User-involvement/oriented Care Models and Substance Use Disorder Care: Review of the Literature

Arnett, Kathryn

doi:10.4172/2155-6105.1000280

Cited by 2 publications

(7 citation statements)

References 54 publications

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“…When we engage in the practice of micro and macro aggression towards patients, including the constant reminder of devastating statistics about relapse and death, we are feeding into our client's desperation in a very anxiety provoking way, which is contraindicated according to the best practices literature [5]. How do we instil hope in ourselves and our patients in the wake of organizational stress and trauma?…”

Section: Implications For Practicementioning

confidence: 99%

“…The meta-analyses conducted by Miller and his colleagues, references the concepts, individually stressing the importance of their comprehensive inclusion as best practices in SUD care, treatment, and services [8]. Nonetheless, current studies that examine the userinvolvement models of care in SUD treatment are limited according to a comprehensive review of the literature [5] and represent a great degree of overlap without identifying care outcomes that are specific to each model.…”

Section: Introductionmentioning

confidence: 99%

“…A review of the extant literature identified no empirical studies that examined SUD care outcomes based on a synthesis of the four models [5]. Miller and colleagues [8] have been most successful in demonstrating the importance of synthesizing user-involvement models and processes of care in SUD intervention, although they do not define the principles specifically as "user-involvement care models. "…”

Section: Introductionmentioning

confidence: 99%

“…A review of the current literature regarding best practices for mental health care, including SUD [5], revealed the importance of applying user-involvement models of care, which include (a) person-centered, (b) shared decision-making, (c) recovery model, and (d) patient/ person participation. A recent paper published by the National Institute of Health (NIH) in the Journal of the American Medical Association outlined the characteristics essential to best clinical practices.…”

Section: Introductionmentioning

confidence: 99%

“…This approach is intended to give clients an active role in their care program and, facilitates ownership and responsibility (congruent with the characteristics of recovery model), offering clients an opportunity to be critical change-agents in the agency's improvement process. Taken together, these userinvolvement/oriented models of care provide a framework for SUD care best practices, according to a comprehensive review of the literature [5].…”

Section: Introductionmentioning

confidence: 99%

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Organizational Stress and Trauma: Impediments to the Delivery of User- Involvement Models of Care in Substance Use Disorder Treatment

Arnett¹,

Baron²

2017

J Addict Res Ther

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Objective: The objective of the qualitative study reported in this paper was to expand knowledge of substance use disorder (SUD) care best practices, by examining the experiences of residential SUD care participants with user-involvement/oriented care models. These included person-centered, shared decision-making, recovery model and patient/person participation. The goal of the study was to provide a better understanding of the following: each user-involvement model as it relates to residential SUD care from the perspective of residential SUD care participants, the importance of concretizing the concepts for future empirical studies and the development of a nomenclature for the synthesis of the models to inform future empirical studies and assist practitioners with applying the core concepts of the four models in a way that is congruent with the outcomes of empirical studies. Methods:The author collected data by conducting semi-structured, open-ended, one-on-one interviews with a convenience sample of 12 study subjects between the ages of 24 and 65 years (11 males and 1 female) who selfidentified as having successfully completed at least one residential care program for substance use disorder(s). All interviews were recorded and transcribed, and grounded theory methodology was used to analyze the results. The study design was approved by the University of Pennsylvania Institutional Review Board, February 2016.Results: Data collected from the study subjects represented some degree of experience with all four userinvolvement models in residential substance use disorder care. Data also revealed experiences that represented the opposite of the models, and was indicative of care affected by organizational stress and trauma (e.g. burnout, vicarious trauma) and a lack of trauma-informed care. Conclusion:Subjects perceived the care to be most beneficial in the presence of the user-involvement models; however, quality care was compromised and negated by the presence of organizational stress and trauma and a lack of trauma-informed care. The current study finds organizational stress and trauma and a lack of traumainformed care not only serves as an impediment to the delivery of user-involvement/oriented care models, but becomes the overarching phenomena that undermines and negates the delivery of user-involvement models of care in residential substance use disorder treatment.

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Section: Implications For Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Organizational Stress and Trauma: Impediments to the Delivery of User- Involvement Models of Care in Substance Use Disorder Treatment

Arnett¹,

Baron²

2017

J Addict Res Ther

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Implementation of user organizations in Swedish health care and social services for persons with substance use disorders

Billsten

Benderix

2019

Nordic Social Work Research

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Background: In Sweden, the National Guidelines for Substance Abuse Treatment includes new recommendations concerning integrating a user perspective. From 2009 to 2014, the Swedish National Board of Health and Welfare supported and financed the development of organizations serving regional users. The programme was evaluated, and the results showed a development of user influence in substance use treatment services in 20 out of 21 regions by 2014. The implementation of user organizations' influence was evaluated in 2018 for this follow-up study. Aim: The aim of this four-year follow-up study was to evaluate whether user organizations continued existing once national support ended, and whether their influence in social services and health care, at both organizational and individual levels had been implemented. Method: A questionnaire was dispatched to 20 regional user organizations. It included information and questions focused on their situation, and on participants' experiences of the influence of user organizations in health care and social service. Results: The results obtained from the questionnaire show that 14 out of 20 user organizations still existed and reported a developed influence in social services and health care at organizational and individual levels. National support was perceived as necessary for the ongoing development of user organizations and to continue increasing their influence. Conclusions: Support at the national level initiated the development of user influence in Sweden, which has increased at both organizational and individual levels in the context of social services, as well as in health care for persons with substance use disorders.

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User-involvement/oriented Care Models and Substance Use Disorder Care: Review of the Literature

Cited by 2 publications

References 54 publications

Organizational Stress and Trauma: Impediments to the Delivery of User- Involvement Models of Care in Substance Use Disorder Treatment

Organizational Stress and Trauma: Impediments to the Delivery of User- Involvement Models of Care in Substance Use Disorder Treatment

Implementation of user organizations in Swedish health care and social services for persons with substance use disorders

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