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Substance Abuse rehabilitation

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221. Systematic review of the effectiveness and cost effectiveness of employee assistance programmes

. marital, financial or emotional problems, family issues, substance/alcohol abuse) that ma ?dGAE |G ? ?Gu ? AIIGÐ ls YO l S GG wÐu Ž ?GG?? ÐG? IŽ ? wAY ÐG? ? (Glossary of Human Resources Terms at http://www.shrm.org/TemplatesTools/Glossaries/Documents/ The Employee Assistance Professionals Association in the UK (EAPA) describes EAPs as follows: ? An EAP is a worksite-­-focused programme to assist in the identification and resolution of employee concerns, which affect, or may affect, performance (...) as dealing with a range of situations such as substance abuse, marital problems, family troubles, stress and domestic violence, as well as providing health education and disease prevention. Additionally EAPs can sometimes have a health promotion remit. Regardless of the specific configuration of services, EAPs can be broadly described as having two aims: 1. To improve employee health and well-­-being, and 2. To reduce productivity and performance problems among employees. (Macdonald, Lothian & Wells

2012 British Occupational Health Research Foundation

222. A controlled comparison study to evaluate different management strategies for workplace trauma

and often substance abuse’ (US Army, 1994). However, this clustering of symptoms was also being recognised in non-military situations, such as victims of disasters and violent crimes. Since its first appearance in 1979, the definition of PTSD has undergone a number of refinements. One significant change is the removal of the qualifier that the type of events giving rise to PTSD should be ‘outside the range of normal human experience’. Instead, emphasis is placed on the way the individual responds (...) , Rick J, Fergusson E HSE Research Report RR170, 2004. ISBN 0 7176 2770 5 Best Practice in Rehabilitating Employees Following Absence Due to Work-Related Stress Thomson L, Rick J, Neathey F HSE Research Report RR138, 2003. ISBN 0 7176 2715 2 Review of Existing Supporting Scientific Knowledge to Underpin Standards of Good Practice for Key Work-Related Stressors, Phase 1 Rick J, Thomson L, Briner R, O'Regan S, Daniels K HSE Research Report RR024, 2002. ISBN 0 7176 2568 0 A catalogue of these and all

2006 British Occupational Health Research Foundation

224. Position Statement: the management of patients with physical and psychological problems in primary care - a practical guide

physical illness in the primary care setting. The report is highly focused on this particular area and does not cover other psychiatric or psychological problems in primary care. It includes the needs of older adults, children and adolescents. It does not specifically cover the particular needs of people with intellectual disability or make reference to the management of self-harm or substance misuse in primary care. a ims of the repor t This is essentially a practical guide for professionals working (...) (psychosocial response of the patient). They described ‘medical care abusers’ as having extensive illness behaviour but with ‘non-existent’ disease. Such illness behaviour they thought was self-induced or had developed in response to the behaviour of their doctors (i.e. iatrogenic). Mind and body Royal College of Psychiatrists 21 However, if as GPs we use such a biomedical model to diagnose, treat and manage individuals with psychological components to their physical illness, or those with medically

2009 Royal College of General Practitioners

226. Eating disorders toolkit, a practice based guide to the inpatient management of adolescents with eating disorders, with special reference to regional and rural areas

of the Young Person 101 Ward Milieu 103 School and School Work __________________________________________________________ 105 Pharmacotherapy 107 Pharmacotherapy 111 Absconding From the Ward 112 Indications and Management of Abuse 113 Legal Issues and Eating Disorders Survival Strategies for Clinicians 115 _____________________________________________ Section 6: Special Considerations 117 Diabetes and Eating Disorders 118 Pregnancy and Eating Disorders 121 Children with Eating Disorders 122 Obesity 123 (...) ) Dieting/ fasting Vomiting Exercise (Type, intensity, duration, frequency) Substance misuse (Laxatives, emetics, diuretics, alcohol, cocaine, amphetamines) Binge Eating Behaviour Frequency of binge eating over past 3 months (circle) 2 x day 5-10 x day > 10 x day Anthropometry Height (cm) …….. Centile …….. Weight (kg) …….. Centile …….. BMI …….. Centile …….. Eating Disorders Toolkit – The First 24 Hours in Hospital 13 DETERMINING THE MOST APPROPRIATE SITE FOR TREATMENT The following may be used

2008 Clinical Practice Guidelines Portal

227. Opioid prescription in chronic pain conditions guidelines for South Australian general practitioners

defined pathology, a young patient, high levels of distress, previous or ongoing substance abuse, comorbid psychiatric or psychological disorder, unusual opioid requirements or Pain and its t reatment18 Opioid Prescription in Chronic Pain Conditions suspicions of drug diversion. If the use of S8 opioids is considered to be a potentially useful element in the therapeutic strategy, the GP may consider referral for any of a variety of specific reasons. Referral is considered a vital part of good medical (...) psychological or rehabilitative treatments, and close supervision of dispensed S8 opioids. The referring GP should understand that recommended interventions may be legally enforced by the DDU through the state Authority process if the patient is to continue to access S8 opioids. Therefore these interventions, as far as reasonably known and understood, should be raised by the GP and discussed with the patient. How can GPs assess for risks of abuse, addiction, and diversion and manage their patients

