when figuring out treatment placement, what are the risks involved

by Linda Becker Published 2 years ago Updated 2 years ago

How do you monitor the implementation of a treatment plan?

Apr 14, 2022 · Risk treatment options, planning and prevention. Risk – it’s an inherent part of doing business in any industry or niche. Risks exist in a myriad of forms, ranging from financial to cyber-attacks, and everything in between. However, not all businesses face the same risk, or even the same level of risk within a specific category.

How do I ensure my risk treatment plan is implemented correctly?

HCP are at risk of infectious exposures in the workplace that vary depending on their job duties and other factors.[] Assessments can be conducted to identify actual or potential infection risks for populations of HCP and to inform measures that reduce those risks.Risk assessments can also yield data used for performance measurement, facility accreditation, service …

What are the risks involved in a complex project?

Apr 01, 2022 · Risks of angioplasty and stent placement are: Allergic reaction to the drug used in a stent that releases medicine into your body; Allergic reaction to the x-ray dye; Bleeding or clotting in the area where the catheter was inserted; Blood clot in the legs or the lungs; Damage to a blood vessel; Damage to a nerve, which could cause pain or numbness in the leg

What are the risks of angioplasty and stent placement?

Understanding the extent and nature of a woman's substance use disorder and its interaction with other life areas is essential for careful diagnosis, appropriate case management, and successful treatment. This understanding begins during the screening and assessment process, which helps match the client with appropriate treatment services. To ensure that important information is …

What is patient placement criteria?

Patient placement criteria (PPC) facilitate treatment matching through detailed, standardized assessment of patients' needs. This process affords the alcoholism treatment field an opportunity to address issues that influence access to appropriate level of care by highlighting these issues during the assessment.

What are the 4 main stages of the continuum of care?

“Continuum of care” refers to a treatment system in which clients enter treatment at a level appropriate to their needs and then step up to more intense treatment or down to less intense treatment as needed....Stage 1—Treatment engagement.Stage 2—Early recovery.Stage 3—Maintenance.Stage 4—Community support.

What are the levels of treatment?

1: Clinically Managed Low-Intensity Residential Treatment; Level III. 3: Clinically Managed Medium-Intensity Residential Treatment; Level III. 5: Clinically Managed High-Intensity Residential Treatment; and Level III. 7: Medically Monitored Inpatient Treatment.

What are the different levels of care for the treatment of substance use disorders?

Level I: Outpatient treatment. Level II: Intensive outpatient/partial hospitalization treatment (subdivided into levels 2.1 and 2.5) Level III: Residential/inpatient treatment (subdivided into levels 3.1, 3.3, 3.5, and 3.7) Level IV: Medically managed intensive inpatient treatment.

What are the three levels of the continuum care?

Describe an ideal continuum of care.... setting (health care setting; includes the PT helping determine the discharge plan) time (contact time w/patient) dependence (level of patient dependence; more independent = OP) the PT's role.

What are examples of continuum of care?

What are examples of Continuum of Care?Community-based services. Home health nurses can help to expand the continuum by visiting patients at home to perform assessments and provide essential services. ... Disease management programs. ... Health information systems. ... Case management services.Feb 15, 2020

Which form of treatment is the most common level of mental health care?

Outpatient is the least intensive and most common form of psychiatric treatment.Jul 17, 2017

What does ASAM criteria stand for?

Primary Reference: The American. Society of Addiction Medicine (ASAM) Criteria: Treatment Criteria for. Addictive, Substance-Related, and. Co-Occurring Conditions.Jun 10, 2015

What is ASAM criteria used for?

The ASAM Criteria's strength-based multidimensional assessment takes into account a patient's needs, obstacles and liabilities, as well as their strengths, assets, resources, and support structure. This information is used to determine the appropriate level of care across a continuum.

What does Asam Level 1 mean?

ASAM Level 1 is a relatively low-intensity treatment program. It includes an initial evaluation and screening, after which the alcohol and drug use professional devises a treatment plan for the patient. This may incorporate therapy, medication, as well as other forms of treatment.

What are Asam dimensions?

In ASAM's multidimensional assessment, the six dimensions are used to summarize a person's needs, define severity and develop a treatment plan. Clinicians use the dimensions to identify problems, goals and treatment plan objectives.

What are two of the reasons to use Sbirt?

SBIRT provides: Identification of levels of risk; Identification of patients who would benefit from brief advisement; Identification of patients who would benefit from further assessment; Progressive levels of clinical interventions based on need and motivation for change.

