United States Substance Abuse and Mental Health Services Administration
United States Health Resources and Services Administration
Substance Abuse Detection
United States
Health Services Administration
Community Mental Health Services
United States Public Health Service
Health Services Accessibility
Mental Disorders
Interinstitutional Relations
Accuracy of five on-site immunoassay drugs-of-abuse testing devices. (1/26)
Many current "on-site" urine drug-testing products claim performance equivalent to laboratory testing. Five commercially available products (PharmScreen, Roche TestCup, Accusign DOA 2, Status DS, and American Bio Medica-Rapid Drug Screen) were challenged with quality-control specimens of known drug metabolite concentrations, 25% above and 25% below the SAMHSA cutoffs, and with known positive and negative donor specimens previously analyzed by immunoassay and gas chromatography-mass spectrometry. The results indicate discrepancies between claims and performance for all products, particularly with amphetamines. The implications for employer-based drug testing are discussed. (+info)Racial/ethnic disparities in the HIV and substance abuse epidemics: communities responding to the need. (2/26)
In 1998, community leaders prompted members of the Black and Hispanic Congressional Caucuses to urge President Clinton to declare HIV/AIDS a crisis in the African American and Latino communities; their advocacy resulted in the formation of the Minority AIDS Initiative. As part of this initiative, the Center for Substance Abuse Prevention (CSAP) of the Substance Abuse and Mental Health Services Agency funded the Substance Abuse and HIV Prevention Youth and Women of Color Initiative (CSAP Initiative). The CSAP Initiative is the first major federal effort to develop community-based integrated HIV and substance abuse prevention approaches targeting racial/ethnic populations that have been disproportionately impacted by HIV/AIDS. This article describes the current state of HIV prevention research involving racial/ethnic minority populations and the current status of the CSAP Initiative. The data collected through the CSAP Initiative, implemented by 47 community organizations, will help to fill the existing knowledge gap about how to best prevent HIV in these communities. This data collection effort is an unparalleled opportunity to learn about risk and protective factors, including contextual factors, that are critical to the prevention of HIV/AIDS in African American, Latino, and other racial/ethnic minority communities but that are often not investigated. (+info)What drove private health insurance spending on mental health and substance abuse care, 1992-1999? (3/26)
Trends in MH/SA treatment spending from 1992 to 1999 were examined using employer claims data from approximately 1.7 million covered lives in each year. The analysis finds that employer-based private insurance spending on MH/SA treatment did not keep pace with total employer-based private insurance spending or general price inflation. MH/SA spending dropped from 7.2 percent of total private insurance spending in 1992 to 5.1 percent in 1999. The decline was attributable to a dramatic decrease in inpatient MH/SA treatment--specifically, the probability of admissions and average length-of-stay. (+info)The Massachusetts HIV, hepatitis, addiction services integration (HHASI) experience: responding to the comprehensive needs of individuals with co-occurring risks and conditions. (4/26)
Categorical funding mechanisms traditionally used to fund public health programs are a challenge to providers serving individuals with complex needs that often span multiple service areas. Integration--a formalized, collaborative process among service systems--responds to the challenge by decreasing fragmentation of care and improving coordination. In 2000, the Massachusetts Department of Public Health (MDPH) received a one-year planning grant from the federal Substance Abuse and Mental Health Services Administration (SAMHSA) to evaluate opportunities for integrating HIV/AIDS programs and substance abuse treatment programs. The project was later expanded to include viral hepatitis programming. Outcomes include the development of a strategic plan, joint procurement initiatives, and an ongoing commitment to sustain inter-bureau integration efforts, even in the face of substantial budget reductions. Integrated approaches can promote greater efficiency, improving communication and coordination among clients, providers, and government funding agencies. (+info)Charting a course for health services research at the National Institute on Drug Abuse. (5/26)
Through research, we continue to develop and refine an array of safe and efficacious interventions to prevent and treat drug abuse; however, these interventions have not led to widespread improvements in prevention and treatment services in nonresearch settings. In addition, investigator-initiated research rarely examine or refine interventions that practitioners have found relevant and that are widely practiced. To address these problems, the National Institute on Drug Abuse convened a blue ribbon task force to examine its health services research program. The report served as a catalyst for the institute to promote a vigorous program of research that seeks to examine prevention and treatment intervention delivery systems and policies that facilitate provision of effective care in a range of real world settings. Findings from this research should help address the translational bottleneck of bringing evidence-based interventions into the community. (+info)Efficacy vs effectiveness trial results of an indicated "model" substance abuse program: implications for public health. (6/26)
