For this assignment identify a problem or concern in your state community
Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
For this assignment identify a problem or concern in your state community or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
EXPERT ANSWER AND EXPLANATION
Advocacy through Legislation
| Problem
In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues. |
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| In the United States (U.S.), the use of substance is largely prevalent in communities across the country. Prolonged use of substances is linked to physiological as well as psychological clinical issues. Convulsions, for instance, is a physiological clinical manifestation that is drug-induced (Chen, Albertson, & Olson, 2016). Still, prolonged use of the alcoholic substance is associated with conditions such as liver cirrhosis. Conversely, cognitive impairment results from the overdependence on the drugs such as heroine. The use as well as overdependence on substance in Rocky Mount community, threatens the North Carolina health system considering that the state diverts part of its resources to cater for health needs of the victims.
As a health issue, substance use affects various population groups in the Rocky Mount community. It is prevalent in individuals of teenage age considering that this is the stage in life where teenagers experience the pressure to fit into some social relationships. It also affects adult populations, across various demographic characteristics. Almost every segment of the population directly or indirectly suffers from this health problem. The tax which the community pays to the state goes to managing the clinical issues linked to overdependence. Ramifications such as increased exposure to accidents are associated with this medical issue. Sleep-deprivation, in addition to impaired cognitive functioning are other ramifications. These can have emotional and psychological implications on victims as well as their families. If the issue continues, the expenditure on medical costs will increase because of increased number of victims who need medical services. |
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| Research the Issue
Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states. |
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| Evidence 1 | The failure to make progress in mitigating the substance use issue in American society is because of inadequate commitment, and treating this issue as a health problem and diverting efforts and resources to the treatment, instead of criminalizing it, helps manage this heal issue (Volkow et al., 2017). Florida’s Marchman Act. | |
| Evidence 2 | In a study that reviews the role of nursing professionals in addressing incidences of addiction, the findings recommended the use of the counseling instead of criminalizing of patients to promote treatment objectives (Bartlett et al., 2013). California’s S.B. 649. | |
| Stakeholder Support
Discuss the stakeholders who would support the proposed idea and explain why they would be in support. |
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| Stakeholder(s) Supporting 1 | Nursing professionals would support the bill to improve access to care for victims of substance use who have often faced discrimination because of using psychotic substances. | |
| Stakeholder(s) Supporting 2 | Learnings institutions would support this bill to reduce the number of school-dropout rates as well as incidences of school-based violence that are attributed to the use of drugs. | |
| Stakeholder Opposition
Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations. |
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| Stakeholder(s) Opposed 1 | The Rocky Mount mayor’s office which would oppose this bill on the ground that the bill would require the office to spend more on addressing the healthcare needs of the victims of substance use and abuse. To prepare for debating these issues, I would research detailed information on the clinical significance of addressing the substance use as a mental health issue. | |
| Stakeholder(s) Opposed 2 | Private prison companies would want to protect their business interest considering that the number of drug offenders who would end up in prison would reduce.
To converse about this consideration, I would prepare by conducting cost-benefit analysis to determine the amount of funds North Carolina spends to treat a single case of disease related to substance use, and the amount of money it spends on a single case of incarceration. This would form the basis for my argument. |
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| Financial Incentives/Costs
In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support. |
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| As a health care issue, the substance-use can financially weigh down on the existing healthcare programs intended to promote population health. Annually, the U.S. spends close to $59 billion on the health incidences related to the use of drugs (Bartlett et al., 2013). Key domains which suffer from this issue include the health sector, the public safety as well as economy.
To access treatment, for instance, victims have to spend money on transportation as well as medical services. Some accidental incidences at the workplace, on roads as well as in homes are directly linked to the use of the substances. Drunk-driving is a major contributor to these incidences considering that one’s judgment becomes impaired whenever they use these substances. Considering that thousands of American workers use drugs, the drug issue impede the productivity of the American workforce, and can cause work absenteeism and impede economic progress. In addition, the country spends billions of dollars on ant-substance use and distribution campaigns and this is reflected in the soaring levels of incarceration related to the drug use (Florence et al., 2016). |
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| Legislature: Information Needed and Process for Proposal
Discuss the how to advocate for your proposal using legislation. Include the following: |
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| Provide the name and complete contact information for the legislator. | George Holding | |
| Describe the steps for how you would present this to your legislator. | To present the legislation, I would first have to plan on what I need to acheieve. In this case the goal is to convince the legislator to lobby for the support of the new idea.
