LGBTQ behavioral/mental health. It is anticipated that the initial discussion post should be in the range of 250-300 word…
Unit 5 Discussion [Due Wednesday]
LGBTQ behavioral/mental health
Instructions
It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Classroom Participation
Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however, should be correlated to the literature.
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing, and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.
Discussion Prompt [Due Wednesday]
After you complete the readings, choose a topic related to LGBTQI behavioral/mental health. Examples include trauma, abuse, homelessness, or bipolar disorder, etc…
Address the following in your post:
- Introduction to topic related to LGBTQI behavioral/mental health
- Epidemiology and economic costs
- Overview of the assessment/tools to assess/DSM-5
- Pharmacological interventions with specifics to dynamics, kinetics, contraindications, side effects, and so on
- Plan of care to include collaborative interventions and psychotherapeutic options.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Estimated time to complete: 2 hours
Discussion Peer/Participation Prompt [Due Sunday]
Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:
- Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
- References and citations should conform to APA standards.
- Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
- Plagiarism is never acceptable – give credit when credit is due – cite your sources.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.
Estimated time to complete: 1 hour
Unit 5 Initial Discussion Post on LEGBTQI Behavioral Mental Health
Introduction to the topic of Substance Abuse Disorder among LGBTQI Individuals behavioral/mental health
Existing literature indicates that substance misuse and other associated disorders directly link with some LGBTQI individuals’ dependence on substances as a way of coping with the unwarranted discrimination that they suffer in the hands of the sexual majority or heterosexuals. According to Hughto et al. (2020), approximations of SUD within trans genders could be as low as 4% or as high as 47%, while Demant et al. (2018) posit that sexual minority teenagers and the youth below 25 years present worse health outcomes compared to their sexual majority – the heterosexuals concerning the use of illicit substances, tobacco, and alcohol.
Epidemiology and economic costs
The National Institute on Drug Abuse (n.d) presents data indicating that the2018 National Survey on Drug Use and Health (NSDUH) indicates that about 38% of the sexual minority adults compared to 16% of the general adult population. Peterson et al. (2021) note that discrimination of LGBTQI individuals in productive employment leads to decrease productivity and lower output. Similarly, it is an economic fact that there is a loss of output due to health disparities experienced by the sexual minority population due to the exclusion.
Overview of the assessment/tools to assess/DSM-5
Addiction specialists need behavioral assessment tools to help identify substance abuse and misuse issues. These tools include but are not limited to CRAFFT 2.0, Tobacco, Alcohol, Prescription Medication and other Substances Use (TAPS), National Institute on Drug Use Screening Tool (NIDA), Addictions Neuroclinical Assessment (ANA), and Drug Abuse Screening Test (DAST-10). The limited scope of this post necessitates I only high DAST- 10 as a 10 question survey with yes or no responses (Shibribayan et al., 2020). DAST -10 also accords the users to either have a self-screening or the addiction professional can conduct the interview. It has other versions like DAST-28, DAST- 20
The screening should take five minutes or less.
Pharmacological interventions with specifics to dynamics, kinetics, contraindications, side effects, and so on
The patient should take Buprenorphine 2mg PO twice daily (Kumar et al., 2021). The drug is a partial agonist at the mu receptor, implying that the medication only partially activates the opiate receptors. It is also a potent pain reliever that acts on the central nervous system. If the patient is on the fentanyl patch for 48 hours to 72 hours, it should elapse between discontinued and Buprenorphine treatment initiated. Its contraindications include those with hypersensitivity reactions, but caution is also required for gastrointestinal obstruction or respiratory depression patients. Patients taking buprenorphine may experience side effects like drowsiness, dizziness, constipation, or headache. To reduce the risk of dizziness, one should wake up slowly from a lying or sitting position. Taking a fiber-rich diet with plenty of water and exercise will also prevent constipation.
Plan of care to include collaborative interventions and psychotherapeutic options.
The nursing plan of care for SUD patients goals are to support the client’s decision to stop substance use, strengthen the coping skills, and enable the individual to learn new ways of containing and reducing anxiety. The mental health care provider should use a multimodal approach to therapy by combining psychotherapy and medication-based therapy to improve the effectiveness of the nursing care plan (Ray, 2020). Other treatment options to include in the plan are exercises, autogenic training, and complementary and alternative medicine like homeopathy, osteopathy, and acupuncture.
References
Demant, D., Hides, L., White, K. M., & Kavanagh, D. J. (2018). LGBT communities and substance use in Queensland, Australia: Perceptions of young people and community stakeholders. PloS one, 13(9), e0204730.
Hughto, J. M., Quinn, E. K., Dunbar, M. S., Rose, A. J., Shireman, T. I., & Jasuja, G. K. (2021). Prevalence and co-occurrence of alcohol, nicotine, and other substance use disorder diagnoses among US transgender and cisgender adults. JAMA network open, 4(2), e2036512-e2036512.
Kumar, R., Viswanath, O., & Saadabadi, A. (2021). Buprenorphine. StatPearls [Internet].
National Institute on Drug Abuse (n.d) Substance Use and SUDs in LGBTQ* Populations URL: https://nida.nih.gov/drug-topics/substance-use-suds-in-lgbtq-populations Accessed February 9th 2022.
Peterson, C., Li, M., Xu, L., Mikosz, C. A., & Luo, F. (2021). Assessment of annual cost of substance use disorder in US hospitals. JAMA network open, 4(3), e210242-e210242.
Ray, L. A., Meredith, L. R., Kiluk, B. D., Walthers, J., Carroll, K. M., & Magill, M. (2020). Combined pharmacotherapy and cognitive behavioral therapy for adults with alcohol or substance use disorders: a systematic review and meta-analysis. JAMA network open, 3(6), e208279-e208279.
