Section: Module 5: Lesson 1: Mental Health Comorbidities | Screening for Substance Use Disorders in Primary Care | NextGenU.org
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Learning Objectives:
Upon completion of this lesson, you will be able to:- Identify evidence of severe self-injury, such as signs of poisoning or intoxication, or signs/symptoms requiring urgent medical treatment such as bleeding from self-inflicted wounds, loss of consciousness, or extreme lethargy.
- Recognize how substance abuse can impact HIV-related risks.
- Identify the need for education and support for those with mental illness and/or substance use disorders in relation to risky behavior (e.g., unprotected sex).
- Explain why those who drink alcohol have a higher chance of contracting HIV.
- Explore potential risks of medications for the fetus or baby when providing care to a pregnant or breastfeeding woman. Ensure that the babies being breastfed by women on medications are monitored for adverse effects or withdrawal and undergo comprehensive examinations if required.
- Discuss plans for contraception and pregnancy with women of childbearing age.
- Demonstrate assisting patients in acquiring healthy lifestyles, which may improve mental health and help manage substance use triggers, such as stress.
- Demonstrate how to perform/conduct a general healthy weight assessment (BMI, weight, and height).
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Read the sections on self-harm and suicide (pgs. 131-140). (13 minutes)
WHO - 2016
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Read section 5 "Presentation of self‑harm" (pages 34 to 45) (31 minutes)
Royal College of Psychiatrists - 2020
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Read each of the following sections: 'What Is Co-morbidity?', 'Is Drug Addiction a Mental Illness?', 'How Common Are Comorbid Drug Addiction and Other Mental Illnesses?', and the first 3 paragraphs of 'Why Do These Disorders Often Co-occur?' (7 minutes)
NIH-NIDA - 2018
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Read the entire article. (45 minutes)
Clinicalinfo. Hiv.gov - 2021
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Read chapter 3. (75 minutes)
SAMHSA - 2020
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Read the entire webpage. (5 minutes)
CDC - 2018
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Read the following sections "Introduction," "Results" and "Discussion". (19 minutes)
Dove Press - 2017
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Read the entire article. (10 minutes)
Shanghai Archives of Psychiatry - 2017
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Read "Substance Use While Pregnant and Breastfeeding" on pages 12-23. (19 minutes)
National institute on drug abuse - 2020
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In this activity, you will assume the role of a chief gynecologist of a local hospital and write dialogue as a full response to demonstrate effective communication with patients on maternity and reproductive health care.
Step 1. Review
Review the learning resources for this lesson.
Step 2. Study
Study the given scenario below:
You are the chief gynecologist of the local central hospital. This week you are deployed to conduct consultations with a group of pregnant women and new mothers who are seeking maternity care. One patient, a pregnant woman who has a pre-existing opioid use disorder, is accompanied by two sisters: one is a breastfeeding mother who is planning to use contraception and the other sister is trying to conceive. As the gynecologist, you are expected to communicate the potential risks of opioid use disorder medications for the baby and arrange plans for contraception and pregnancy respectively for the two sisters.
Step 3. Respond
Write a 300-800-word dialogue as a full response that demonstrates effective communication between a gynecologist and the patients regarding the following:
For the pregnant patient (at least 200 words)
- Assessment of the need for opioid use disorder medications for the pregnant woman
- Potential risks of medication against the benefit of treatment on mother and fetus
- Safety of the medication (stage of pregnancy, route of administration, dose)
- Alternative non-drug measures
- Monitoring the efficacy of medication throughout the exposure
For the breastfeeding mother on contraception (at least 200 words)
- Hormonal and non-hormonal methods of contraception
- Risks and benefits of different methods of contraception, especially for breastfeeding women
- Safe, appropriate, and effective contraception options for breastfeeding
- Planning and monitoring efficacy of the chosen contraceptive method
For the patient requesting a fertility consultation (at least 200 words)
- Assessment of the fertility status of the patient
- Is the patient having a hard time getting pregnant?
- If so, what makes it difficult for the patient to get pregnant?
- Is she taking birth control pills or other medications prior to the consultation?
- Lifestyle changes and supplement options
- Other fertility options
- Pros and cons
- Arrangement of fertility plan for the patient and her partner
- Fertility Test
- Planning and monitoring efficacy of the selected fertility plan
Step 4: Share
To share your work, click on the “Add a New Discussion” button under this post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
Step 5: Interact
To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.
OPTIONAL Step 6: Interact (10 minutes)
If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”
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Read the entire chapter. (80 minutes)
SAMHSA - 2020
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Read the entire article. (12 minutes)
StatPearls Publishing - 2021
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Read the flowchart on page 3, as well as Section 2 "Initial newborn care," Section 3 "assessment," and Section 4 "Supportive care" on pages 8-15. (23 minutes)
Queensland Health - 2021
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Read the entire document. (7 minutes)
SAMHSA - 2019