Health

Two Crucial Facts About K2

Two Crucial Facts About K2

New strategies for substance use assessment will help us master the needed skills, so we can continue to do the best work possible for our patients and clients, helping with relapse prevention, promoting full recovery, paying attention to integrated care, lessening fragmented care, and feeling gratified, as we continue to do this challenging though noble work.

What Causes Addiction?

What Causes Addiction?

Contrary to popular belief, while personal efforts can contribute to one’s attendance to appointments, groups, and to one taking medications as prescribed, addiction or substance use disorders are caused by a combination of bio-psycho-social and cultural factors, and the treatment also requires the same multidimensional approach. As clinicians, it is our role and duty to follow this framework in our assessment, treatment, and approach with our patients and clients, and especially in how we communicate with them and talk about them and about addiction, as a whole.

Steps to Integrate Substance Use Treatment and Mental Health Services

Steps to Integrate Substance Use Treatment and Mental Health Services

Split treatment remains a challenge and has been shown to be detrimental to our patients and clients. This becomes more significant when it involves a patient population with several comorbidities. Patients with both mental health and substance use treatment needs are particularly vulnerable to split treatment, and integrating substance use treatment and mental health services is not only advised but also essential if we are to make meaningful changes.

New Strategies to Working with Individuals with Substance Use Disorder: 5 Benefits

New Strategies to Working with Individuals with Substance Use Disorder: 5 Benefits

You may be failing to provide the right care to your patients and clients with substance use disorder. You may also be using your counter transference and biases to their detriment, unknowingly and unintentionally. Learning the new strategies to working with individuals with substance use disorder will help you avoid falling into this trap. It will also help you promote and practice integrated substance use treatment and mental health care; improve your awareness and advocacy skills on behalf of your patients and clients with substance use disorders; and become a passionate educator to help decrease stigma against substance use disorders.

Clinician Burnout: Does The System Really Care?

Clinician Burnout: Does The System Really Care?

The system has its role to play. It needs to empower clinicians and advocates, patients and clients, if there are interests in decreasing staff turnover and restoring trust. If burnout is to be addressed and prevented and self-care promoted, we all have to work together. And, these efforts must be supported by the system, if we are to reach our goals and continue working effectively and with the passion with which we came into this field.

Burnout: An Epidemic

Burnout: An Epidemic

Cynicism, depression, and lethargy are some of the manifestations of burnout. Burnout is present in about 21-67% of mental health professionals. The ramifications can be devastating for our patients and clients, our clinicians and advocates, and for our agencies and the healthcare system, as a whole. Burnout can and must be prevented. Self-care can and must be promoted. Here are four reasons why.

Basic Integrated Care Skills for the Non-Medical Staff: 5 Reasons Why

Basic Integrated Care Skills for the Non-Medical Staff: 5 Reasons Why

Peter received home health care resident visits from multiple providers, including, nursing care, the care coordinator, and the diabetic educator, in addition to visits from Kate, the social worker.  He began sharing medical concerns and complaints with Kate that he was not sharing with the rest of the staff. However Kate was limited in her understanding and ability to best support Peter.

5 Tips to Help Engage your Patients and Clients (part II)

5 Tips to Help Engage your Patients and Clients (part II)

Are you ready to make engagement part of daily practice?  As stated in Part 1 of this article series, engagement is a process; it does not happen overnight, and it requires patience, flexibility, and a different mindset, a willingness to consider a strategic approach.  As a result, to be successful, you need to desire it, and to decide to make it a priority.

Symptom Contextualization: Introducing a New and Key Concept

Symptom Contextualization: Introducing a New and Key Concept

Arianna’s dream was to become a researcher.  “My older brother has been sick and suffering a lot, and I want to help him and also help stop suffering in the world.”  She often said these words to herself, as a way to remember that keeping her promise alive meant hard work, keeping up with great grades, and maintaining her extracurricular activities.  Arianna wanted to be sure she was doing all the right things to get ready for college and in preparation for graduate school.  At age 15; however, Arianna suddenly developed some unusual and disturbing symptoms…

CBT and Cognitive Distortions: 3 more

CBT and Cognitive Distortions: 3 more

“Talking about these cognitive distortions has been helpful. What are some of the other ones?" Vladimir, a colleague who previously did not think much about CBT, has now become a believer.

After providing the background on CBT and an overview of cognitive restructuring and automatic thoughts, I then started to talk with him about cognitive distortions. Here we discuss 3 more...

