HCM 700 Drug Addiction Program Paper.
HCM 700 Drug Addiction Program Paper.
HCM 700 Milestone Four Guidelines and Rubric Prompt: For Milestone Four, you will submit a draft of your planning section. You will provide a comprehensive program plan that includes its objectives (i.e., measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations and their anticipated effect on healthcare reimbursement, policy, and governance; anticipated issue-related outcomes and your plan to address them; how your identified resources will support the success of the program; target population being served (if applicable); and a timeline for meeting program objectives. Specifically, the following critical elements must be addressed: IV. Planning Provide a comprehensive program plan that includes its objectives (that is, measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations and their anticipated effect on healthcare reimbursement, policy, and governance; anticipated issue-related outcomes and your plan to address them; how your identified resources will support the success of the program; target population being served (if applicable); and a timeline for meeting program objectives. Guidelines for Submission:
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The draft of your planning section should be submitted as a 2- to 3-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Any references should be cited in APA format. Critical Elements Objectives Ethical and Legal Considerations Resource Contributions Timeline Exemplary (100%) Meets “Proficient” criteria and demonstrates a high level of understanding of measurable goals Meets “Proficient” criteria and demonstrates a firm grasp of the ethical and legal considerations Meets “Proficient” criteria and draws strong correlations between the use of resources and the success of the program Meets “Proficient” criteria and demonstrates a strong understanding of project planning Proficient (90%) Describes the measurable objectives of the program proposal and the plan to address them Describes the ethical and legal considerations and their anticipated effect on healthcare reimbursement, policy, and governance Discusses how the identified resources will support the success of the program Includes a timeline for meeting program objectives that is appropriate and realistic Needs Improvement (70%) Describes the measurable objectives of the program proposal but does not discuss the plan to address them Describes the ethical and legal considerations but not their anticipated effect on healthcare reimbursement, policy, and governance Discusses how the identified resources will support the success of the program but misses important details Includes a timeline for meeting program objectives but it is unrealistic or missing important details Not Evident (0%) Does not describe the measurable objectives of the program proposal Value 25 Does not describe the ethical and legal considerations 25 Does not discuss how the identified resources will support the success of the program 25 Does not include a timeline for meeting program objectives 15 Articulation of Response Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format Submission has no major errors related to citations, grammar, spelling, syntax, or organization Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas Total 10 100% Milestone One: Introduction Southern New Hampshire University HCM 700 Healthcare Admin Capstone Dr. Urmula Roopnarinesingh Jennifer Schuck January 16, 2022 Introduction Within the United States there is a growing problem that is affecting a huge number of people. It is known as the opioid crisis. Devastating consequences of the opioid epidemic include increases in opioid misuse and related overdoses (HHS, 2021). This all began in the 90’s when providers started to prescribe opioid pain killers which led to a widespread and the diversion and the misuse of these medications before it was well known that these medications where very addictive. This led to the increase in the overdose rates. Nearly 500,000 people died from overdoses involving any opioid, including prescription and illicit opioids, from 1999-2019 (CDC, 2021). These deaths can be noted in three specific waves: first wave increase prescribing in the 90’s with the deaths involving prescription opioids (natural and semi-synthetic opioids and methadone) growing since at least 1999, second wave began in 2010 with increase in overdose deaths involving heroin, and the third wave began in 2013 with a significant increase in overdose deaths involving synthetic opioids fentanyl (CDC, 2021).
The program made was created to help those that suffer from addiction to be able to seek treatment without judgment and help decrease the likelihood of relapse and in turn decrease the chances of an overdose. The goal of this program would be to work towards a sustainable recovery, manage cravings for drugs, and maintain sobriety. The treatment that is given by this program focuses on detoxing, followed by rehab, and then aftercare. Offering this program can help reduce the number of people on opioids and help them make better choices that would lead them down a better path. Issue A big issue with the opioid crisis is the misuse of prescribed opioids. Even when these drugs are being taken as directed by the doctor it can lead to a substance use disorder, which can lead to addiction in severe cases and overdoses. Once a patient starts taking these drugs, they start to desire it more and more. This can cause a problem because many doctors today stop prescribing it after a certain point. For example, a patient has been involved in a car accident and suffered a back injury. The doctor prescribes them Vicodin, falls under the class hydrocodone, in which the patient takes them and runs out and is looking for more.
