PHN 652 – TOPIC 6-ASSIGNMENT- Population-Based Intervention Implementation Plan
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Solution
Alcohol and Drug Use
Alcohol and drug use is a worldwide health need that rises yearly. Most alcohol and drug use victims are between 12 years to older generations. Many studies show different reasons for unhealthy drinking and drug use, with devastating health problems later. This health need has become challenging in implementing successful interventions due to social, physical, and psychological factors. This study discusses barriers to implementation of the evidence-based intervention, strategies to overcome such barriers, and accountability for the ethical, legal, and regulatory aspects of community health in the intervention.
Evidence-based Intervention
Several health organizations have effective treatments and medications for alcohol and drug use. Only a few health organizations have implemented evidence-based interventions, especially those dealing with medication on alcohol addictions and psychosocial therapies (Louie et al., 2020). Studies have researched the predicaments of effective evidence-based intervention with little success, proving that there is no proven evidence that some interventions can be successfully used alcohol and drug use among the population.
Barriers Influencing Implementation of Evidence-based Intervention
Alcohol-related stigma is a barrier to the provision of alcohol services and care. Stigma occurs through prejudice, stereotyping, and discrimination from the population (Glass et al., 2017). The stigma develops through structural, interpersonal, and internalization factors. Other discriminatory laws and policies within the society can affect alcohol users negatively, leading to challenges in implementing the evidence-based intervention. Interacting with other people can also develop into the labeling of names that easily affect the alcohol and drug use victims (Glass et al., 2017). Therefore, the three levels of stigma affect how people internalize the problem of alcohol and drug use, thus creating a significant challenge in convincing those with alcohol disorders to seek medical help.
The Drinkers’ Attitudes Concerning Treatment
Due to society’s stereotyping and name labeling, alcohol, and drug users, are forced to maintain a happy face and pretend not to be drinkers. Drinking is seen as a shameful act, thus affecting them from accessing help (Glass et al., 2017). The stereotyping in society has influenced their perceptions and views regarding the concept of using alcohol and drugs. Some are scared of facing the discrimination process and being neglected by society, hence prefer to drink in silence and toughen up. This becomes a challenge in convincing the population about the evidence-based intervention.
Strategies to Overcome the Barriers
Alcohol and Drug Screening
Consumption of alcohol and other illicit drugs has become rampant today, with most of the population involving themselves daily. There are several health problems and diseases related to alcohol consumption and drug use. A more significant percentage of the people suffering from severe health defects are associated with unhealthy alcohol consumption and drug intakes. Alcohol and drug screening is essential in detecting potential risks infrequent users and determining addiction levels (Abidi et al., 2016). The screening process can help the patients know the symptoms and their health risks. Early detection can help reduce specific barriers such as drinkers ‘attitudes towards treatment. They will be more willing to care for their health after knowing their results and the risks they are likely involved in.
Brief Interventions
Brief interventions involve the aspect of interacting with the people through health education programs (Abidi et al., 2016). This can be done at schools, community levels, and public forums. Addressing the population and teaching them the consumption of unhealthy drinking and illicit drug use is essential in imparting them with knowledge and skills that they do not necessarily have. Lack of knowledge and resources is a major problem that affects these evidence-based interventions from successful implementation. Effective briefing enables the people to understand the risks, symptoms, grow out of the stigmatization levels and face their fears, thus accepting the treatments.
Accountability for the Ethical, Legal, and Regulatory Aspects
Scholars have reviewed studies on alcohol and misuse of drugs and substance health interventions. Some approaches used by health organizations in managing alcohol and drug misuse have been successful in the presence of evidence-based intervention. Implementing evidence-based intervention requires ethical, legal, and regulatory aspects that will assist in managing and controlling the problem to improve community health. The following are some criteria that I will follow to enhance the effectiveness of the evidence-based intervention in improving community health.
Implementing highly community prevention programs and policies. Community prevention programs and policies have been in place for several years now. Ensuring these programs are effective is essential. Therefore, I would prefer these prevention measures be implemented at schools, health facilities, and organization levels to create awareness all over the community. Health policies such as increasing the prices of some alcohol brands, restricting the time for opening and closing alcohol stores, and selling alcohol only to the legal age, ensuring an individual has an identification before purchasing any substance. The policies will help control the number of those taking alcohol and those using drugs like tobacco. The number of those affected directly and indirectly will reduce. For instance, tobacco smokers can only be allowed to smoke in certain zones, thus reducing infection of chronic illnesses among passive smokers.
Encouraging the community to advocate for change among themselves. This can start with the individuals and their families (Abuse et al., 2016). Family is an excellent motive for individuals going through alcohol and drug use. They can easily confide and trust their families only if they are accepted and loved. Therefore, individuals and families should support their addicted members in reforming and caring for their health. Supporting them emotionally, spiritually, and physically is crucial in the process of rehabilitation and treatments. It can be so difficult to stop drinking, but with family support, individuals can manage to follow health policies and focus on their self-reformation. In the long run, many community members will be drifting away from alcohol and drug use, thus improving their health.
Conclusion
Effective evidence-based intervention can manage and control alcohol and drug use health problems. Addressing and involving the stakeholders at an early stage is essential in reducing the barriers to implementing the interventions (Sorsdahl, 2019). Thus communicating effectively and following all the appropriate procedures is crucial in making the population participate. The proper intervention also reduces the fear, guilt, and shame among those consuming alcohol and using drugs.
References
Abidi, L., Oenema, A., Nilsen, P., Anderson, P., & van de Mheen, D. (2016). Strategies to overcome barriers to implementation of alcohol screening and brief intervention in general practice: a Delphi study among healthcare professionals and addiction prevention experts. Prevention Science, 17(6), 689-699. https://link.springer.com/article/10.1007/s11121-016-0653-4
Abuse, S., US, M. H. S. A., & Office of the Surgeon General (US. (2016). VISION FOR THE FUTURE: A PUBLIC HEALTH APPROACH. In Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. US Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424861/
Glass, J. E., Andréasson, S., Bradley, K. A., Finn, S. W., Williams, E. C., Bakshi, A. S., … & Saitz, R. (2017). Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA). https://link.springer.com/article/10.1186/s13722-017-0079-8
Louie, E., Barrett, E. L., Baillie, A., Haber, P., & Morley, K. C. (2020). Implementation of evidence-based practice for alcohol and substance use disorders: protocol for systematic review. Systematic reviews, 9(1), 1-6. https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-020-1285-0
van der Westhuizen, C., Myers, B., Malan, M., Naledi, T., Roelofse, M., Stein, D. J., … & Sorsdahl, K. (2019). Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study. PloS one, 14(11), e0224951. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0224951