Implementation of a medical education programme for addictions MDT members to improve knowledge and confidence in managing substance users with complex comorbidities
| Autor: | Bridget Browne, Marie Alexandra Edison, Jeffrey Fehler |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Leadership and Management Quality Improvement Report Substance-Related Disorders staff development Comorbidity 03 medical and health sciences 0302 clinical medicine Nursing Intervention (counseling) Medicine Humans 030212 general & internal medicine Referral and Consultation Aged Polypharmacy Harm reduction lcsh:R5-920 Education Medical business.industry Health Policy Public health Communication Public Health Environmental and Occupational Health health professions education Workforce development Mental health 030227 psychiatry Integrated care Harm patient-centred care England Public Health business lcsh:Medicine (General) healthcare quality improvement mental health |
| Zdroj: | BMJ Open Quality BMJ Open Quality, Vol 9, Iss 4 (2020) |
| ISSN: | 2399-6641 |
| Popis: | BackgroundPublic Health England (PHE) has highlighted a rising number of deaths due to addiction, and notable changes in patient profiles. Management is now frequently intertwined with medical comorbidities and polypharmacy, as the patient group presents with more complex needs. Early detection is vital to minimise harm. Mental health frequently needs treating in tandem, but ‘cross-referral’ services can fail to recognise or meet these needs. A cohesive, confident multidisciplinary team (MDT) is vital for holistic care and accelerating recovery in cost-effective ways. Furthermore, MDTs are uniquely placed to effectively broker communications between multiple care inputs.MethodsMDT members of an addictions centre participated in a three-and-a-half-months education programme, encompassing eight PHE-recommended topics. These related to physical and mental health substance misuse sequelae, and specific population treatment needs.ResultsThere was a statistically significant improvement in all areas including: recognising early physical and/or mental health deterioration signs, providing basic health advice and appropriate escalation. Regarding PHE topics, biggest mean improvements were in managing substance misuse with physical comorbidities and pregnancy (38.2% and 35.9% respectively, pConclusionA teaching programme improved MDT knowledge and confidence in early detection, escalation and communication of physical and mental comorbidities associated with substance misuse. This intervention should support harm reduction strategies on individual and wider-community levels. Introducing an education programme ensures a sustainable approach to workforce development and helps facilitate holistic care cost-effectively. Clear communication between multiple ‘cross-referral’ services involved with complex needs is essential for comprehensive integrated care. |
| Databáze: | OpenAIRE |
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