Clinical Approach to the Heavy Cannabis User in the Age of Medical Marijuana

Cermak, Timmen L.

doi:10.1080/02791072.2015.1130279

Cited by 4 publications

(4 citation statements)

References 42 publications

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“…At the same time, counselors saw the potential harm of cannabis use and opted to use less directive approaches, such as motivational interviewing and psychoeducation, to raise awareness among clients about the risks associated with marijuana use. These findings are consistent with Cermak (2016), who suggested the importance of developing a nonconfrontational therapeutic alliance with clients who use recreational marijuana, as well as using motivational interviewing and psychoeducation to raise awareness among clients about the downsides of frequent marijuana use.…”

Section: Discussionsupporting

confidence: 89%

“…The majority of participants in our study identified harm reduction and motivational enhancement strategies as useful in responding to changing marijuana laws. This approach is consistent with the literature (Brooks et al, 2017;Cermak, 2016), and counselors should assess whether the substance is problematic (i.e., Does an individual meet the criteria for cannabis use disorder?) and make considerations regarding a client's use of other substances.…”

Section: Implications For Counselingmentioning

confidence: 59%

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The Lived Experiences of Addiction Counselors After Marijuana Legalization

Sperandio

Gutiérrez²,

Hilert³

et al. 2021

J Addict Offender Couns

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Section: Discussionsupporting

confidence: 89%

Section: Implications For Counselingmentioning

confidence: 59%

The Lived Experiences of Addiction Counselors After Marijuana Legalization

Sperandio

Gutiérrez²,

Hilert³

et al. 2021

J Addict Offender Couns

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“…Coded categories were not mutually exclusive such that a reference might have defined the principle of patient-centered care at more than one category. Bracketed numbers represent the number of unique references coded at each category b References coded at this category [45, 48, 51, 57, 59, 61–66, 71, 76, 77, 79, 83, 89, 91, 93, 94, 96, 99, 103, 104, 118–128] c References coded at this category [41, 43, 45, 48, 51, 57, 61, 63–66, 71, 74, 89–91, 96, 103, 118–121, 123, 125–132]…”

Section: Resultsmentioning

confidence: 99%

“…b References coded at this category [45, 48, 51, 57, 59, 61–66, 71, 76, 77, 79, 83, 89, 91, 93, 94, 96, 99, 103, 104, 118–128]…”

Section: Resultsmentioning

confidence: 99%

Conceptualizing patient-centered care for substance use disorder treatment: findings from a systematic scoping review

Marchand

Beaumont

Westfall³

et al. 2019

Subst Abuse Treat Prev Policy

140

110

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Background Despite ongoing efforts aimed to improve treatment engagement for people with substance-related disorders, evidence shows modest rates of utilization as well as client-perceived barriers to care. Patient-centered care (PCC) is one widely recognized approach that has been recommended as an evidence-based practice to improve the quality of substance use disorder treatment. PCC includes four core principles: a holistic and individualized focus to care, shared decision-making and enhanced therapeutic alliance. Aims This scoping review aimed to explore which PCC principles have been described and how they have defined and measured among people with substance-related disorders. Methods Following the iterative stages of the Arksey and O’Malley scoping review methodology, empirical (from Medline, Embase, PsycINFO, CINAHL and ISI Web of Science) and grey literature references were eligible if they focused on people accessing treatment for substance-related disorders and described PCC. Two reviewers independently screened the title/abstract and full-texts of references. Descriptive analyses and a directed content analysis were performed on extracted data. Findings One-hundred and forty-nine references met inclusion from the 2951 de-duplicated references screened. Therapeutic alliance was the most frequent principle of PCC described by references (72%); this was consistently defined by characteristics of empathy and non-judgment. Shared decision-making was identified in 36% of references and was primarily defined by client and provider strategies of negotiation in the treatment planning process. Individualized care was described by 30% of references and included individualized assessment and treatment delivery efforts. Holistic care was identified in 23% of references; it included an integrated delivery of substance use, health and psychosocial services via comprehensive care settings or coordination. Substance use and treatment engagement outcomes were most frequently described, regardless of PCC principle. Conclusions This review represents a necessary first step to explore how PCC has been defined and measured for people accessing substance use disorder treatment. The directed content analysis revealed population and context-specific evidence regarding the defining characteristics of PCC-principles that can be used to further support the implementation of PCC.

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