The next step entails finding the meeting date as well as the location before requesting for a meeting with legislator. After presenting the idea, the next step entails following up with the representative to know the progress. |
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| Outline the process if your legislator chooses to introduce your idea as a bill to congress. | The bill to law process is characterized by key procedures which begins when the legislator sponsors the bill. Subsequently, a legislative committee studies it, and if this committee decides that the bill needs to be debated, the former releases it and assigns a debate date (Rouse, 2013). The governor of North Carolina signs it into law, ten days after it passes the state legislative assembly. | |
| Christian Principles and Nursing Advocacy
In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc. |
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| The idea of advocacy or lobbying on behalf of others takes religious dimensions when one examines the idea in the perspective of the Christian worldview. The Christian faith has been persistent in advocating for the social inclusion, and this position is based on the principle of love as well as the thought that God created human in his own image. Thus, irrespective of one’s cultural background as well as their racial and religious orientation, humans are all God’s children.
Having this in mind, those in positions of authorities, according to this worldview, have to use their power to better the wellbeing of the people they represent. Love is the focal for this worldview, and one can demonstrate it by responding when they see other people who are deprived of social support systems such as access to health care that is fair and is of quality. |
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References
Bartlett, R., Brown, L., Shattell, M., Wright, T., & Lewallen, L. (2013). Harm reduction: compassionate care of persons with addictions. Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses, 22(6), 349–358.
Chen, H. Y., Albertson, T. E., & Olson, K. R. (2016). Treatment of drug-induced seizures. British journal of clinical pharmacology, 81(3), 412–419. doi:10.1111/bcp.12720.
Florence, C. S., Zhou, C., Luo, F., & Xu, L. (2016). The Economic Burden of Prescription Opioid Overdose, Abuse, and Dependence in the United States, 2013. Medical care, 54(10), 901–906. doi:10.1097/MLR.0000000000000625.
Rouse, S. M. (2013). Latinos in the legislative process: Interests and influence. Cambridge: Cambridge University Press.
Volkow, N. D., Poznyak, V., Saxena, S., Gerra, G., & UNODC-WHO Informal International Scientific Network (2017). Drug use disorders: impact of a public health rather than a criminal justice approach. World psychiatry : official journal of the World Psychiatric Association (WPA), 16(2), 213–214. doi:10.1002/wps.20428.
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Prevalence of Substance Use Disorders
Substance use disorders refer to a range of conditions characterized by the recurrent and problematic use of substances, such as alcohol, drugs, or other addictive substances, leading to significant impairment or distress. Understanding the prevalence rates of substance use disorders is crucial for assessing the scope of the problem, developing effective interventions, and providing appropriate resources and support. In this article, we will explore the prevalence of substance use disorders, factors influencing their occurrence, and the impact they have on individuals and society.
I. Introduction
Substance use disorders are a complex and multifaceted issue that affects millions of individuals worldwide. It is essential to grasp the prevalence rates of these disorders to gain insights into their extent and implications. By understanding the prevalence rates, policymakers, healthcare professionals, and researchers can tailor prevention and intervention strategies to address the specific needs of affected individuals.
II. Overview of Substance Use Disorders
Substance use disorders encompass a wide range of substances, including alcohol, illicit drugs, prescription medications, and tobacco. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides criteria for diagnosing substance use disorders, which include factors such as impaired control, social impairment, risky use, and pharmacological criteria. Substance use disorders can have severe physical, psychological, and social consequences for individuals and can significantly impact families, communities, and societies as a whole.
