View in EDS HTML Full Text PDF Full Text

Treatment System Adaptations during War: Lessons from Ukrainian Addiction Treatment Providers.

Saved in:
Bibliographic Details
Title: Treatment System Adaptations during War: Lessons from Ukrainian Addiction Treatment Providers.
Authors: Deac, Alexandra A. (AUTHOR), Zaviryukha, Irina (AUTHOR), Rozanova, Julia (AUTHOR), Zeziulin, Oleksandr (AUTHOR), Kiriazova, Tetiana (AUTHOR), Shenoi, Sheela (AUTHOR), Peycheva, Anna (AUTHOR), Solórzano de Souza, Renata (AUTHOR), Skipper, Harry (AUTHOR), Abubakar, Asmau A. (AUTHOR), Gustilo, V. Benjamin (AUTHOR), Thornicroft, Graham (AUTHOR), Dellamura, Paula (AUTHOR), Rich, Katherine M. (AUTHOR), Earnshaw, Valerie (AUTHOR), Bromberg, Daniel J. (AUTHOR), Mamedova, Elmira (AUTHOR), Yariy, Volodymyr (AUTHOR)
Source: Substance Use & Misuse. 2023, Vol. 58 Issue 11, p1447-1450. 4p.
Subjects: Substance abuse treatment, Psychological burnout, Labor mobility, Health policy, Well-being, Humanitarianism, War, Attitudes of medical personnel, Ukrainians, Mental health, Medical personnel, Public health, Employees' workload, Psychosocial factors, Wages, Occupational adaptation, Rural health, Compulsive behavior, HIV, AIDS
Geographic Terms: Ukraine
Abstract: Background: The war in Ukraine has posed significant challenges to the healthcare system. This paper draws upon expert consultations, held between December 2022 and February 2023, focused on HIV/AIDS, addiction, and mental health service delivery during the first year of this war, and following the Global Mental Health Humanitarian Coalition panel discussion in May 2022. Objectives: This commentary presents the experiences of frontline healthcare workers in Ukraine, challenges, and local adaptations to meet the increased mental health needs of healthcare providers. We aimed to document the adaptations made in the addiction healthcare system and to acknowledge the changes in vulnerabilities and lessons learned. Results: Burnout among healthcare providers delivering addiction, HIV/AIDS and mental health services became more visible after the second half of 2022. Challenges included increased workload, contextual threats, lack of job relocation strategies, and money-follow-the-patient policies. Recommendations: The lessons from the first year of war in Ukraine hold significant generalizability to other contexts. These include enabling bottom-up approaches to tailoring services and allowing healthcare providers to respond to the dynamics of war in an effective and active manner. Other recommendations include departmental-specific resources and strategies, particularly as vulnerable groups and challenges are unstable in humanitarian contexts. Conclusions: Globally and in Ukraine, healthcare workers need more than applause. Along with monetary incentives, other strategies to prevent burnout, ensure sustainable capacity building, job relocation opportunities, and bespoke adaptations are imperative to protect healthcare providers' wellbeing and overall public health. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 164943616
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Treatment System Adaptations during War: Lessons from Ukrainian Addiction Treatment Providers.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Deac%2C+Alexandra+A%2E%22">Deac, Alexandra A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zaviryukha%2C+Irina%22">Zaviryukha, Irina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rozanova%2C+Julia%22">Rozanova, Julia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zeziulin%2C+Oleksandr%22">Zeziulin, Oleksandr</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kiriazova%2C+Tetiana%22">Kiriazova, Tetiana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shenoi%2C+Sheela%22">Shenoi, Sheela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Peycheva%2C+Anna%22">Peycheva, Anna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solórzano+de+Souza%2C+Renata%22">Solórzano de Souza, Renata</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Skipper%2C+Harry%22">Skipper, Harry</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abubakar%2C+Asmau+A%2E%22">Abubakar, Asmau A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gustilo%2C+V%2E+Benjamin%22">Gustilo, V. Benjamin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thornicroft%2C+Graham%22">Thornicroft, Graham</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dellamura%2C+Paula%22">Dellamura, Paula</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rich%2C+Katherine+M%2E%22">Rich, Katherine M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Earnshaw%2C+Valerie%22">Earnshaw, Valerie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bromberg%2C+Daniel+J%2E%22">Bromberg, Daniel J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mamedova%2C+Elmira%22">Mamedova, Elmira</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yariy%2C+Volodymyr%22">Yariy, Volodymyr</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2023, Vol. 58 Issue 11, p1447-1450. 