As a healthcare professional, understanding where to locate evidence-based resources in order to help your patients benefit from that knowledge will be useful in your career. One such resource is The National Center for Health Statistics. The Center has established Healthy People 2020 for tracking the nation’s health. In this assignment, you will begin from the topic you selected and propose a culturally competent, as defined by SAMHSA, community based health program.
Go to the Healthy People 2020 website and find the Topics & Objectives. Once you have located the 42 topic areas discussed on the website, choose a topic in which you are interested.
Write a 1,500-1,750-word paper in which you propose a community health program related to the topic you selected. Include the following in your proposal:
An overview of the program you are proposing. What is it? Who are the population(s) it will serve?
A rationale for the program.
A discussion of how the program will be established as and will remain culturally competent.
A discussion of how the program could be affected if budgetary restraints limited research in that field.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located on the Student Success Center. An abstract is not required.
The major goal of health care systems is to reduce substance abuse; thus, protecting the health, safety, and quality of life for every individual, especially children. Several Americans abuse either knowingly or unknowingly. For instance, as of 2005, over 22 million Americans were struggling with a drug or alcohol-based problems. Surprisingly, almost 95 percent of those who abused drugs were unaware of their problems (“U.S. Department of Health & Human Services,” 2015). Other people who are addicted have been trying to quit, but the efforts are unsuccessful. Substance abuse to have not only negative health impacts on the addicts but also have direct impacts on the family and community of an individual. Substance abuse has cumulative effects, which severely affects the social, physical, and mental health of the persons involved.
Some of the highlighted impacts of substance abuse include vulnerability to contracting sexually transmitted infections, domestic violence, child abuse, increased crime rates, unplanned pregnancies, accidents, homicide, and suicide. The estimated number of substance abuse victims, as well as direct and indirect impacts, necessitate the need for a well-defined program that fosters preventive measures as well as improving access to treatment services to help in recovery from substance abuse and associated disorders. The aim of this paper is, therefore, to provide an overview of a culturally competent and community-based health care program to help combat substance abuse and co-occurring disorders.
Understanding Substance Abuse
Generally, substance abuse refers to a range of conditions that results from the consumption substances that alter an individual’s mind and behavior characteristics, with negative behavioral and health outcomes. The social attitudes, political, and legal responses currently in place to control abuse of alcohol and illicit drugs make substance abuse a sophisticated public health issue (“Healthy people 2020,” n.d.). Besides the health implications of substance abuse, there have been several flash-points in the criminal justice systems and multiple discussions of social values in connection to substance abuse. There have been arguments whether substance abuse is a genetic complication with some biological foundations or just a matter of personal choice. However, advancements in technology, health care systems and health-related research have resulted in the development of evidence-based strategies that can effectively identify and address substance abuse in the society.
For instance, improvements in the brain-imaging technologies and development of medications that assist in treatment have gradually change the research and the community’s perspective on substance abuse. With the advancements, people now understand substance abuse as a disorder that develops over time, especially in the adolescence stage of development (“Healthy people 2020,” n.d.). For some people, substance abuse leads to the development of chronic illnesses that require lifetime monitoring and care programs. This necessitates the need for improvements in the evaluation of community-level preventive measures to improve the understanding of evidence-based strategies in combating specific cultural and social settings that contribute to substance abuse. Also, there have been strategies to develop better and efficient clinical interventions through research, skills, and qualifications in providing treatments.
Culturally Competence and Adaptation Program
Culture refers to a system developed by a particular community to structure how people view the world. Cultural concepts include beliefs, norms, and values influencing ideas on relationships on their lives and the way people organize themselves (“Improving cultural competence,” n.d.). Culture is also linked to demographic features, such as age, socioeconomic status, gender, common interest, and recovery status. For efficient interventions, counselors and administrators should first understand the uniqueness of various cultures and appreciate the diversities in race, ethnicity, and cultural heritages. The use of culturally responsive skills will help in improving service engagements, therapeutic relationships between providers and clients, and treatment retention. Substance abuses are mainly mind- and behavior-altering substances. Therefore, an effective management system should incorporate disparities in behavioral health. Culturally competent strategies should focus on reinforcing demographic diversities, be flexible, and responsive in addressing various issues from different clients.
In developing a culturally competent, community-based program to combat substance abuse, the healthcare provider(s) should identify and address disparities in accessing quality healthcare, adapt care services to the patients’ preferences and cultural norms, and encourage diversity through the use of interpersonal teams (“U.S. Department of Health & Human Services,” 2015). Also, technology may be employed in delivering quality remote health care services cost-effectively and conveniently. Other strategies that would be effectively be used in managing substance abuse is through law enforcement to prohibit the sale of drugs to minors.