OBJECTIVES: The US Department of Education requires schools to choose substance abuse and violence prevention programs that meet standards of effectiveness. The Substance Abuse and Mental Health Services Agency certifies "model" programs that meet this standard. We compared findings from a large, multisite effectiveness trial of 1 model program to its efficacy trial findings, upon which the certification was based. METHODS: 1370 high-risk youths were randomized to experimental or control groups across 9 high schools in 2 large urban school districts. We used intent-to-treat and on-treatment approaches to examine baseline equivalence, attrition, and group differences in outcomes at the end of the program and at a 6-month follow-up. RESULTS: Positive efficacy trial findings were not replicated in the effectiveness trial. All main effects were either null or worse for the experimental than for the control group. CONCLUSIONS: These findings suggest that small efficacy trials conducted by developers provide insufficient evidence of effectiveness. Federal agencies and public health scientists must work together to raise the standards of evidence and ensure that data from new trials are incorporated into ongoing assessments of program effects. (+info)Substance abuse prevention program content: systematizing the classification of what programs target for change. (7/26)
We conducted an analysis of programs listed on the National Registry of Effective Programs and Practices as of 2003. This analysis focused on programs that addressed substance abuse prevention from among those on the effective or model program lists and that had manuals. A total of 48 programs met these inclusion criteria. We coded program manuals for content that was covered based on how much time was devoted to changing targeted mediating variables. The value of this approach is that program content can be judged using an impartial standard that can be applied to a wide range of intervention approaches. On average, programs addressed eight of 23 possible content areas. Our analyses suggested there were seven distinguishable approaches that have been used in substance abuse prevention programs. These include (i) changing access within the environment, (ii) promoting the development of personal and social skills, (iii) promoting positive affiliation, (iv) addressing social influences, (v) providing social support and helping participants develop goals and alternatives, (vi) developing positive schools and (vii) enhancing motivation to avoid substance use. We propose that the field use such analyses as the basis of future theory development. (+info)Sobering thoughts: town Hall meetings on fetal alcohol spectrum disorders. (8/26)
Prenatal exposure to alcohol is one of the leading causes of preventable birth defects and developmental disabilities. During the past 30 years, fetal alcohol spectrum disorders (FASD), including fetal alcohol syndrome, have gradually begun to attract attention. However, awareness and understanding of the disorders remain low, and people who are affected are seriously underserved. The FASD Center for Excellence held a series of town hall meetings in 2002 and 2003 to gauge the issues surrounding FASD nationwide. On the basis of its findings, the center proposed a series of recommendations to begin to remedy some of the deficiencies that were identified. (+info)The United States Substance Abuse and Mental Health Services Administration (SAMHSA) is not a medical term per se, but it is a government agency that focuses on improving the mental health and substance abuse services in the United States. Here's a definition of SAMHSA from a reputable source:
According to the National Library of Medicine's MedlinePlus, SAMHSA is defined as:
> "An agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities."
SAMHSA provides leadership and resources to address issues related to mental health and substance use disorders, including prevention, treatment, and recovery services. The agency works to improve the quality and availability of such services, as well as to promote awareness and understanding of behavioral health issues in the United States.
The United States (US) Health Resources and Services Administration (HRSA) is not a medical term, but rather an agency within the US Department of Health and Human Services. According to its official website, HRSA's mission is "to improve health equity and access to quality care." Here is a brief definition of HRSA from a medical and healthcare perspective:
The Health Resources and Services Administration (HRSA) is an agency in the US Department of Health and Human Services that aims to improve health outcomes for medically underserved populations, including people living in rural areas, those with low income, and other vulnerable groups. HRSA achieves this by strengthening the healthcare workforce, improving access to quality care, and providing services related to maternal and child health, infectious diseases, and substance use disorders. The agency manages various programs and grants to support healthcare providers, organizations, and communities in addressing health disparities and promoting equitable healthcare delivery.
Substance abuse detection refers to the process of identifying the use or misuse of psychoactive substances, such as alcohol, illicit drugs, or prescription medications, in an individual. This can be done through various methods, including:
1. Physical examination: A healthcare professional may look for signs of substance abuse, such as track marks, enlarged pupils, or unusual behavior.
2. Laboratory tests: Urine, blood, hair, or saliva samples can be analyzed to detect the presence of drugs or their metabolites. These tests can provide information about recent use (hours to days) or longer-term use (up to several months).
3. Self-report measures: Individuals may be asked to complete questionnaires or interviews about their substance use patterns and behaviors.
4. Observational assessments: In some cases, such as in a treatment setting, healthcare professionals may observe an individual's behavior over time to identify patterns of substance abuse.
Substance abuse detection is often used in clinical, workplace, or legal settings to assess individuals for potential substance use disorders, monitor treatment progress, or ensure compliance with laws or regulations.
