Intervention and Prevention Programs for Substance Use
Intervention Programs
Program referral to primary care for cardiac reasons, tracking consumption of toxic substances, and psychological assessment to determine if intervention programs would apply. The National Plan on Drugs (PNSD) has different strategies for action against drugs, which can be classified into intervention programs and prevention programs. Due to the characteristics of this patient’s care, and given that the patient was referred by the Emergency Department (ED), they may not be a candidate to enter an intervention program. Intervention programs cannot be implemented because they were not voluntarily requested. Furthermore, the patient is in a pre-contemplation stage and does not intend to stop using. However, we can implement prevention programs for health education. We can inform (health education equals prevention) because the patient will likely be in the hospital for some time.
Polydrug Use and Drug Addiction
Programs to reduce or eliminate the use of snuff and other drugs.
Psychological Problems
- Individual intervention with behavioral therapy (counseling) to enhance insight and modify specific behaviors.
- Referral for psychological evaluation.
- Group therapy with the family.
Family
- Report on the problem.
- Group therapy.
- Create a supportive environment for the expression of feelings and support development.
Environment
- Reorganization of leisure and occupation using the social support network.
- Reintegration.
- Program of leisure time occupation.
- Leisure Centers.
Expertise: Health Education and Reorientation
- Flyers
- Workshops
- Ask the patient about their knowledge of the various uses, detect toxic myths, and clarify any misconceptions.
- Provide information on the cause of the disease process (the arrhythmia is the result of consumption), consequences, and prevention aimed at risk.
- Conduct health education on drug consumption, providing written information (brochures), videos (or material we have available) explaining the physical, psychological (both wanted and unwanted), and possible implications for relationships, work, family, and staff who may have drug and alcohol consumption.
- Ask the patient to make a list of the negative consequences of consumption, as well as the positive consequences of abstinence, in the different areas of their life (personal, professional, relational, physical, family).
Available Resources
Available resources include those provided by society through the health system, and those available personally and professionally. As nurses, we can conduct a new interview with the patient to complete the assessment. The family can be a source of support and can facilitate a suitable place for the family and the patient to express their feelings, manage the environment, and ensure privacy. Perform cognitive-behavioral therapy individually or in groups, reinforcing the positive aspects. The healthcare system offers all kinds of resources that are used for health education and patient health, such as supplementary materials, brochures, leaflets, videos, movies, including help in smoking cessation (drugs, chewing gum, nicotine patches, and fake cigarettes). Community resources are offered, such as social workers who provide support and advice in finding employment through vocational training on job search, help from the SOIB (Balearic Islands Employment Service), and temporary employment. Resources from the community are available to organize leisure activities as alternatives to going out, such as workshops, leisure activities, and sports. A leisure-time program from the PNSD is available for free to occupy leisure time.