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Optimizing Opioid Abuse Treatment in the Young Adult in an Outpatient Psychiatric Setting

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Date Issued:
2023
Abstract/Description:
Substance abuse, specifically opioid abuse, continues to be one of the largest epidemics in the United States. Death caused by overdose has seen a steady increase over the past few decades, and despite public health initiatives such as clean needle exchange programs, methadone clinics, and Narcan, there continues to be a concerning rise in the number of drug usage and death secondary to drug overdose in the young adult. Recently, Narcan became approved for over-the-counter usage to combat the increased incidents of overdose. Scholarly evidence shows that opioid use disorder is most effectively treated with a combination of medication and psychotherapy, particularly Cognitive Behavioral Therapy (CBT). Although Medication-Assisted Therapy (MAT) remains the gold standard in the treatment of opioid use disorder, the evidence and literature presented throughout this project will document how much more effective treatment is when patients are engaging in psychotherapy. The evidence shows that patients have a reduction in cravings, there is a reduction in relapse, and in many cases the patients can maintain long-term sobriety utilizing the tools learned in psychotherapy sessions. This project is a quality improvement project, in which I assessed the current processes in place to assess current treatment of patients seeking initial psychiatric evaluation, as well as of those engaging in follow up visits for the treatment of OUD. From there, I realized that my project site did not have a current process in place unique to patients being seen for OUD. I developed a questionnaire, based on similarities between our patients seen for OUD, that would be used with patients to establish a baseline and used to gauge effectiveness of treatment at increments. Ten patients were followed from May to October to generate these findings that will be presented. In the end, this project has provided a promising conclusion: combined therapy with MAT and psychotherapy for treatment of OUD is effective in optimizing sobriety.
Title: Optimizing Opioid Abuse Treatment in the Young Adult in an Outpatient Psychiatric Setting.
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Name(s): Desrosiers, Charlene, author
Mammah, Kyndall
Florida Atlantic University
Christine E. Lynn College of Nursing, Degree grantor
Type of Resource: text
Genre: Doctor Of Nursing Practice (DNP)
Date Created: 2023
Date Issued: 2023
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, FL
Physical Form: online resource
Extent: 39 p.
Language(s): English
Abstract/Description: Substance abuse, specifically opioid abuse, continues to be one of the largest epidemics in the United States. Death caused by overdose has seen a steady increase over the past few decades, and despite public health initiatives such as clean needle exchange programs, methadone clinics, and Narcan, there continues to be a concerning rise in the number of drug usage and death secondary to drug overdose in the young adult. Recently, Narcan became approved for over-the-counter usage to combat the increased incidents of overdose. Scholarly evidence shows that opioid use disorder is most effectively treated with a combination of medication and psychotherapy, particularly Cognitive Behavioral Therapy (CBT). Although Medication-Assisted Therapy (MAT) remains the gold standard in the treatment of opioid use disorder, the evidence and literature presented throughout this project will document how much more effective treatment is when patients are engaging in psychotherapy. The evidence shows that patients have a reduction in cravings, there is a reduction in relapse, and in many cases the patients can maintain long-term sobriety utilizing the tools learned in psychotherapy sessions. This project is a quality improvement project, in which I assessed the current processes in place to assess current treatment of patients seeking initial psychiatric evaluation, as well as of those engaging in follow up visits for the treatment of OUD. From there, I realized that my project site did not have a current process in place unique to patients being seen for OUD. I developed a questionnaire, based on similarities between our patients seen for OUD, that would be used with patients to establish a baseline and used to gauge effectiveness of treatment at increments. Ten patients were followed from May to October to generate these findings that will be presented. In the end, this project has provided a promising conclusion: combined therapy with MAT and psychotherapy for treatment of OUD is effective in optimizing sobriety.
Identifier: faudnp000076 (IID)
Note(s): Florida Atlantic University Christine E. Lynn College of Nursing Doctor of Nursing Practice (DNP)
Persistent Link to This Record: http://purl.flvc.org/fau/fd/faudnp000076
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