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hospital where patient can be seen by a team of psychiatrist, nurses and therapist regardless of theirability to pay, and receive their medications at no cost, or minimal cost. The Centers also offers detox andtreatment for patients with alcohol or substance abuse disorders, and no one is turned away, regardlessof their ability to pay. During the treatment team meetings, it was agreed upon that we had to do abetter job with our discharge planning and process.I was also able to give a small presentation during the treatment team meeting. Thepresentation was on Florida’s Mental health Crisis. In Florida, where we live, around 660,000 adults and181,000 children are afflicted with serious mental illness such as schizophrenia, bipolar disorder or majordepression. About 70% pf the people who need mental health treatment cannot get it, this is because oflack of services or inability to navigate the system. Many of these people are homeless. Florida ranks 49thin the United States for mental-health programs. Last year the state spent roughly $37.28 per person onmental health, Mississippi exceeds us in this, spending four times as much on their mentally ill residents.We must do better.Week 6 Scholarly ActivityPracticum hours 10, total of 60 hoursThis week I attended a lecture on the dangers of sudden discontinuation of opioid painmedication by John Abernathy, M.D., at Meridian Behavioral Health in Gainesville, Florida. Dr. Abernathyin an expert in substance abuse and addiction.This lecture was useful for me, as I work in mental health and substance abuse facility. Many ofour patients suffer from opioid use disorder.
Opioid overdose is the cause of death for more than 130 people in the U.S. daily. This is due toheroin, prescription pain meds and synthetics opioids such as fentanyl. This is a national health crisisthat is having a serious effect on the public health and economic welfare. According to the CDC, thisaddiction problem is costing the United States around $78.5 billion annually, this include the loss ofproductivity and healthcare, law enforcement involvement and addiction treatment.There have been reports to the FDA of significant harm in patients who have opioid dependenceand have had their doses rapidly decreased or their medications abruptly stopped. This includes severeuncontrolled pain, serious withdrawal symptoms, psychological distress and even suicide. In someinstances, patients are seeking other sources of opioid pain medication and they are being confused withbeing drug seekers. Some patients are even turning to illicit opioids such as heroin and other substancesto treat their pain.It is important that health care providers do not abruptly discontinue opioids in their patientswho have a physical addition. When working with patients to taper their opioid dosage it is important totake into consideration the patients dose, how long they have been on the medication , what type ofpain is being treated and the psychological condition of the patient and any physical problems they mayhave. There is really no standard tapering protocol that is suited to all patients. Tapering protocols