Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 18 of 18
Full-Text Articles in Medicine and Health Sciences
The Medication-Assisted Therapy (Mat) Program Algorithm At Community Health Centers Riverside (Chc-R), Aathman Swaminathan
The Medication-Assisted Therapy (Mat) Program Algorithm At Community Health Centers Riverside (Chc-R), Aathman Swaminathan
Family Medicine Clerkship Student Projects
No abstract provided.
Motivation For Mat, Jacob Bernknopf
Motivation For Mat, Jacob Bernknopf
Family Medicine Clerkship Student Projects
The goal of this project was to discover a commonality in why patients begin the MAT program. This will hopefully make it easier for future providers to help future patients articulate why they need to make the change in their life. This can be especially beneficial in patients dealing with concurrent stimulant or alcohol use.
Narrative Medicine: Perspectives On Opioid Maintenance, Noorin Damji
Narrative Medicine: Perspectives On Opioid Maintenance, Noorin Damji
Family Medicine Clerkship Student Projects
People who experience opioid addiction often feel marginalized by healthcare workers, or stigmatized by the medical system. Additionally, there are not enough medical providers to meet the needs of people who struggle with opioid addiction. These factors create barriers that prevent the medical establishment from effectively meeting the needs of people who experience addiction. This project compiles rich perspectives of patients on opioid maintenance treatment to share with medical students and providers to foster greater empathy for these patients, and positive attitudes toward managing substance use disorder among future medical providers.
Social Support Groups Focused On Substance Abuse And Addiction Available To Patients In Franklin County, Vermont, Michael Nilo
Social Support Groups Focused On Substance Abuse And Addiction Available To Patients In Franklin County, Vermont, Michael Nilo
Family Medicine Clerkship Student Projects
Substance abuse/addiction, especially of opioids, is a major problem in Franklin County, where resources are not easily accessible to patients struggling/in recovery. Educating patients about the availability of peer support groups/recovery centers and clinics in the community may provide an attractive resource for patients who need additional help.
Substance Use Disorder Treatment Decision Aid For Adults In Chittenden County Vermont, Elizabeth V. Mcleod
Substance Use Disorder Treatment Decision Aid For Adults In Chittenden County Vermont, Elizabeth V. Mcleod
Family Medicine Clerkship Student Projects
Substance Abuse Disorders (SUDs) are a prevalent public health concern in both the national and local arena resulting in millions of dollars in pubic health costs and loss of life. Navigating the treatment options available in Chittenden County can be time consuming, difficult, and delay treatment. In order to help guide adult patients and their families in Chittenden County along their journey towards recovery from SUDs, a treatment decision aid was developed for choosing the right level of care.
How To Improve A Medication-Assisted Treatment Program For Opioid Use Disorder: First, Look At The Evidence, Collin York
How To Improve A Medication-Assisted Treatment Program For Opioid Use Disorder: First, Look At The Evidence, Collin York
Family Medicine Clerkship Student Projects
The prevalence of Opioid Use Disorder (OUD) in the United States has been described as an epidemic, and rural areas have been affected in particular. A treatment paradigm called Medication-Assisted Treatment (MAT) has been demonstrated to be effective at treating OUD, and more and more rural, primary care clinics are establishing MAT programs. One such clinic is Hudson Headwaters Health Network, a FQHC in Upstate New York. I wrote a literature review and distributed it to staff involved in MAT program design, and I also wrote a practical evidence guide for MAT providers. Providers completed a survey assessing the evidence …
Improving Awareness Of Opiate Support Programs In Lamoille County, Samantha Bissonette
Improving Awareness Of Opiate Support Programs In Lamoille County, Samantha Bissonette
Family Medicine Clerkship Student Projects
Despite Vermont having doubled the rate per 10,000 people ages 18 to 64 receiving Medication Assisted Treatment (MAT) for Opiate Use Disorder (OUD) since 2012, there are still numerous barriers preventing patients from seeking treatment, including confusion about how to go about entering a treatment program, fear of stigma, and many others. Lamoille County has started to expand outreach to people struggling with OUD by having emergency services personnel, outpatient medical offices, and recovery centers hand out a county-specific information card with clear information about how to enter treatment and support programs. This project builds upon this existing initiative.
Restoring Self-Sufficiency With Suboxone Group Therapy, Jacob Thomas Lehman
Restoring Self-Sufficiency With Suboxone Group Therapy, Jacob Thomas Lehman
Family Medicine Clerkship Student Projects
No different than many other Northeastern states, Maine continues to face an opioid epidemic. Drug-induced deaths continue to rise each year and Lewiston, ME remains no exception. In 2017 Maine saw 418 deaths related to drugs, a number that is only increasing every year. There remains a rising need for effective treatments such as medically assisted therapy. Starting in 2018, the Family Medicine Residency at the Central Maine Medical Center created such a group and began treating patients. The scope of this research is to track improvements in self-sufficiency among patients and to aide in advertisement of the program. Programs …
Window Of Opportunity For Opiate Dependence, Scott C. Mitchell Ii
Window Of Opportunity For Opiate Dependence, Scott C. Mitchell Ii
Family Medicine Clerkship Student Projects
Opiate dependence is a prevalent problem and there is a need for current regional information for those seeking to break opiate dependence. There is a small window of opportunity for these patients to seek and find help before they give up and return to using. This project provides a pamphlet with current resources for opiate dependent individuals to get help in a rapid period of time for the Bangor, Maine area.
