Physicians tackle difficult addictions
Recipe for untangling complex healthcare.
So there he was, with the boy’s head in his hands. The boy was 12, but looked no more than 10 years old. He was deeply jaundiced and in a heroin withdrawal. It was 1981; Fergus O’Kelly was a family physician in the inner city Dublin, Ireland.
Complex interventions are best fashioned in stages, says the Medical Research Council in the U.K. They came up with a 6-step recipe for untangling complex health interventions. The recipe can help those of us who are researchers define their interventions and evaluate their implementation.
Substance use disorder treatment is a complex problem. Complex problems require complex interventions, ideally tested via randomised controlled trials.
Read the paper in the December 2018 issue of the Irish Journal of Psychological Medicine:
The paper was first published online in August 2016.
The case study of the boy mentioned at the beginning was published in 1986 in this paper: Ryan, WJ, Arthurs, Y, Kelly, MG, Fielding, JF (1982). Heroin abuse with hepatitis b virus associated chronic active hepatitis in a twelve-year-old child: a non-fictitious pulitzer prize. Irish Medical Journal 75, 166.