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Care of opiate users: detoxification
Published in Berry Beaumont, David Haslam, Care of Drug Users in General Practice, 2021
Aftercare should be planned. How is it going to feel? How will calls from the dealer be handled? If the person is at work, will it be possible to take some time off for the detoxification and a period afterwards? Perhaps some sickness certification may be possible?
Aromatherapy
Published in K. Hüsnü Can Başer, Gerhard Buchbauer, Handbook of Essential Oils, 2020
This holistic Anglo Saxon style of aromatherapy has since been exported internationally and uses, for the most part, the benefits of inhaled and topically applied blends of essential oils in dosage ranges of 1%–3% concentration, often delivered within a traditional treatment sequence that includes a health and well-being consultation, selection of an individualized blend of essential oils, and its administration, coupled with body massage or other touch techniques (Harris, 2003). Emphasis is placed on the “individual prescription” and the need for the overall fragrance of the blend to be harmonious and pleasing to the client. The selection of essential oils for treatment places more weight on their fragrance notes and client preferences than their chemical composition and bioactivity. The full treatment duration varies from one to one and one-half hours and usually includes aftercare advice, self-care, and support. A full series of treatments averages six sessions.
The Range of Treatment and Rehabilitation Programs; Factors in the Selection of an Appropriate Program
Published in Frank Lynn Iber, Alcohol and Drug Abuse as Encountered in Office Practice, 2020
Such units are often an outgrowth of community need, but frequently do not have the range of services required for treatment. Hospital accreditation processes do not evaluate the program or its outcome but only the presence of a variety of professional inputs and safety features. In general these units have less variety of staffing and less variability in programs available to the patient than do the specialized hospitals. However, they are community based, and aftercare is more readily arranged, although some hospitals may provide it only through private physicians. Further, they offer flexibility in duration of hospitalization that allows some goals to be met during inpatient status without the need to spend a stereotyped period of time in the unit. I would generally rate such programs in a general hospital as less effective on average than programs in specialized hospitals. Smaller programs offer fewer services and a more limited variety of rehabilitation experiences. All programs now mix alcoholics and other addictions, which is no substantial problem. Mixing adolescents and older adults and patients of substantially different socioeconomic conditions poses a greater problem in rehabilitation. The larger hospitals specializing in addiction recovery can usually devote groups to specific ages and specific backgrounds.
Prospective Associations between Attitudes toward Sweet Foods, Sugar Consumption, and Cravings for Alcohol and Sweets in Early Recovery from Alcohol Use Disorders
Published in Alcoholism Treatment Quarterly, 2021
Tosca D. Braun, Zachary J. Kunicki, Claire E. Blevins, Michael D. Stein, Eliza Marsh, Sage Feltus, Robert Miranda, John G. Thomas, Ana M. Abrantes
Participants with AUD (N= 26, 77.2% women, 95.5% White, age = M. 40.3, S.D. 10.2) were recruited from the Alcohol and Drug Partial Hospitalization program (ADP) at a large psychiatric hospital in the Northeast. Recruitment occurred between January and February of 2019. The ADP runs Monday through Friday from 9:00am to 3:30pm. Patients in ADP receive individual counseling, group therapy covering 3–4 topics per day, medication management with an attending psychiatrist, and case management over the course of 5–10 days (approximately 7 days, on average). Patients did not receive any nutritional/diet information or counseling during their time in the program. During the patient’s stay, aftercare treatment is coordinated, which often includes outpatient therapy and pharmacotherapy. Patients with a primary diagnosis of AUD, between the ages of 18–65, who did not have current psychotic symptoms or suicidal ideation were eligible to be enrolled.
A feasibility study of a home-based lifestyle-integrated physical exercise training and home modification for community-living older people (Part 2): the FIT-at-Home fall prevention program
Published in Disability and Rehabilitation, 2021
Christian Müller, Sindy Lautenschläger, Christine Dörge, Sebastian Voigt-Radloff
The FIT-at-Home program is a home-based physical exercise training and home assessment and modification intervention designed to improve strength, balance, and home safety. Adaptations from the LiFE and CAPABLE programs combined goal-setting, dual-task performance, exercise imagery, and aftercare strategies and were based on the transtheoretical model of behaviour change. The FIT-at-Home intervention included nine 45-min individual sessions over 12 weeks and two aftercare follow-up sessions (phone calls or home visits) delivered by trained OTs. The aftercare sessions took place one and three months after the completion of the intervention to support behaviour change post-intervention, to maintain the initial improvements, and to prevent relapse. The intervention was delivered according to a manual [38]. In addition, a 4-h structured training course was provided for OTs to ensure standardised delivery of the intervention (for details, see [39]). The first six sessions were held once a week, and from the beginning of the seventh session until the ninth session, a two-week interval between training sessions followed. FIT-at-Home was comprised of two sessions (in weeks 1 and 2) for individualised functional assessment and home safety assessment, goal planning, and the development of action plans followed by seven individual balance and muscle-strengthening training sessions (in weeks 3 to 12) over the 3-month period. Full details of the intervention development and the methods applied in the development process are reported elsewhere [39].
Health Care Processes Contributing to Suicide Risk in Veterans During and After Residential Substance Abuse Treatment
Published in Journal of Dual Diagnosis, 2019
Natalie B. Riblet, Lauren Kenneally, Brian Shiner, Bradley V. Watts
Akin to prior research (Appleby, Luchins, Dyson, Fanning, & Freels, 2001; Brown, Bennett, Li, & Bellack, 2011), we found that patient engagement was an important concern among many of the included cases. Patients with substance use disorders are known to encounter more challenges in engaging in treatment and these problems are exacerbated in those with additional mental health comorbidities such as depression (Brown et al., 2011). Several strategies may assist patients with engaging in aftercare including having access to more resources, feeling more supported by staff, and receiving interventions that facilitate continuity of care (Harris, McKellar, Moos, Schaefer, & Cronkite, 2006; Schaefer, Harris, Cronkite, & Turrubiartes, 2008). Motivational interviewing may also facilitate engagement (Smedslund et al., 2011). Finally, it may be important to address other stressors including legal problems and involve family members directly in treatment (Brown et al., 2011; Daley, 2013). In 2017, the VHA initiated a requirement that residential programs implement enhanced discharge planning processes to improve family engagement in care (VA DUSHOM, June 2017).