Assessing Patient Perspective Of Current Suboxone Treatment, Midori Eckenstein
Assessing Patient Perspective Of Current Suboxone Treatment, Midori Eckenstein
Family Medicine Clerkship Student Projects
The number of people seeking treatment for opioid abuse and heroin use. While this number is increasing the number of heroin fatalities is also on the rise. Methadone clinics are reporting better retention rates than suboxone treatment. This project explores the patient perspectives of suboxone therapy and what can be improved to help establish better practices.
Marijuana Use Counseling During Pregnancy, Adam Petchers
Marijuana Use Counseling During Pregnancy, Adam Petchers
Family Medicine Clerkship Student Projects
Penobscot County, Maine has among the highest rates of marijuana use in the country, and Maine has recently voted to legalize recreational use of marijuana. Research has shown that pregnant women frequently seek out and are dissatisfied with information regarding the safety of marijuana use during pregnancy. We surveyed Family Medicine providers at the Center for Family Medicine at Eastern Maine Medical Center in Bangor Maine regarding their counseling of pregnant patients on the topic of marijuana use. From the results, we created an information sheet to aid providers in marijuana use counseling with pregnant women.
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Family Medicine Clerkship Student Projects
Mindfulness has been shown to aid in addiction recovery and can help prevent relapse. The Family Medicine Center & Residency Program at Eastern Maine Medical Center (EMMC) in Bangor, Maine has provided mindfulness resources to their opioid-dependent patients; however, the center has no quantitative data on the current understanding and utilization of mindfulness techniques among this patient population. A survey tool was created and distributed to opioid-dependent patients in the clinic to identify barriers to practicing mindfulness. The collected data was submitted by one of the clinic providers in a grant proposal. Grant funding could go toward addressing these barriers.
Chronic Pain: Decreasing Dependence On Opioids, Derek Luzim
Chronic Pain: Decreasing Dependence On Opioids, Derek Luzim
Family Medicine Clerkship Student Projects
An estimated 100 million Americans suffer from chronic pain. A substantial number of them have been prescribed opioid medication for pain management. Evidence has accumulated that opioid medication is inefective for long-term pain control, and that it is associated with increased risk of overdose and accidents, diversion, dependence and misuse. Doctors are increasingly attempting to reduce levels of opioid use in their patients, and some patients with chronic pain are reluctant to decrease their use. This project aimed to provide information to both doctors and patients about this issue.
Barriers To Recovery For Bangor's Buprenorphine Patients, John R. Mclaren, Erin Keller
Barriers To Recovery For Bangor's Buprenorphine Patients, John R. Mclaren, Erin Keller
Family Medicine Clerkship Student Projects
There are several buprenorphine providers at EMMc's Center for Family Medicine serving the greater Bangor, ME region - an area of substantial opiate use. Among the patient population of outpatient buprenorphine users, both locally and nationally, there are high rates of relapse (~32%). In order to decrease relapse rates, it's first imperative to conduct a baseline review of the current buprenorphine population to identify specific types of patients who are at higher risk of relapse. By understanding the barriers to recovery, the office hopes to apply an intervention to the current program, targeting this local demographic more effectively.
Barriers To Recovery For Buprenorphine Patients In Bangor, Maine, Erin L. Keller, John Mclaren
Barriers To Recovery For Buprenorphine Patients In Bangor, Maine, Erin L. Keller, John Mclaren
Family Medicine Clerkship Student Projects
Opiate addiction is a major public health problem in Maine. Addiction is a chronic disease with high relapse rates. A better understanding of the demographics and barriers to recovery in opiate addicted populations can help to improve the success of buprenorphine treatment programs.
Drug Treatment Court: The Power Of Understanding Addiction, Asaad Traina
Drug Treatment Court: The Power Of Understanding Addiction, Asaad Traina
Family Medicine Clerkship Student Projects
The Drug Treatment Court in Burlington is one of about 3000 drug treatment courts nationwide. They were developed as an “alternate sentencing court”, a method of restorative justice that would allow people who had multiple criminal charges related to substance abuse to overcome their addiction, have their criminal charges dismissed, and pursue a fuller life. As part of this program, many participants attend an Intensive Outpatient Program (IOP). As a third year medical student, I lead an educational session with the aim of helping participants understand the neurophysiology behind their addiction.
Increasing Naloxone Availability, Brian Till
Increasing Naloxone Availability, Brian Till
Family Medicine Clerkship Student Projects
Administration of naloxone is credited with the reversal of at least 10,000 opioid overdoses in the United States between 1996-2010 alone.[i] Moreover, intranasal naloxone has proven an equally effective route of drug administration when compared to IV dosing in emergent prehospital settings[ii], and retrospective studies have shown no significant difference in efficacy between doses delivered by healthcare professionals and non-healthcare professionals.[iii] Despite these facts, and broad protections provided to physicians prescribing naloxone and citizens administering naloxone outlined in Vermont Act 75, few if any Vermont physicians have incorporated prescribing naloxone into their practice. This project intended …
Screening, Brief Intervention And Referral To Treatment For Substance Abuse In Waitsfield, Vt, Chi An Liu
Screening, Brief Intervention And Referral To Treatment For Substance Abuse In Waitsfield, Vt, Chi An Liu
Family Medicine Clerkship Student Projects
Substance abuse is an issue in Waitsfield, VT and currently there is no formal program or intervention at Mad River Family Practice to help patients overcome their addictions. Screening, brief intervention and referral to treatment (SBIRT) is a program to identify at risk patients, raise awareness of their abuse, and help them find support and treatment they need.