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Substance Abuse Among Health Professionals
Published in Frank Lynn Iber, Alcohol and Drug Abuse as Encountered in Office Practice, 2020
A thoughtful paper points out the problems that formerly addicted physicians encounter upon reentry, particularly if they are applying for residency or hospital privileges.13 The dilemma of such selections is between the desire to be fair and the statistical fact that former addicts are more prone to relapse than the population at large is to acquire the problem. Directors of hospitals and clinics are required for accreditation to obtain specific information on whether an applicant has been a substance abuser, and if the answer is positive require some documentation of treatment and cessation of the abuse. The application of these requirements and the protection of the rights of patients seem at times to be in conflict with the many antidiscrimination laws of the nation that protect the handicapped, but as yet there has not been a court case on this issue.
Stretching the self
Published in Patricia A. Murphy, A Career and Life Planning Guide for Women Survivors:, 2020
If the idea of even setting foot on a campus of any sort gives you the shakes, then ask a friend to come with you. Adult Reentry Programs, Women’s Centers, and Disabled Student’s Centers can all assist you in the transition into learning as an adult. Some formerly battered women have enlisted the help of the Disabled Student Center to get “Fs” removed from their college transcripts because of the bad grades resulting from being battered while trying to complete classes. (For some women, battering can actually increase when enrolled in school.) This is a way of starting fresh, without a poor grade point average from the past to pull you down, and hold you back.
Crossing challenging lesions
Published in Peter A. Schneider, Endovascular Skills: Guidewire and Catheter Skills for Endovascular Surgery, 2019
Often, the loop pops into the true lumen. When the advancing loop does not pop into the true lumen, it is usually due to severe calcification or a heavy plaque burden of the reconstituting artery. The more diseased the re-entry site, the more likely that adjunctive measures will be required, such as a re-entry catheter or an approach from the opposite direction. If the advancing catheter and guidewire in the subintimal space reach an area where there is heavy calcification, which can be seen on fluoroscopy, and/or where the catheter cannot be adequately advanced because of the constriction of the tight subintimal space onto the catheter, then a balloon angioplasty catheter may be passed to start to break the plaque a little bit. This frequently helps to create a space through which to re-enter into the true lumen. If the progress of the supporting catheter is impeded in a very tight subintimal space, passing a lower profile angioplasty catheter and performing angioplasty is reasonable. Do not perform angioplasty of the intended re-entry site; it is likely that a re-entry catheter will be used. Re-entry catheters are explained in later chapters, but they all function by throwing a needle from the false lumen to the true lumen and they need a tight subintimal space to support the catheter.
Implementing Trauma Informed Suicide Prevention Care in Schools: Responding to Acute Suicide Risk
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2021
J. Conor O’Neill, David B. Goldston, Tamar Kodish, Stephanie H. Yu, Anna S. Lau, Joan R. Asarnow
Reintegrating to school after an absence due to mental health treatment such as hospitalization can be particularly challenging for students. Recommended practices for reentry include holding a meeting before returning to school, providing on-going check-ins with the student and communication with parents, and coordination with outpatient providers or hospital (AFSP et al., 2019). A collaboratively based suicide intervention may offer a framework to support these practices by engaging students, families, and school teams together in the reentry process. By using a trauma-informed approach to assess for potential distress and help the student develop their own plan that they can share with school personnel during the reentry meeting, providers may help increase student empowerment, agency and comfort with reintegration. Specific strategies and accommodations to help support students transition back to school can include access to the support staff, breaks or use of a “flash pass” (to go to a preferred adult, nurses office to lay down, get a drink of water, etc.), flexible deadlines for missed assignments/make-up work, abbreviated schedules, and support for connections to school-based groups or activities that help promote connectedness. Finally, this collaborative approach allows school providers to proactively review and tailor recommendations and/or safety plans that may have been developed by students’ outpatient providers or hospitals to include strategies for the school day.
“If We Can Feel Like We Have Purpose and We Belong” - Exploring the Experiences of Drug-Involved Individuals in a Rural Jail
Published in Alcoholism Treatment Quarterly, 2020
John M. Keesler, Emily Brault, Joshua Powell, Helen Johnston
Jails are often located in or near communities where inmates return upon release. This can be beneficial for the reentry process as it facilitates contact with families, providers, and employers that can foster continuity of treatment (Miller & Miller, 2010; Ward & Merlo, 2016). The connection between jails and the community can promote collaborative efforts to facilitate treatment and intervention for inmates with complex needs (Solomon et al., 2008). However, in the current study, many inmates identified the need for changes within the local criminal justice system and the community. They recognized the need for more supports and the importance of being connected and having a sense of belonging which are critical in the ability to overcome stigma and instrumental to a sense of agency and progress (Treichler & Lucksted, 2017).
Correlates of Posttraumatic Stress Symptoms among Formerly Incarcerated, Homeless Women
Published in Issues in Mental Health Nursing, 2020
Benissa E. Salem, Angela L. Hudson, Kartik Yadav, Jaemilyn Lucas, Joy Toyama, Stephanie Chen, Mark Faucette, Maria L. Ekstrand, Adeline M. Nyamathi
Our findings revealed that those with minor family conflicts had lower odds of PTSD symptoms compared to those who reported conflict most of the time. During reentry, reliance on family is critical as it shapes outcomes which would include recidivism if reentry is unsuccessful. However, for many women, difficulties with reconciling with family, due to having burned bridges, poses difficulty with navigating the environment and successfully reintegrating into society. In particular, family conflict may trigger or exacerbate PTSD symptoms. For many exiting jail and prison, community and familial reintegration are challenging. For those who are released into the community, many rely heavily on their families for various types of support (i.e., housing, financial and emotional support) (Naser & La Vigne, 2006). One means to start to mend burned bridges includes adopting the Huikahi restorative justice ritual circle which is a self-directed reentry and familial healing process (Walker, 2010, 2012). In addition, based on our earlier findings, during reentry, linkage to physical and psychological healthcare, employment opportunities, stable and safe permanent housing (Salem, Nyamathi, Idemundia, Slaughter, & Ames, 2013) are supported by family involvement.