Opioid Use Disorder ECHO: A Program Evaluation of a Project That Provides Knowledge and Builds Capacity for Community Health Workers in Medically Underserved Areas of South Texas.

Opioid Use Disorder ECHO: A Program Evaluation of a Project That Provides Knowledge and Builds Capacity for Community Health Workers in Medically Underserved Areas of South Texas. Issues Ment Health Nurs. 2020 Sep 14;:1-10 Authors: Zapata J, Colistra A, Lesser J, Flores B, Zavala-Idar A, Moreno-Vasquez A Abstract Opioid use disorder is a growing public health concern in South Texas. To assist in mitigating the effects of this epidemic, staff produced a program that focused on replicating, modifying, and evaluating the impact of the "Opioid Addiction Treatment ECHO™ (Extension of Community Health Outcomes) for CHWs (community health workers) program" on 26 CHWs practicing in rural and other medically underserved areas through teleconferencing technology. CHWs trained on the topic of substance use disorder concentrated on behavioral health integration with a focus on opioid prescription misuse. The analysis found that knowledge attainment was increased above the pretest means. The ECHO™ model proved to be effective at linking subject matter experts and specialists at an academic "hub" with CHWs in local communities. PMID: 32926794 [PubMed - as supplied by publisher]
Source: Issues in Mental Health Nursing - Category: Nursing Tags: Issues Ment Health Nurs Source Type: research

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Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
The opioid epidemic has increased overdose deaths 3-fold from 1999 to 2014, with particular impact felt in Ohio. The majority of opioid addictions start with a prescription written by a healthcare provider. We sought to identify differences between opioids prescribed and patient-reported opioid use within our hernia practice to help determine the appropriate amount of opioids to prescribe after hernia operation.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General surgery Source Type: research
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Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General surgery Source Type: research
CONCLUSIONS: Hikikomori could represent the clinical answer to a social evolution, similarly to other phenomena such as binge behaviours and use of psychoactive substances. Further studies are needed to clarify diffusion, diagnosticassessment and differential diagnosis. Key points Hikikomori is now considered a contemporary society-bound syndrome linked to modern society changes. Hikikomori might be a coping strategy to avoid relationships, social judgement and possible failures. Hikikomori might represent an extreme suffering that needs to be identified early: it is linked to severe form of modern type depression and it i...
Source: International Journal of Psychiatry in Clinical Practice - Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research
This study took place in the Interprofessional Pain and Addiction Recovery Clinic, a specialty ambulatory clinic at the Centre for Addiction and Mental Health in Toronto, Canada for adults with chronic pain and a diagnosis or suspicion of substance use disorder.Method This was a retrospective cross-sectional study. Data were collected from records of patients with assessments completed in the years 2012 –2017 (n  =  210).Main outcome measure Proportion of patients using extended release opioids at shortened intervals.Results Sixty-one percent of individuals using extended release opioids (n  = &t...
Source: International Journal of Clinical Pharmacy - Category: Drugs & Pharmacology Source Type: research
CONCLUSIONS: Screening, outreach, clinical treatment, and first responders should be aware of increasing patterns of polysubstance use and the potential implications of co-use of heroin and cocaine on first responders' intervention and the potential role of increasing exposure to multiple substances on overdose outcomes in the US. PMID: 33022537 [PubMed - as supplied by publisher]
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research
Data from an emergency department in Richmond suggests that the number of nonfatal opioid-related overdoses may have risen during the first few months of the COVID-19 pandemic, particularly among people who are Black. Thefindings were published inJAMA.Taylor A. Ochalek, Ph.D., of Virginia Commonwealth University (VCU) and colleagues compared the number of nonfatal opioid overdoses recorded in electronic medical records from VCU ’s Emergency Department from March to June 2019 with those that occurred from March to June 2020—the first few months of the COVID-19 pandemic. They found nonfatal opioid overdoses incre...
Source: Psychiatr News - Category: Psychiatry Tags: black COVID-19 emergency department JAMA nonfatal overdose opioid pandemic Source Type: research
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Source: The Splintered Mind by Douglas Cootey - Category: Psychiatry Tags: Depression Goodreads Suicide Source Type: blogs
More than 25 million Americans suffer from daily chronic pain, a highly debilitating medical condition that is complex and difficult to manage. In recent decades, there has been an overreliance on the prescription of opioids for chronic pain, contributing to a significant and alarming epidemic of opioid overdose deaths and addiction. Innovative scientific solutions to develop non-opioid, non-addictive alternative treatment options are thus urgently needed. One of the goals of the Helping to End Addiction Long-term (HEAL) Initiative is to accelerate the discovery and preclinical development of new medications and devices t...
Source: Videocast - All Events - Category: General Medicine Tags: Upcoming Events Source Type: video
More than 25 million Americans suffer from daily chronic pain, a highly debilitating medical condition that is complex and difficult to manage. In recent decades, there has been an overreliance on the prescription of opioids for chronic pain, contributing to a significant and alarming epidemic of opioid overdose deaths and addiction. Innovative scientific solutions to develop non-opioid, non-addictive alternative treatment options are thus urgently needed. One of the goals of the Helping to End Addiction Long-term (HEAL) Initiative is to accelerate the discovery and preclinical development of new medications and devices t...
Source: Videocast - All Events - Category: General Medicine Tags: Upcoming Events Source Type: video
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