LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example

LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example

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. (LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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.(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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.(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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.(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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.(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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.(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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.(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

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.

Shirinbayan, P., Salavati, M., Soleimani, F., Saeedi, A., Asghari-Jafarabadi, M., Hemmati-Garakani, S., & Vameghi, R. (2020). The psychometric properties of the drug abuse screening test. Addiction & Health, 12(1), 25.(LEGBTQI Behavioral Mental Health Comprehensive Nursing Paper Example)

National Center for Biotechnology Information (nih.gov)