For Directors Only The behavioral health organization is an essential resource that should be available to all communities. This is usually the central place where many of the thousands of men, women and children who live in both urban and suburban neighborhoods receive their behavioral and medical healthcare. Historically, the Federal government has recognized this trend and accordingly has set aside millions of dollars in funding to address many of the issues directly related to inadequate healthcare delivery in these neighborhoods. This need has created a tremendous opportunity to deliver specialized niche services to these patients. Many of you who are ready to go out and start a new practice will find that the community will welcome you with open arms. This will be the case whether your agency provides psychotherapy, or a combination of services, which may include a medical component. The mere fact that the integrated healthcare delivery system provides a one-stop shop for comprehensive healthcare under one roof makes it a very attractive model. And, for the organization that is currently contemplating the creation of a pharmacotherapy or dispensary delivery system, this book contains all of the information that is needed to put together a comprehensive proposal and successful operating system. It was the intent and purpose of this book to provide you with the tools in which to create, operate and upgrade your own ideal organization.
The cultural, scientific and legislative divide created by vigorous debates over the legalization of medical marijuana is giving way to a new synergy among community stakeholders across the United States. The goal is to improve access to medical marijuana for patients with refractory debilitating neurological disorders, cancer, and chronic pain as an alternative to ineffective pharmacotherapy and potentially addictive pain medications. The ultimate test of our nations resolve to ensure the welfare of our sickest patients is the enactment and implement of effective public health reform in the area of medical marijuana, also known as medical cannabis.This book evolved out of the present need for a definitive volume on the science and public health aspects of medical cannabis to fuel this national narrative. The ethnographic research presented in the concluding chapter was inspired by Professor Miriam W. Boeri and colleagues, at Bentley University in Waltham, MA. They examined views of community stakeholders including medical marijuana dispensary entrepreneurs, health care professionals, and patients in a state that legalized medical marijuana in 2013, yet there continued to be confusion and misunderstandings in the interpretation and implementation of medical marijuana guidelines during the period of policy shifts. Apparent gaps in policy development and implementation signaled the urgency for a comparison study addressing stakeholder views in New York State, where its medical marijuana program has legally dispensed the drug since 2014. The resulting pilot study was carried out in the Division of Health Policy and Management of the City University of New York School of Public Health. The research model incorporated ethnographic and grounded methodologies to detail the views of physicians, pharmacists, educators, patients, and entrepreneur stakeholders; with triangulation of data and application of dominant themes into a socioecological framework model to identify areas of public health policy reform. The findings of this study detail that New York, like other states that recently legalized the dispensation of medical marijuana, faces challenges beyond policy transparency, communication and education explicitly to improve the implementation process for applying and registering medical cannabis dispensaries, referring physicians, and qualified patient recipients.Ken Langone, Chairman of the Board of New York University Langone Health, and Steven Galetta, Chair of Neurology in the School of Medicine, where the authors is senior staff in neuroepidemiology, motivated him to pursue doctoral training in Health Policy and Management. The author has had the good fortune of interacting with thought-provoking medical students, neurology trainees, public health doctoral students, and professors who reinforce the high ethical standards in medical and public health practice and research. However, his patients still educate him in empathy and humanity. The author is grateful to his family, including his spouse Holly and sons Adam and Seth, who serve as his daily compass, encouraging him to take on projects that promote core values of medicine and humanity.
The place of cannabis in global drug prohibition is in crisis, opening up new directions for socially engaged cannabis research. The Routledge Handbook of Post-Prohibition Cannabis Research invites readers to explore new landscapes of cannabis research under conditions of legalization with, not after, prohibition: "post-prohibition." The chapters are organized into five multidisciplinary sections: Governance, Public Health, Markets and Society, Ecology and the Environment, and Culture and Social Change. Case studies from the United States, Uruguay, Morocco, and the United Kingdom show readers alternative ways of thinking about human–cannabis relationships that move beyond questions of legality and illegality. Representing a cross-section of cannabis scholarship, the contributors provide readers with critical perspectives on legalization that are not based upon orthodoxies of prohibition. While legalization signals a global shift in the legitimacy of cannabis research, this collection identifies openings for academics, policy makers, and the public interested in ending the drug war, as well as a way to address broader social problems evident in the age of neoliberal governance within which prohibition has been entangled.
The book contains review articles providing a comprehensive overview of cannabis/marijuana’s diverse healing aspects in human healthcare (medicinal, nutraceutical, skincare, etc.). The research articles include the role of cannabis in cancer treatment, drug discovery, cosmeceutical potential, prophylactic and therapeutic use for treating neuropathic pain and migraine, pharmacokinetics, safety profile, and issues related to the consumption of cannabis/marijuana. Another salient feature of the book is a complete mapping and region- and sector-wise critical analysis of cannabis/marijuana patents on healthcare and future directions for the benefit of researchers and businesses/entrepreneurs interested in the rapidly advancing area of cannabis. The text describes cannabis/marijuana’s detailed legal aspects, production prospects, and applications for healthcare and recreational purposes in the USA. It traces the traditional roots of cannabis use in Turkey, Israel, the Middle East, Africa, and India. This unique compendium of articles will be useful as a reference book for students, researchers, academics, business houses, and all individuals interested in medicinal, nutraceutical, cosmeceutical, traditional, legal, and commercial aspects of cannabis usage.