2008 Clinical Practice Guidelines Portal

229. Maternal depression and child development

Cognitive Less creative play and lower cognitive performance School age Behavioural Impaired adaptive functioning, internalizing and externalizing problems, affective disorders, anxiety disorders and conduct disorders Academic Attention deficit/hyperactivity disorder and lower IQ scores Adolescent Behavioural Affective disorders (depression), anxiety disorders, phobias, panic disorders, conduct disorders, substance abuse and alcohol dependence Academic Attention deficit/hyperactivity disorder (...) and substance abuse disorders) in adolescents with an affectively ill parent than in control families with similar demographic characteristics (age, ethnicity, socioeconomic status and educational level). Hammen et al followed a cohort of 92 children/adolescents between the ages of eight and 16 years over a three-year period. They found that children/adolescents with mothers suffering from unipolar depression had higher rates of affective disorders, with frequent multiple diagnoses, while the disorders

2004 Canadian Paediatric Society

230. Health care standards for youth in custodial facilities

clinician or physician. Youths with a history of recent substance use should be assessed for signs and symptoms of withdrawal. The majority of substances abused by youths cause withdrawal syndromes, with the most problematic being withdrawal symptoms from opioids (eg, heroin), and benzodiazepines or barbiturates. Youths in opioid withdrawal may exhibit depression, severe myalgias, nausea, chills, autonomic instability or diarrhea. Youth withdrawing from regular benzodiazepine use have a risk (...) and behavioural problems. Continuing health assessment Once the initial assessments have been completed, facilities should ensure that the following measures are in place for continued care and ongoing assessment. All previous medical, psychological, educational, psychiatric and laboratory evaluations should be available to assist with the current or future health care of the youth. A complete and confidential history, including psychiatric symptoms, sexual behaviour, substance abuse and history of physical

2012 Canadian Paediatric Society

232. An update to the Greig Health Record: Preventive health care visits for children and adolescents aged 6 to 17 years ? Technical report

). Certain parenting styles are associated with bullying. Health care providers can promote improving parenting skills. The American Academy of Pediatrics has a bullying handout and other information which can be shared with parents and patients. Mental health Adolescence is a time of emotional changes, peer pressures and risks for substance abuse, depression, anxiety and suicide. Anticipatory guidance should be given to pre-adolescent as well as older children. Most health guideline-producing (...) evidence of success of psychological and educational interventions for the prevention of the onset of depression in children and adolescents aged 5 to 19. With limited evidence on which to base recommendations for treatment, primary prevention is of crucial importance. Another review identifies modifiable and non-modifiable risk factors in children, along with some successful prevention strategies for anxiety disorders, eating disorders, substance abuse, disruptive behaviours and suicide

2016 Canadian Paediatric Society

233. Acute pain management: scientific evidence (3rd Edition)

Acute pain management: scientific evidence (3rd Edition) ? ? ? ? Acute Pain Management: Scientific Evidence Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine ? ? ? Endorsed by: Faculty?of?Pain?Medicine,?Royal?College?of? Anaesthetists,?United?Kingdom?? Royal?College?of?Anaesthetists,? United?Kingdom?? Australian?Pain?Society? Australasian?Faculty?of?Rehabilitation?Medicine? College?of?Anaesthesiologists,?? Academy?of?Medicine,?Malaysia? College (...) . It was approved by the NHMRC and published by the Australian and New Zealand College of Anaesthetists (ANZCA) and its Faculty of Pain Medicine (FPM) in 2005. It was also endorsed by a number of major organisations — the International Association for the Study of Pain (IASP), the Royal College of Anaesthetists (United Kingdom), the Australasian Faculty of Rehabilitation Medicine, the Royal Australasian College of Physicians, the Royal Australasian College of Surgeons, the Royal Australian and New Zealand

2015 National Health and Medical Research Council

234. 2011 update to NHFA and CSANZ guidelines for the prevention, detection and management of chronic heart failure in Australia

. Supporting patients 16 5.1 Role of the patient 16 5.2 Effective management of CHF 17 6. N o n - p ha r m a c o l o gi c a l management 18 6.1 Identifying ‘high-risk’ patients 18 6.2 Physical activity and rehabilitation 18 6.3 Nutrition 20 6.4 Fluid management 20 6.5 Smoking 21 6.6 Self-management and education 21 6.7 Psychosocial support 21 6.8 Other important issues 21 7. Pharmacological therapy 24 7.1 Prevention of CHF and treatment of asymptomatic LV systolic dysfunction 24 7.2 Treatment

