What are the factors that affect the effectiveness of treatment?
If a person cannot understand the treatment plan being explained, then it may not be carried out effectively, if at all. That is, if the physician can even understand the patient enough to know what is going on with them. Last, but certainly not least, there are financial factors that affect treatment.
When is treatment as needed The most appropriate choice?
For example, if the natural history indicates that cure is unlikely with standard therapy, and the clinical course is indolent, treating as needed to manage the condition with lower toxicity could be the most appropriate choice. · Question 5: What’s the Level of Evidence for the proposed therapy?
Why is it important that treatment be appropriate?
It is also important that treatment be appropriate to the individual’s age, gender, ethnicity, and culture. Remaining in treatment for an adequate period of time is critical. The appropriate duration for an individual depends on the type and degree of the patient’s problems and needs.
What factors can influence the goal or approach to therapy?
Such factors can influence the goal or approach to therapy. For example, if we are frail a modified protocol or a clinical trial might be more appropriate than standard therapy.
What makes a treatment effective?
3. Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems.
What other recommendations do you have to prevent drug abuse?
Here are the top five ways to prevent substance abuse:Understand how substance abuse develops. ... Avoid Temptation and Peer Pressure. ... Seek help for mental illness. ... Examine the risk factors. ... Keep a well-balanced life.More items...•
What are the most commonly used forms of treatment?
Counseling and other behavioral therapies are the most commonly used forms of treatment.
What is the most effective treatment for addiction?
According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.
How can you help solve the problem of drug abuse?
Tips to overcome drug addiction:Surround yourself with supportive people. One of the most important things you can do to stay sober is to find friends who are sober, too. ... Find new hobbies. ... Exercise. ... Volunteer. ... Eat well. ... Talk it out. ... Meditate. ... Seek professional help.
What can you do as a student to help in the campaign against drug abuse?
Examples include:Help them understand that most teens don't vape or use other tobacco products, alcohol or other drugs.Encourage them to get involved in clubs or committees that promote being drug free.Help organize drug-free activities.Be proud of and talk about your own decision to be drug free.
How do you develop a treatment plan for substance abuse?
Treatment plans should consider how substance abuse impacts all aspects of your life, including your mental, physical, social, and financial health....Here are the main elements of a treatment plan.Diagnostic Summary. ... Problem List. ... Goals. ... Objectives. ... Interventions. ... Tracking and Evaluating Progress. ... Planning Long-Term Care.
How does a person look like under the influence of drugs?
Some signs that someone may be under the influence of a drug include: Enlarged pupils, bloodshot or glassy eyes. Increased energy and confidence. Loss of inhibitions.
Is treatment for drug dependence effective?
According to research that tracks individuals in treatment over extended periods, most people who get into and remain in treatment stop using drugs, decrease their criminal activity, and improve their occupational, social, and psychological functioning.
What is the first step in treating a drug abuse problem?
Detoxification is normally the first step in treatment. This involves clearing a substance from the body and limiting withdrawal reactions. In 80 percent of cases, a treatment clinic will use medications to reduce withdrawal symptoms, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
How can we prevent drug abuse in youth?
Consider other strategies to prevent teen drug abuse:Know your teen's activities. Pay attention to your teen's whereabouts. ... Establish rules and consequences. ... Know your teen's friends. ... Keep track of prescription drugs. ... Provide support. ... Set a good example.
What are the 12 principles for effective drug treatment?
An effective treatment program will address all a person's needs, not just his/her addiction....Effective Treatment Programs Yield Beyond Successful ResultsStop drug and alcohol use and consumption.Remain completely free of drugs and alcohol.Thrive productively at work, in society, and with his/her family.
What are the two components of treatment decisions?
