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Castaldelli-Maia JM, Silva ASM, Gonçalves PD, Sanches MV, Lassi DLS, Negrão AB, Amaral RA, Malbergier A, de Azevedo-Marques Périco C. Smoking cessation for individuals living with mental disorders in Brazil: Increasing providers' commitment and impact. Gen Hosp Psychiatry 2022; 74:139-140. [PMID: 34961631 DOI: 10.1016/j.genhosppsych.2021.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 12/14/2021] [Accepted: 12/15/2021] [Indexed: 11/25/2022]
Affiliation(s)
- João M Castaldelli-Maia
- Clima Clinic, São Paulo, SP, Brazil; Department of Neuroscience, Medical School, ABC Health University Center, Santo André, SP, Brazil; Grupo Interdisciplinar de Estudos de Álcool e Drogas, Instituto de Psiquiatria, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil; Health Secretariat, São Bernardo do Campo, SP, Brazil.
| | | | - Priscila D Gonçalves
- Grupo Interdisciplinar de Estudos de Álcool e Drogas, Instituto de Psiquiatria, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Mariana V Sanches
- Grupo Interdisciplinar de Estudos de Álcool e Drogas, Instituto de Psiquiatria, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Dângela L S Lassi
- Grupo Interdisciplinar de Estudos de Álcool e Drogas, Instituto de Psiquiatria, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil
| | - André B Negrão
- Grupo Interdisciplinar de Estudos de Álcool e Drogas, Instituto de Psiquiatria, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Ricardo A Amaral
- Grupo Interdisciplinar de Estudos de Álcool e Drogas, Instituto de Psiquiatria, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil
| | - André Malbergier
- Grupo Interdisciplinar de Estudos de Álcool e Drogas, Instituto de Psiquiatria, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Cintia de Azevedo-Marques Périco
- Department of Neuroscience, Medical School, ABC Health University Center, Santo André, SP, Brazil; Health Secretariat, São Bernardo do Campo, SP, Brazil
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Balhara YPS, Sharma P, Chawla N. Education and training on addiction psychiatry in low and middle income countries: Observations from existing literature and recommendations going ahead. Asia Pac Psychiatry 2021; 13:e12492. [PMID: 34873858 DOI: 10.1111/appy.12492] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 09/29/2021] [Indexed: 01/15/2023]
Abstract
BACKGROUND Addictive disorders are a significant contributor to the global burden of disease. The burden of addictive disorders in LMIC is expected to grow further over the coming years. AIMS In this article we present the observations from the existing literature on the current status of education and training on addiction psychiatry in LMIC and provide recommendation on way forward for this specialized field of psychiatry. MATERIALS AND METHODS We searched electronic databases of PubMed to access the literature on the current status of education and training on addiction psychiatry. Additional searches were also conducted in other database of Google Scholar for potential 'grey' literature. RESULTS We were able to identify a total of 11 relevant articles. DISCUSSION Currently there is limited published literature on education and training on addiction psychiatry from the LMICs. CONCLUSIONS Strengthening of the training on addictive disorders shall not only help bridge the gap of the unmet need for the evidence-based interventions of addictive disorders across these countries it shall also help enhance the research capacity on addictive disorders in these countries.
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Affiliation(s)
- Yatan Pal Singh Balhara
- National Drug Dependence Treatment Center and Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), New Delhi
| | - Pawan Sharma
- Department of Psychiatry, School of Medicine, Patan Academy of Health Sciences, Lalitpur, Nepal
| | - Nishtha Chawla
- NIHR-Global Research Group on Psychosis Outcomes-WIC Programme, All India Institute of Medical Sciences, New Delhi, India
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Castaldelli-Maia JM, Gil F, Torales J, Ventriglio A. Exploring nicotine dependence treatment commitment and quality of care among Portuguese substance use disorder treatment professionals. J Subst Abuse Treat 2021; 134:108541. [PMID: 34167857 DOI: 10.1016/j.jsat.2021.108541] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/25/2021] [Accepted: 06/09/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Smoking is highly prevalent among individuals with substance use disorder (SUD). No specific treatment policy exists for nicotine dependence treatment (NDT) in patients with SUD in Portugal, such as in most countries. METHODS We used the Index of Treatment Quality (ITTQ) and Tobacco Treatment Commitment Scale (TTCS) to assess NDT quality and commitment before and after training professionals who work in the Portuguese SUD treatment network (n = 203). The study assessed learning and competence through pre- and postknowledge tests, competence self-report, and intention-to-change questionnaires. The study carried out descriptive and inferential statistics using STATA software. We based the current study on the Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0). RESULTS Compared to psychologists, physicians/social workers had worse NDT perceptions (i.e., NDT should not be included in drug treatment programs; NDT could hinder client recovery; it is unfair to take tobacco away from these patients). The counseling offer level was low overall. However, the study found higher levels of smoking assessment in all regions. Knowledge of motivational interviewing, stages of motivation, and addressing return to use improved. Self-competency skills also increased following training. CONCLUSION Treatment providers should be encouraged to implement counseling within NDT. Physicians and social workers should be aware of the importance of NDT for individuals with SUD. Attitudes and commitment to NDT for this subpopulation were quite similar to those found in U.S. STUDIES Our educational intervention increased learning knowledge and competence.
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Affiliation(s)
- João Mauricio Castaldelli-Maia
- Clima Clinic, São Paulo, SP, Brazil; Department of Neuroscience, Medical School, ABC Health University Center, Santo André, SP, Brazil; Global Bridges Healthcare Alliance for Tobacco Dependence Treatment, Mayo Clinic, Rochester, MN, USA; Department of Psychiatry, Medical School, University of São Paulo, São Paulo, SP, Brazil.
| | - Felipe Gil
- Department of Neuroscience, Medical School, ABC Health University Center, Santo André, SP, Brazil; Global Bridges Healthcare Alliance for Tobacco Dependence Treatment, Mayo Clinic, Rochester, MN, USA
| | - Julio Torales
- National University of Asunción, School of Medical Sciences, San Lorenzo, Paraguay
| | - Antonio Ventriglio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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