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Published byDenis Sims Modified over 9 years ago
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Substance Abuse Treatment
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PROFILE OF A DRUG ABUSER MOST PEOPLE IN TREATMENT ARE BETWEEN 18-25 YEARS OF AGE MANY DRUG ABUSERS SUFFER FROM MENTAL HEALTH PROBLEMS 30-40% OF DRUG ABUSERS ARE HOMELESS THOSE IN TREATMENT USE MULTIPLE DRUGS
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BENEFITS OF DRUG TREATMENT LESS EXPENSIVE THAN INCARCERATION ILLICIT DRUG USE IS REDUCED CRIMINAL ACTIVITY DECLINES MORE STABLE EMPLOYMENT REDUCED TRANSMISSION OF BLOODBORNE INFECTIONS
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Components to Treatment 1. Detoxification 2. Counseling 3. Support Groups
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DETOXIFICATION THE GOAL OF DETOXIFICATION IS SAFE WITHDRAWAL ANOTHER GOAL FOR DETOXIFICATION IS PROVIDING FOR A HUMANE WITHDRAWAL DETOXIFICATION SHOULD PREPARE THE CLIENT FOR ONGOING TREATMENT
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COUNSELING AFTER DETOXIFICATION IT IS CRITICAL FOR THE CLIENT TO BE COUNSELED TO BEGIN TO DEAL WITH THE ISSUES THAT WERE CENTRAL TO USING DRUGS AS A COPING MECHANISM
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SUPPORT GROUPS SUPPORT GROUPS ARE IMPORTANT TO ASSIST THE CLIENT TO STAY CLEAN AND SOBER
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TREATMENT ISSUES VOLUNTARY VERSUS COMPULSORY TREATMENT MATCHING PATIENTS AND TREATMENT TREATING ADOLESCENT DRUG ABUSERS
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PROBLEMS ASSOCIATED WITH TREATMENT CLIENT RESISTANCE TO TREATMENT COMMUNITY RESISTANCE CLIENT PREFERS CONTINUING DRUG USE RELAPSE PERSONEL RECRUITMENT AND RETENTION
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TREATMENT PROGRAMS METHADONE MAINTENANCE THERAPEUTIC COMMUNITIES OUTPATIENT TREATMENT INPATIENT TREATMENT SELF-HELP GROUPS
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METHADONE MAINTENANCE METHADONE IS A SYNTHETIC DRUG THAT ELIMINATES WITHDRAWAL SYMPTOMS FROM OPIATES AND PREVENTS AN OPIATE ADDICT FROM EXPERIENCING EUPHORIA METHADONE MAINTENANCE IS EFFECTIVE ONLY FOR HEROIN
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METHADONE MAINTENANCE THE DEMAND FOR METHADONE MAINTENANCE IS HIGH WAITING LISTS FOR METHDONE MAINTENANCE PROGRAMS CAN BE UP TO ONE YEAR
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THERAPEUTIC COMMUNITIES THERAPEUTIC COMMUNITIES (TC) ARE DRUG- FREE RESIDENTIAL SETTINGS WHERE ABUSERS RESIDE FOR 1-2 YEARS TCs STRESS GROUP INTERVENTION TECHNIQUES AND LIFE IN A TC IS VERY STRUCTURED WITH CLIENTS BEING GIVEN CHORES (HENCE COMMUNITY) THE BIGGEST PROBLEM IN TCs IS THE HIGH DROPOUT RATE
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OUTPATIENT TREATMENT OUTPATIENT TREATMENT INCLUDES COUNSELING, GROUP THERAPY, VOCATIONAL/EDUCATIONAL SERVICES
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INPATIENT TREATMENT INPATIENT TREATMENT ARE HOSPITAL BASED INPATENT TREATMENT HAS BEEN SHOWN TO BE NO MORE EFFECTIVE THAN INTENSIVE OUTPATIENT TREATMENT
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SELF-HELP GROUPS SELF-HELP GROUPS HELP PEOPLE TO STAY CLEAN AND SOBER EXAMPLES INCLUDE ALCOHOLIC ANONYMOUS ALCOHOLIC ANYONMOUS IS A POPULAR SELF-HELP GROUP THAT FOLLOWS A 12 STEP MODEL
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REASONS FOR NOT SEEKING TREATMENT UNAVAILABILITY OF FACILITIES COST OF TREATMENT STIGMATIZATION FACILITY PHILOSOPHY SOME PREFER DRUG USE FEAR OF BECOMING KNOWN TO LAW ENFORCEMENT
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FACTORS THAT PREVENT DRUG RELAPSE Marriage Steady Employment Compulsory Supervision New Relationships Belonging to a Desirable Group A Substitute Dependency
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ALCOHOL TREATMENT ALCOHOLICS ANONYMOUS MODERATE DRINKING DISULFIRAM NALTREXONE
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ALCOHOLICS ANONYMOUS THE MAIN FOCUS OF THE 12 STEP MODEL IS THAT A PERON ADMITS TO BEING POWERLESS OVER ALCOHOL AND CANNOT OVERCOME ALCOHOLISM WITHOUT ASSISTANCE FROM A HIGHER POWER (RELIGIOUS CONVICTION IS IMPORTANT) THE ONLY REQUIREMENT FOR AA IS THE DESIRE TO STOP DRINKING
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MODERATE DRINKING MODERATE DRINKING IS A CONTROLLED DRINKING APPROACH WHEREBY THE ALCOHOLIC CAN RESUME DRINKING IN A MODERATE WAY AN EXAMPLE OF MODERATE DRINKING INCLUDES MODERATION MANAGEMENT (MM)
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DISULFIRAM (ANTABUSE) DILSULFIRAM (ANTABUSE) IS A DRUG THAT WHEN TAKEN ACTS AS AN ADVERSIVE AGENT BY INTERACTING WITH ALCOHOL IN SUCH A WAY THAT THE DRINKER BECOMES VIOLENTLY ILL WHEN HE/SHE COMSUMES ALCOHOL
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NALTREXONE NALTREXONE TRADITIONALLY IS USED TO BLOCK THE EFFECTS OF OPIATES BUT HAS BEEN SHOWN EFFECTIVE IN ALCOHOL TREATMENT
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Summary Most people in treatment are between 18-25 years of age Substance abuse treatment has documented benefits Detoxifcation, counseling, and support groups are key elements to treatment There are a wide variety of treatment options available The more structure to one’s life relapse is less likely
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