Brief Training on Medication-Assisted Treatment Improves Community Mental Health Clinicians' Confidence and Readiness to Address Substance Use Disorders

被引:5
|
作者
Iheanacho, Theddeus [1 ,2 ,4 ]
Bommersbach, Tanner [1 ]
Fuehrlein, Brian [1 ,2 ]
Arnaout, Bachaar [1 ,2 ]
Dike, Charles [1 ,3 ]
机构
[1] Yale Univ, Sch Med, New Haven, CT 06510 USA
[2] VA Connecticut Healthcare Syst, West Haven, CT 06516 USA
[3] Connecticuts Dept Mental Hlth & Addict Serv, Hartford, CT USA
[4] Yale Univ, Dept Psychiat, Sch Med, 300 George St, New Haven, CT 06511 USA
关键词
Medication-assisted treatment; Community mental health; Substance use disorder; Addiction; Training; OPIOID USE DISORDER; UNITED-STATES; OVERDOSE DEATHS; SMOKING-CESSATION; ALCOHOL-USE; ADULTS; PHARMACOTHERAPY; BUPRENORPHINE; ATTITUDES; ABUSE;
D O I
10.1007/s10597-020-00586-8
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Despite the availability and effectiveness of medication-assisted treatment (MAT) for substance use disorders (SUDs), utilization of these medications remains suboptimal, especially in public sector settings. A key limitation is clinicians' reluctance to include MAT in their routine practice due, in part, to low confidence about managing SUDs and limited awareness of the disease model of addiction. This study evaluates the impact of a 1-day MAT training for community mental health clinicians using a 30-item pre- and post-training questionnaire. Of the 109 clinicians who attended the training, 107 completed the pre- and post-training questionnaires. Factor analysis of the questionnaire identified two domains: readiness to address SUDs among patients (factor 1) and understanding SUDs as diseases (factor 2). Post training, there was a significant change in both factor 1 (p = .00001) and factor 2 (p = .00003), indicating that a brief MAT training can increase clinicians' confidence and readiness to address SUDs and improve their understanding of the disease model of addiction.
引用
收藏
页码:1429 / 1435
页数:7
相关论文
共 50 条
  • [1] Brief Training on Medication-Assisted Treatment Improves Community Mental Health Clinicians’ Confidence and Readiness to Address Substance Use Disorders
    Theddeus Iheanacho
    Tanner Bommersbach
    Brian Fuehrlein
    Bachaar Arnaout
    Charles Dike
    [J]. Community Mental Health Journal, 2020, 56 : 1429 - 1435
  • [2] Medication-assisted treatment for substance use disorders within a national community health center research network
    Rieckmann, Traci
    Muench, John
    McBurnie, Mary Ann
    Leo, Michael C.
    Crawford, Phillip
    Ford, Daren
    Stubbs, Jennifer
    O'Cleirigh, Conall
    Mayer, Kenneth H.
    Fiscella, Kevin
    Wright, Nicole
    Doe-Simkins, Maya
    Cuddeback, Matthew
    Salisbury-Afshar, Elizabeth
    Nelson, Christine
    [J]. SUBSTANCE ABUSE, 2016, 37 (04) : 625 - 634
  • [3] Using medication-assisted treatment for substance use disorders: Evidence of barriers and facilitators of implementation
    Roman, Paul M.
    Abraham, Amanda J.
    Knudsen, Hannah K.
    [J]. ADDICTIVE BEHAVIORS, 2011, 36 (06) : 584 - 589
  • [4] Medication-Assisted Treatment of Adolescents With Opioid Use Disorders
    Levy, Sharon
    Ryan, Sheryl A.
    Gonzalez, Pamela K.
    Patrick, Stephen W.
    Quigley, Joanna
    Siqueira, Lorena
    Walker, Leslie R.
    Faden, Vivian B.
    Tau, Gregory
    Jarrett, Renee
    [J]. PEDIATRICS, 2016, 138 (03)
  • [5] A community outreach intervention to link individuals with opioid use disorders to medication-assisted treatment
    Scott, Christy K.
    Dennis, Michael L.
    Grella, Christine E.
    Kurz, Rachel
    Sumpter, Jamie
    Nicholson, Lisa
    Funk, Rodney R.
    [J]. JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2020, 108 : 75 - 81
  • [6] National Overview of Medication-Assisted Treatment for American Indians and Alaska Natives With Substance Use Disorders
    Rieckmann, Traci
    Moore, Laurie
    Croy, Calvin
    Aarons, Gregory A.
    Novins, Douglas K.
    [J]. PSYCHIATRIC SERVICES, 2017, 68 (11) : 1136 - 1143
  • [7] Opioid Use Disorders, Medication-Assisted Treatment, and the Role of the Laboratory
    Bertholf, Roger L.
    Reisfield, Gary M.
    [J]. LABORATORY MEDICINE, 2017, 48 (04) : E57 - E61
  • [8] Substance Use Disorders and Medication-Assisted Therapies Current Practices and Implications for Nursing
    Brown, Courtney
    Ray, Anisa
    [J]. NURSING CLINICS OF NORTH AMERICA, 2023, 58 (02) : 165 - 181
  • [9] The mixed message behind "Medication-Assisted Treatment" for substance use disorder
    Robinson, Sean M.
    Adinoff, Bryon
    [J]. AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2018, 44 (02): : 147 - 150
  • [10] Barriers to the implementation of medication-assisted treatment for substance use disorders: The importance of funding policies and medical infrastructure
    Knudsen, Hannah K.
    Abraham, Amanda J.
    Oser, Carrie B.
    [J]. EVALUATION AND PROGRAM PLANNING, 2011, 34 (04) : 375 - 381