DEVELOPING A CHILD AND ADOLESCENT PSYCHIATRY TRAINING SERIES TO ADDRESS EDUCATIONAL GAPS IN SUBSTANCE USE DISORDER CARE AND TREATMENT

Gaurav Vishnoi, Laura Harrison,Vera Feuer, Richard R. Pleak,Victor Fornari, Sandeep Kapoor

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY(2020)

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摘要
Objectives: In 2016, 19% of youth aged 12 to 20 years reported alcohol use, yet only a small percentage report substance use to their clinicians To serve our patients, child and adolescent psychiatrists should have the skills and comfort to approach substance use in a humanistic, empathetic way The objectives of this poster are to: 1) develop and conduct a presurvey to identify gaps in education and knowledge regarding substance use disorder (SUD) among child and adolescent psychiatrists;and 2) develop, disseminate, and evaluate asynchronous online training series to fill identified gaps Methods: We developed and conducted a presurvey consisting of 5-point Likert scale and open-ended questions to assess attitudes, knowledge, and perceived skills in Humanizing Substance Use;Screening and Brief Intervention;Opioid Overdose Prevention;Assessment/Diagnosis of SUD;Landscape of Addiction Treatment;Medication for Addiction Treatment (MAT);and Pain Management Of 30 faculty, first-year fellows, and second-year fellows, 28 (93%) participated We developed and disseminated a 3-module asynchronous online educational series, consisting of M1: Humanizing Substance Use/Landscape of Addiction Treatment;M2: MAT;and M3: Pain Management Each participant was sent a postsurvey upon completion We used paired samples t tests to analyze pre- and postsurveys Results: Of the 30 participants, 13 (43%) completed M1 and M2, and 12 (40%) completed M3 The surveys were completed by 9 (69%) for M1, 8 (62%) for M2, and 6 (50%) for M3 On the presurvey, 25 (93%) wanted to learn effective methods for addressing substance use There were increases in reported attitudes and confidence in addressing substance use, comfort in prescribing MAT, and pain management that were not statistically significant There was a significant increase in knowledge of the levels of care for addiction treatment, which increased from 2 1 to 3 8 (out of 5) from pre- to postsurvey (p = 0 01) Conclusions: Despite high reported interest, participation rates were low due to the ongoing COVID-19 crisis The small sample size was a limitation in this study Based on the presurvey, there is a gap in education around addressing substance use among child and adolescent psychiatrists Further education, including interactive opportunities, is needed to facilitate shifts in organizational acceptance and clinical culture regarding substance use and addiction SUD, ADOL, NIDA
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