Addiction Rehab: Knowledge Translation in Mental Health: A Scoping Review.

Knowledge translation in mental health: a scoping review.

Filed under: Addiction Rehab

Healthc Policy. 2011 Nov; 7(2): 83-98
Goldner EM, Jeffries V, Bilsker D, Jenkins E, Menear M, Petermann L

Intensified knowledge translation (KT) efforts are considered important in the field of mental health in order to accelerate the implementation of various developments in research, policy and practice. A scoping review of KT focused on the field of mental health was undertaken to help inform development of a Knowledge Exchange Centre being initiated by the Mental Health Commission of Canada. A systematic search of publications in English and French identified 187 publications that met inclusion criteria. Relevant literature was found across a number of disparate thematic research areas: implementation science, community-based and participatory action research, shared decision-making studies, mental health literacy research, network analysis and studies directly addressing KT. The available literature is concerned predominantly with KT efforts between a few specific stakeholder dyads. A paradigm shift has been emerging and has resulted in a progressively broader perspective, incorporating a wider range of participants and increased valuing of experiential knowledge.
HubMed – addiction

Medically assisted treatment for opiate addiction – suboxone method as prevention of social exclusion of youth – tuzla model.

Filed under: Addiction Rehab

Psychiatr Danub. 2012 Oct; 24 Suppl 3: 398-404
Hasanovi? M, Pajevi? I, Kuldija A, Deli? A

AIM: To present medically assisted treatment for opiate addiction with substitution medicament Suboxone and prevention of social exclusion of young opiate addicts in Bosnia and Herzegovina. GENERAL OVERVIEW: Until recently there was no solution for long-term and comprehensive treatment of young persons who suffer from opiate addiction. This is not an illness that impairs only psychological and physical health of addicts with possible fatal aftermaths, but serious societal problem due to its consequences such as delinquency, crimes and violence that lead young people to social exclusion. There are no capacities within the existing health facilities for long-term stationary treatment, which is necessary for drug addiction. In addition, far less adequate solution is placement of young addicts into penal and correctional institutions, which are stigmatizing and contribute to their exclusion from normal social life. Hence, the latest medically assisted method of substitution treatment with a combination of buprenorphine and naloxone (Suboxone) is introduced. This medicament, with its characteristics, offers possibility for outpatient treatment, and prompt and effective results of detoxification and weaning of opiates is to be achieved. Opiate addicts that undergo this treatment benefit from “clear mind” and capability for occupational and social activities, which significantly improves the quality of their family and social relations. With Suboxone substitution method, the institutional (inpatient) treatment is to be avoided and social exclusion of young addicts treated with Suboxone prevented. CONCLUSION: Medically assisted treatment for opiate addiction with Suboxone is conducted in outpatient setting with the involvement of close relatives who are not addicted. It brings back “clear mind” to previous addicts, does not stigmatize but contribute to re-socialization and prevention of social exclusion of young opiate addicts.
HubMed – addiction

Treatment of addicts in bosnia and herzegovina – constraints and opportunities.

Filed under: Addiction Rehab

Psychiatr Danub. 2012 Oct; 24 Suppl 3: 392-7
Mehi?-Basara N, Ceri? I

Chronology of important historical events in Bosnia and Herzegovina during past two centuries indirectly influenced the incidence and prevalence of different psychoactive substances use and thus the organization of services for the treatment of persons who develop addiction symptoms. The organization of health system in the last war, 1992-1995, suffered enormous damage and the reform process which inevitably followed, included the area of mental health care services and the establishment of network of centers for mental health in the community (CMHC). The centers are functioning within the primary health care almost in whole country, with specialized centers for the prevention and treatment of addicts and the therapeutic communities, which today represents the basic organizational units to help people who have drug related issues. In this paper we will present the possibility of treatment of drug addicts in Bosnia and Herzegovina, from consulting services, psycho-education and early detection of disease, detoxification and substitution programs with Methadone and Suboxone, as well as programs of rehabilitation and resocialization. Although a very complicated political and administrative structure of the country, insufficient financial support, pronounced stigmatization of addicts, insufficient staffing and number of treatment centers are objective obstacles for progress in treatment of addicts, we believe that, with existing resources, these constraints can be converted into new opportunities in terms of improvement of treatment options in the future.
HubMed – addiction

Self-disorders and the experiential core of schizophrenia spectrum vulnerability.

Filed under: Addiction Rehab

Psychiatr Danub. 2012 Oct; 24 Suppl 3: 303-10
Raballo A

An increasing amount of empirical studies demonstrates that anomalies of self-experience (self-disorders) are characteristic of schizophrenia and related spectrum conditions, indicating that self-disorders (SDs) are likely to constitute important vulnerability phenotypes. On a clinical level, SDs are non-psychotic alterations of subjective experience that include disturbances of self-awareness (e.g., fading first-person perspective, waning sense of basic identity, depersonalization and hyperreflectivity), autopsychic disorders (e.g., thought pressure or block, perceptualization of mental stream and spatialization of thoughts), loss of common sense (e.g., perplexity), and existential alterations (e.g., solipsistic grandiosity). Such experiences, define essential aspects of the clinical expressions of schizophrenia lending psychopathological coherence to its spectrum manifestations. Furthermore the experiential nature of SDs makes them amenable to the patient’s introspection which can be elicited in the dialogical context of the psychiatric interview with important implication for the therapeutic relation. The aim of this presentation is to illustrate the phenomenological core of these experiential anomalies, emphasizing their topicality for the exploration of vulnerability to schizophrenia spectrum conditions and their coherence with the overall clinical picture.
HubMed – addiction

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