(Does the intervention work? Is the evidence consistent or inconsistent across the articles? What is the bottom line?)
The consolidated framework of implementation research showcased an essential perspective to categorize plus interpret the process involved in the implementation if XR-NTX in the added diagnosis centers which are affiliated to the national health plan (Alanis-Hirsch et al., 2016). Coming up with new technology or even a proven practice is a hard nut to crack, and the more complex intervention is needed, the harder it gets to implement. The baseline is that despite the practical and proven interventions, the known and available resources are treatments on reduced risk, relapse, and AUD associated mortality (Alanis-Hirsch et al., 2016).
Patient
From the PICO research, it is clear that society is suffering from the working group getting involved in the consumption of alcohol at times in excess while others or even the same people indulge in substance abuse (Reus et al., 2018). For this research, the substances focused on are opium and alcohol.
Interventions
Research has it that through the various evidence-based treatments and the vast array of approaches, there can be assisted help to the people with unhealthy use of alcohol, decrease the consumption rates and thus be safe from the hazards that come along on opium and Alcohol use (Reus et al., 2018). Counselling has proven to be an ideal intervention from all aspects of consumers. That is the individuals who are alcohol-dependent and the rest who indulge in the substances and thus become vulnerable to risky behaviors. Additionally, disulfiram has been in use since the 1940s. Again, naltrexone and acamprosate, as well as other recent pharmacology medications, have come up with a useful adjunct to behavioral therapies, especially dependence of alcohol (Petrakis et al., 2018).
Comparison
There has been a wide array of interventions towards helping the affected, and they include; primary care, specialty practice, and treatment programs. All that held constant, behavioral approaches have come up basically for forte settings as well as the treatment programs where they can be delivered effectively (Reus et al., 2018). Screening and partial intervention counseling have been developed with a focus on treatment referrals whenever there is a necessity. There has been medication use in the nonspecialized settings and spectrum of patients. These medications are given to even nondependent persons, which is a new phenomenon (Reus et al., 2018).
Outcome
There are significant hindrances in the treatment of alcohol-related problems regarding the implementation and the full spread use of procedures, especially medication. The primary care providers are more proficient at giving the patient prescriptions on a wide array of medicine. The sad part is that they are generally unfamiliar with medication for alcohol problem treatment other than the ones used to treat alcohol withdrawal (Petrakis et al., 2018). However, a more profound study on how to improve screening and brief intervention may give an idea of how to promote medical treatment for problems brought about by alcohol in primary care.
References
Alanis-Hirsch, K., Croff, R., Ford II, J. H., Johnson, K., Chalk, M., Schmidt, L., & McCarty, D. (2016). Extended-release naltrexone: A qualitative analysis of barriers to routine use. Journal of substance abuse treatment, 62, 68-73.
Petrakis, I. L., Ralevski, E., Gueorguieva, R., O'Malley, S. S., Arias, A., Sevarino, K. A., ... & Krystal, J. H. (2018). Mecamylamine treatment for alcohol dependence: a randomized controlled trial. Addiction, 113(1), 6-14.
Reus, V. I., Fochtmann, L. J., Bukstein, O., Eyler, A. E., Hilty, D. M., Horvitz-Lennon, M., ... & McIntyre, J. (2018). The American Psychiatric Association practice guideline for the pharmacological treatment of patients with alcohol use disorder. American Journal of Psychiatry, 175(1), 86-90.
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