Science of Drug Addiction Flashcards

--Recurrent use resulting in failure to fulfill major obligations at work & home --continued use despite persistent social/interpersonal problems caused by substance's effects

--Abuse and dependence --Difference in symptoms btw categories of abuse/dependence-> increased tolerance and/or withdrawal symptoms.

Written documents that detail how problems are defined and treatments are formulated for the substance abuser.

1-TYPE OF PLAN:Initial-24hrs, Master-several trtmnts addressing problem, Update-revise/review master 2-PROBLEM: written; use assessment data/client perception of problem 3-INDICATORS:tangible evidence/data 4-LONG-TERM GOALS 5-SHORT-TERM GOALS 6-OBJECTIVE:realistic, measurable & behavioural statements of desired state/condition 7-METHOD:specific behavioural interventions/tasks assigned to client to fulfill objective & short-/long-term goals 8-FREQUENCY OF SERVICES PROVIDED 9-SIGNATURE:shows client's involvement and commitment

reduce risks for individuals until they are ready to abstain from chemicals

--only the beginning of treatment, not considered an effective treatment by itself; --includes evaluation of physical, measure of degree of intoxication, and a plan for possible physical conditions

when the addiction impairs health and social functioning

Phase 1: The Prodomal Phase: casual use of a substance begins to change, and the first signs of dependence can be charted Phase 2: The Crucial Phase (middle phase) -abuser--obvious behavior changes assoc w/addiction-most hope>intervention Phase 3: The Chronic Phase- loss of behaviour control/physicalsymptoms>chronic abuse.

1-Each is specific/individualized to clients needs/goals 2-They must be measurable. 3-involve client feedback of services to be provided.

Med Detox/Stabilization:mostrestrictive. Dual-diagnosis Hospital Inpatient Free Standing Rehab and Residential Prgrm Partial Hospitalization Temporary recovery or halfway houses Intensive Outpatient Outpatient programs-least restrictive

Provides a range of services that allows for navigation through the system.

13 to 25 questions shorter version of the MAST (SMAST)

MAST: -25 questions -identifies approx 90% of alcoholics -widely used -lifetime related alcohol problems

-designed in 1950 by Dan Anderson -Dominant model for rehab programs -Utilizes Treatment Team -AA participation is required -Chaired by Case manager (usually chem dep couns) -multi modal, -Strength: redundancy and multi member concept. -Weakness: unproven effectiveness except alcohol

Each problem domain from the assessment has a separate, written treatment plan