Opinion: Disruptive Behaviors Among Physicians Journal of the American Medical Association The purpose of this article is to enhance the understanding of physicians and physician leaders regarding the problem of disruptive behavior, to provide guidance about how best to develop a medical culture of safety with clear expectations and standards.
Blending Initiative Motivational Interviewing CME/CE and Patient Simulation National Institute on Drug Abuse These programs provide a unique forum where the CME course and the Patient Simulation jointly provide practical guidance for physicians and other clinicians in effective Motivational Interviewing techniques that will facilitate conversations with patients to address Health Risk Behaviors. The CME Course guides physicians and other clinicians through practical skills building and technique development using videos to model effective communication, while the Patient Simulation allows for real time testing and reinforcement of these skills in the clinical setting.
Elements That Define Recovery: The Experiential Perspective Journal of Studies on Alcohol and Drugs The empirical findings in this survey offer specific items that can be used in evaluating recovery-oriented systems of care. Researchers studying recovery should include measures that extend beyond substance use and encompass elements such as those examined here—e.g., self-care, concern for others, personal growth, and developing ways of being that sustain change in substance use.
Alcohol Involvement in Opioid Pain Reliever and Benzodiazepine Drug Abuse–Related Emergency Department Visits and Drug-Related Deaths Centers for Disease Control and Prevention Alcohol was commonly involved in ED visits resulting from the abuse of opioid pain relievers (OPRs) or benzodiazepines as well as in deaths related to these drugs. Nearly one fifth of OPR abuse–related ED visits and more than one fourth of benzodiazepine abuse–related ED visits involved alcohol. Slightly more than one fifth of drug related deaths involved OPRs and alcohol and the same proportion applied to benzodiazepines and alcohol. Alcohol was more likely to be involved in single-drug class ED visits and deaths involving benzodiazepines compared with OPRs.
Deception for Drugs: Self-Reported “Doctor Shopping” Among Young Adults Journal of the American Board of Family Medicine Results of this study suggest that attempted physician deception may be more common than previously believed. Practicing physicians should attempt to use risk factor information presented within this study, albeit very cautiously. This study identifies general characteristics of young people who might divert medications but notes that only a small minority of any patient group will do so.
The Prevention and Elimination of Disrespect and Abuse During Facility-Based Childbirth World Health Organization A growing body of research on women’s experiences during pregnancy, and particularly childbirth, paints a disturbing picture. Many women across the globe experience disrespectful, abusive or neglectful treatment during childbirth in facilities. This constitutes a violation of trust between women and their health-care providers and can also be a powerful disincentive for women to seek and use maternal health care services.
Most People Who Drink Excessively are Not Alcohol Dependent CDC Newsroom Nine in ten adults who drink too much alcohol are not alcoholics or alcohol dependent, according to a new study released by the Centers for Disease Control and Prevention in collaboration with the Substance Abuse and Mental Health Services Administration (SAMHSA). The study appears in the CDC journal Preventing Chronic Disease.
Toward a Comprehensive Developmental Model of Smoking Initiation and Nicotine Dependence Drug and Alcohol Dependence This study aims to identify predictors of smoking initiation and nicotine dependence (ND) to develop a comprehensive risk-factor model based on Kendler's development model for major depression. The differential effect of some predictors on each outcome shows the complexity of pathways from smoking initiation to ND. While some risk factors may be shared, others impact only at one stage or have even an inverse effect. An adaptation of Kendler's developmental model for major depression showed high predictive power for smoking initiation and ND.
In Memoriam: Barry Stimmel ASAM ASAM mourns the passing of dedicated leader Dr. Barry Stimmel, FASAM, and sends its deepest condolences to his family, friends and colleagues. Dr. Stimmel was a dedicated ASAM leader and a pioneer in the field of addiction medicine...
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