Substance-related disorders, as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), refer to a group of conditions caused by the use of substances such as alcohol, drugs, or medicines. These disorders are characterized by a problematic pattern of using a substance that leads to clinically significant impairment or distress. They can be divided into two main categories: substance use disorders and substance-induced disorders. Substance use disorders involve a pattern of compulsive use despite negative consequences, while substance-induced disorders include conditions such as intoxication, withdrawal, and substance/medication-induced mental disorders. The specific diagnosis depends on the type of substance involved, the patterns of use, and the presence or absence of physiological dependence.
Mental health services refer to the various professional health services designed to treat and support individuals with mental health conditions. These services are typically provided by trained and licensed mental health professionals, such as psychiatrists, psychologists, social workers, mental health counselors, and marriage and family therapists. The services may include:
1. Assessment and diagnosis of mental health disorders
2. Psychotherapy or "talk therapy" to help individuals understand and manage their symptoms
3. Medication management for mental health conditions
4. Case management and care coordination to connect individuals with community resources and support
5. Psychoeducation to help individuals and families better understand mental health conditions and how to manage them
6. Crisis intervention and stabilization services
7. Inpatient and residential treatment for severe or chronic mental illness
8. Prevention and early intervention services to identify and address mental health concerns before they become more serious
9. Rehabilitation and recovery services to help individuals with mental illness achieve their full potential and live fulfilling lives in the community.
I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!
Health Services Administration (HSA) is not a medical term per se, but rather a field of study and practice within healthcare management. Here's a definition that encompasses its meaning:
Health Services Administration (HSA) refers to the planning, directing, coordinating, and supervising of health services in hospitals, clinics, nursing homes, public health agencies, and other medical facilities. It involves managing financial resources, developing organizational policies, ensuring quality assurance, maintaining regulatory compliance, and promoting efficient delivery of healthcare services to improve patient outcomes and overall population health. HSA professionals may hold titles such as hospital administrator, clinical director, or healthcare executive.
Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community. It involves the emotional, psychological, and social aspects of an individual's health. Mental health is not just the absence of mental illness, it also includes positive characteristics such as resilience, happiness, and having a sense of purpose in life.
It is important to note that mental health can change over time, and it is possible for an individual to experience periods of good mental health as well as periods of poor mental health. Factors such as genetics, trauma, stress, and physical illness can all contribute to the development of mental health problems. Additionally, cultural and societal factors, such as discrimination and poverty, can also impact an individual's mental health.
Mental Health professionals like psychiatrists, psychologists, social workers and other mental health counselors use different tools and techniques to evaluate, diagnose and treat mental health conditions. These include therapy or counseling, medication, and self-help strategies.
Community Mental Health Services (CMHS) refer to mental health care services that are provided in community settings, as opposed to traditional hospital-based or institutional care. These services are designed to be accessible, comprehensive, and coordinated, with the goal of promoting recovery, resilience, and improved quality of life for individuals with mental illnesses.
CMHS may include a range of services such as:
1. Outpatient care: Including individual and group therapy, medication management, and case management services provided in community clinics or healthcare centers.
2. Assertive Community Treatment (ACT): A team-based approach to providing comprehensive mental health services to individuals with severe and persistent mental illnesses who may have difficulty engaging in traditional outpatient care.
3. Crisis intervention: Including mobile crisis teams, emergency psychiatric evaluations, and short-term residential crisis stabilization units.
4. Supported housing and employment: Services that help individuals with mental illnesses to live independently in the community and to obtain and maintain competitive employment.
5. Prevention and early intervention: Programs that aim to identify and address mental health issues before they become more severe, such as suicide prevention programs, bullying prevention, and early psychosis detection and treatment.
6. Peer support: Services provided by individuals who have personal experience with mental illness and can offer support, guidance, and advocacy to others who are struggling with similar issues.
7. Family education and support: Programs that provide information, resources, and support to family members of individuals with mental illnesses.
The goal of CMHS is to provide accessible, comprehensive, and coordinated care that meets the unique needs of each individual and helps them to achieve their recovery goals in the community setting.
The United States Public Health Service (USPHS) is not a medical term per se, but I can certainly provide a definition and overview of it in the context of public health and healthcare.
The USPHS is a division of the Department of Health and Human Services (HHS) and is responsible for promoting and protecting the health of the nation, particularly focusing on preventing and controlling infectious diseases and other health threats. The USPHS is composed of eight uniformed service components: the Surgeon General's Office, the Commissioned Corps, the National Institutes of Health (NIH), the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), the Agency for Toxic Substances and Disease Registry (ATSDR), the Indian Health Service (IHS), and the Substance Abuse and Mental Health Services Administration (SAMHSA).
