Implementation of Engagement and Motivation Logs for Males with Substance Use Disorders
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2024
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Individuals with co-occurring substance use disorders (SUD) and mental health disorders (MHD) are at risk of experiencing increased functional impairment, higher morbidity and mortality, worse treatment outcomes, and higher risk of homelessness, incarceration, and suicide than their individual disorders. Prioritization of mental health screenings for individuals with SUD and patient engagement and intrinsic motivation in substance use programs have shown to play a role in better health outcomes and treatment retention. This quality improvement project aimed to improve knowledge and comfort in discussing the comorbidity of SUD and MHD and enhance motivation for change and decrease depression severity scores. The site of this project was Salvation Army Adult Rehabilitation Center (SAARC) and participants were men enrolled in their six-month program. The intervention consisted of a live educational session on the comorbidity of MHD and SUD, and the distribution of a weekly log to self-monitor engagement and motivation in work therapy. The project utilized pre-, midpoint, and post-intervention questionnaires, 9-item Patient Health Questionnaire (PHQ-9) scores, and weekly logs to evaluate its outcomes. Quantitative results showed decreased PHQ-9 scores and increased motivation and comfort assessment scores, but no change in patient engagement. Qualitative results indicated that family, fellowship/God, career, and self were top intrinsic motivators for program completion, and Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) were useful supplementary classes. Project results support the use of education and weekly motivation logs in substance use programs to promote COD and enhance program retention. Expansion of this project can help underscore the close relationship between SUD and MHD, support the approach to screen for MHD, and help other substance abuse treatment programs cater to patient’s intrinsic motivators.
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Nursing, Depression, Faith-based program, Mental health, Motivation, Patient engagement, Substance abuse
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56 pages
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