Literature Review: Access to Care for Addicts

Literature Review: Access to Care for Addicts Hettema, J., Sorensen, J. L. (2009). Access to Care for Methadone Maintenance patients in the United States. International Journal Mental Health Addiction. 7 (3) 468-474. DOI:10.1007/s11469-9204-6 This paper was presented to increase the awareness of individual with Opiates treatment programed Dependency are denied access to residential treatment. Although, Methadone Maintenance Therapy has been proven to reduce illicit drug use, improve psychosocial functioning, ability to keep employment, decrease criminal activities, and contracting HIV, AIDS, and Hepatitis. There are great concerns for those clients in Methadone Maintenance Therapy who need more intensive treatment. MMT does provide basic medical screening, dosing, and outpatient counseling. The more services provided for the client leads to a better outcome. The study found that treatment dose measured by number of days in treatment, number of treatment session attended and number of services received leads to a positive outcome. Some factors to consider are limited availability of residential treatment, insurance payment and the impact of abstinence philosophy. Mainstream views addiction as a moral problem rather than a medical issue. Hettema Sorensen (2009) identifies philosophical differences separates mental health and addiction services is hard to integrate. Society regards methadone as a necessary evil. There are ongoing empirically evaluated treatment approaches who do not follow an abstinence oriented philosophy. There are issues with the Americans with Disability Act because client is being denied services because of their use of a prescribed for their substance dependency. There are ambiguities in the interruption of that. The author is not aware of any litigation now. Ducharme, L.J., Knudsen, H.K., Roman, P. M. (2006). Evidence-based treatment for Opiate-Dependent clients: availability, variation, and organization correlates. The American Journal of Drug and Alcohol Abuse. 32.569-576. DOI: 10;1080/009529906000920417 This article examines the availability and correlates with evidence-based practices for opiates dependence in the United States. This research sampled addiction treatment with and without MMT services. This article also examined community based treatment programs with MMT units as one of their modalities. The researchers included both methadone available and non-methadone setting, then compared the number and type of service available to users. The method used was a data analyses collected in 2002-2003 national representative sample of addiction treatment centers in public and private sector. There was extensive face to face interviews conducted with administrators and clinical directors of 763 treatment center. The data collected in 2002-2003 face to face interviews included  organizational characteristic, size, ownership, accreditation, staffing, treatment practice methadone availability, level of care, pharmacotherapies, wraparound service, The findings suggested the majority of opiate dependents clients are not in Methadone Clinics. Many agencies are not willing to refer opiates dependent patient. to MMT. The opiate dependence client would benefit from the referral that uses evidence practices if referred. The research suggests further study to determine which opiate dependence client would benefit from evidence client care. Parks, C., Fullerton, C.A., Kim, Meekee, Montejano,, L., Lyman, Russell, Dougherty, R. H., Daniels A. S., Ghose, S. S., Delphin- Rittmon, M. E.., (2013). Medication-Assisted Treatment with Buprenorphine: assessing the evidence. Psychiatric Services in Advance.DOI10.1176/appi.ps201300256 This article reviews Buprenorphine treatment as an alternative to Methadone Maintence Treatment for long term treatment of Opioid Use Disorder. Buprenorphine is not considered as abstinence treatment. The purpose of buprenorphine is to reduce or eliminate opioid use. The authors conducted the research that examined abstracts of identical articles for compliance with the review. The research provided evidence of the effectiveness of improving treatment retention and decreasing illicit opioid use. The evidence is growing both BMT and MMT improved pregnancy outcomes. Ongoing treatment is necessary.

Effect of television advertisements for foods on food consumption in children Essay

Effect of television advertisements for foods on food consumption in children Introduction Question 1 Â   Â   Â   Â  This research describes a research that is both qualitative and quantitative. To start with, the research can be said to use quantitative research method because it employs the use of the top down scientific method of research. Throughout the research, the researchers make use of quantitative data that involves the analysis of a number of variables like the preference of certain foods by some children and attraction to certain advertisements by some children. Moreover, the research uses quantitative research which involves the use of data that can be measured. For example, the number of children who took certain types of foods and the number of adverts that every child was shown. The main use of quantitative data in the research is to understand the behavior patterns of the children. Question 2 Â   Â   Â   Â  This research summary describes cross-sectional study which is also referred to as prevalence. This is because the research involves collecting data from a number of students who represent a large population. The study applied in the research summary is mainly descriptive and uses a small sample of students from a larger children population in England. In addition, the research summary describes cross sectional study because the findings can be used to describe the prevalence risk ratio of the concerned population. Question 3 Â   Â   Â   Â  The research summary is full of evidence to indicate that the researchers concerned did everything possible to ensure that the exercise was carried out ethically. The first evidence of attention to ethics was to inquire from the children involved whether they wished to take part in the exercise. This is important because nobody should be coerced into taking part in any study. Moreover, the researchers involved made sure that the advertisements that were used in the study were sourced from children and family programming. This is important because it ensured that the adverts did not contain any explicit contents. Question 4 Â   Â   Â   Â  The type of experiment contained in the research summary is a quasi-experiment. This is because all the independent variables used in the experiment like the age of the children, their gender and body mass index are things that already exist in the sample population. Unlike in a true experiment where people are assigned to different condition, all the children involved in the study were assigned to the same conditions. Question 5 Â   Â   Â   Â  Some of the variables that the experimenters considered were the weight of the children, exposure to TV food adverts, different types of foods and the amount of foods consumed by each child. The independent variable used in the experiment is the amount of food given to the children and the food adverts they were exposed to. The dependent variables that were used in this research were the effect of food adverts on the amount of food consumed by each child and relationship between the weight of a child and his/her ability to recognize food adverts. Question 6 Â   Â   Â   Â  The main reason why the researchers used commercials of non- food product was to see whether the children would remember the adverts that they had seen in general. The main role of non-food commercials was to test whether they would attract the attention of the children the same way with food adverts. Question 7 Â   Â   Â   Â  The conclusion at the end of the research summary suggests that there is a correlation between viewing TV and childhood obesity. This means that there exists a relationship between viewing too much TV and increased food intake. However, it is worthy noting that the relationship between the two is mutual or complementary. Question 8 Â   Â   Â   Â  There are two things that i would do differently if I were conducting this experiment. To begin with, I take into consideration the rate of physical activity in every child. This is because they extra calories consumed by each child could be used due to physical activity therefore reducing the probability of obesity. Secondly, I would consider factors that may lead to excessive viewing of TV like limited parental involvement and lenient parental rules. Reference Halford, J. C. G., Gillespie, J., Brown, V., Pontin, E. E., & Dovey, T. M. Effect of television advertisements for foods on food consumption in children, 2004. Print Source document

