Literature DB >> 32062717

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

Theddeus Iheanacho1,2,3, Tanner Bommersbach4, Brian Fuehrlein4,5, Bachaar Arnaout4,5, Charles Dike4,6.   

Abstract

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.

Entities:  

Keywords:  Addiction; Community mental health; Medication-assisted treatment; Substance use disorder; Training

Mesh:

Year:  2020        PMID: 32062717      PMCID: PMC7429311          DOI: 10.1007/s10597-020-00586-8

Source DB:  PubMed          Journal:  Community Ment Health J        ISSN: 0010-3853


  36 in total

1.  The impact of a brief interclerkship about substance abuse on medical students' skills.

Authors:  Julia Matthews; William Kadish; Susan V Barrett; Kathleen Mazor; Deborah Field; Julie Jonassen
Journal:  Acad Med       Date:  2002-05       Impact factor: 6.893

2.  The influence of structured education and clinical experience on the attitudes of medical students towards substance misusers.

Authors:  Edmund Silins; Katherine M Conigrave; Christine Rakvin; Timothy Dobbins; Kenneth Curry
Journal:  Drug Alcohol Rev       Date:  2007-03

3.  Using medication-assisted treatment for substance use disorders: evidence of barriers and facilitators of implementation.

Authors:  Paul M Roman; Amanda J Abraham; Hannah K Knudsen
Journal:  Addict Behav       Date:  2011-01-27       Impact factor: 3.913

Review 4.  Medication-assisted treatment of opioid use disorder: review of the evidence and future directions.

Authors:  Hilary Smith Connery
Journal:  Harv Rev Psychiatry       Date:  2015 Mar-Apr       Impact factor: 3.732

5.  An analysis of the root causes for opioid-related overdose deaths in the United States.

Authors:  Lynn R Webster; Susan Cochella; Nabarun Dasgupta; Keri L Fakata; Perry G Fine; Scott M Fishman; Todd Grey; Erin M Johnson; Lewis K Lee; Steven D Passik; John Peppin; Christina A Porucznik; Albert Ray; Sidney H Schnoll; Richard L Stieg; Wayne Wakeland
Journal:  Pain Med       Date:  2011-06       Impact factor: 3.750

6.  Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015.

Authors:  Rose A Rudd; Puja Seth; Felicita David; Lawrence Scholl
Journal:  MMWR Morb Mortal Wkly Rep       Date:  2016-12-30       Impact factor: 17.586

7.  The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire.

Authors:  T F Heatherton; L T Kozlowski; R C Frecker; K O Fagerström
Journal:  Br J Addict       Date:  1991-09

Review 8.  Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence.

Authors:  R P Mattick; J Kimber; C Breen; M Davoli
Journal:  Cochrane Database Syst Rev       Date:  2008-04-16

9.  Long-acting intramuscular naltrexone for opioid use disorder: Utilization and association with multi-morbidity nationally in the Veterans Health Administration.

Authors:  Megan M Kelly; Erin Reilly; Timothy Quiñones; Nitigna Desai; Robert Rosenheck
Journal:  Drug Alcohol Depend       Date:  2017-12-02       Impact factor: 4.492

10.  Nurses' attitudes, beliefs and confidence levels regarding care for those who abuse alcohol: impact of educational intervention.

Authors:  Raja S Vadlamudi; Susie Adams; Beth Hogan; Tiejian Wu; Zia Wahid
Journal:  Nurse Educ Pract       Date:  2007-11-26       Impact factor: 2.281

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