivate, and whether drug court or probation was more effective at reducing criminal recidivism.  Furthermore, although drug courts are found in many communities, research rarely describes the process used to develop and implement CER.  Therefore, this article also highlights the collaborative process used in this drug court evaluation.   The findings from this study suggest that the St. Joseph County (Indiana) drug court is an effective program at reducing criminal recidivism and a valuable resource for individuals who have substance use disorders, the community, and other stakeholders. Drug court participants were less likely to recidivate than probationers, and a lower recidivism rate clearly equates to many benefits to the community.  The article concludes with community-based implications, such as starting recovery support groups that are welcoming to individuals who receive medication-assisted treatment (MAT), marketing drug court to racial and ethnic minorities to increase their representation in drug court, and disseminating research findings throughout the community via local news stories and public lectures.

Trauma, PTSD, and Substance Use Disorders: Findings From the Australian National Survey of Mental Health and Well-Being

2006 ◽  
Vol 163 (4) ◽  
pp. 652-658 ◽  
Author(s):  
Katherine L. Mills ◽  
Maree Teesson ◽  
Joanne Ross ◽  
Lorna Peters
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
National Survey ◽  
Well Being ◽  
Health And Well Being
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