Although some patients may not wish to make the final choice of treatment, many would prefer more information.w12-w14Deber suggested there may be two components of treatment decisions—problem solving (“identifying the one right answer”) and decision making (“selecting the most desired bundle of outcomes”) —and hypothesised that, whereas patients may prefer doctors to perform the problem solving component (which requires clinical expertise), patients would want to be involved in decision making.13This was supported in a survey of patients undergoing angiography.w15
Why is it important for health professionals to involve patients in treatment decisions?
Health professionals are increasingly encouraged to involve patients in treatment decisions, recognising patients as experts with a unique knowledge of their own health and their preferences for treatments, health states, and outcomes.1,2Increased patient involvement, a result of various sociopolitical changes,w1is an important part of quality improvement since it has been associated with improved health outcomes3w1-w9and enables doctors to be more accountable to the public.
Why do patients need to be given technical information that is clear and unbiased?
Patients must be given technical information that is clear and unbiased to ensure that their preferences are based on fact and not misconception.
Why do doctors need to understand patients' preferences?
To improve the quality of care they provide , doctors should understand their patients' preferences. However, this raises many challenges for doctors. Practical concerns include time pressures and difficulties in eliciting preferences from patients who may be hesitant to make treatment decisions. These are compounded by a deficit of appropriate information to support patients' decisions. Doctors may not have the appropriate interpersonal skills, particularly for communicating risk. Medical uncertainty, deficiencies in individual doctors' knowledge, and the highly variable ability of patients to understand and remember clinical information mean that risk communication is often inadequate to support patients in making informed decisions.
What is the Foundation for Informed Medical Decision Making?
Foundation for Informed Medical Decision Making (www.fimdm.org/). US group that, as a result of concerns about variations in medical intervention rates, encourages patients to play a greater role in choosing treatments. Produces web based and video decision aids
Why is it important to understand risks?
Enabling patients to understand risks is crucial before considering different treatment options. Yet risk is a complex phenomenon that many patients (and doctors) find difficult to understand. Common errors include compression bias (the tendency to overestimate small risks and underestimate large ones), miscalibration bias (overestimation of the level and accuracy of one's knowledge), availability bias (overestimation of notorious risks20), and optimism-pessimism bias (the tendency of patients to believe that they are at less risk of an adverse outcome than people similar to them14).
What are practical concerns?
Practical concerns include the extra time needed and the difficulties in eliciting patients' preferences, exacerbated by limited appropriate information to support patient involvement
Why is initial treatment important?
First, initial treatment provides the best opportunity to succeed - there is less tumor burden, and your health and the disease have not been affected adversely by prior treatments . For example, cancer cells can adapt from multiple exposures to single agent treatments, which can lead to more resistant disease later on.
What is the intent of therapy for indolent lymphoma?
Curative intent: to achieve a possible cure where the disease might be eradicated and never returns. This is a common intent of therapy for aggressive lymphoma and Hodgkin disease.
What is the most appropriate goal of lymphoma therapy?
For example, for aggressive lymphomas the most appropriate goal of therapy is usually to cure . For lymphomas with a variable clinical course a period of observation might be needed to judge its behavior.
How to treat lymphoma?
We suggest that you avoid the following : 1 Start a treatment without first consulting at least one lymphoma expert - unless symptoms or clear dangers indicate a strong need to treat, and you are comfortable with the rationale. 2 Base your treatment decision on the outcomes of other patients. Keep in mind that each lymphoma and patient can be unique. 3 Believe conspiracy theories used to promote unorthodox therapies. Consider that these theories require the complicity of multiple scientists, doctors, and regulators - who also get cancer and whose loved ones, spouses, parents, grandparents and children also get cancer.
What is palliative care?
Note: Palliative care can include treatment of the disease in order to relieve disease-related symptoms. To achieve a durable remission: in order to live with no evidence of disease and the frequent need for re-treatment. This is a common intent of therapy for some types of indolent lymphomas.
What is the goal of aggressive therapy?
The goal of aggressive therapy is to get a durable response, and a possible cure. It may be that the aggressive approach is more reasonable for the young patient, especially if it's determined that you have high-risk disease.