With the increasing legalization of medicinal use of cannabis, health professionals are realizing the need for a text designed specifically for clinical practitioners. To address that need, this book offers a valuable resource for cannabis education, providing general knowledge all clinicians need in order to work with patients using medicinal cannabis. Although some books exist that discuss the endocannabinoid system and the pharmacology of cannabis components, these are often much more specialized or more appropriate for a scientific researcher, rather than a clinical practitioner. This book takes an interdisciplinary approach to medicinal cannabis, examining the history, laws, science, and current clinical research on the topic. From this introductory textbook, readers will gain analytical skills useful for interpreting ongoing research and new clinical information. This book fills the gap in cannabis science for both clinical practitioners and students.
Because marijuana is a Schedule I drug under the Controlled Substances Act, the therapeutic benefits of cannabis are no longer mentioned in the formal education of health care professionals. Doctors who do learn of the drug's therapeutic value are often intimidated by its illegal status. Thus millions of patients afflicted with such illnesses as glaucoma, AIDS, cancer, multiple sclerosis, spinal cord injuries, seizure disorders and chronic pain are denied access to information about the drug's benefits and, in many cases, suffer needlessly. Straightforward and nonpoliticized information on the therapeutic uses of cannabis is provided here by medical, legal and scientific professionals. Legal issues, a worldwide history of therapeutic cannabis and a discussion of its pharmacology are covered. Specific medical uses are then examined, including its application for sufferers of cancer, AIDS, glaucoma, and seizure disorders, and its potential use in psychiatry. Dosages and administration of cannabis are explored, along with considerations on the use of the drug during pregnancy and the risks of addiction and dependency.
Excerpt from Dispensaries Their Management and Development a Book for Administrators, Public Health Workers, and All Interested in Better Medical Service, for the People That fully four million persons, or one in every twenty-five of the population of the United States, are annually receiving medical treatment at Dispensaries, is a fact of sufficient significance to raise the question why so little attention has been given to these growing institutions. The name "Dispensary," to which these institutions are historically heirs, suggests merely the giving of medicine. This has perhaps delayed the public mind in grasping the fact that giving medicine has become an incidental activity, and that the chief present function of Dispensaries is furnishing medical advice and treatment. The present generation has indeed witnessed remarkable changes in medical science. There have come new knowledge of the causes of disease and consequent progress in ability to prevent as well as cure it; a wonderful advance in remedial and reconstructive surgery to which the present War is giving dramatic witness; a growth of specialization in medicine to a point previously unknown; and a development of new standards, new institutions for medical education, and of great foundations for medical research. Are we not perhaps on the threshold of advances in medical service should follow the progress of medical science? Is it not the call of democracy to place the new resources for health, the new powers to heal and to prevent disease, within the reach of all persons, all classes of society? About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Inform and improve your practice with this comprehensive resource on cannabis use and abuse A Practitioner's Guide to Cannabis expertly cuts through the political and cultural noise surrounding cannabis use and provides a relevant, timely, and agnostic analysis of cannabis use and abuse. Incisive and insightful, this book assists behavioral health practitioners to increase their skills in screening, assessment, and intervention while helping them to adopt evidence-based practices. Health care providers will come to rely on this comprehensive resource to understand the risks of cannabis use and to provide a set of intervention strategies effective in a variety of settings. The book covers topics crucial for understanding the work of behavioral health and health practitioners dealing with cannabis issues, including: the complexities of cannabis science our cultural interpretations of the use of cannabis the risks involved with cannabis use effective interventions patients' expressions of their own "biopsychosocial" experience The book is perfect for social workers, psychologists, professional counselors, alcohol/drug counselors, and providers of health care, including physicians, nurses, and physician's assistants.
"Advance care planning (ACP) conversations and goals of care (GOC) discussions prepare patients and their substitute decision makers for medical decision making. When rooted in a patient's values and person-centred in approach, ACP and GOC discussions can optimize the likelihood a person receives care that is concordant with their goals. This chapter explores the definitions and clinical processes for ACP and GOC discussions and describes how a patient's values and goals can directly inform medical decision making. Differences in ACP among healthy individuals and seriously ill, common communication challenges and the pitfalls of a treatment-centered approach are described. We underscore the importance of illness understanding and provide tips on addressing prognosis. Finally, health care system impacts of ACP and GOC are considered"--