The primary care chooses not to give them another prescription as it was just temporary. This leads to the next issue. The patient then chooses to go to the streets and buy the drugs. Many will realize just how expensive these drugs are and will start looking for the cheaper version, heroin. In a recent survey of people in treatment for opioid addiction, almost all—94 percent—said they chose to use heroin because prescription opioids were “far more expensive and harder to obtain” (NIDA, 2021). At least there is about 21 million Americans that have at least 1 addiction, but only 10% of them receive help with their addiction. “Nearly all racial/ethnic groups and age groups experienced increases in opioid-involved and synthetic opioid–involved overdose death rates, particularly blacks aged 45–54 years (from 19.3 to 41.9 per 100,000) and 55–64 years (from 21.8 to 42.7) in large central metro areas and non-Hispanic whites (whites) aged 25–34 years (from 36.9 to 58.3) in large fringe metro areas” (Lippold, Jones, Olsen & Giroir, 2019). Target Audience For this paper the target audience includes the drug addicts, family members, doctors, and organization executives. The secondary audience includes nurses and therapists. HCM 700 Drug Addiction Program Paper.
The main goal of this paper is to inform them of this program which would target those that are addicted to opioids, treat them, rehabilitate them, and give them the tools needed to be successful in the real word and prevent them from relapsing. It is important that the families be aware and informed of this program as they are key players in the road to recovery when it comes to drug addiction. It is also important that doctors be aware of this program as they would be the ones to refer patients and advise them of options they have for treatment. A key player in this audience is the organization executives. They have the final say as to whether they will implement or make changes to the program based on the needs of the organization. All of those involved in the treatment plan of drug addicts must make important decisions providing the right care that would meet the need of the organization and the patient. References Centers for Disease Control and Prevention. (2021, March 10). Opioid data analysis and resources. Centers for Disease Control and Prevention. Retrieved January 16, 2022, from https://www.cdc.gov/opioids/data/analysis-resources.html HHS. (2021, October 27). What is the U.S. opioid epidemic? HHS.gov. Retrieved from https://www.hhs.gov/opioids/about-the-epidemic/index.html Lippold, K. M., Jones, C. M., Olsen, E. O. M., & Giroir, B. P. (2019, November 1). Racial/ethnic and age group differences in opioid and synthetic opioid–involved overdose deaths among adults aged ≥18 years in metropolitan areas – United States, 2015–2017. Centers for Disease Control and Prevention. Retrieved January 16, 2022, from https://www.cdc.gov/mmwr/volumes/68/wr/mm6843a3.htm NIDA. 2021, April 13. Heroin use is driven by its low cost and high availability .
Retrieved from https://www.drugabuse.gov/publications/research-reports/prescription-opioidsheroin/heroin-use-driven-by-its-low-cost-high-availability on 2022, January 14 Milestone Two: Needs Assessment Southern New Hampshire University HCM 700 Healthcare Admin Capstone Dr. Urmula Roopnarinesingh Jennifer Schuck January 23, 2022 Statement of Need The opioid crisis has been around since the 1990’s and has continued to have gotten worse throughout the 2000’s with no end in sight. Roughly around 136 people die every day from an opioid overdose according to the CDC (CDC, 2021). Another roughly 12 million people reported to have misused opioids in 2016 and 2.1 million people struggled with opioid use disorder in 2017 (Young & Durak, 2020).’