What is an HCP assessment?

Abbreviations. HCP are at risk of infectious exposures in the workplace that vary depending on their job duties and other factors. [ 1,2] Assessments can be conducted to identify actual or potential infection risks for populations of HCP and to inform measures that reduce those risks. Risk assessments can also yield data used for performance ...

What does PPE stand for in OSHA?

OSHA = Occupational Safety and Health Administration. PPE = Personal Protective Equipment. TB = Tuberculosis. HCP are at risk of infectious exposures in the workplace that vary depending on their job duties and other factors. [ 1,2] Assessments can be conducted to identify actual or potential infection risks for populations ...

What is the purpose of OSHA?

OSHA requires employers to conduct workplace evaluations to assess implementation of an Exposure Control plan for all affected employees. [ 5,6] OSHA requires employers to evaluate respiratory hazards in the workplace, and to implement a respiratory protection program, if needed. [ 7]

Why do treatment providers need instruments?

On the clinical side, treatment providers need instruments with which to assess the quality of treatment provision, as well as the progress of their clients during treatment. Their motivation is the same as that among researchers: Such instruments are seen as essential elements in the effort to improve clinical care.

Which type of programs had more treatment staff?

Public programs and nonprofit programs generally had more treatment staff; Federal and for–profit programs had more psychologists and physicians. In 1992, the NDATUS evolved into the Uniform Facility Data Set (UFDS), sponsored by the Office of Applied Studies.

What are the advantages of questionnaires?

The advantages of the questionnaire approach relative to coding tapes or transcripts are that questionnaires (a) are less expensive and time–consuming to administer and score and (b) provide overall assessments of treatment orientation (rather than samples of specific treatment sessions) as perceived by multiple respondents. For example, an expanded version of the DAPTI was included in a survey of program directors and used to classify programs as having a 12–step, cognitive–behavioral, or eclectic treatment orientation in an evaluation of Department of Veterans Affairs (VA) substance abuse treatment (Ouimette et al. 1997). Program orientation was verified by examining staff responses to the DAPTI.

How is quality of alcohol treatment determined?

The quality of alcohol treatment is determined, not only by the therapeutic techniques applied, but also by the characteristics of individual treatment providers (panel III in figure 1). In particular, this domain of variables refers to within–program variation in provider characteristics (aggregate, program–level staff characteristics are considered in panel II). Gerstein (1991) argued that “the competence, quality, and continuity of individual caregivers are likely to be critical elements in explaining the differential effectiveness of [substance abuse] treatment programs” (p. 139). In the alcohol treatment field, the few studies that have been conducted (e.g., W.R. Miller et al. 1980; Valle 1981; McLellan et al. 1988; Sanchez–Craig et al. 1991; Project MATCH Research Group 1998; for reviews, see Najavits and Weiss 1994; Najavits et al. 2000) indicate that therapist characteristics play an important role in determining clients’ treatment retention and outcomes.

What are the five treatment approaches?

2001#N#Description: This multidimensional instrument assesses five treatment approaches: psychodynamic or interpersonal, cognitive–behavioral, family systems or dynamics, 12–step, and case management. For each of the first four modalities, items assess beliefs underlying the approach, practices appropriate in individual therapy, and practices appropriate in group therapy. Case management is an individual approach, so no group practices items were included. In addition, items were developed to tap general “group techniques” (e.g., “encouraging peer social support”) and “practical counseling” (e.g.,“developing rapport and trust”). The instrument consists of 48 items that assess 14 subscales. Construct validity was supported by the results of a confirmatory factor analysis in which subscale items loaded on the factor they were intended to assess, but not on other factors. Corresponding belief and practice subscales correlated highly, except for case management. Cronbach alphas for all subscales except psychodynamic and family systems beliefs were above 0.50 and most were over 0.70 (Kasarabada et al. 2001, p. 287). The fact that some of the subscales consist of only three items contributed to low internal consistency estimates.

What is the SEEQ?