Social Determinants of Health: The Why and the What

Social Determinants of Health: The Why and the What

Meet Marcy, a social worker, treating Melanie, a 10-year-old child, whose father was recently imprisoned for domestic violence and child endangerment. Melanie came to the clinic with symptoms of PTSD and depression, including guilt. Melanie called the police, because she was so scared when her mother suffered abuse at home. Confusion, loss, shame, and embarrassment were all part of what she had to endure emotionally. What 10-year-old could bear such a thing? And Marcy, the social work therapist was determined to help Melanie make sense of it all, mourn her separation and loss, and forgive herself.

Social Determinants of Health

Social Determinants of Health

Common to most community health clinics, waiting areas are usually crowded with patients to be seen, and it was no different this time for staff psychiatrist, Dr. Davidman. Though newly recruited, he managed to quickly develop a “well-liked” reputation with patients, generally greeting everyone waiting to be seen. "I notice many things in this waiting area, but one thing catches my attention the most: many clients and patients often stop me to ask for food." This was the doctor’s personal reflection about complex issues that needed direct attention.

Engaging Challenging Patients and Clients – Wood Did It Best

Engaging Challenging Patients and Clients – Wood Did It Best

“I’m here because of Mr. Wood. For the first time, I felt like someone listened to me, treated me with respect and like a human being.” Jose said this to Danie at the front desk, when he arrived for his first follow up visit with Wood.

Basic Integrated Care Skills for the Non-Medical Staff

Basic Integrated Care Skills for the Non-Medical Staff

Peter received home health care resident visits from multiple providers, including, nursing care, the care coordinator, and the diabetic educator, in addition to visits from Kate, the social worker.  He began sharing medical concerns and complaints with Kate that he was not sharing with the rest of the staff. However Kate was limited in her understanding and ability to best support Peter.

Preventing Burnout From a System Perspective

Preventing Burnout From a System Perspective

The system has its role to play. It needs to empower clinicians and advocates, patients and clients, if there are interests in decreasing staff turnover and restoring trust. If burnout is to be addressed and prevented and self-care promoted, we all have to work together. And, these efforts must be supported by the system, if we are to reach our goals and continue working effectively and with the passion with which we came into this field.

Preventing Burnout: Self-Care for Clinicians and Advocates

Preventing Burnout: Self-Care for Clinicians and Advocates

Cynicism, depression, and lethargy are some of the manifestations of burnout. Burnout is present in about 21-67% of mental health professionals. The ramifications can be devastating for our patients and clients, our clinicians and advocates, and for our agencies and the healthcare system, as a whole. Burnout can and must be prevented. Self-care can and must be promoted. Here are four reasons why.

 K2: The 2 Additional Facts all Clinician Needs to Know

 K2: The 2 Additional  Facts all Clinician Needs to Know

New strategies for substance use assessment will help us master the needed skills, so we can continue to do the best work possible for our patients and clients, helping with relapse prevention, promoting full recovery, paying attention to integrated care, lessening fragmented care, and feeling gratified, as we continue to do this challenging though noble work.

New Strategies for Substance Use Assessment: What Causes Addiction?

New Strategies for Substance Use Assessment: What Causes Addiction?

Contrary to popular belief, while personal efforts can contribute to one’s attendance to appointments, groups, and to one taking medications as prescribed, addiction or substance use disorders are caused by a combination of bio-psycho-social and cultural factors, and the treatment also requires the same multidimensional approach. As clinicians, it is our role and duty to follow this framework in our assessment, treatment, and approach with our patients and clients, and especially in how we communicate with them and talk about them and about addiction, as a whole.

Integrating Substance Use Treatment and Mental Health Services: The How To and The 5 Steps

Integrating Substance Use Treatment and Mental Health Services: The How To and The 5 Steps

And so it went. Five steps:

  1. Ask,

  2. Assess,

  3. Formulate,

  4. Implement, and

  5. Track.

 These five steps are simply part of the key strategies to successfully integrating substance use treatment and mental health services.  

New Strategies for Substance Use Assessment: 5 Reasons Why

New Strategies for Substance Use Assessment: 5 Reasons Why

Substance Use Disorder is a chronic condition that requires long-term treatment, and any progress made often waxes and wanes. Like Maryann, you may similarly work with patients and clients affected by Substance Use Disorder, and you may no longer know what to do. Part of the answer starts with an effective and comprehensive substance use assessment.