“Framing the crisis from a public health perspective requires considering the interaction of multiple determinants, including structural factors (eg, poverty and racism), the inadequate management of pain, and poor access to addiction treatment and harm-reduction services (eg, syringe services)” (Salaner, Mcginty, Beletsky, Bluthenthal, Beyrer, Botticelli & Sherman, 2018, para.2). Evidence Addiction is a very complex but treatable disease that attacks the function of the brain and has an effect in the behavior of the brain. There are long lasting consequences to the one that is addicted. It usually affects them physically, mentally, socially, and spiritually. The consequences of abusing drugs may look different for everyone. Regardless of individual differences, everyone can recover from addiction with treatment, ongoing support, and a sense of purpose (Summit BHC, 2015). Evidence-based prevention programs can dramatically reduce rates of substance use and SUD (Addiction Policy Forum, 2020). Dozens of programs have been found to significantly reduce substance use, some by over 50 percent (Addiction Policy Forum, 2020). The goal of this program is to stop drug use and to learn of different tools to build a productive life. These types of programs are very beneficial, but it is very important that the abuser acknowledge that they need treatment. Drug addiction programs can help those addicted break the addiction cycle, learn about addiction, dig into the underlying issues, build new habits and practices, and lastly set and establish healthy boundaries (Gilles, n.d.).
One of the benefits of being involved in this program would be the structure that it gives. The structure that rehab provides allows patients to create a solid yet simple daily routine that focuses on maintaining sobriety and creating new healthy habits that they can stick to once the treatment has ended (Healthy Life Recovery, 2021). It also provides a safe and supportive environment that helps them be surrounded by people that understand exactly what they are going through. With multiple types of therapies and other forms of treatment, this program can help break the cycle of addiction and lead them down the road to recovery. More than just recovering from addiction, rehab provides a focus on your body and mind’s overall health (Healthy Life Recovery, 2021). Target Population Drug addiction does not attack a certain race, gender, or age group. Anyone can become addicted to the traps of drug addiction. According to data the effected population for this epidemic is non-Hispanic white. Seventy-nine percent of individuals who overdose on opioids are non-Hispanic White, 10% are Black and non-Hispanic, and 8% are Hispanic (Salmond & Allread). Some attribute this to the fact that providers are more cautious in prescribing opioids to non-Whites perhaps from unconscious bias and prejudices that non-Whites were more likely to abuse or sell drugs (Salmond & Allread, 2019). Over several years there has been some changes to some of this data. There has been a rise in overdose death rates among non-Hispanic blacks as the pattern has shift from being just opioid pain killers and more about heroin and fentanyl. The 25- to 34-age-group is experiencing the most opioid overdose deaths – 12,537 – a 4% increase from 2018, and a 921% increase since 1999 (NSC Injury Facts, 2021). Currently, 73% of preventable opioid deaths occur among those ages 25 to 54, and the number of deaths among individuals 55 and older is growing rapidly (Injury Facts, 2021). HCM 700 Drug Addiction Program Paper.
This group is in need is to be able to have access to a treatment program that is affordable and can meet all their needs for them to be able to obtain sobriety. This group would also need continued therapy and access to resources that could further aid in their recovery. Management Theories Management theories are the implementation of different styles and strategies that aid in the increase of productivity within any organization. There is not a set way in how they should be used and there is not a limit on to how many should be used. In healthcare organizations these theories are used in combination to ensure success and change within the organization. Some theories of management that will be discussed include classical management theory and systems management theory. In classic style management, it emphasizes hierarchy, specialized roles, and single leadership for optimized efficiency in the workplace (Indeed, 2021). This theory aids in addressing all the organizational issues with emphasis being places on structure, unity of direction and command, and the division of labor. HCM 700 Drug Addiction Program Paper.
In systems management theory the focused is placed on inter-related but also on the complexity and dependent systems that combines and analysis the different impacts of the components that link the set processes and goals overall. These two theories of management will help me identify the different effective ways in dealing with issues and how the addiction treatment program could be very productive and beneficial to the community that needs these services. References APF. (2020, August 16). The importance of drug prevention. Addiction Policy Forum. Retrieved January 23, 2022, from https://www.addictionpolicy.org/post/the-importance-of-drugprevention Centers for Disease Control and Prevention. (2021, March 17). Understanding the epidemic. Centers for Disease Control and Prevention. Retrieved January 23, 2022, from https://www.cdc.gov/opioids/basics/epidemic.html Drug addiction consequences. Summit BHC. (2021, October 13).