2011 Clinical Practice Guidelines Portal

235. Management of Multiple Sclerosis

. Medical officers and general practitioners d. Allied health professionals e. Pharmacists f. Students (medical postgraduates and undergraduates, and allied health students) g. Patients and carers HEALTHCARE SETTINGS Outpatient, inpatient and community settingsManagement of Multiple Sclerosis v GUIDELINES DEVELOPMENT GROUP Chairperson Dr. Shanthi Viswanathan Consultant Neurologist Hospital Kuala Lumpur Members (alphabetical order) Dr . Akmal Hafizah Zamli Rehabilitation Physician Hospital Sg. Buloh Dr (...) . Chee Kok Yoon Consultant Neuropsychiatrist Hospital Kuala Lumpur Dr. Darisah Lah Family Medicine Specialist Klinik Kesihatan Bukit Tunggal Kuala Terengganu Dr. Joyce Pauline Joseph Consultant Neurologist Hospital Kuala Lumpur Dr. Kartikasalwah Abd. Latif Neuroradiologist Hospital Kuala Lumpur Dr. Mohd. Aminuddin Mohd. Yusof Head of CPG Unit Health Technology Assessment Section, MoH Dr. Mohd. Izmi Ahmad @ Ibrahim Rehabilitation Physician Hospital Pulau Pinang Dr . Mohd. Sufian Adenan Neurologist

2015 Ministry of Health, Malaysia

236. Problem drinking management in general practice

include predicting and managing alcohol withdrawal, preventing nutritional deficiency, and considering strategies such as medications to help prevent relapse, counselling and group based approaches and residential rehabilitation. support for family and significant others may be required and follow up is vital. importantly, 24 hour specialist advice, information and support is available for clinicians managing withdrawal in patients and any other aspect of problem drinking from the Drug and Alcohol (...) or psychiatric problems, 13 and who use concomitant licit or illicit substances such as benzodiazepines 14 are more likely to experience further complicated and severe withdrawal symptoms. their withdrawal is best managed as on inpatient basis. multiple failed ambulatory withdrawal attempts, being surrounded by heavy drinkers, being unable to initiate abstinence and lacking support people to monitor withdrawals are other important indications for inpatient withdrawal management. When to give thiamine All

2011 Clinical Practice Guidelines Portal

237. Guidelines for the prevention, detection and management of chronic heart failure (updated October 2011)

5.2 Effective management of CHF 17 6. N o n - p ha r m a c o l o gi c a l management 18 6.1 Identifying ‘high-risk’ patients 18 6.2 Physical activity and rehabilitation 18 6.3 Nutrition 20 6.4 Fluid management 20 6.5 Smoking 21 6.6 Self-management and education 21 6.7 Psychosocial support 21 6.8 Other important issues 21 7. Pharmacological therapy 24 7.1 Prevention of CHF and treatment of asymptomatic LV systolic dysfunction 24 7.2 Treatment of symptomatic systolic CHF 26 7.3 Outpatient treatment

2011 Clinical Practice Guidelines Portal

238. Workplace interventions for people with common mental health problems

problems as those that:- • occur most frequently and are more prevalent; • are mostly successfully treated in primary rather than secondary care settings; • are least disabling in terms of stigmatising attitudes and discriminatory behaviour. We focused broadly on themes of prevention, retention and rehabilitation. Our main research questions were:- • What is the evidence for preventative programmes at work and what are the conditions under which they are most effective? • For those employees identified (...) as at risk, what interventions most effectively enable them to remain at work? • For those employees who have had periods of mental ill health related sickness, what interventions most effectively support their rehabilitation and return to work? We found support for the following conclusions. • Amongst employees who have not manifested with common mental health problems or who are not at high risk, there is moderate evidence from five research papers to suggest that a range of stress management

2005 British Occupational Health Research Foundation

240. Canadian Society of Transplantation consensus guidelines on eligibility for kidney transplantation Full Text available with Trip Pro

greater benefits were seen among younger patients with or without diabetes, the survival benefit extended to those between 60 and 74 years of age. Thus, the decision regarding eligibility for transplantation must be made in the best interests of the patient and be based on medical and surgical grounds. There are relatively few absolute contraindications to kidney transplantation. It is contraindicated in the context of active infection, malignancy, substance abuse or non-adherence to therapy (...) list for transplantation. Although there are few data on the influence of functional capacity or pretransplant nutritional status on outcomes, extrapolation from other disease states suggests that poor functional capacity or protein malnutrition is associated with greater probability of adverse events including death while waiting for transplantation and perioperative morbidity and mortality. Poorer functional capacity may limit the success of rehabilitation and return to premorbid activities

2005 CPG Infobase

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