A significant number of individuals with co-occurring substance abuse and mental health disorders do not engage, stay, and/or complete residential treatment. Although prior research indicates that women men differ in their treatment experiences, our knowledge as well those attending private is limited.The purpose this study to examine gender differences on retention for who participate treatment.The participants were 1,317 (539 778 men) receiving at three centers. Bivariate analyses, life...

Background: Trust in health care has been shown to influence utilization, perceptions of fair treatment, and outcomes the general population. The literature on trust individuals with a history substance use disorder (SUD) is more limited, primarily examining patient-provider relationship. Women seeking abuse treatment community-based programs have higher rates prior trauma disparities compared male counterparts With trauma, this population theoretically at high risk decreased interpersonal...

Errors associated with medication documentation account for a substantial fraction of preventable medical errors. Hence, the Joint Commission has called adoption reconciliation strategies at all United States healthcare institutions. Although studies suggest that tools can reduce errors, it remains unclear how best to implement systems and processes are reliable sensitive clinical workflow. The authors designed primary care process supported without compromising clinic efficiency. This...

e13564 Background: Since 2021, the 21 st Century Cures Act has required near-immediate release of test results to patient portals, ushering in a new norm for patients’ access their laboratory data and pathology reports. Diagnostic reports are often laden with complex medical terms, which can exacerbate anxiety confusion. Several institutions have sought relieve this by establishing direct patient-pathologist consultations, also known as clinics. Pathology clinics improve experiences cancer...

e13512 Background: The 21st Century Cures Act and the adoption of electronic health records have given patients immediate access to their diagnostic reports via patient portals. However, viewing pathology results before consulting with physician can cause significant stress as struggle interpret technical language used in these reports. MyPathologyReport.ca is a website designed help understand navigate site features over 500 articles 400 dictionary definitions. Since its inception, has been...

Abstract A significant number of individuals with co-occurring substance abuse and mental health disorders do not engage, stay, and/or complete residential treatment. The purpose this study is to identify factors during the initial phase treatment which predict retention in private for use disorders. participants were 1,317 receiving at three centers located Memphis, TN, Malibu, CA, Palm Springs, CA. Bivariate analysis logistic regression utilized that 30 days. findings indicate a variety...

Cognitive impairment in patients with depression is often overlooked because cognitive deficits and symptoms of overlap. Understanding the neurobiological aspects important, cognition evolves as a therapeutic target treating depression. can precede or linger after depression, such sleep, appetite, affective symptoms, improve. Emerging literature on medications targeting should be considered when clinical decisions are made. Residual have been identified predictor poor outcomes Referral to...

Substance abuse is a major contributing factor to women being incarcerated in the United States, and substance critical high recidivism rates of offenders (50–70% within one year). Understanding factors that enhance deter from retention treatment will facilitate tailored interventions improve outcomes. This prospective study examined relationship use characteristics, childhood trauma, current trauma-related symptoms, motivation treatment, socio-demographic predicting an urban, residential...

Abstract The pervasive, damaging nature of posttraumatic stress disorder (PTSD) presents enormous clinical challenges. Understanding the relationship between patients’ perceptions PTSD symptoms and resilient coping strategies may prompt investigation interventions that improve adaptive, skills. In this study, we examined whether changes in were related to over time intrusion avoidance. A secondary analysis was conducted using longitudinal data from community‐based Washington State Twin...

Background: Women with a history of substance use disorder (SUD) constitute unique population gender-specific needs in treatment. Most notable is high rates prior trauma and the need for trauma-informed care framework. Given theoretical links between interpersonal trust, understanding quantitatively how trust may impact outcomes women this requires confirmation validity existing psychometric instruments. Objective: This study sought to confirm reliability construct Rotter Interpersonal Trust...

This paper provides outcomes from an evaluation of a federally funded program combining HIV prevention services with integrated mental health and substance abuse treatment to population primarily African American ex-offenders living with, or at high risk for contracting in Memphis, Tennessee. During the 5-year evaluation, data were collected 426 individuals during baseline 6-month follow-up interviews. A subset participants (n = 341) completed both Results suggest that was successful...

Every psychiatric client deserves access to treatments that have evidence of efficacy, but in nursing, this remains sparse. To address deficit, researchers must commit conducting high quality, community-based nursing intervention investigations. In service goal, the authors draw upon their research experiences community settings suggest options for overcoming system-, clinician-, and client-related barriers settings.

INTRODUCTION: Measurement-based care (MBC) uses standardized measurement to systematically monitor treatment response over time. Although MBC is underutilized in mental health settings, primary care-mental integration (PC-MHI) settings are expected provide MBC. This article describes a quality improvement (QI) process increase Patient Health Questionnaire-9 (PHQ9) utilization within PC-MHI setting. AIMS: Pre-intervention, rates of baseline and follow-up PHQ9 administration for veterans with...

Background: Community-engaged research (CEnR) is a promising approach to translate into practice. The Meharry-Vanderbilt Community Engaged Research Core (CERC) was established support academic-community partnerships with the goal of improving community health. A successful mini-grant program has been used foster academic partnerships. We describe process developing, implementing, and sustaining grant discuss how informed our CEnR activities.