Discussion Response: Substance Treatment disorder in an Adolescent

Discussion Response: Substance Treatment disorder in an Adolescent

Great post Oluwakemi! I acknowledge the strides made in the health sector to effectively manage and rehabilitate patients with substance use disorder, particularly among adolescents. Sarvey & Welsh (2021) highlight how substance abuse has a major impact on individuals, families, and communities, with its effects cumulatively, contributing to costly social-economic impact, physical & mental health problems and poor academic outcomes among adolescents. This explains why there is need for a wide range of current, scientific evidence-based interventions, to reverse the trajectory trends Discussion Response: Substance Treatment disorder in an Adolescent.

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Sathanantham, Dayasiri & Thadchanamoorthy (2021) highlight the factors associated with adolescent substance abuse namely; increased autonomy during adolescence, peer influence and willingness to experiment, and perceptions of drug use and abuse. The commonly abused substances are cannabis, stimulants, opioids and hallucinogens. The period of adolescence is defined by WHO as a transition period from childhood to adulthood that ranges from 10 to 20 years of age. Therefore, the effects of drugs at this stage can range from moderate to severe with non-fatal and fatal injuries, academic failure, violence, addiction, suicidal attempts, sexually transmitted infections and unintended pregnancy.

While establishing effective intensive inpatient therapies to administer to adolescents with substance use disorder, Fadus et al., (2019) highlight that, it is important for a nurse to be knowledgeable of specific toxidromes associated with SUD, know how to perform a mental health assessment for the purposes of differentiating pre-existing psychiatric illness linked with substance use and abuse.

The topic of clinical interest I choose to discuss the “Substance Treatment disorder in an Adolescent”. PICOT topic for the project is “Among adolescents with a history of substance abuse, what is the effect of intensive inpatient therapy on recovery compared with outpatient treatment over a period of one year?” I choose this topic due to the increased rate of substance abuse in adolescents and the approach to treatment. Adolescent substance abuse is a serious public health concern, and in response to this problem, several effective treatment approaches have been developed (Burrow-Sánchez et al., 2015). With the number of adolescents involved in substance rapidly increasing, it is important to establish clinically effective ways to deal with the issue. While there are various clinical interventions employed to rehabilitate adolescents with a history of substance abuse, their effectiveness varies Discussion Response: Substance Treatment disorder in an Adolescent.

The studies I researched focused on outpatient treatment and follow-up treatment with adolescents battling substance abuse. The databases I used were Walden University Library, Cumulative Index to Nursing & Allied Health Literature (CINAHL), Medline, and ProQuest, I was able to narrow down my search within 5 years of research and scholarly journals. I searched terms such as “Outpatient treatment for adolescents with substance abuse” and “substance abuse treatment for adolescents” which helped narrow down my results to articles focused on adolescents. I also used Boolean teams such as “and”, “outpatient treatment, and substance abuse relapse. When treatment centers serve adolescents, those adolescents are likely to receive care in adolescent-only tracks and/or services and in programs that offer several psychosocial evidence-based practices (Paino et al., 2015). Outpatient care is the most common form of care for substance-abusing adolescents in Sweden and in other countries, and more knowledge and continued research are required concerning this particular form of care.

References

Anderberg, M., Dahlberg, M., & Wennberg, P. (2021). Adolescents with substance

abuse problems in outpatient treatment: A one-year prospective follow-up study. Nordisk Alkohol- & Narkotikatidskrift : NAT, 38(5), 466–479. https://doi.org/10.1177/1455072521995611

Burrow-Sánchez, J. J., Meyers, K., Corrales, C., & Ortiz-Jensen, C. (2015). The influence

of cultural variables on treatment retention and engagement in a sample of Mexican American adolescent males with substance use disorders. Psychology of Addictive Behaviors, 29(4), 969–977. https://doi.org/10.1037/adb0000096

Paino, M., Aletraris, L., & Roman, P. M. (2015). Organizational Predictors and Use of Evidence-Based Practices in Adolescent Substance Abuse Treatment.

Substance Abuse, 36(4), 462–469. https://doi.org/10.1080/08897077.2014.960959

References

Sarvey, D., & Welsh, J. W. (2021). Adolescent substance use: Challenges and opportunities related to COVID-19. Journal of Substance Abuse Treatment, 122, 108212.

Sathanantham, S., Dayasiri, K., & Thadchanamoorthy, V. (2021). Approach to the Adolescent With Substance Use in the Acute Setting. Cureus, 13(7). https://doi.org/10.7759/cureus.16309

Fadus, M. C., Squeglia, L. M., Valadez, E. A., Tomko, R. L., Bryant, B. E., & Gray, K. M. (2019). Adolescent substance use disorder treatment: an update on evidence-based strategies. Current psychiatry reports, 21(10), 1-10. doi:10.1007/s11920-019-1086-0 Discussion Response: Substance Treatment disorder in an Adolescent