Oncology
Stephan Strobel, Lewis Spitz, Stephen D. Marks in Great Ormond Street Handbook of Paediatrics, 2019
It is very important to be aware of these problems and take responsibility to provide an effective followup programme tailored to the needs of the survivor. Care may range from multi-disciplinary input to regular surveillance (breast cancer surveillance for survivors who received chest radiotherapy) to minimal self-care managed by the survivor. To assist this aim, all survivors and their health care providers should have treatment summaries and care plans. Effective aftercare should provide surveillance and management for late effects, support for psychosocial issues and education regarding risks of adverse effects and life style, employment and financial issues with the aim of reducing mortality, morbidity and improving quality of life.
Operating Under the Influence: Programs and Treatment for Convicted Offenders in Massachusetts
Stephen K. Valle in Drunk Driving in America: Strategies and Approaches to Treatment, 2013
Approximately 2,416 clients were admitted to the program at Rutland Heights between July 1, 1983 and June 30, 1984. The Rutland program is similar to a minimum security institution. At every meeting there is a head count and clients may leave the building only with a pass or a staff member. When a client is admitted to the program, they are given a schedule to be followed for the two-week period. The schedule consists of recreation and a series of alcohol rehabilitation lectures on such topics as OUI laws, alcohol related diseases, Alcoholics Anonymous, and stress management. The clients each have a counselor who assesses their alcohol problem and develops an aftercare program. At the end of the fourteen days, the counselor sends a letter to the court which evaluates the client's progress in the program. Upon completion of the program at Rutland, the client attends an aftercare treatment program. The length of stay in aftercare treatment depends upon the degree and nature of the client's alcohol problem.
Aromatherapy
K. Hüsnü Can Başer, Gerhard Buchbauer in 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.
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].
Testing mediational processes of substance use relapse among youth who participated in a mobile texting aftercare project
Published in Substance Abuse, 2022
Rachel Gonzales-Castaneda, James R. McKay, Jane Steinberg, Ken C. Winters, Chong Ho (Alex) Yu, Irene C. Valdovinos, Janna M. Casillas, Kyle C. McCarthy
In recognition of SUD recovery challenges the field has faced, there have been various attempts at improving the SUD system of care in terms of recovery support. The Substance Abuse and Mental Health Services Administration (SAMHSA) has established a working definition of SUD recovery that is characterized as a process of self-directed lifestyle change geared towards the pursuit of health and wellness that is highly personal (i.e., can occur through many pathways), with potential setbacks that are associated with life events/experiences.17 This working definition of recovery provides insight about what effective aftercare services should look like, such as aiming to promote continual growth and improvement in one’s health and wellness, facilitating ongoing monitoring, and building in clinical intervention set points to address any setbacks that may occur.18 Furthermore, it places the emphasis not on sobriety alone, but on the development and maintenance of health and the social processes of the recovery lifestyle, such as engaging in alternative health-promoting behaviors, which ultimately increases an individual’s intrinsic desire for sobriety.18
Residential and nonresidential substance use treatment within Indigenous populations: a systematic review
Published in Journal of Ethnicity in Substance Abuse, 2021
Elaine Toombs, Nicole Marshall, Christopher J. Mushquash
Research regarding the effectiveness of remaining in the community is warranted. Many programs classified as residential care in this review also included nonresidential care follow-up sessions (i.e., aftercare) for clients when formalized residential treatment was completed. It is likely that positive outcomes generated from residential treatment are also maintained with access to nonresidential support services. For those receiving treatment in residential care outside of their community of origin, it may be challenging to continue to receive services following the completion of the residential phase of treatment. It is not uncommon for Indigenous people to travel from their communities to receive such treatment; however, no studies reviewed the distance of travel from the home community to residential treatment settings or included these data as independent variables in analyses. As many of the treatment programs reviewed for youth indicated that positive involvement of family was associated with treatment retention and reduced relapse rates, having treatment programs remain within Indigenous communities may increase treatment outcomes.
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