Conflict and war are inevitable in life

We are going to be discussing â€Å"Conflict and war are inevitable in life.† First of all, you cannot imagine a world without conflict and war as they are happening every day. Human beings are prone to conflict and war. War and peace are like Ying and Yang. They are combined and nothing can separate it. Needless wars occur around the world endlessly. Conflicts which are occurring now are: 1. Riots e.g: In Egypt. According to the BBC website, over 100 people have been killed due to the riots. You can disagree by saying† however, the police in Egypt are controlling the riots and rioters begin to decrease by each day according to the BBC. This shows that conflicts can be resolved is not inevitable.† 1. Our fellow teachers, like our Mr Harland are going on strike this Wednesday due to their pensions. This is out of the context however this is still a way of causing troubles in our society. â€Å"They are doing this because if they don’t they won’t be able to survive anymore. It won’t be fair on them would it?† Let’s think back a few years. Racism was very common in the United States and in many parts of Europe. Conflict and wars were created due to racism. People had to suffer in order to survive. Americans used coloured people (black) as slaves to do their bidding. This was inevitable in life! Yes it was a tragedy however that too has been resolved. People change their ways to a greater good. Rosa Parks was an extraordinary example. She stood up towards the white people and due to this, racism was soon abolished. So if it wasn’t for Rosa Parks, would racism have gone even further? Would I be sitting here having this discussion? Wars also occurred and are still occurring in around the globe. For example 1. Afghanistan. The British have to assist as well which endangers many soldiers and innocent people who did not want any of this to occur. All this happened because of one man. (Gadaffi). We are still trying to maintain peace around the world by assisting those in need. However, isn’t helping in the war going to increase the number of battles fought and how many more should have to die? I have also heard that the war in Sri Lanka has ended and people are rebuilding their lives. Wars get created and solved all the time. The Ultimate goal of war and conflict in my opinion is because of jealousy towards a person or people and for the satisfaction of human needs. Even in Julius Caesar, Mark Anthony and Octavius go up against Brutus and Cassius in a needless war. Why should people have to die without any cause or reason? This is exactly why war and conflict are inevitable in life.

Application Of Community Health And Population Focused...

Application of Community health and Population-Focused Nursing Description of Community Los Angeles, a metropolis based in southern California, is known for its ethnically diverse population and known for being home to the entertainment industry. The city itself lies within a coastal basin and is sided on three ends with mountains which scale over 3,000 meters. It covers 502 square miles with a population of 3.8 million. It is the most populated county in the United States and has the third largest economy in the world with focuses in entertainment, media, science, sports, medicine, education, research, and fashion. California was originally a Spanish territory and was declared part of Mexico in 1821 in result of the Mexican war of†¦show more content†¦Cultural breakdown of Los Angeles shows it is 48.3% Hispanic or Latino, 17.5% White, 14.6% Asian, 9.2% Black or African American, 1.5% Native American, and 2.9% reporting two or more races. Leading Causes of Death/Mortality Public health provided by Los Angeles county showed that heart disease (specifically coronary heart disease) was the leading cause of death across both genders, amongst all ethnic groups, and among persons aged 65 and older. Cancer was the second leading cause of death, and stroke being the third. (http://publichealth.lacounty.gov/docs/HealthNewsMortality-10-13.pdf, 2013) Obesity is of major growing concern as it carries a major risk for heart disease, hypertension, and diabetes; the county and academy of pediatrics has enacted Healthy for Life, to assist students from kindergarten through twelfth grade in early recognition and education for diseases and health concerns. Healthcare Access It is reported that approximately 2.7 million individuals in Los Angeles have no health insurance and that approximately 2 million of those individuals are between the ages of 18 and 64. Reports also show that approximately 1 out of 4 children (under the age of 18) are uninsured. Those without healthcare insurance are less likely to have access to preventative services and regular source of care. The Healthy People 2000 goal warrants for everyone to have health insurance. Latinos report