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 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 Substance Use Disorders in Men Presenting to a Psychosexual Clinic

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Ravi Philip Rajkumar
Keyword(s):  
Substance Use ◽  
Family History ◽  
Sexual Dysfunction ◽  
Substance Use Disorders ◽  
Substance Dependence ◽  
Causal Relation ◽  
Alcohol Use Disorders ◽  
Community Based ◽  
History Of ◽  
A Current

Introduction. Substance use disorders (SUDs) are commonly associated with a variety of psychiatric disorders. Community-based studies have found a significant association between SUDs and sexual dysfunction in men, with a possible causal relation in the case of nicotine. Methods. The case records of 105 men presenting to a clinic for patients with psychosexual disorders were reviewed. Men with and without comorbid SUDs were compared in terms of demographic, clinical, and familial variables. Results. 25 of the 105 men (23.8%) had a lifetime diagnosis of SUD, and 19 (18.1%) had a current SUD. The commonest substances involved were nicotine (n = 21, 20%) and alcohol (n = 9, 9.5%). Men with comorbid SUDs were more likely to report a family history of substance dependence, particularly alcoholism. Single men with SUDs were more likely to have a comorbid mood disorder. Conclusion. SUDs, particularly nicotine and alcohol use disorders, are common comorbidities in patients with psychosexual disorders. Identifying and treating these disorders in this population are important aspects of management.

Substance Use Disorders

2018 ◽  
Author(s):  
F Gerard Moeller
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Channel Blockers ◽  
Medical Problems ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Life Threatening ◽  
History Of ◽  
Abused Drugs ◽  
Nmda Receptor Channel

There is a consistent body of evidence showing that substance abuse and dependence can worsen preexisting medical conditions, can temporarily mimic medical and psychiatric disorders, and can themselves cause medical problems, including life-threatening overdose. Substance use disorders are common in young and middle-aged persons: the lifetime prevalence of these syndromes, including alcoholism, is over 20% for men and about 15% for women. This chapter discusses dependence, abuse, substance use disorder, and substance-induced disorders involving depressants, stimulants, opioids, cannabinoids, hallucinogens, N-methyl-D-aspartate (NMDA) receptor channel blockers, and inhalants. Epidemiology, etiology, pathophysiology, diagnosis (including clinical assessment and laboratory tests), and treatment are reviewed. Treatment of intoxication, overdose, withdrawal, and rehabilitation is discussed. A figure illustrates the neurocircuitry of addiction. Tables describe the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) diagnostic criteria for abuse and dependence; frequently misused drugs; neural effects of commonly abused drugs; the natural history of drug dependence; conditions affecting the outcome of urinary drug tests; and pharmacologic options for treatment of drug overdose. This chapter contains 1 figure , 6 tables and 112 references

The familial aggregation of common psychiatric and substance use disorders in the National Comorbidity Survey: A family history study

1997 ◽  
Vol 170 (6) ◽  
pp. 541-548 ◽  
Author(s):  
Kenneth S. Kendler ◽  
Christopher G. Davis ◽  
Ronald C. Kessler
Keyword(s):  
Substance Use ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Antisocial Personality Disorder ◽  
Familial Aggregation ◽  
Generalised Anxiety Disorder ◽  
Familial Transmission ◽  
National Comorbidity Survey ◽  
Externalising Disorders ◽  
History Of

BackgroundMost family studies of psychiatric disorders examine one syndrome at a time, and identify probands in clinical rather than epidemiological settings.MethodIn the National Comorbidity Survey, 5877 respondents were asked about the history of five psychiatric disorders in their parents: major depression (MD), generalised anxiety disorder (GAD), antisocial personality disorder (ASP), alcohol abuse/dependence (AAD) and drug abuse/dependence (DAD).ResultsSignificant familial aggregation was seen for all disorders. Controlling for other disorders produced only modest reductions in the odds ratios for MD. GAD and AAD and larger reductions for ASP and DAD. The familial transmission of these disorders can be explained by underlying vulnerabilities to internalising and to externalising disorders transmitted across generations with moderate fidelity.ConclusionsFamilial aggregation of common psychiatric and substance use disorders is substantial in epidemiologic samples. The examined environmental adversities account for little of the observed parent-offspring transmission of these conditions.

scholarly journals The natural history of substance use disorders

2016 ◽  
Vol 29 (4) ◽  
pp. 250-257 ◽  
Author(s):  
Aaron L. Sarvet ◽  
Deborah Hasin
Keyword(s):  
Substance Use ◽  
Natural History ◽  
Substance Use Disorders ◽  
History Of
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