4p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Substance+abuse+treatment%22">Substance abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+burnout%22">Psychological burnout</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+mobility%22">Labor mobility</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Humanitarianism%22">Humanitarianism</searchLink><br /><searchLink fieldCode="DE" term="%22War%22">War</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Ukrainians%22">Ukrainians</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Employees'+workload%22">Employees' workload</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Wages%22">Wages</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+adaptation%22">Occupational adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+health%22">Rural health</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+behavior%22">Compulsive behavior</searchLink><br /><searchLink fieldCode="DE" term="%22HIV%22">HIV</searchLink><br /><searchLink fieldCode="DE" term="%22AIDS%22">AIDS</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Ukraine%22">Ukraine</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The war in Ukraine has posed significant challenges to the healthcare system. This paper draws upon expert consultations, held between December 2022 and February 2023, focused on HIV/AIDS, addiction, and mental health service delivery during the first year of this war, and following the Global Mental Health Humanitarian Coalition panel discussion in May 2022. Objectives: This commentary presents the experiences of frontline healthcare workers in Ukraine, challenges, and local adaptations to meet the increased mental health needs of healthcare providers. We aimed to document the adaptations made in the addiction healthcare system and to acknowledge the changes in vulnerabilities and lessons learned. Results: Burnout among healthcare providers delivering addiction, HIV/AIDS and mental health services became more visible after the second half of 2022. Challenges included increased workload, contextual threats, lack of job relocation strategies, and money-follow-the-patient policies. Recommendations: The lessons from the first year of war in Ukraine hold significant generalizability to other contexts. These include enabling bottom-up approaches to tailoring services and allowing healthcare providers to respond to the dynamics of war in an effective and active manner. Other recommendations include departmental-specific resources and strategies, particularly as vulnerable groups and challenges are unstable in humanitarian contexts. Conclusions: Globally and in Ukraine, healthcare workers need more than applause. Along with monetary incentives, other strategies to prevent burnout, ensure sustainable capacity building, job relocation opportunities, and bespoke adaptations are imperative to protect healthcare providers' wellbeing and overall public health. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=164943616
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2023.2212377
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 4
        StartPage: 1447
    Subjects:
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Psychological burnout
        Type: general
      – SubjectFull: Labor mobility
        Type: general
      – SubjectFull: Health policy
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Humanitarianism
        Type: general
      – SubjectFull: War
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Ukrainians
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Employees' workload
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Wages
        Type: general
      – SubjectFull: Occupational adaptation
        Type: general
      – SubjectFull: Rural health
        Type: general
      – SubjectFull: Compulsive behavior
        Type: general
      – SubjectFull: HIV
        Type: general
      – SubjectFull: AIDS
        Type: general
      – SubjectFull: Ukraine
        Type: general
    Titles:
      – TitleFull: Treatment System Adaptations during War: Lessons from Ukrainian Addiction Treatment Providers.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Deac, Alexandra A.
      – PersonEntity:
          Name:
            NameFull: Zaviryukha, Irina
      – PersonEntity:
          Name:
            NameFull: Rozanova, Julia
      – PersonEntity:
          Name:
            NameFull: Zeziulin, Oleksandr
      – PersonEntity:
          Name:
            NameFull: Kiriazova, Tetiana
      – PersonEntity:
          Name:
            NameFull: Shenoi, Sheela
      – PersonEntity:
          Name:
            NameFull: Peycheva, Anna
      – PersonEntity:
          Name:
            NameFull: Solórzano de Souza, Renata
      – PersonEntity:
          Name:
            NameFull: Skipper, Harry
      – PersonEntity:
          Name:
            NameFull: Abubakar, Asmau A.
      – PersonEntity:
          Name:
            NameFull: Gustilo, V. Benjamin
      – PersonEntity:
          Name:
            NameFull: Thornicroft, Graham
      – PersonEntity:
          Name:
            NameFull: Dellamura, Paula
      – PersonEntity:
          Name:
            NameFull: Rich, Katherine M.
      – PersonEntity:
          Name:
            NameFull: Earnshaw, Valerie
      – PersonEntity:
          Name:
            NameFull: Bromberg, Daniel J.
      – PersonEntity:
          Name:
            NameFull: Mamedova, Elmira
      – PersonEntity:
          Name:
            NameFull: Yariy, Volodymyr
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: 2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 10826084
          Numbering:
            – Type: volume
              Value: 58
            – Type: issue
              Value: 11
          Titles:
            – TitleFull: Substance Use & Misuse
              Type: main
ResultId 1