DISC10
Happy2018
PPTEBPpt.pptxEvidence-Based Practice Project
Description of our Organization
Our organization I work for is one of recently added MedStar facilities in the area.
An acute care community hospital with 250 beds
known for its comprehensive, multidisciplinary approach to inpatient mental/behavioral health treatment.
Our Mental/behavioral health department provides counseling and psychological education, symptom management, supportive group therapy, expressive therapy, and medication education.
It also focuses on drug abuse and the problems that come along with drug and substance abuse.
Our main goal is to improve the conditions of those are undergoing therapy to meet patient needs.
Therapy and detox varies with location, class, sex, economy, among other social, economical and political factors.
provides methods that will avoid relapse and the best drug abuse rehab scenario at all levels.
Current Problem
The current underlying problem is that the same of therapeutically treatments and substance abuse medications are used over the board.
This proves difficult as there are different reactions to medicine depending on many independent variables such as sex and class.
This creates an unfair system in which treatment will work for fortunate people and others end up relapsing or in cases of overdose.
Scope of the Issue
This problem has only been rising over time. Individuals from poor backgrounds and areas of poor living conditions found to have high affinity to overdose and increased rate of substance abuse
Those who do not go through drug treatment programs in prison are more likely to get rearrested and a relapse; However, treatment programs are only offered to a few.
This issue can be fixed, if the right effort and research is put into it.
Opportunity for change
There is a chance to provide a fix in this issue, by conducting research, the best way for treatment in each group can be found.
This can create opportunity for new treatment practices and opening of treatments.
Treatment in prison can be improved, helping more cases than it usually does.
Relapse can be avoided by using the right targeted treatments for every group.
Stakeholders
The stake holders are the most affected parties by the research, and they include:
patients in all groups
Medical practitioners offering treatment like counselors, social workers, Psychiatry
and family member, hospital management,
Key shareholders in the research
Providers of medicine for detox; May need to change compounds
Risks associated with the change
The new treatment practices may fail and make the underlying conditions worse.
The shared knowledge may be misinterpreted.
There might be a developed resistance to the program change
The costs of the change may be too high.
EBP Idea for Change
The focus of this change is to use different medication for males and females in addiction and substance abuse therapy.
Also, the type of therapy used in low income areas and monitoring of the patients to avoid problems substance abuse
There should be different treatment practices for all conditions and should also depend on variables such as class and gender.
This will need a rise in specialists for the different treatment groups.
According to study socio-demographic variables correlate with relapse in drug abusing individuals. So this requires different treatment approach for men and women, people with low income community and rich (Rimaz, et.al, 2013)
Plan for knowledge Transfer
To achieve maximum reachability, all platforms of dissemination will be used. Social media, literature and personally through seminars and teachings.
Use of manuals and instructions will also be important so as every party gets to understand exactly what is going on. This will help avoid misinterpretation.
Contacts will be left in case of any issues arising and inquiries.
The organization will also be open to suggestions.
Measurable Outcomes
The outcome of outmost importance is to establish a fair ground of treatment and a fair chance out of drug abuse.
Social classes and gender differences leave a party more likely to get relapse, creating a unique treatment for them is important. (Rimaz, et.al, 2013)
The new treatment plans will create specialists for male and female treatment, different treatments for different class, and better treatment practices in prisons so that more inmates get the required treatment.
References
Prendergast, M. L. (2009). Interventions to Promote Successful Re-Entry Among Drug-Abusing Parolees. Addiction Science & Clinical Practice, 5(1), 4–13. doi: 10.1151/ascp09514
Carpenter, C. S., McClellan, C. B., & Rees, D. I. (2017). Economic conditions, illicit drug use, and substance use disorders in the United States. Journal of Health Economics, 52, 63-73.
Nigg, J. (2018). Self-regulation, behavioral inhibition, and risk for alcoholism and substance use disorders. In Alcohol Use Disorders: A Developmental Science Approach to Etiology (pp. 131-142). Oxford University Press.
McHugh, R. K., Votaw, V. R., Sugarman, D. E., & Greenfield, S. F. (2018). Sex and gender differences in substance use disorders. Clinical psychology review, 66, 12-23
Rimaz, S., Dastoorpour, M., Merghati khoii, E., & Mohseni, S. (2013). Demographic variables associated with relapse in women and men referred to the selected addiction treatment centers in Tehran, 2009: A case -control study. (English). Razi Journal of Medical Sciences, 20(107), 63
Lessons Learnt
Filling the critical appraisal tool template helps to understand the most important factors that should be listed in EBP.
The template shows the important factors that will lead to know if the EBP is worth it and the quality of the appraisal valid.
The measurements of the success of an EBP can be evaluated if you understand the criteria used as in the template and follow through the steps.
Appraisals and findings
An appraisal is an important element of all EBPs. It gives the direction of the project.
The findings are the results of the EBP.
If the appraisal matches the findings, then the EBP is worth it, and it should be implemented and disseminated.