The Commissioned Corps of the USPHS is a group of uniformed healthcare professionals who are appointed by the President and commissioned as officers. They serve in various capacities within the federal government, including research, clinical care, health policy, and emergency response. The Surgeon General serves as the head of the USPHS and is responsible for providing advice to the President and HHS Secretary on matters related to public health.
The USPHS plays a critical role in responding to public health emergencies, such as natural disasters, infectious disease outbreaks, and bioterrorism attacks. They also work to address health disparities and promote health equity by providing healthcare services to underserved populations, including American Indians and Alaska Natives through the IHS. Additionally, the USPHS supports research and surveillance efforts aimed at understanding and addressing various public health issues, such as tobacco use, substance abuse, and mental health.
Health services accessibility refers to the degree to which individuals and populations are able to obtain needed health services in a timely manner. It includes factors such as physical access (e.g., distance, transportation), affordability (e.g., cost of services, insurance coverage), availability (e.g., supply of providers, hours of operation), and acceptability (e.g., cultural competence, language concordance).
According to the World Health Organization (WHO), accessibility is one of the key components of health system performance, along with responsiveness and fair financing. Improving accessibility to health services is essential for achieving universal health coverage and ensuring that everyone has access to quality healthcare without facing financial hardship. Factors that affect health services accessibility can vary widely between and within countries, and addressing these disparities requires a multifaceted approach that includes policy interventions, infrastructure development, and community engagement.
A mental disorder is a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior. It's associated with distress and/or impaired functioning in social, occupational, or other important areas of life, often leading to a decrease in quality of life. These disorders are typically persistent and can be severe and disabling. They may be related to factors such as genetics, early childhood experiences, or trauma. Examples include depression, anxiety disorders, bipolar disorder, schizophrenia, and personality disorders. It's important to note that a diagnosis should be made by a qualified mental health professional.
I'm sorry for any confusion, but "Interinstitutional Relations" is not a commonly used medical term. Instead, it is more frequently used in the context of social sciences, particularly in relation to organizations and their interactions with each other. In this context, interinstitutional relations refers to the relationships, cooperative arrangements, and communication between different organizations or institutions.
However, if you are looking for a term related to medical institutions or healthcare organizations, you might be interested in "Interprofessional Relations" or "Interdisciplinary Collaboration." These terms describe the interactions, coordination, and cooperation among various healthcare professionals and disciplines to provide comprehensive and high-quality patient care.
Substance abuse treatment centers are healthcare facilities that provide a range of services for individuals struggling with substance use disorders (SUDs), including addiction to alcohol, illicit drugs, prescription medications, and other substances. These centers offer comprehensive, evidence-based assessments, interventions, and treatments aimed at helping patients achieve and maintain sobriety, improve their overall health and well-being, and reintegrate into society as productive members.
The medical definition of 'Substance Abuse Treatment Centers' encompasses various levels and types of care, such as:
1. **Medical Detoxification:** This is the first step in treating substance abuse, where patients are closely monitored and managed for withdrawal symptoms as their bodies clear the harmful substances. Medical detox often involves the use of medications to alleviate discomfort and ensure safety during the process.
2. **Inpatient/Residential Treatment:** This level of care provides 24-hour structured, intensive treatment in a controlled environment. Patients live at the facility and receive various therapeutic interventions, such as individual therapy, group counseling, family therapy, and psychoeducation, to address the underlying causes of their addiction and develop coping strategies for long-term recovery.
3. **Partial Hospitalization Programs (PHP):** Also known as day treatment, PHPs offer structured, intensive care for several hours a day while allowing patients to return home or to a sober living environment during non-treatment hours. This level of care typically includes individual and group therapy, skill-building activities, and case management services.
4. **Intensive Outpatient Programs (IOP):** IOPs provide flexible, less intensive treatment than PHPs, with patients attending sessions for a few hours per day, several days a week. These programs focus on relapse prevention, recovery skills, and addressing any co-occurring mental health conditions.
5. **Outpatient Treatment:** This is the least restrictive level of care, where patients attend individual or group therapy sessions on a regular basis while living at home or in a sober living environment. Outpatient treatment often serves as step-down care after completing higher levels of treatment or as an initial intervention for those with milder SUDs.
6. **Aftercare/Continuing Care:** Aftercare or continuing care services help patients maintain their recovery and prevent relapse by providing ongoing support, such as 12-step meetings, alumni groups, individual therapy, and case management.
Each treatment modality has its unique benefits and is tailored to meet the specific needs of individuals at various stages of addiction and recovery. It's essential to consult with a healthcare professional or an addiction specialist to determine the most appropriate level of care for each person's situation.