Do follicular lymphomas require immediate treatment?
Some patients with widespread disease have no symptoms or signs of progression for years and do not require immediate therapy, while others cases demonstrate rapid tumor growth and need early treatment." Source towercancerfoundation.org/
What are the factors that affect treatment?
Social and cultural beliefs and differences can also be factors that affect treatment. Most people have sets of values and practices that they live by. These aren't religious beliefs, but are more so beliefs based on race, culture, family, and societal pressures. For instance, a person may not make the dietary changes necessary to treat conditions such as heart disease and diabetes due to eating foods that are normally eaten in their culture.
What are the factors that affect lack of access to healthcare?
Other personal factors include lack of access to healthcare or pharmacies due to living location, working hours, available time, and/or transportation issues.
Does money affect treatment?
Last, but certainly not least, there are financial factors that affect treatment. Yes, money can interfere with a person's treatment. This is actually a multifaceted problem in regards to treatment. You can almost back it up a little bit to include it being a factor affecting diagnosis as well. There are still many people that cannot afford healthcare insurance or to pay for a trip to the doctor. If you can't get the diagnosis, then you can't get the treatment.
Is birth control a form of treatment?
One example is birth control pills being forbidden in the Catholic religion. You may be thinking that birth control pills are not a form of treatment, but rather a preventative method for pregnancy. They are actually used for prevention and as a form of hormonal therapy to treat certain conditions. Not to mention, there are certain instances where a pregnancy almost killed a woman, and it is not recommended for her to get pregnant again. Birth control of some sort would be the treatment method for those instances.
What is assessment and treatment planning?
The assessment and treatment planning process should lead to the individualization of treatment, appropriate client–treatment matching, and the monitoring of goal attainment (Allen and Mattson 1993). The Institute of Medicine (1990) noted that treatment outcomes may be improved significantly by matching individuals to treatments based on variables assessed in the problem assessment and personal assessment stages of the comprehensive assessment process. Although the results of Project MATCH have raised questions about the viability of matching treatments to client attributes (Project MATCH Research Group 1997 a ), there was evidence on a number of variables, including anger, severity of concomitant psychiatric problems, and social support for drinking, that was sufficient to warrant continued attempts to identify potential matches between client characteristics and types of treatment (Project MATCH Research Group 1997 b, 1998). Similarly, there is evidence that matching therapeutic services to the presence, nature, and severity of problems clients present at treatment entry leads to improved outcomes (McLellan et al. 1997). Assessment at intake will continue to be instrumental in attempting to match clients to the most appropriate available treatment options; however, assessment also should be viewed as a continuous process that allows monitoring of treatment progress, refocusing and reprioritizing of treatment goals and interventions across time, and determination of outcome (Donovan 1988; Institute of Medicine 1990; L.C. Sobell et al. 1994 a; Donovan 1998).
What is the tendency of heavy drinkers to minimize or deny that they have a drinking problem?
One view is that this is part of a defensive process of “denial, ” or the tendency of heavy drinkers to minimize or deny that they have a “drinking problem.” This stance, thought to be unconscious and protective of the individual’s perception of self, has continued to exert an important influence both in definitions of alcoholism (e.g., Morse and Flavin 1992) and in the development of patient placement criteria (e.g., Mee–Lee et al. 1996).
Why do people drink?
It is often presumed that individuals drink in order to achieve or enhance the emotional or behavioral outcomes that they expect; thus, these expectancies are often viewed as being reflective of the individual’s possible “reasons for drinking” (Cronin 1997; Galen et al. 2001). Individuals differ with respect to both their experiences with alcohol and drinking and with the resultant beliefs and expectations they hold about alcohol’s anticipated effects. To the extent that individuals are found to hold expectancies that serve a functional role in maintaining problematic drinking behavior, they may be assigned to treatment strategies designed to challenge or modify their beliefs about alcohol’s effects on mood and behavior and to substitute more adaptive or realistic expectations, with the prediction that decreases in positive expectancies associated with alcohol would be associated with a decrease in drinking behavior (Oei and Jones 1986; S.A. Brown et al. 1988; Connors and Maisto 1988 a; Connors et al. 1992; Darkes and Goldman 1993; Oei and Baldwin 1994; Darkes and Goldman 1998).
