Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities最新文献

Management Practices to Enhance the Effectiveness of Substance Use Disorder Treatment 提高药物使用障碍治疗效果的管理实践

Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities Pub Date : 2020-02-05 DOI: 10.5772/intechopen.91054

J. Frimpong, E. Guerrero

{"title":"Management Practices to Enhance the Effectiveness of Substance Use Disorder Treatment","authors":"J. Frimpong, E. Guerrero","doi":"10.5772/intechopen.91054","DOIUrl":"https://doi.org/10.5772/intechopen.91054","url":null,"abstract":"Managers of substance use disorder (SUD) treatment organizations face significant challenges to improve treatment effectiveness. The field has paid significant attention to the delivery of pharmacological and psychosocial treatment interventions, and the effectiveness of these interventions, with little consideration for the role of management practices that enhance the delivery of such evidence-based practices (EBPs). This chapter describes evidence-based management practices (EBMPs) that may support the effective and consistent delivery of EBPs in SUD treatment. Drawing from a socio-technical and cultural framework, we propose a management approach that relies on policies, human resources, and culturally responsive practices to directly and or indirectly facilitate the delivery of EBPs. In particular, this chapter describes EBMPs that could be widely implemented to respond to the cultural, linguistic, and service needs of racial and ethnic minority groups. We discuss implications for funding and support of management training to improve standards of care and include a case example to promote reflection.","PeriodicalId":128725,"journal":{"name":"Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127103050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Leadership Approaches to Developing an Effective Drug Treatment System 开发有效药物治疗系统的领导方法

Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities Pub Date : 2020-01-31 DOI: 10.5772/intechopen.91055

E. Guerrero, Tenie Khachikian

{"title":"Leadership Approaches to Developing an Effective Drug Treatment System","authors":"E. Guerrero, Tenie Khachikian","doi":"10.5772/intechopen.91055","DOIUrl":"https://doi.org/10.5772/intechopen.91055","url":null,"abstract":"Improving the effectiveness of the substance use disorder (SUD) treatment requires leadership approaches that have an impact on the effectiveness of drug treatment. To promote this positive system change, we define leadership beyond leaders’ characteristics. We consider leadership as a developmental competency among individuals, as well as the relational role of followers and the enabling context of organizational climate which together create a system of influence. Using this developing framework, we discuss how the foundations of certain leadership styles, like transformational leadership can be enacted by program leaders to improve the human and program resources necessary to deliver culturally responsive and evidence-based treatment for some of the most vulnerable groups struggling with SUDs. Building on their transformational and implementation competencies, program leaders can promote organizational climates and program and financial approaches to deliver effective care to some of the most vulnerable populations. We provide a case study to stimulate discussion on how leadership can trickle down to staff to improve care for vulnerable clients.","PeriodicalId":128725,"journal":{"name":"Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123600089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Advances in Substance Abuse Prevention Practice and Science for Hispanic/Latinos 西班牙裔/拉丁裔药物滥用预防实践和科学进展

Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities Pub Date : 2020-01-14 DOI: 10.5772/intechopen.90399

R. Cervantes, Elias Koutantos

{"title":"Advances in Substance Abuse Prevention Practice and Science for Hispanic/Latinos","authors":"R. Cervantes, Elias Koutantos","doi":"10.5772/intechopen.90399","DOIUrl":"https://doi.org/10.5772/intechopen.90399","url":null,"abstract":"The problem of substance abuse impacts the Hispanic/Latino youth population. In some cases, subpopulations of the Hispanic/Latino population suffer higher rates of substance use than do other groups. While the science of prevention in the general population and the rigorous study of substances abuse prevention programs have flourished over the past few decades, there continues to be a limited body of knowledge regarding substance abuse prevention that is culturally specific or tailored to Hispanic/Latinos. One promising area is the study of risk and protective factors which finds that acculturation stress, among others, plays a key role in the development of substance use and other behavioral problems among youth. Stress experiences related to discrimination, immigration, parent–child cultural differences all play a role in disrupting normative development and subsequent risk-taking behavior. Culturally focused prevention models such as Familia Adelante show promise in helping reduce acculturation-based risk and increasing individual and family resilience. This chapter will address many of the aforementioned issues and will provide direction for future prevention research for Hispanic/Latinos.","PeriodicalId":128725,"journal":{"name":"Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134287418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Spirituality Discourse in Treating Substance Use Disorders with Marginalised Persons 治疗边缘化人群物质使用障碍的灵性话语

Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities Pub Date : 2019-09-27 DOI: 10.5772/intechopen.89073

Shernaaz Carelse

{"title":"A Spirituality Discourse in Treating Substance Use Disorders with Marginalised Persons","authors":"Shernaaz Carelse","doi":"10.5772/intechopen.89073","DOIUrl":"https://doi.org/10.5772/intechopen.89073","url":null,"abstract":"A spirituality discourse in substance abuse treatment offers useful unconventional constructs in treatment services to ethnic minority groups with substance use disorder (SUDs). It is important to locate spirituality within culture, place, and history in order to understand the spiritual needs of persons from minority groups with SUDs. There are many studies that merit a spiritual approach in treatment for ethnic minority groups with SUDs. However, spirituality is a broad concept that means different things to different people. Therefore, such an unconventional approach should be approached critically and cautiously. This chapter looks at the utilisation of an integrated eclectic approach with a focus on inclusion of spirituality in treatment services from a biopsychosocial-spiritual perspective. Tapping into the spiritual needs and the meaning that people ascribe to spirituality and religion (S&R) in treatment services is often more valued than conventional secular treatment services. Also, the client’s spirituality is generally overlooked by professionals offering such services simply because it is so controversial. This chapter proposes an integrated eclectic methodology calling for a biopsychosocial-spiritual perspective to address the needs and well-being of ethnic minority groups with SUDs as a com-prehensive person-centred and holistic approach, utilising mindfulness techniques.","PeriodicalId":128725,"journal":{"name":"Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121804560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effective Treatment of Opioid Use Disorder among African Americans 非裔美国人阿片类药物使用障碍的有效治疗

Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities Pub Date : 2019-09-16 DOI: 10.5772/intechopen.89081

Daniel L. Howard

{"title":"Effective Treatment of Opioid Use Disorder among African Americans","authors":"Daniel L. Howard","doi":"10.5772/intechopen.89081","DOIUrl":"https://doi.org/10.5772/intechopen.89081","url":null,"abstract":"The current opioid epidemic substantially affects African Americans given their historical rate of disparities in access to effective substance use disorder (SUD) treatment. Yet, there is limited information about factors that may improve access to effective opioid use disorder (OUD) treatment for members of this racial group. This chapter describes policy, management, and treatment practices that may enhance access and engagement of African Americans in OUD treatment considering the current opioid epidemic and the state of public treatment systems in the United States. Drawing from a sociocultural framework on disparities in access to care, I present a comprehensive approach based on culturally competent and medication-assisted treatment that may reduce the wait time to enter treatment and increase treatment engagement and recovery rates among African Americans seeking OUD treatment. I focus on the role of public insurance (i.e., Medicaid), the diversification of the workforce, as well as delivery of adequate dosages of maintenance opioid medications (methadone, buprenorphine, and naltrexone) to improve engagement and recovery. Implications for health policy, program design, and service delivery are discussed to abate the effect of the opioid epidemic on African American communities.","PeriodicalId":128725,"journal":{"name":"Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114700195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1