Recap of the model program for your community


Community-Based Program

HCA 430

November 25, 2019


Recap of the model program for your community

The community model program is giving detoxification and pharmacotherapy to the teenagers. Detoxification is a medical treatment that uses medicines to minimize a teenager’s anticipation to use the drugs (Perngparn & Areesantichai, 2017). On the other hand, pharmacotherapy is an intervention by therapists who takes teenagers through counseling. By the end of the sessions, it is believed that they will have realized the need to change. The discussion is focused on adolescents who are between 12 and 16 years old. This is an essential program that will be supported by society, considering that many people have noticed the effects that alcohol has on their children. Some of the factors that lead teenagers into consuming alcohol are peer pressure, social factors, economic factors, and political factors. Parents need to be keen on the lives of their teenagers and intervene when need be. When one realizes that they are friends with the wrong company, it is essential to talk to them. There are cases where political leaders are running an illegal business that involves the trading of drugs. It is an action that makes them available for people to purchase and consume.

Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and  the third barrier may be one of your choosing

The individual barrier is a lack of sufficient knowledge of the importance of saving money and engaging in relevant projects in the community. Majority of the adolescents have the perception that they will begin to save when they get 25 years old, that when they become adults. They are not informed of how better they could use the financial resources that they have. Instead of purchasing the drugs, one could start a project. It is much easier when they do this as a group. By the time they complete their school, they will have set a foundation and will have experience in handling projects in life.

The community barrier is a lack of enough resources and ineffective leadership in healthcare facilities. The healthcare providers need to ensure that when they have a patient who is an addict of alcohol, they make the necessary follow-ups. Demonstrating concern and responsibility is critical. It takes time before the alcoholics accept that they will change their lives and stop depending on alcohol and other drugs. Healthcare providers should create awareness and educate people on the effects of alcohol and other illegal substances on their health. Teachers should talk about the effects of drugs as they teach to ensure that all teenagers have an idea of the consequences that drugs have on their health.

Moreover, parents are not spending enough time with their teenagers. This is a barrier because teenagers do not have someone to shape their behaviors. In school, teachers are focused on completing the syllabus and may not talk about the use of drugs. Parents need to intervene in the lives of their children and provide advice as they grow up (“Secure Teen,” 2013, para.3). Being there for them at all times ensures that teenagers do not consume drugs because they are stressed. They will be opting to talk to their parents because they know that their parents will listen to them. Being present in the lives of teenagers ensures that we are aware when they interact with the wrong group, and therefore, we correct them early before the relationship develops.

Discuss at least one proposed solution for each barrier

In solving the barrier of lack of enough knowledge in saving and engaging in relevant projects in the community, a teenager could research where to start. They can seek advice from their parents or counselors at school or from their role models. It is assumed that most teenagers do not have guidance on how to save. Some people come from well up families and are given a lot of money, at times. Instead of using the money on drugs, they could make personal efforts in trying to establish a small but significant project in the community. Integrated funding could also be used where several teenagers come together with a specific objective. It could be that they want to create awareness about the effects of drugs. Therefore, they will be going to schools, churches, and other areas educating other teenagers. The group will have a significant impact on the community, and the local government may decide to fund the group so that they can engage themselves in other services that influence the lives of people positively.

The issue of inadequate resources and ineffective leadership in hospitals can be resolved by inviting investors and sponsors. These are agencies or people who will provide financial resources that will be implemented in purchasing the necessary funds for delivering detoxification. The drugs will be bought hence available for all the patients. The hospital will organize how they will be educating the teenagers. They may hold forums in a school, church, or the hospital compound. Having enough finances indicates that all the materials required to run the hospital are available. The hospital, if public, could request the government to increase the share of the budget that is allocated to it.

The healthcare providers, church leaders, and counselors in the community should remind the parents about their roles. They are supposed to be present in the lives of their children. Besides being busy with work, they should create time to bond with them. Through this, they will be in a position to provide advice and correct the behaviors of their children.

Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program.  Discuss how each will impact the management of the program

This program is effective and promising. It will have a positive impact on the lives of many teenagers. Therefore, it applies in the SAMHSA’s National Registry of Evidence-based programs (Miller & Kipnis, 2006, p.180). It indicates that the physicians are allowed to use the drugs for detoxification. Nevertheless, only those who are qualified and have enough knowledge of the use of these drugs should get involved in these practices. Ethical issues exist during the delivery of detoxification or pharmacotherapy. Teenagers may demonstrate some resistant behaviors or become abusive. It is important to be composed and remain professional throughout the period. Expressing your anger to them may lead to discontinuation of treatment. Drug Addiction Treatment Act (DATA) of 2000 indicates that the physicians can provide additional support to their patients to improve their health (Miller & Kipnis, 2006, p.86). Therefore, it is legal for them to deliver detoxification to alcohol or other drug addicts.

The accreditation requirements are that the program will have to be approved by one of the national healthcare accrediting organizations. They check the details of the program and its objectives. They find out the effects that the program will have on people. If all the features are fit and efficient, then it will be approved from implementation. Some of these organizations are such as the National Committee for Quality Assurance, Joint Commission on Accreditation of Healthcare Organizations, and the Commission on Accreditation of Rehabilitation Facilities (CARF). The providers of the substance abuse treatment prefer using CARF for accreditation, considering that it checks if they have met the qualifications, standards, and vices (Miller & Kipnis, 2006, p.175). In that case, the managed care organizations (MCO) can change their principles and policies.

The healthcare providers who are willing to provide inpatient detoxification are required to be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (Miller & Kipnis, 2006, p.177). Through this, they will be able to meet the majority of the Managed Care Organizations’ requirements. It is important to note that, sometimes, the MCOs are not informed about substance abuse treatment. Therefore, they consider only the providers who have been licensed by a particular state.





















Miller, N. S., & Kipnis, S. S. (2006). Detoxification and Substance Abuse Treatment. A Treatment Improvement Protocol–TIP 45. Substance Abuse and Mental Health Services Administration. Center for Substance Abuse Treatment. Retrieved from

Secure Teen. (2013, August). Spend More Time With Teens… Not Money. Retrieved from–not-money/

Perngparn, U., & Areesantichai, C. (2017). Community-based drug treatment in Thailand. Drug and Alcohol Dependence, 171, e163. doi:10.1016/j.drugalcdep.2016.08.449