Integral Treatment Programme for Addicted Physicians: Results from The Galatea Care Programme for Sick Physicians

Objectives: Adolescents with substance use disorders (SUDs) exhibit high rates of comorbid psychological problems. This study aimed to examine the impact of an outpatient substance use treatment programme upon the psychological wellbeing of adolescents. Methods: A prospective study was carried out examining psychological symptoms in a group of adolescents attending the Youth Drug and Alcohol (YoDA) Addiction Service in Dublin. Participants were treated with evidenced based psychological models such as cognitive behavioural therapy, motivational interviewing and systemic family therapy. The Becks Youth Inventory was utilised to assess psychological symptoms at treatment entry and repeated three months later at follow up. Results: Among 36 adolescents who were included in this study, poly-substance misuse was the norm. Almost three-quarter had a cannabis use disorder (CUD). There were significant reductions in mean subscale scores of depression (56.0 to 50.8, p = 0.003), anger (55.2 to 49.5, p < 0.001) and disruptive behaviour (61.6 to 56.5, p = 0.002) at follow up. Although there wasn’t a statistically significant reduction in mean scores for anxiety, we observed a significant proportion of participants (p = 0.008) improving and moving out of a moderate to severe symptom range when examined by category. This was also the case for self-concept (p = 0.04). Furthermore this study revealed a positive correlation between the reduction in days of cannabis use and reduction in depressive scores (Pearson correlation 0.49, p = 0.01) among those with a CUD. Conclusion: The findings indicate that substance use treatment for adolescents is associated with important psychological and behavioural improvements.

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THE EVALUATION OF A TREATMENT PROGRAMME FOR ALCOHOLICS: A FOLLOW‐UP STUDY

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1964.tb133753.x ◽

1964 ◽

Vol 1 (1) ◽

pp. 8-13 ◽

Cited By ~ 7

Author(s):

A. S. Ellis ◽

J. Krupinski

Keyword(s):

Treatment Programme ◽

Follow Up Study

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Effectiveness of an intensive treatment programme combining prolonged exposure and EMDR therapy for adolescents suffering from severe post-traumatic stress disorder

European Journal of Psychotraumatology ◽

10.1080/20008198.2021.1917876 ◽

2021 ◽

Vol 12 (1) ◽

pp. 1917876

Author(s):

Ytje van Pelt ◽

Petra Fokkema ◽

Carlijn de Roos ◽

Ad de Jongh

Keyword(s):

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Prolonged Exposure ◽

Intensive Treatment ◽

Treatment Programme ◽

Post Traumatic Stress ◽

Post Traumatic ◽

Emdr Therapy

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Managed care improves prognosis in acute myocardial infarction survivors. Data from the MAnaged Care for Acute Myocardial Infarction Survivors (MACAMIS) Programme

European Heart Journal ◽

10.1093/ehjci/ehaa946.1309 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

P Jankowski ◽

R Topor-Madry ◽

M Gasior ◽

U Ceglowska ◽

Z Eysymontt ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Multivariate Analysis ◽

Managed Care ◽

Care Programme ◽

Wide System ◽

Care Assessment ◽

Acute Mi ◽

One Year ◽

Overall Mortality

Abstract Background Mortality following acute myocardial infarction (MI) remains high despite progress in pharmacotherapy and interventional treatment. In 2017 a nation-wide system of managed care for MI survivors comprising a continuum of acute treatment of MI, staged revascularization, cardiac rehabilitation, cardiac electrotherapy and cardiac ambulatory care within one year following MI was implemented in Poland. The managed care programme (MCP) includes also the quality of care assessment based on clinical measures (e.g. cardiovascular risk factors control) as well as on the rate of minor and major cardiovascular events. The goal of the analysis was to assess the overall mortality of MI survivors participating and not participating in the MCP. Methods The database of survivors of acute MI discharged from hospital from October 1, 2017 to December 31, 2018 was analyzed. Patients who died within 10 days after discharge were excluded from the analysis. The primary end-point was defined as death from any cause. Propensity-Score Matching (PSM) using nearest neighbor matching was used to form comparable groups of patients participating and not participating in the MCP. The Cox proportional hazard regression analysis was used to assess the relation between MCP and the overall mortality. Results MCP was implemented in the first stage in 48 hospitals spread around the country (about 34% of all hospitals treating acute MI patients in Poland). Out of 87739 analyzed patients (age: 68.1±11.9 years; 55581 men and 32158 women) 34064 were hospitalized in hospitals with MCP implemented. Altogether 10404 patients (11.9% of the whole cohort; 30.5% of those hospitalized in hospitals with MCP implemented) participated in MCP. They were matched with 10404 patients not participating in the MCP. During 324.8±140.5 days of follow-up 7413 patients died. One-year mortality was lower in patients participating in the MCP both when we analyzed the whole cohort (4.4% vs. 9.5%; p<0.001) as well as when we limited the analysis to the PSM groups (4.4% vs. 6.5%; p<0.001, figure 1). MCP was related to the overall mortality in univariate (HR 0.43 [0.39–0.48]) as well as in multivariate analysis (0.64 [0.57–0.71]) in the whole cohort as well as in the PSM cohort (HR 0.63 [0.56–0.72] and 0.64 [0.56–0.72] for the univariate and multivariate analysis respectively). When we limited the analysis to hospitals in which MCP was implemented one-year mortality was 4.3% vs. 6.3% (p<0.001) whereas univariate HR was 0.51 (0.44–0.60) and multivariate HR 0.52 (0.44–0.61). Conclusion The implemented in Poland nation-wide system of managed care for MI survivors is related to improved survival. Therefore, the Ministry of Health plans to implement the programme in all cardiac centers in Poland. Funding Acknowledgement Type of funding source: None

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Racial and socioeconomic disparities in the efficacy of a family‐based treatment programme for paediatric obesity

Pediatric Obesity ◽

10.1111/ijpo.12792 ◽

2021 ◽

Author(s):

Genevieve M. Davison ◽

Lauren A. Fowler ◽

Melissa Ramel ◽

Richard I. Stein ◽

Rachel P.K. Conlon ◽

...

Keyword(s):

Socioeconomic Disparities ◽

Treatment Programme ◽

Paediatric Obesity ◽

Family Based Treatment ◽

Family Based

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Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

BMC Geriatrics ◽

10.1186/s12877-021-02186-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Juan-José Zamora-Sánchez ◽

Edurne Zabaleta-del-Olmo ◽

Vicente Gea-Caballero ◽

Iván Julián-Rochina ◽

Gemma Pérez-Tortajada ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Convergent Validity ◽

Frailty Index ◽

Cross Sectional Study ◽

Cross Sectional ◽

Care Programme ◽

Discriminative Validity ◽

Primary Health ◽

Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

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