IOT Intensive Outpatient Treatment
At least 9 hours up to 70 hours. Includes group therapy, pharmacotherapy, relapse prevention, individual counseling, fa... [Show More] mily therapy, and vocational training.
Therapeutic Community
A highly structured residential setting where residents abstain from drugs, alcohol, and criminal behavior. Lasts six months to 2 years.
Five medications used for addiction
Naltrexone/Vivitorol, Disulfram/Antibuse, Acamprosate/Camplal, Methadone/Methadose, Burprenophrine/Subutex and Suboxone
Group models in treatment
Psychoeducation, Skills Development, Cognitive Behavioral Support, and Interpersonal
Treatment of Tobacco use
Buoropion and varenidine
Treatment of Alcohol
Naltrexone, acomprosate, and disulfram
evidence-based practice
Seeking Safety, Motivational Interviewing, 12 Step Facilitation, CBT, Solution Focus Based, Behavioral Couples, Community Reinforcement, DBT
ATRIUM
Addictions and Trauma Recovery Integration Model
TREM
Trauma recovery and Empowerment Model
Cultural Accomomodation
Modify the practice to a culture or community
Cultural Adaptation
Review and change the structure to fit needs of groups or community
Client file
The official legal record of treatment process
HIPPA
Gives clients rights over their health info when in paper or client has the right to: Receive a copy, request mistakes be changed, be notified when info is shared, specify how they want to be contacted, file a complaint if rights are violated.
GAIN
Global Appraisal of individual needs, measures recency, breadth, and frequency of problems.
GATE
Gather info, access supervision, take responsible action, extend the action.
substance use disorder criteria
2-3 mild, 4-5 moderate, 6+ severe
-Using larger amounts or for longer time than intended
-Persistent desire or unsuccessful attempts to cut down or control use
-Great deal of time obtaining, using, or recovering
-Craving
-Fail to fulfill major roles (work, school, home)
-Persistent social or interpersonal problems caused by substance use
-Important social, occupational, recreational activities given up or reduced
-Use in physically hazardous situations
-Use despite physical or psychological problems caused by use
-Tolerance
-Withdrawal (not documented after repeated use of PCP, inhalants, hallucinogens)
What does the experienced effect of a drug depend on?
The amount of the drug ingested will affect the experience with higher does producing a greater effect.
Drug Tolerance
decreased sensitivity to a drug over time develops after regular use. Tolerance develops as the body seeks homeostasis.
Drug Cues
Prior drug use setting, drug use paraphernalia, seeing others use drugs.
Tolerance for barbituates
The margin between intoxication and lethality stays the same. While tolerance does develop tolerance for a lethal dose only marginally increases meaning that the likelihood of an unintentional fatal does increases substantially over time as the need for the intoxicating effect pushes towards a lethal does.
Wernicke's encephalopathy
Most common symptom is confusion, also includes poor muscle coordination, oculomotor impairment. It is a short term condition resulting from vitamin B1 thiamine deficiency and develops after years of drinking and poor nutrition. Can lead to to Korsakoff syndrome which is long-term psychosis and memory problems.
What conditions does alcohol induce?
Steatosis-fatty deposits in the liver that can be fatal, Hepatitis-inflamation of the liver due to alcohol, Cirrhosis-scarring of the liver from alcohol use
NOT Nephrosis
Formication
a sensation like insects crawling over the skin. Especially in chronic cocaine, meth, and users of other stimulants.
Organ most damaged by Cocaine abuse
The heart-it causes arterial constriction and a cumulative effects of arterial narrowing.
Basic chemical classes of amphetamine
Amphetamine sulphate, Dextroamphetamine, Methamphetamine. Synthetic stimulants that are chemically similar to the body's adrenaline.
In terms of quitting which drug ranks the highest
Nicotine.
THC Content
THC content in marijuana varies widely.
Convergence Theory
Rates of substance abuse among women are converging with those of men.
Where does alcohol abuse rank in psychiatric disorder with the elderly?
Third, 2-4 percent of the elderly have a substance use disorder.
First requirement at initial meeting with a client
Establish Rapport. Explore readiness for change, rules, expectation, confidentiality.
Motivational Interviewing (MI)
Supportive Persuasion, the goal is to help clients discover their desire to change.
What percent of people with dual diagnosis received treatment for their mental illness only?
32.9 receive treatment for mental illness only, 7.4 percent will be treated for both disorders,
What factors affect screening instrument validity
Screening Setting, Privacy, Levels of rapport and trust, how instructions are given and clarified.
Functions of a CADC
Screen clients, substance use assessment, create a treatment plan
CANNOT-diagnose mental disorders
Assessment process and instruments should be sensitive to
Age, gender, race, ethnicity, disabilities
NOT-Political orientation [Show Less]