Health equality is an essential aspect of providing culturally competent care programs for people experiencing substance abuse, either directly or indirectly. Over time, Americans from different cultural backgrounds have been unable to achieve the highest levels of health care necessary for their health conditions. The common obstacles to quality healthcare include social health determinants, individual’s conditions, such as age, area of residence, and work environments. Other factors include socioeconomic status, education level, and proximity to health care facilities. Inequalities in health care are one of the challenging issues that hinder the effective provision of community-based health care services. Therefore, the first vital aspect of addressing in providing culturally competent health care service is the disparities among people. Identifying and addressing disparities like the difference in gender, age, socioeconomic status, and other cultural disparities will help in developing the most effective health care services that suit an individual’s conditions – patient-based care program (“Office of Minority Health U.S. Department of Health and Human Services.” 2013). Also, those who abuse drugs, especially illicit substances often face societal discrimination, which has traumatizing impacts on victims. Such discriminations should also be identified, and strategies developed to help affected individuals cope with the situation as well as avoid developing stress-related complications. In summary, culturally competent programs should ensure that there are healthcare access and quality for diverse individuals and population at large.
Community-based health care for substance abuse is a team-based model that requires a multi-disciplinary approach to address the various aspects, such as psychological complications, coping with trauma, and related complications. Substance abuse alters an individual’s mind and would result in multiple complications that require a collaborative treatment approach, with well-defined plans to realize the desired outcomes (“Improving cultural competence,” n.d.). Therefore, the program should involve a mix of health care providers from different specialization fields to meet the client’s needs as well as the roles of families. Besides, having an integrated team allows for flexibility and providing patient-based community care. Therefore, health care providers need to refine their skills as well as learn new interventions to assist people who are stuck in substance abuse. Besides theoretical knowledge and educational training, culturally competent services require onsite training as part of developing culturally accepted interventions. The patients also need training on the importance of the care programs so that they can actively participate in the process.
Health care providers often face challenging conditions, or traumatizing events, while handling substance abuse individuals. This necessitates the need for stress and violence management strategies in the health care industry. The Critical Stress Debriefing Management Tool is one of the best tools designed to decrease stress levels among those who experienced violence or trauma. CIS management tool is specifically designed to handle traumatic events. CISM is a formal, well-structured, and professionally organized process that helps in handling critical issues, through the sharing of experiences, venting emotions, and learning stress reactions as well as symptoms (Schneiderman, Ironson, & Siegel, 2015). The community-based health care program should, thus, encourage the use of the critical stress debriefing management tool. The CISD is a well-organized tool that enables debriefed (substance abuse victims) and debriefers (health care providers) to freely share their thoughts and find lasting solutions to the problems associated with substance abuse. Sharing first-hand experiences are vital in developing solutions that are best suited for the prevailing conditions.
Lastly, the community-based health care program should leverage technology to ensure constant engagement with drug abuse victims to monitor their progress. Technological advancements have made it easy to diagnose individuals who have substance abuse problems. For instance, the brain-imaging technology has contributed significantly in the identification of substance abuse victims, instead of relying on the manifestations of the affected individuals. This helps in customizing the services to be offered in the community care program to suit the disparities among the substance abuse victims. The use of 5G technology is also an efficient technological aspect that can be utilized to make community-based health care services effective and cost-effective. 5G network offers high speed and larger bandwidth connections that allows for real-time sharing of data. With the 5G network, health care professionals can remotely manage the patient’s conditions and monitor their treatment progress. It involves the use of various sensors such as temperature, pressure, and heart rate sensors, among other critical sensors necessary in managing the conditions of the victims (West, 2016). The remote management program will also improve the patient-physician relationship, as they can engage more often in a cost-effective manner.
In conclusion, substance abuse is a mind- and behavior-altering problem that requires a multi-disciplinary approach in developing effective preventive or treatment programs. Cultural concepts include beliefs, norms, and values influencing ideas on relationships in their lives and the way people organize themselves. Therefore, in developing a culturally competent, community-based program to combat substance abuse the healthcare provider(s) need to identify and address disparities in accessing quality healthcare, adapt care services to the patients’ preferences and cultural norms, and encourage diversity through the use of interpersonal teams. Also, technology may be employed in delivering quality remote health care services cost-effectively and conveniently. The paper has discussed a culturally competent program to help to combat substance abuse.
Healthy people 2020. (n.d.). Worksite: Assessment of health risks with feedback (AHRF) to change employees’ health – AHRF plus health education with or without other interventions | Healthy People 2020 |. https://www.healthypeople.gov/2020/tools-resources/evidence-based-resource/worksite-assessment-of-health-risks-with-feedback-ahrf
Improving cultural competence. (n.d.). Search SAMHSA Publications and Digital Products | Publications and Digital Products. https://store.samhsa.gov/product/Improving-Cultural-Competence/sma16-4931
Office of Minority Health U.S. Department of Health and Human Services. (2013). National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care. Retrieved from https://www.integration.samhsa.gov/EnhancedCLASStandardsBlueprint.pdf
Schneiderman, N., Ironson, G., & Siegel, S. D. (2015). Stress and health: psychological, behavioral, and biological determinants. Annu. Rev. Clin. Psychol., 1, 607-628.
Substance abuse | Healthy people 2020. (n.d.). Healthy People 2020 |. https://www.healthypeople.gov/2020/topics-objectives/topic/substance-abuse
U.S. Department of Health & Human Services. (2015). TIP 59: Improving Cultural Competence. Retrieved from https://store.samhsa.gov/product/TIP-59-Improving-Cultural-Competence/SMA15-4849
West, D. M. (2016). How 5G technology enables the health internet of things. Brookings Center for Technology Innovation, 3, 1-20.
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