Stigmatization of Substance Use Disorders among Internal Medicine Residents

Meltzer, Ellen C.; Suppes, Alexandra; Burns, Sam; Shuman, Andrew G.; Orfanos, Alex; Sturiano, Christopher; Charney, Pamela; Fins, Joseph J.

doi:10.1080/08897077.2013.815143

Cited by 46 publications

(56 citation statements)

References 34 publications

(59 reference statements)

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“…Nevertheless, a previous study showed that holding a conception of AUD as a mental illness increased treatment access [ 50 ]. In addition, a study including internal medicine residents found a lower regard for AUD patients than those with other common conditions [ 51 ]. Further, previous data suggest that patients hospitalized for suicide risk who are judged to have a risk related to alcohol intoxication are discharged sooner than those who are not perceived to have a substance-related risk [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder

et al. 2018

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BackgroundPrevious studies have identified factors associated with admission to hospital after suicide spectrum behaviors. In this study, we aim to identify specific factors associated with psychiatric hospitalization after self-poisoning. Given earlier findings suggesting that alcohol use disorder is not associated with hospital admission, we also aim to consider its impact, as well as blood alcohol concentrations, on hospitalization decisions after a suicide attempt.MethodsWe studied the association between demographic features, suicide intent, psychiatric characteristics and admission to hospital in self-poisoning patients in an emergency department in France.ResultsSuicide intent, a past history of suicide attempts, bipolar disorder and depression were associated with psychiatric hospital admissions. Despite alcohol use disorder being known to be associated with a suicide risk, it was not linked with psychiatric hospitalization. A positive blood alcohol concentration in the emergency department likewise had no association with admission to a psychiatric ward for inpatient care.ConclusionsOur findings were similar to those reported for other suicide spectrum behaviors. Alcohol use disorder was not associated with admission for inpatient psychiatric care, whereas depression clearly was. The cause of this discrepancy must be determined in future research.

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Section: Discussionmentioning

confidence: 99%

Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder

et al. 2018

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“…It can also serve as a prime example of a topic that allows interweaving of "hidden curriculum" content related to health disparities and stigma and thus should be addressed longitudinally during clinical training. 6,14,15 State-wide and national initiatives to bolster education on this topic for medical trainees are growing. 4,8,9 Ensuring undergraduate medical education aligns with growth in graduate medical level training is an important step in preparing a workforce to care for patients with chronic pain safely and recognize and manage those with opioid use effectively by the end of training.…”

Section: Discussionmentioning

confidence: 99%

Teaching Safe Opioid Prescribing During the Opioid Epidemic: Results of the 2018 Clerkship Directors in Internal Medicine Survey

et al. 2019

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BACKGROUND: Educating medical trainees across the continuum is essential to a multifaceted strategy for addressing the opioid epidemic. OBJECTIVE: To assess the current state of internal medicine clerkship content on safe opioid prescribing and opioid use disorder, and barriers to curriculum implementation. DESIGN: National Annual (2018) Clerkship Directors in Internal Medicine (CDIM) cross-sectional survey. PARTICIPANTS: One hundred thirty-four clerkship directors at all Liaison Committee of Medical Education accredited US medical schools with CDIM membership as of October 1, 2018. MAIN MEASURES: The survey section on safe opioid prescribing and opioid use disorder education in the internal medicine clerkship addressed assessment of current curricula, perceived importance of curricula, barriers to implementation, and plans to start or expand curricula. Descriptive statistics were used to summarize responses, and Pearson's chi-square and Fisher's exact tests for statistical comparisons. KEY RESULTS: The survey response rate was 82% (110/ 134). Overall 54.1% of responding institutions reported covering one or more topics related to safe opioid prescribing or opioid use disorder in the internal medicine clerkship. A preponderance of clerkship directors (range 51-86%) reported that various opioid-related topics were important to cover in the internal medicine clerkship. Safe opioid prescribing topics were covered more frequently than topics related specifically to opioid use disorder. The main barriers identified included time (80.9%) and lack of faculty expertise (65.5%). CONCLUSIONS: Clerkship directors agreed that incorporating safe opioid prescribing and opioid use disorder topics in the internal medicine clerkship is important, despite wide variation in current curricula. Addressing curricular time constraints and lack of faculty expertise in internal medicine clerkships will be key to successfully integrating content to address the opioid epidemic.

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“…Esa situación, que no se limita solamente a la atención primaria, se hace presente también en otros niveles de atención, lo cual es preocupante ya que actitudes negativas como los comportamientos estigmatizantes son una barrera en el acceso a la atención a los usuarios, que pueden negarse a participar de un tratamiento o abandonarlo antes de lo previsto, además de generar una situación desagradable para el paciente, que no se sentirá bien en discutir sus hábitos de uso con el profesional, y ello deriva en la disminución de sus posibilidades de recuperación (Meltzer, Suppes, Burns, Shuman, Orfanos, Sturiano… Fins, 2013;Wakeman, Pham-Kanter, & Donelan, 2016).…”

Section: Introductionunclassified

Actitudes, creencias y estigma atribuidos por profesionales de la salud a dependientes de sustancias psicoactivas: una revisión sistemática

Ferreira¹,

Goroso²,

Ronzani³

2019

Drugs Addict. Behav.

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Objetivos: el uso abusivo y la dependencia de alcohol y otras drogas es muy común entre las comunidades y visto como un problema de salud pública, que requiere cuidados y tratamientos; así la presente revisión sistemática tiene como objetivo analizar las publicaciones científicas respecto de las actitudes, creencias y comportamientos estigmatizantes por parte de los profesionales de la salud frente a los usuarios de sustancias psicoativas, quienes buscan atención en los servicios de salud. Metodología: durante el mes de mayo de 2018 se realizó una búsqueda bibliográfica en las bases de datos de SciELO, LILACS, Pubmed, PsycINFO y Pepsic que generó un total de 35 artículos que se correspondieron con los criterios de inclusión. Resultados: se logra observar que, aunque los profesionales tienen consciencia acerca de su rol en la atención de los pacientes y que a veces tienen predisposición para atenderlos, las actitudes y creencias negativas pravelecen, debido al miedo, el poco interés, el prejuicio, la impaciencia y la falta de conocimiento sobre la problemática, evidenciados en los comportamientos de dichos profesionales. Por lo tanto, se señala la necesidad de promover discusiones y nuevas reflexiones, que deben ser realizadas conjuntamente con los profesionales, con el objetivo de elaborar estrategias de disminución de las actitudes negativas y del estigma, los cuales deben, además, ser trabajados desde la formación.

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Stigmatization of Substance Use Disorders among Internal Medicine Residents

Cited by 46 publications

References 34 publications

Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder

Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder

Teaching Safe Opioid Prescribing During the Opioid Epidemic: Results of the 2018 Clerkship Directors in Internal Medicine Survey

Actitudes, creencias y estigma atribuidos por profesionales de la salud a dependientes de sustancias psicoactivas: una revisión sistemática

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