What are cognitive factors in drinking?
2001). Two broad categories of such cognitive factors having implications for the development and maintenance of drinking problems and for potential relapse following treatment are (1) the individual’s expectations about drinking and the anticipated effects of alcohol and (2) the individual’s expectations about one’s ability to cope adequately with problems (self–efficacy expectations). These categories and related instruments are discussed in the following sections.
What is self efficacy in alcohol?
To measure self–efficacy concerning alcohol abstinence, defined in terms of temptation to drink and confidence about not drinking in high–risk situations. Identifies high–risk situations in which. the individual is highly tempted and has low levels of confidence; aids in developing relapse prevention interventions.
What is the purpose of assessment in counseling?
Within the clinical context, the primary goal of assessment is to determine those characteristics of the client and his or her life situation that may influence treatment decisions and contribute to the success of treatment (Allen 1991). Additionally, assessment procedures are crucial to the treatment planning process. Treatment planning involves the integration of assessment information concerning the person’s drinking behavior, alcohol–related problems, and other areas of psychological and social functioning to assist the client and clinician to develop and prioritize short– and long–term goals for treatment, select the most appropriate interventions to address the identified problems, determine and address perceived barriers to treatment engagement and compliance, and monitor progress toward the specified goals, which will typically include abstinence and/or harm reduction and improved psychosocial functioning (P.M. Miller and Mastria 1977; L.C. Sobell et al. 1982; Washousky et al. 1984; L.C. Sobell et al. 1988; Bois and Graham 1993).
What are the stages of alcohol abuse?
The first two stages involve screening, case finding, and identification of a substance use disorder; an evaluation of the parameters of drinking behavior, signs, symptoms, and severity of alcohol dependence, and negative consequences of use; and formal diagnosis of alcohol abuse or dependence.
Why are implementation strategies important?
Implementation strategies have unparalleled importance in implementation science, as they constitute the ‘how to’ component of changing healthcare practice. Yet, implementation researchers and other stakeholders are not able to fully utilize the findings of studies focusing on implementation strategies because they are often inconsistently labelled and poorly described, are rarely justified theoretically, lack operational definitions or manuals to guide their use, and are part of ‘packaged’ approaches whose specific elements are poorly understood. We address the challenges of specifying and reporting implementation strategies encountered by researchers who design, conduct, and report research on implementation strategies. Specifically, we propose guidelines for naming, defining, and operationalizing implementation strategies in terms of seven dimensions: actor, the action, action targets, temporality, dose, implementation outcomes addressed, and theoretical justification. Ultimately, implementation strategies cannot be used in practice or tested in research without a full description of their components and how they should be used. As with all intervention research, their descriptions must be precise enough to enable measurement and ‘reproducibility.’ We propose these recommendations to improve the reporting of implementation strategies in research studies and to stimulate further identification of elements pertinent to implementation strategies that should be included in reporting guidelines for implementation strategies.
What is implementation strategy?
Implementation strategies: recommendations for specifying and reporting
What is a clinician?
Clinician who is expert in the clinical innovation and recommended by the treatment developer.
What does Kauth et al. describe?
Kauth et al.[39] describe the characteristics, qualifications, and roles of an external facilitator
What is transitional treatment?
Some residential treatment settings are transitional. This means that clients are eventually expected to
What is the goal of a patient transition?
A patient is being transferred from a group home to an evolving consumer household. The goal of this transition is for the patient to eventually
What is a nurse meeting with the city council?
A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of group home by citing research that indicates
What is a patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years?
A patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this patient at this time?
Do people with mental illness represent a significant danger to others?
most people with mental illness do not represent a significant danger to others