Measure: Survey of Essential Elements Questionnaire (SEEQ)#N#Citations: Melnick and De Leon 1999; Melnick et al. 2000#N#Description: The SEEQ, which takes 20–30 minutes to complete, consists of 139 items that tap 27 domains related to therapeutic community (TC) treatment. The domains fall into one of six general dimensions: TC perspective on addiction and recovery (e.g., “Right living, including self–reliance and positive social and work–related attitudes is crucial to recovery from substance abuse”); agency treatment approach and structure (e.g., “The treatment approach centers on members’ participation in the community”); community as therapeutic agent (e.g., “Status and privileges are related to progress in the program”); educational and work activities (e.g., “Work is used as part of the therapeutic program [i.e., to build self–esteem and social responsibility]”); formal therapeutic elements (e.g., “The members are reinforced for acting in a positive manner while negative behavior is met with confrontation”); and process (e.g., “The major goal of the primary treatment stage is the development of a set of values consistent with those of the community”). Respondents rate the items on 5–point Likert–type scales, from “extremely important” to “very little importance.” Based on data from directors of 59 of the 69 member programs in the Therapeutic Communities of America organization, internal consistency reliability estimates (coefficient alphas) for the six general dimensions ranged from 0.76 (TC perspective) to 0.94 (community as therapeutic agent) (Melnick and De Leon 1999). Alphas for the 27 domains generally were acceptable, with the exception of 8 domains that had coefficients below 0.70. A cluster analysis based on the 6 SEEQ dimensions classified 45 programs as either traditional TCs ( n = 37) or modified TCs ( n = 8) (Melnick and De Leon 1999; see also Melnick et al. 2000). Melnick et al. (2000) noted that although the SEEQ assesses important aspects of TC treatment, it does not assess the quality of those components.

What is the National Drug and Alcoholism Treatment Unit Survey?

Measure: National Drug and Alcoholism Treatment Unit Survey (NDATUS)#N#Citation: Office of Applied Studies 1991#N#Description: The NDATUS is a brief questionnaire (five pages) that covers (a) the overall organization and structure of programs (ownership, funding sources and levels, organizational setting, capacity in different treatment settings using different treatment modalities, hours of operation, etc.), (b) staffing and staff characteristics, (c) services (e.g., methadone dosages), (d) policies, and (e) clients and client characteristics. The 1989 NDATUS was augmented in 1990 by the Drug Services Research Survey (DSRS) (Office of Applied Studies 1992 a, 1992 b) to obtain additional data in the areas of facility organization and staff, client data, services, and costs and charges. Using data from the 1991 NDATUS, Rodgers and Barnett (2000) found that private, for–profit substance abuse treatment programs tended to be smaller and more likely to provide treatment in only one setting. Public programs and nonprofit programs generally had more treatment staff; Federal and for–profit programs had more psychologists and physicians. In 1992, the NDATUS evolved into the Uniform Facility Data Set (UFDS), sponsored by the Office of Applied Studies.

What are the risks of angioplasty?

Risks of angioplasty and stent placement are: Allergic reaction to the drug used in a stent that releases medicine into your body. Allergic reaction to the x-ray dye. Bleeding or clotting in the area where the catheter was inserted. Blood clot in the legs or the lungs. Damage to a blood vessel.

Why is a stent left in place?

The stent is inserted at the same time as the balloon catheter. It expands when the balloon is blown up. The stent is left in place to help keep the artery open. The balloon and all the wires are then removed.

How does balloon angioplasty work?

Expand Section. Angioplasty uses a medical "balloon" to widen blocked arteries. The ball oon presses against the inside wall of the artery to open the space and improve blood flow. A metal stent is often placed across the artery wall to keep the artery from narrowing again. To treat a blockage in your leg, angioplasty can be done in the following: ...

What is the procedure to open a blocked vein in the leg?

Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to your legs. Fatty deposits can build up inside the arteries and block blood flow. A stent is a small, metal mesh tube that keeps the artery open. Angioplasty and stent placement are two ways to open blocked peripheral arteries.

How long before surgery can I stop taking ibuprofen?

You may need to stop taking drugs that make it harder for your blood to clot 2 weeks before surgery. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), and other medicines like these. Ask which medicines you should still take on the day of your surgery.

Why does my leg hurt when I rest?

You have an infection or gangrene on the leg. You have pain in your leg caused by narrowed arteries, even when you are resting. Before having angioplasty, you will have special tests to see the extent of the blockage in your blood vessels. Risks.

What are the symptoms of a blocked peripheral artery?

Expand Section. Symptoms of a blocked peripheral artery are pain, achiness, or heaviness in your leg that starts or gets worse when you walk. You may not need this procedure if you can still do most of your everyday activities. Your health care provider may have you try medicines and other treatments first.

What should providers use to ensure that important information is obtained?

To ensure that important information is obtained, providers should use standardized screening and assessment instruments and interview protocols, some of which have been studied for their sensitivity, validity, and accuracy in identifying problems with women.

