Social Work Assessment At Baseline

6383 WordsApr 30, 201726 Pages
Other interventions to reduce early attrition include suggesting an in-depth social work assessment at baseline, identifying barriers to maintaining follow-up after transfer to outpatient. Initially, increased dropout during the first week of outpatient follow-up was observed, particularly with patients residing ‘out-of-town’. On further investigation, those patients complained of difficulty in securing transportation to the treatment centre. Such cases were reported to the governance committee, as it hampered patients’ access to treatment. These challenges were further investigated and addressed in all patient care plans accordingly. Limited communication between treatment teams at different levels of care was ‘postulated’ as a source for…show more content…
A second measure taken to address the aforementioned “bottle necks” was launching an evening clinic START patients. Both measures attempted to minimise dropout rates. Measuring the impact of these ‘adaptive’ measure on retention would have been of additional value to the provisions of this study. Other challenges observed in the management of patients during follow-up, was screening for the concomitant use of pregabalin using Point of Care Test (PoCT). Currently, pregabalin is not among the drug parameters included in PoCT ‘cup’ commercially available. Hence, pregabalin screen was performed using standard immunoassay techniques, which requires 24 to 48 hours turn-around time at the laboratory. This would not allow for immediate intervention and application of the take-home dose contingency framework. Therefore, interventions related to pregabalin positive screens were postponed to the following visit. It is important to note that providing immediate ramifications are among the criteria reported for effective contingency management. This was not the case for other substances of use, and might partially contribute to explaining why percentage negative pregabalin screens is lower than other non-opioid substances Conducting the ‘end of study’ assessment for patients who have discontinued treatment, i.e. dropped out, was the most challenging and time consuming task. A plan for contacting patients “lost to
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