What are three main types of amphetamines
Amohetamine sulfate, dextroamohetamine, and methamphetamine
What are the types of liver damage caused by
... [Show More] alcohol?
Hepatitis, steatosis, and cirrhosis
What is formacation?
A sensation of bugs crawling under the skin. Associated with cocaine, crack, and methamphetamine use.
What is convergence theory?
The theory states that rates of substance use between men and women are becoming more similar.
What "rank" is alcohol use disorder among disorders diagnosed in the elderly?
3rd
What is GATE and what does it stand for
G-father information
A- access supervision
T-take responsible action (ensure client safety)
E-extend the action (follow-up and ongoing monitoring)
GATE was designed to outline suicide assessment and intervention protocol for substance use counselors.
What does not increase the likeliness of a client completing a tx program?
Interdisciplinary meeting's by providers
How many levels of tx placement are recognized by ASAM?
4,
Level 1: non-residential outpatient
Level 2: IOP or partial
Level 3: residential or inpatient (24hour)
Level 4: medically managed inpatient
What is the ASAM
American Society of Addiction Medicine- it provides a common language of holistic, biopsychosocial assessment and treatment across addiction treatment
How many assessment dimensions are recognized by ASAM?
6 dimensions in the assessment for placement criteria
1- acute intoxication/withdrawal potential
2- biomedical conditions/complications
3- emotional/behavioral/cognitive conditions
4- readiness to change
5- relapse or continued use potential
6- recovery environment
How many stages are in the model of change and what are they?
6
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Relapse
What does MI primarily involve?
Supportive persuasion
What percentage of individuals with Co-occurring D/O's receive only mental health support?
32.9%
Which organ is most damaged by cocaine use?
The heart
What is tolerance?
A decrease in sensitivity to a drug that causes the user to require a larger amount of the same drug to achieve the same effects (not necessarily to achieve intoxication)
What is wernickes encephalopathy
Caused by lesions in the central nervous system as a result of a deficient supply of vitamin B. Typically associated with years of heavy alcohol use and poor diet. Presents with the primary symptom of confusion that can lead to poor motor control and psychosis.
What is the AUDIT assessment ?
Alcohol use disorders identification test
A ten item screening tool to assess alcohol use, behavior, and problems.
Can be used by any age
Comes in counselor administrated and self report form.
What is the MAST
Michigan Alcohol Screening Test- alcohol screening tool to determine the severity of use within any age group.
What is CMRS?
Circumstances, motivation, readiness, and suitability scale.
Used to assess client readiness for treatment.
What is MATRS?
The guiding principles of tx planning
Measurable- goals and objectives
Attainable- goals, objects, interventions
Time limited- focus on short term tx
Realistic- realistic goals
Specific- detailed goals to achieve
How often are tx plans updated for clients in the criminal justice system?
At all transition periods including release, parole, freedom.
What is the addiction severity index?
An instrument used to measure common issues related to substance use.
6 domains
Medical status, employment and supports, alcohol and drug use, legal status, family and social status, psychiatric status.
The instrument was adopted by the NIDA (National Institute on Drug Abuse
What should be included in a treatment plan
Problem statement from assessment, goal statements, objectives, and interventions ( not modalities or theoretical approaches to treatment)
What is NIDA
The National Institute on Drug Abuse
What is the acronym DIG-FAST
A tool for the full assessment of Mania
D- distractibility, I- indescretion (excessive pleasure activities), G- grandiosity, F- flight of ideas, A- activity, S- sleep deficit, T- talkativeness
What is the minimum number of tx hours per week that is recommended by ASAM for IOT?
9 hours
What is naltrexone used to treat?
Primarily alcohol, but sometimes opioids.
Does family member involvement improve tx outcomes?
Yes and no. Yes if the family is supportive.
What are the main levels of substance abuse continuum of care as identified by ASAM?
5 levels
Level 0.5: Early intervention
Level 1: Outpatient services
Level 2: IOP or partial
Level 3: Residential or inpatient
Level 4: Medically managed inpatient counseling
How many stages must outpatient clients work through no matter what?
4
Treatment engagement
Early recovery
Maintenance
Community support- abstinence healthy lifestyle
What is the recommended # of days in IOT
90 days
Individual IOT sessions take place for 30-50 minutes once a week
What substances have effective pharmacotherapy treatments?
Alcohol and opioids only.
Disulfiram (Antabuse) can be taken with...?
Other MAT medications.
What is the sand which technique?
A technique to ensure better engagement and disclosure during intakes where a semi formal- then formal- then summarizing pattern is used.
Is group or individual tx more effective?
They are about the same
What is early and sustained remission?
Early remission- when criteria for a SUD were met and have been absent with the exception of cravings for at least 3 months but less than 12
Sustained remission- when sxs have been endear minus cravings for 12 months or longer.
What is a 12-step facilitation approach?
Treatment that also involves encouraging clients to attend 12 step meetings and being able to provide information about the meetings as part of encouraging them.
What "treatment" provided the best long term outcome for alcohol use?
12-step meetings [Show Less]