III. Prevalence Rates of Substance Use Disorders
The prevalence rates of substance use disorders vary across different countries and regions. Global statistics indicate a significant burden of substance use disorders, with millions of people affected. However, prevalence rates differ based on various factors, such as cultural norms, socioeconomic status, access to healthcare, and substance availability. Understanding these variations can provide valuable insights into the underlying causes and potential intervention strategies.
IV. Prevalence Rates among Different Demographic Groups
Substance use disorders can affect individuals of all genders, ages, and socioeconomic backgrounds. However, research has identified variations in prevalence rates among different demographic groups. For example, men tend to have higher rates of substance use disorders compared to women. Additionally, prevalence rates can vary across age groups, with certain substances being more commonly used by specific age cohorts. Socioeconomic factors, such as income level and education, can also influence the likelihood of developing a substance use disorder.
V. Co-occurring Disorders and Substance Use Disorders
Substance use disorders often co-occur with other mental health disorders. Conditions such as depression, anxiety disorders, bipolar disorder, and personality disorders frequently coincide with substance abuse. This comorbidity can complicate diagnosis and treatment approaches, as individuals may require integrated interventions that address both the substance use disorder and the co-occurring mental health condition.
VI. Substance Use Disorders and Comorbidity
Substance use disorders can also increase the risk of developing other medical conditions. Chronic substance abuse can have detrimental effects on various organ systems, leading to conditions such as liver disease, cardiovascular problems, respiratory disorders, and neurological impairments. Individuals with substance use disorders may require comprehensive medical care to address the physical health consequences of their substance abuse.
VII. Substance Use Disorders and Treatment Seeking
Despite the significant impact of substance use disorders, many affected individuals do not seek treatment. Barriers to treatment seeking include stigma, lack of awareness, limited access to healthcare services, and personal beliefs about the effectiveness of available treatments. It is essential to improve the availability and accessibility of evidence-based treatments to increase treatment-seeking rates and improve outcomes for individuals with substance use disorders.
VIII. Prevention and Intervention Strategies
Prevention efforts play a crucial role in reducing the prevalence of substance use disorders. Primary prevention strategies aim to target risk factors and promote protective factors to prevent the onset of substance abuse. Additionally, early intervention programs can identify individuals at risk of developing a substance use disorder and provide targeted support and resources to prevent the progression of the problem. Harm reduction strategies, such as needle exchange programs and overdose prevention initiatives, also play a vital role in reducing the negative consequences of substance abuse.
IX. Conclusion
The prevalence of substance use disorders is a significant concern worldwide, impacting individuals, families, and communities. Understanding the prevalence rates and associated factors is crucial for effective prevention, intervention, and treatment efforts. By addressing the underlying causes, implementing evidence-based strategies, and providing support and resources, we can work towards reducing the burden of substance use disorders and improving the lives of those affected.
Frequently Asked Questions (FAQs)
- What are the risk factors for developing a substance use disorder? Risk factors for developing a substance use disorder include genetic predisposition, family history of substance abuse, early initiation of substance use, peer influence, mental health disorders, and environmental factors.
- Can substance use disorders be effectively treated? Yes, substance use disorders can be effectively treated. Treatment approaches may include a combination of medication, counseling, behavioral therapies, support groups, and lifestyle changes. The effectiveness of treatment can vary depending on individual factors and the specific substance being abused.
- Are there genetic factors that contribute to substance use disorders? Yes, genetic factors play a role in the development of substance use disorders. Certain genetic variations can increase an individual’s vulnerability to substance abuse and addiction. However, genetic factors alone do not determine the occurrence of a substance use disorder, as environmental and psychosocial factors also play significant roles.
- Is substance abuse more prevalent among certain professions? Substance abuse can occur across all professions and industries. However, certain high-stress occupations, such as healthcare professionals, first responders, and individuals in the entertainment industry, may have higher rates of substance abuse due to the unique challenges and stressors associated with their work.
- How can I help a loved one struggling with a substance use disorder? Supporting a loved one with a substance use disorder can involve offering non-judgmental support, encouraging treatment-seeking, providing information about available resources, and attending family therapy or support groups. It is essential to prioritize self-care and seek professional guidance to navigate the challenges associated with supporting someone with a substance use disorder.
