K. Herlihy Week 8 Presentation (1)
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University of New Haven *
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535
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Medicine
Date
Dec 6, 2023
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pptx
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Chapter 4: Early
Intervention,
Treatment, and
Management of
Substance Use
Disorders
Kayla Herlihy
Table of Contents
Overview
Overview of Chapter Four of the
General Surgeon's Report
Suggested Readings
Suggested Readings to Further
Educate on Substance Use, Abuse,
and Addiction
Next Steps
Next Steps in Treating Substance
Abuse
2
Chapter Overview
3
Chapter 4 provides a comprehensive overview of substance use
disorders and their treatment, highlighting the shift towards
integrating treatment services into general healthcare practice.
Substance use disorders are described as medical illnesses with
varying degrees of severity and complexity. The passage
emphasizes the effectiveness of treatment, akin to managing
other chronic illnesses, and the underutilized potential of
medications for alcohol and opioid use disorders. It underscores
the importance of early intervention through screening and the
cost-effectiveness of treatment. Additionally, behavioral
therapies are highlighted as effective treatment options, while
the continuum of care is presented as a flexible approach to
meet individuals' diverse needs. The economic impact of
substance use disorder treatment is discussed, along with key
terminology. Emerging treatment technologies are also
introduced, offering insights into improving care through
electronic methods. Overall, this chapter sheds light on the
evolving landscape of substance use disorder treatment and the
critical need for a comprehensive, tailored approach to address
this complex issue.
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Suggested Readings
4
•
Substance Abuse Treatment and the Stages of Change:
Selecting and Planning Interventions" by Gerard J. Connors
and Carlo C. DiClemente
: This book explores the stages of change
model in addiction treatment and provides insights into planning
interventions at different stages.
•
"Principles of Addiction Medicine" edited by John B. Saunders
and Eric Goplerud
: This comprehensive textbook covers various
aspects of addiction medicine, including assessment, treatment, and
evidence-based practices.
•
"Motivational Interviewing: Helping People Change" by
William R. Miller and Stephen Rollnick
: This book delves into
motivational interviewing, a technique used to address substance use
disorders by focusing on individuals' motivations for change.
•
"Integrating Behavioral Health and Primary Care" edited by
Jurgen Unutzer, Wayne Katon, and Mark Von Korf
: Given the
shift towards integrating substance use disorder treatment into
general healthcare practice, this book provides valuable insights into
the integration of behavioral health and primary care services.
Next Steps at
Treatment
6
Screening and Early Intervention
: The passage emphasizes the importance of early intervention and screening for substance misuse. If
someone is identified as having a mild substance use disorder or is at risk for developing one, early intervention should be considered. This may
involve brief physician advice and other types of brief interventions.
Assessment and Severity Evaluation
: After screening, a more comprehensive assessment should be conducted to determine the severity
and complexity of the individual's substance use disorder. This assessment will help categorize the disorder as mild, moderate, or severe.
Continuum of Care Planning
: Treatment should be tailored to the individual's specific needs and the severity of their disorder. Depending on
the assessment, individuals may be directed to different points along the continuum of care, which includes prevention, early intervention,
treatment, and recovery support.
Behavioral Therapies
: Well-supported scientific evidence shows that behavioral therapies can be effective in treating substance use disorders.
Depending on the individual's needs and the severity of their disorder, the appropriate behavioral therapy should be selected and implemented.
Medication-Based Treatment
: For individuals with serious substance use disorders, especially alcohol and opioid use disorders, medications
can be an effective part of the treatment plan. The passage mentions that such medications are underused, so it's important to explore this
option where relevant.
Integration with General Healthcare
: Given the shift towards integrating substance use disorder treatment into general healthcare practice,
consider seeking treatment services within the general healthcare system, if appropriate. This can be particularly beneficial for those with mild
to moderate substance use disorders.
Continuing Care and Support
: Recognize the importance of continuing care and recovery support services. These are essential for
maintaining progress and preventing relapse, and they are part of the continuum of care.
Technology Integration
: The passage mentions the use of electronic technologies, like electronic health records (EHRs) and telehealth, to
improve access and monitoring. Investigate the availability of such technologies to enhance treatment and support.
Accessing Treatment Resources
: Be aware of the barriers to treatment mentioned in the passage, including lack of resources, insufficient
training, and workforce shortages. Seek treatment programs or healthcare providers who offer evidence-based treatments and consider the
availability of medications if needed.
Individualized Care
: Keep in mind that the treatment approach should be highly individualized, taking into account the unique needs,
preferences, and severity of the substance use disorder of each individual seeking treatment.
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