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Original Question

Respond to this Discussion by supporting or expanding on the ideas identified by your colleague or sharing additional perspectives on the population, advocacy priorities, and/or policies described by your colleague. Reference within Five years in APA The Allegory of the Orchard illustrates the inter-dependent features that affect healthcare in a community. To enjoy the best outcomes, society needs a long-term investment strategy that not only introduces innovative approaches to raise the yield, but also learns from the pre-existing components of the community. A community also needs to seek the desired changes to optimize their legacy, as was the case with the performance of items in fertile parts of the orchard. The selected issue for this discussion is substance abuse among the African American community. The advocacy groups tend to develop dependence and endure progressive loss of social function and productivity. The advocacy priorities for the population The advocacy priorities for the population include inequalities and accessibility to medical/healthcare services. Traditionally, unequal coverage has restricted accessibility of medical services for detoxification and rehabilitation program (Dickens et al., 2022). The Affordable Care Act of 2010 requires all insurers to include such payments for their beneficiaries. However, due to a tendency to deny dependence or even ask for help, these benefits remain out of reach (Dickens et al., 2022). It is also notable that drug addiction and related psychological issues cluster on low-income earners. This raises the likelihood that a combination of poverty, lack of medical insurance and lack of awareness will converge (Donnelly et al., 2020). These conditions raise the urgency of an advocacy campaign to raise awareness, promote accessibility frameworks and expand the range of current response infrastructure. What are the needs of this population? Individuals and groups affected by substance abuse need a multi-layered intervention strategy. The interventions need to encourage addicts to ask for help and commit to treatment programs. The commitment is a necessary condition for an effective treatment program. In addition, the group needs social support because research establishes the benefits of strong social support networks for individuals recovering from addiction. Addiction remains a stigmatized issue, attracting negative social sanctions such as exclusion (loss of employment) and incarceration for possessing or using controlled substances (Johnson et al., 2022). The legacy of substance abuse is such that due to limited parental supervision and the absence of positive social models, substance abuse causes long-term social stagnation or even regression for vulnerable communities (Johnson et al., 2022). How are disparities reflected in policy and policy reflected in the disparities? Relevant disparities for substance abuse include economic, social and racial disparities. For a long time, incarceration rates for drug-related offenses seemed to favor members of the Caucasian race, with African Americans having to contend with a very high rate of arrest and incarceration for the same crime. According to Donnelly et al. (2022), while recreational drug use patterns are similar for diverse groups, incarceration data strongly suggests African Americans and Native Americans have a higher tendency of using drugs relative to other groups. The disparities have led to ineffective policies. For example, incarceration tends to create a lifetime blotch and limit access to social resources such as housing and employment for the affected subjects. These policies have sustained long-term inequalities and cause significant impediments for marginalized groups, including raising the number of single-parent households. What is the role of nursing, individually and collectively, in influencing policy decisions that adversely impact vulnerable populations? Due to the emerging support from medical research, policy advocacy can now call for meaningful changes to avoid the long-term effects of substance abuse and addiction in society. For example, the strong connection between mental health issues and substance abuse is among the leading reasons for a new approach that treats addiction as a mental health problem (Johnson et al., 2022). Nurses could participate in calls for change as part of their respective societies or from the perspective of their medical profession. Such decisions raise visibility of long-term disparities and could avail critical services to vulnerable groups

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