Why is understanding the extent and nature of a woman's substance use disorder and its interaction with other life areas important

Understanding the extent and nature of a woman’s substance use disorder and its interaction with other life areas is essential for careful diagnosis, appropriate case management, and successful treatment.

How to mitigate a major risk?

For each major risk identified, you create a plan to mitigate it. You develop a strategy, some preventative or contingency plan. You then act on the risk by how you prioritized it. You have communications with the risk owner and, together, decide on which of the plans you created to implement to resolve the risk.

How to manage risk?

To begin managing risk, it’s crucial to start with a clear and precise definition of what your project has been tasked to deliver . In other words, write a very detailed project charter, with your project vision, objectives, scope and deliverables. This way risks can be identified at every stage of the project.

What is risk tracking template?

Using a risk tracking template is a start, but to gain even more control over your project risks you’ll want to use a project management software. ProjectManager has a number of tools that let you address risks at every phase of a project.

What is negative risk?

Negative risks are part of your risk management plan, just as positive risk should be, but the difference is in approach. You manage and account for known negative risks to neuter their impact, but positive risks can also be managed to take full advantage of them.

What is project risk management?

Project risk management is the process of identifying, analyzing and responding to any risk that arises over the life cycle of a project to help the project remain on track and meet its goal. Risk management isn’t reactive only; it should be part of the planning process to figure out risk that might happen in the project and how to control ...

How does governance help organizations?

Also, by adopting the attitudes and values of your organization to become more aware of risk , your organization can develop a better sense of the nature of uncertainty as a core business issue. With improved governance comes better planning, strategy, policy and decisions.

What happens if you don't manage risk?

It’s one thing to identify risk, but if you don’t manage it then you’re not protecting the project.

What are the factors that determine a susceptibility to develop both a mental illness and/or an addiction?

1. the use of psychoactive drugs. 2. morals and character.

What is a drug induced high risk sexual practice?

Drug-induced high-risk sexual practices. 4. consistent and regular use of condoms during sex. The DEA classifies drugs into five levels or schedules based on their abuse/addiction potential. Schedule 1 includes drugs the DEA has classified as having high abuse/addiction potential and no accepted medical use.

What are the behaviors that affect the brain?

Compulsive behaviors (ex. binge eating, anorexia, bulimia, compulsive gambling, sexual compulsion, and internet addiction affect many of the same areas of the brain that are influenced by psychoactive drugs. T or F.

What is cross tolerance?

Cross-tolerance is defined as. When a person develops tolerance to other, similar drugs in the same category (ex. two or more depressants such as heroine and morphine) Using drugs to replace, supplement, or counterbalance the effects of a person's drug of choice is known as . polydrug use.

How has rapid play poker increased the number of problem gamblers?

2. Online gambling has resulted in an increased number of problem and pathological gamblers. 3. There is no evidence that technology has led to an increase in the number of people with gambling or gaming addictions. 4.

What is a dual diagnosis?

1. there is a type of dual diagnosis in which a person has a pre-existing mental illness and then begins using drugs. 2. there is a type of dual diagnosis in which a person begins abusing drugs and goes on to develop a mental illness. 3. substance-induced psychiatric problems can be temporary.

What is Schedule 1 drug?

Schedule 1 includes drugs the DEA has classified as having high abuse/addiction potential and no accepted medical use. The DEA includes which of the following drugs in the Schedule 1 category? 1. marijuana.

What are the factors that affect scope risk?

1. Scope Risk. This risk includes changes in scope caused by the following factors: Scope creep – the project grows in complexity as clients add to the requirements and developers start gold plating. Integration issues. Hardware & Software defects. Change in dependencies. 2.

Why is my project not proceeding?

These include unexpected delays at an external vendor, natural factors, errors in estimation and delays in acquisition of parts.

What is cloud risk?

This risk includes delays arising out of software & hardware defects or the failure of an underlying service or a platform. For instance, halfway through the project you might realize the cloud service provider you are using doesn’t satisfy your performance benchmarks. Apart from this, there could be issues in the platform used to build your software or a software update of a critical tool that no longer supports some of your functions.

Patient Characteristics

Program–Level Characteristics

Provider Characteristics

Therapeutic Alliance

Treatment Provided/Treatment Involvement

Alcohol treatment programs typically provide psychosocial and/or pharmacologic interventions to patients. To the extent that it is constant across all patients, treatment provided is a program–level characteristic (panel II in figure 1). In most programs, however, the treatment provided varies across patients (panel V). For example, it may be thoug...