支持实施戒毒咨询服务的临床指南》以及教学和技术援助的价值。

IF 4.2 3区 医学 Q1 SUBSTANCE ABUSE
Journal of Addiction Medicine Pub Date : 2024-05-01 Epub Date: 2024-03-18 DOI:10.1097/ADM.0000000000001295
Sarah Fielman, Jennifer McNeely, Amy Fitzpatrick, Todd Kerensky, Mary Tomanovich, Alexander Y Walley, Sarah Kosakowski, Carla King, Noa Appleton, Zoe M Weinstein
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引用次数: 0

摘要

摘要:越来越多的药物使用障碍(SUD)患者被送入综合医院;然而,许多医院系统缺乏正规的机构和熟练的员工,无法为药物使用障碍住院患者提供高质量的护理。全国各地越来越多地开展的住院成瘾咨询服务(ACS)是一种循证策略,可在普通医疗环境中增加对 SUD 患者的重点护理。2018 年,纽约市健康+医院(H+H)在六家医院推出了一项名为 "医院成瘾护理和治疗咨询 "的 ACS 计划,由成瘾咨询专家团队提供支持,为 "医院成瘾护理和治疗咨询 "ACS 提供教学和技术援助(TTA)。本评论介绍了 TTA 的内容,包括实地考察、介绍性教育讲座、病例会议、特别支持、实施协助和制作成瘾护理指南。今后,当医院或系统希望推出新的临床项目时,也可以使用类似的 TTA 服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Clinical Guide to Support the Implementation of Addiction Consult Services and the Value of Teaching and Technical Assistance.

Abstract: People with substance use disorders (SUDs) are increasingly admitted to general hospitals; however, many hospital systems lack both formal structures and skilled staff to provide high-quality care for inpatients with SUDs. Inpatient addiction consult services (ACSs), which are increasingly being implemented around the country, are an evidence-based strategy to add focused care for people with SUDs into the general medical setting. In 2018, New York City Health + Hospitals (H + H) launched an ACS program called Consult for Addiction Care and Treatment in Hospitals in six hospitals, supported by a team of addiction consult experts to deliver teaching and technical assistance (TTA) for the Consult for Addiction Care and Treatment in Hospitals ACSs. This commentary describes the TTA, which included site visits, introductory educational lectures, case conferences, ad hoc support, implementation assistance, and the creation of an addiction care guide. Similar TTA services could be used in the future when hospitals or systems want to launch novel clinical programs.

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来源期刊
Journal of Addiction Medicine
Journal of Addiction Medicine 医学-药物滥用
CiteScore
6.10
自引率
9.10%
发文量
260
审稿时长
>12 weeks
期刊介绍: The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.
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