Exploring EBP Quality Improvement Substance Use Disorder Chapter

Module Assignment: Exploring EBP Quality Improvement

There are various kinds of healthcare settings that mental health patients can chose for treatment depending on their financial ability and severity of their mental illness. The first healthcare setting that I would explore in my project is a psychiatric hospital. I work in the said setting. The other two healthcare settings that I would explore in my EBP quality improvement project will be in a private practice and an assisted living health facility or a residential health facility. A psychiatric hospital is an in-patient facility that happens to be a good option for patients in need of both long and short-term services. Essentially, the mission of a psychiatric hospital is to provide care for patients with severe mental health illnesses (Dye, n. d). The structures in a psychiatric hospital happen to be similar as those of a regular hospital. In addition to treatment and diagnostic areas and roles, a psychiatric hospital also has functions associated with administration, housekeeping, supply, and dietetics. Some sites also serve as training grounds for professionals in mental health and as sites for research.

A private practice happens to be a primary form of mental health facility. In this type of setting, a mental health professional utilizes an office-like structure to render services related to mental health (Dye, n. d). A private practice may consist of a single business center with various offices where different mental health professionals operate. Therefore, it would be prudent to note that a private practice is owned by private practitioners such as psychologists, counselors, and therapists who have their own offices. The said offices can be positioned in various locations which are inclusive of, but they are not limited to; medical plazas, office parks, and homes. The mission of a private practice could be to avail the relevant assistance to mental health patients (Dye, n. d). In some instances, some facilities could receive some form of funding from the state or gain access to grants. To a large extent, patients in private practice are charged depending on their ability to pay. However, most private practices do not provide in-patient services.

The third healthcare setting in mental health happens to be an assisted living facility. The said facilities are also referred to as a residential facility. A residential health facility is a private or a semi-private facility which happens to be a single institution. The said facilities can be very expensive and in some instances, decisions to liquidate the assets of residents are made so as to cater for bills in the said institution. The mission of an assisted living facility is to provide various services to people who cannot care for themselves owing to their permanent mental health conditions (Dye, n. d). In addition, the author further suggests that persons are taken to such facilities owing to the fact that they lack families who have the ability to care for them. It is important to note that residents in an assisted living facility are permitted to live normal lives whereby those who are capable are allowed to work in some way or another. In addition, the said residents are allowed to have visitors or even visit others outside the said resident with minimal restriction (Dye, n. d). Services provided in residential facilities are inclusive of, but they are not limited to; activities, meals, and housekeeping. These are of great relevance to residents with inhibiting problems.

The three settings explained above have various strengths and weaknesses. To start with, it would be prudent to note that the said settings are important in mental health owing to the fact that they provide crucial diagnostic and treatment services to mentally ill patients. For instance in a psychiatric hospital, patients with severe mental illnesses are treated in in-patient wards. The said patients are placed in in-patient wards owing to the fact that they can be threats to themselves and others (Dye, n. d). For this reason, it is important to note that psychiatric hospitals are important to both those presenting with various mental health conditions, as well as to the larger community. On the other hand, a residential health facility provides treatment to patients with permanent mental health conditions (or other related disabilities) that affect their ability to take care of themselves especially in those scenarios whereby such patients do not have families who would take care of them. The main drawback of the said healthcare facilities happens to the costs involved. For instance, some residential health facility costs could be prohibitive. This could be a major drawback in efforts to secure the health and wellbeing of patients who are economically disadvantaged. Many patients may not have access to meaningful medical insurance cover to cater for the said costs. Moreover, some residents may not have any investments or pensions to pay the facility. To a large extent, private...…to be familiar with diverse aspects of the same. Substance use disorders affect many individuals, both teenagers and adults. Failure to deploy the relevant interventions could have detrimental effects on the wellbeing of those directly affected as well as their families and the larger community. Treatment of the said disorders requires utilization of evidence-based practices to ensure that the treatment interventions are effective. The framework model that I would use for the evidence-based quality improvement project would be based on the theory of reasoned action. As per the said theory, human behavior is said to be under voluntary action which is predicted by their intention to perform the said behavior (Fishbein and Ajzen, 2010). The said intention can be influenced by a persons attitude or by other people who are important to the said person. Essentially, a person will engage in a certain behavior if they have a positive attitude towards the said behavior. On the other hand, a person will engage in the said behavior if important people in their life approves of the said behavior.

Substance use disorder happens to be a behavioral disorder which can either be influenced by the affected individuals attitude or by important person in their life. Evidence-based therapies are important in the treatment of substance use disorders. One of the evidence-based interventions for substance-use disorder happens to be cognitive-behavioral theory. The said theory is based n techniques that explore both negative and positive consequences of substance use (Substance Use and Mental Health Services Administration (US), Office of the Surgeon, 2016). The said consequences helps the addict to change their behavior by changing their attitude towards a certain drug - owing to the negative effects the said drug may have on their health. The cognitive theory emphasizes on improving the individuals coping skills by modifying their dysfunctional thinking. To be able to apply the cognitive theory in treatment of substance use disorders, health care workers should be trained on the said evidence-based practice.

Substance use disorder affects the quality of life of the affected individuals. According to Mayo Clinic (2017), affected individuals tend to be involved in risky activities so as to acquire the abused drug. The health of affected persons usually deteriorates owing to the effects of the abused drugs. Further, when a person has a substance use disorder, it is difficult for them to interact with others and perform diverse meaningful roles. Thus, the relevance of deploying effective interventions to…

Sources Used in Documents:

References


Dye, F. (n. d). What are the Different Types of Mental Health Facility? https://www.wise-geek.com/what-are-the-different-types-of-mental-health-facility.htm


Fishbein, M. & Ajzen, I. (2010). Predicting and Changing Behavior: The Reasoned Action Approach. Taylor and Francis Group, LLC


Logsdon, R. G., McCurry, S. M. & Teri, L. (2007). Evidence-Based Interventions to Improve Quality of Life for Individuals with Dementia. Alzheimers Care Today, 8(4), 309-318.


Mayo Clinic (2017). Drug Addiction (Substance Use Disorder). https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112


Mayo Clinic (2021). Dementia. https://www.mayoclinic.org/diseases-conditions/dementia/symptoms-causes/syc-20352013


Substance Abuse and Mental Health Services Administration (US): Office of the Surgeon General (US) (2016). Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health [Internet]. Early Intervention, Treatment, and Management of Substance Use Disorders. https://www.ncbi.nlm.nih.gov/books/NBK424859/


World Health Organization (2003). Quality Improvement for Mental Health. https://www.who.int/mental_health/policy/services/8_quality%20improvment_WEB_07.pdf


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