Retrieved January 23, 2022, from https://summitbhc.com/drug-addiction-consequences/ Drug overdoses. Injury Facts. (2021, June 29). Retrieved January 23, 2022, from https://injuryfacts.nsc.org/home-and-community/safety-topics/drugoverdoses/ Q&A: What is the Classical Management Theory? Indeed Career Guide. (2021). Retrieved January 23, 2022, from https://www.indeed.com/career-advice/careerdevelopment/classical-management-theory Salmond, Susan; Allread, Virginia A Population Health Approach to America’s Opioid Epidemic, Orthopaedic Nursing: March/April 2019 – Volume 38 – Issue 2 – p 95-108 doi: 10.1097/NOR.0000000000000521 Saloner, B., McGinty, E. E., Beletsky, L., Bluthenthal, R., Beyrer, C., Botticelli, M., & Sherman, S. G. (2018). A Public Health Strategy for the Opioid Crisis. Public health reports (Washington, D.C. : 1974), 133(1_suppl), 24S–34S. https://doi.org/10.1177/0033354918793627 The benefits of going to a drug rehab. Healthy Life Recovery. (2021, December 2). Retrieved January 23, 2022, from https://healthyliferecovery.com/benefits-of-going-to-rehab/ Young, C., & Durak, A. (2020, October 1). How do we tackle the opioid crisis? Brookings. Retrieved January 23, 2022, from https://www.brookings.edu/policy2020/votervital/howdo-we-tackle-the-opioid-crisis/ 5 life-changing benefits of completing drug rehab. Mental Help . (n.d.). Retrieved January 23, 2022, from https://www.mentalhelp.net/blogs/5-life-changing-benefits-of-completingdrug-rehab/ Milestone Three: Resource Allocation Southern New Hampshire University HCM 700 Healthcare Admin Capstone Dr. Urmula Roopnarinesingh Jennifer Schuck January 30, 2022 Resource Description For an individual that is suffering drug addiction it is very crucial that they are in a program that has the right resources to be able to be successful and stay sober in the long run. HCM 700 Drug Addiction Program Paper.
This program is intended to help the person in treatment build sobriety, abstinence, and productivity (Sunrise House Treatment Center, 2019). And for this we need the right resources. Some very vital and important resources need for this program’s success includes: • Licensed therapist- They can also be an addiction counselor. Within a program there are several types of therapy offered, individual therapist, group therapist, or family therapist • Addiction specialist- This individual can treat the complications from a physical and psychological from an addiction standpoint and the long-term changes done to the body by addiction. • Psychiatrist- These individuals are vitally important because they can diagnose cooccurring mental health and substance use disorders and develop an understanding of how these conditions interact with and compound each other (Sunrise House Treatment Center, 2019). They can also prescribe medications that would help with mental health symptoms and symptoms of withdrawals. And lastly, they are the ones responsible in monitoring any potential signs of addiction or substance abuse. • Nurse- They are the most crucial because they teach their patients about the dangers of substance abuse, specifically regarding changes to major organ systems, including the brain (Sunrise House Treatment Center, 2019). HCM 700 Drug Addiction Program Paper.
They also help to manage pain, regulate prescription medications, and report their patient’s changing condition to the rest of the team (Sunrise House Treatment Center, 2019). • Social Workers- They are considered the central point because they help the individual manage their medications, provide counseling to clients overcoming addiction, perform assessments as the individual is going into the program, and they help develop treatment plans, based on their assessments and what the individuals want. • Case managers- This individual is the one advocating for the individual’s seeking treatment. They help coordinate resources that the individual is needing. These can include medicine, psychotherapy, and other aspects of rehabilitation; it can also include job retraining, legal help, housing, and other aspects of life that a person will need in the long-term to remain stable (Sunrise House Treatment Center, 2019). • Addiction counselor- This specialist is the core of this program. They provide support and guidance during recovery to help people overcome addiction by changing their behaviors and plan for the future (Sunrise House Treatment Center, 2019). They can also help during the detox process, whether that occurs in a hospital or at a rehabilitation center (Sunrise House Treatment Center, 2019). • Nutritionist- Due to the addiction leading to nutrient deficiencies in an addicts body, they are an important part in the recovery process. A nutritionist gathers information about a client’s original eating habits and helps them build a routine that includes eating plenty of protein, fiber, and fruits and vegetables (Sunrise House Treatment Center, 2019). HCM 700 Drug Addiction Program Paper.
