Boston Medical Center. (2017, November 8). New care model closes a significant gap in addiction treatment: Study finds inpatient addiction consult service helps engage patients in medication treatment. ScienceDaily .
The Boston Medical Center's Grayken Center for Addiction is setting up a novel program that will provide a highly-effective way for addiction treatment. According to this article, researchers believe that introducing patients to addiction treatment when they are admitted to other illnesses is the best way to ensure a worthwhile treatment of drug addiction. Notably, patients exposed to this method are more likely to adhere to their treatment prescriptions once discharged. Paul Trowbridge, a study lead author in BMC, believes that this approach is vital in exposing patients to evidence-based care, and also reducing any resultant costs that might arise from readmissions.
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The researchers tested this approach by administering methadone treatment to 70 patients. 76% of such patients were later admitted to methadone treatment facilities, and they noted that 54% were still receiving care thirty days after admission. The rates gradually decreased with time, but still, a decent number maintained treatment in these clinics. The same outcome was noticed after the admission of Buprenorphine. BMC specialists believe this method is one that seeks to find the best treatment plan for every patient that will produce both short-term and long-term results. Furthermore, they believe no one method fits everyone, and more treatment programs and services should be introduced that will provide positive results in addiction treatment.
Knopf, A. (2018). New CARF certification to focus on ASAM levels of care. Alcoholism & Drug Abuse Weekly , 30(40), 3–5.
ASAM (American Society of Addiction Medicine) is a professional institute that represents more than 6000 clinicians, physicians, and other field-related professionals in addiction medicine. According to this article, the institute works by a slogan that seeks to improve the quality of addiction treatment and increase access to treatment to numerous addicts. Furthermore, it seeks to offer intensive education to physicians, that will see their role in addiction treatment better appropriated. With this motive, ASAM has invented the ASAM Criteria that is extensively used in the whole country and provides a distinctive set of guidelines for admission, facility stay, and discharge or transfer of patients with co-occurring conditions and addiction. ASAM Criteria is applied in 30 states in the US and is utilized by payers and clinicians in all care settings.
Notably, these criteria offer a multi-dimensional approach in addiction treatment that sees patient assessment proceed in five distinct treatment phases. Such phases are based on the structure, the extent of direct medical management in place, intensity of treatment services, the provided security and safety. The criteria center on six dimensions is relative to patient care to generate an individual assessment that is biopsychosocial and holistic. The assessment of an individual is employed in various levels of care across all treatment services and used in service planning as well. It further notes that integrated treatment services are associated with higher efficacy than fragmented or parallel care and are often preferred by many people and families in the US.
Mazurenko, O., Andraka-Christou, B.T., Bair, M.J. et al., (2020). Clinical perspectives on hospitals' role in the opioid epidemic. BMC Health Serv Res 20 , 521.
Several clinicians, legislators, and policymakers have raised concerns about such managerial factors that are contributing to the current opioid epidemic in a manner to propel it. According to this article, while addressing their patient care needs, most hospital-based clinicians are encouraged to approach these needs with impropriety to ensure the excellence of the epidemic in the United States. The underlying belief is that many clinicians perceive this detrimental role as an unscrupulous involvement of hospitals around the better the country. This fact brings to question the effectiveness of hospital care in treating opioid addiction or whether addicts should resort to home-based treatment. A research was conducted to better understand clinical perspectives by interviewing hospitalists, clinicians, inpatient adult nurse practitioners, and inpatient registered nurses. The only question asked was whether hospitals are playing a role in the prosperity of the opioid epidemic.
Numerous clinicians were to the affirmative and cited the Joint Commission's report and Centre for Medicare and Medicaid Services' restoration schemes as supporters of illegal opioid prescriptions in treatment facilities. For quicker discharge, the emergency department has taken to administering opioid inappropriately. Conclusively, well-informed strategies that focus on hospital treatment of opioid addiction should be first developed before other secondary factors can be addressed.
ScienceDaily. (2016, December 14). Challenges in going from residential substance abuse treatment to the community . ScienceDaily .
This article addresses research explorations on how transitioning from residential' inpatient treatment' to community treatment has adverse effects on recovery. It records that there are higher recovery chances in residential treatment with higher relapse possibilities of about 37%-56% within the first year after discharge. Residential inpatient treatment' is often preferred due to its provision of conscientious recovery services coupled with assistance with daily living and safe housing. Statistical reports, however, indicate the detrimental effect that a discharge can have on all improvements recorded during treatment. Many fail to adhere to aftercare guidelines after making contact with outpatient care. According to a study conducted by Dr. Manuel and her associates, the findings were derived from an analysis of five key barriers that handicaps this developmental process. Such include organizational, policy, community, interpersonal, and individual facilitators.
Notably, in 62.5% of the respondents, the results indicated a primary individual barrier that was attributed to unfulfilled basic needs such as housing, financial stability, and a job. 46.9% of the participants reported a lack of a support network, with another 43.8% attributing this transitioning difficulty to strained relationships. 40.6% held their friends who use drugs as being responsible for this challenge. Concerning organizational barriers, 34.4% was attributed to lack of enough staff in residential treatment centers, 31.3% with having to rejoin stressful communities, and 34.4% with the absence of specially tailored housing for only individuals suffering from substance abuse.
References
Boston Medical Center. (2017, November 8). The new care model closes a significant gap in addiction treatment: Study finds inpatient addiction consult service helps engage patients in medication treatment. ScienceDaily. Retrieved September 1, 2020, from www.sciencedaily.com/releases/2017/11/171108132046.htm
Knopf, A. (2018). New CARF certification to focus on ASAM levels of care. Alcoholism & Drug Abuse Weekly , 30(40), 3–5. Retrieved from https://doi.org/10.1002/adaw.32143
Mazurenko, O., Andraka-Christou, B.T., Bair, M.J. et al., (2020) Clinical perspectives on hospitals' role in the opioid epidemic. BMC Health Serv Res 20 , 521. Retrieved from https://doi.org/10.1186/s12913-020-05390-4
ScienceDaily. (2016, December 14). Challenges in going from residential substance abuse treatment to the community. ScienceDaily . Retrieved from https://www.sciencedaily.com/releases/2016/12/161214115116.htm .
