Module 3: Mentored Activity: The Difficulties of implementing interventions in practice

Think of at least three clinical situations (real or imagined scenarios) in which you are not sure how to implement the interventions you have learned in this module – for example, you may feel that you do not have the skills or the resources, or you might simply feel uncomfortable in the situation. One situation should be in relation to tobacco; the second situation should be related to alcohol use disorder; and the third situation should be in relation to another substance use disorder. Each situation can be related to assessing or treating the alcohol, tobacco or other substance use disorder, or in relation to common complications.

Write some notes for yourself on what the clinical presentation and circumstances are for each of these situations, and why the assessment or interventions you have learned about in this module might be hard to implement. Finally, think of how these assessments or interventions might need to be adapted to your local context (e.g., culture, availability of resources, health care system structure and usage, etc.). Contact your mentor to discuss these situations and what s/he considers to be difficult situations, and how s/he would approach them and adapt the best practices to your local context. You can discuss with your mentor either by phone, e-mail, audio/video encounter through the internet (such as Skype), or in person.

Criteria for student:

Your mentor will assess and confirm that:

  • You discussed at least three scenarios that might be challenging in the local context
  • You were well prepared and had thought about those scenarios in relation to the best practices recommended in the learning resources of this module
  • You presented at least one scenario for tobacco use, one for alcohol, and one for another substance use disorder
  • You were able to suggest some adaptation that seemed appropriate for the local context, and you were able to discuss them in relation to best practices
  • You asked your mentor about cases they believe to be challenging and how they have addressed these
  • You were receptive to the suggestions from your mentor and you engaged in constructive clinical discussions