They can help navigate socioeconomic barriers to good eating habits, understand how to get the best nutrition based on menu information at a restaurant, and develop a schedule for eating meals (Sunrise House Treatment Center, 2019). Another important resource needed in this program is an information management system. Such system that will be used is the electronic medical record. With the electronic medical record, those involved in the care of the individual can store all the information and documentation obtained during the course of the treatment. All this information can then be accessed by those that are involved in the care such as the psychiatrist, nurse, social worker, etc. What is next that would be utilized and needed in this program would be technology-based assessments of substance use. This form of assessment may provide opportunities for increasing the standardization of assessment procedures and increasing the accuracy of self-reports of risk behaviors (Marsch, 2013). An example of one such program targeting addiction is the therapeutic education system, a Web-based psychosocial skills training intervention for individuals with substance use disorders (Marsch, 2013). For my program to be successful it would need to depend on the many financial resources available. The financial resources that I would depend on and need would be the federal substance abuse block grants, Medicaid reimbursement, and State general funds. These traditional funding sources have now been joined by new potential funding sources at both the Federal and State levels (Center for Substance Abuse Treatment, 2000).
Most of these provide funding for substance abuse treatment within the context of other services such as job training, child protective services, or criminal justice (Center for Substance Abuse Treatment, 2000). Plan This program future goals is for every individual that are involved and participating to stop using opioid drugs, get clean, lead a life of sobriety, and be productive members in society. For this to happen this program needs to have a plan in place. We first need to acquire those individuals that are needing these services. We would need resources such as pamphlets and social media outlets to inform others of our program. These pamphlets and flyers should also be handed out to family care providers and psychiatrists to refer patients to the program that need it. HCM 700 Drug Addiction Program Paper.
My plan for acc essing and assigning available resources in the most economical way to achieve my program’s future goals is by utilizing the cost-effective analysis (CEA) to see how much money is spent and if there are any benefits to it. In the United States roughly $39 million dollars is spent yearly on drug treatment. The cost for treatment also is roughly $14,000-$27,000 per person. My goal is to work with certain insurance plans such as Medicaid to make sure that services are being covered and we are reimbursed for the services rendered. To determine the success rate of this project, a reduction in the number of overdoses and the relapse in drug addiction would be a project success.
For the projected success rate of this program, it will be determined within the 90-day discharge date. It is important that after they are done with treatment continued therapy is done to stay on track. Successful treatment for addiction typically requires continual evaluation and modification as appropriate, like the approach taken for other chronic diseases (National Institute on Drug Abuse, 2020). To monitor the continued success the social workers would keep in touch with the individual to make sure that they have continued to follow with therapy and other after treatment care that was put into play by their treatment team. Due to the complex nature of drug abuse, it can take some time to see affirmative results. Reference Center for Substance Abuse Treatment. Integrating Substance Abuse Treatment and Vocational Services. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2000.
(Treatment Improvement Protocol (TIP) Series, No. 38.) Chapter 6 -Funding and Policy Issues. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64279/ Employees make up the clinical team of an addiction program? Sunrise House. (2019, June 25). Retrieved January 30, 2022, from https://sunrisehouse.com/consulting-experts/clinicalteam/ Marsch L. A. (2012). Leveraging technology to enhance addiction treatment and recovery. Journal of addictive diseases, 31(3), 313–318. https://doi.org/10.1080/10550887.2012.694606 NIDA. 2020, June 3. How effective is drug addiction treatment?. Retrieved from https://nida.nih.gov/publications/principles-drug-addiction-treatment-research-basedguide-third-edition/freq