Substance Abuse Treatment and Assessment

Goals: abstinence, reduced use, improved mental/physical health
Types:
- Outpatient: individual/group therapy, counseling
- Inpatient: residential programs, detoxification
- Medication-assisted treatment (MAT): medication + counseling
Settings: private practice, hospitals, community centers, prisons

Purposes:
- Identify substance use disorders (SUDs)
- Determine treatment needs
Tools:
- Screening instruments (e.g., AUDIT, DAST)
- Diagnostic interviews (e.g., ASI, SCID)
- Behavioral observations
Assessments:
- Biopsychosocial: physical, emotional, social factors
- Readiness to change: motivational stage

Strategies:
- Identifying high-risk situations
- Developing coping skills
- Building social support networks
Techniques:
- Cognitive-behavioral therapy (CBT)
- Mindfulness-based interventions
- Contingency management

Approaches:
- Confrontational: direct, authoritative
- Non-confrontational: empathetic, motivational
Techniques:
- Motivational interviewing (MI)
- Family systems therapy
- Brief interventions

Theoretical orientations:
- Cognitive-behavioral therapy (CBT)
- Motivational interviewing (MI)
- Family systems therapy
Evidence-based practices:
- Contingency management (CM)
- Cognitive processing therapy (CPT)

Principles:
- Autonomy: respecting client decisions
- Beneficence: promoting client well-being
- Non-maleficence: avoiding harm
Confidentiality: maintaining client privacy
Dual relationships: avoiding conflicts of interest

Medications for addiction treatment:
- Opioid agonists (e.g., methadone)
- Opioid antagonists (e.g., naltrexone)
- Prescription medications (e.g., Suboxone)
Pharmacological management: medication + counseling

Coordination of care:
- Referrals to services
- Collaboration with healthcare providers
Advocacy: supporting clients' needs, rights
Discharge planning: preparing clients for post-treatment

Goals of treatment include abstinence, reduced use, and improved mental and physical health
Treatment types include outpatient, inpatient, and medication-assisted treatment
Outpatient treatment involves individual or group therapy and counseling
Inpatient treatment involves residential programs and detoxification
Medication-assisted treatment combines medication with counseling
Treatment settings include private practice, hospitals, community centers, and prisons

Addiction assessment purposes include identifying substance use disorders and determining treatment needs
Assessment tools include screening instruments, diagnostic interviews, and behavioral observations
Biopsychosocial assessments consider physical, emotional, and social factors
Readiness to change assessments determine the client's motivational stage
Screening instruments include AUDIT and DAST
Diagnostic interviews include ASI and SCID

Relapse prevention strategies include identifying high-risk situations, developing coping skills, and building social support networks
Cognitive-behavioral therapy and mindfulness-based interventions are techniques used in relapse prevention
Contingency management is a technique that provides rewards or punishments for behavior
Relapse prevention helps clients maintain sobriety and avoid relapse

Intervention approaches include confrontational and non-confrontational methods
Confrontational approaches are direct and authoritative, while non-confrontational approaches are empathetic and motivational
Techniques include motivational interviewing and family systems therapy
Brief interventions are short-term and focused on specific goals

Theoretical orientations include cognitive-behavioral therapy, motivational interviewing, and family systems therapy
Evidence-based practices include contingency management and cognitive processing therapy
Cognitive-behavioral therapy helps clients identify and change negative thought patterns
Motivational interviewing helps clients resolve ambivalence and increase motivation

Principles of addiction counselor ethics include autonomy, beneficence, non-maleficence, and confidentiality
Autonomy respects clients' decisions, while beneficence promotes client well-being
Non-maleficence avoids harm to clients, and confidentiality maintains client privacy
Dual relationships should be avoided to prevent conflicts of interest

Medications are used in addiction treatment to manage withdrawal, cravings, and other symptoms
Opioid agonists, antagonists, and prescription medications are used in pharmacological management
Methadone and naltrexone are examples of medications used in addiction treatment
Pharmacological management combines medication with counseling for comprehensive treatment

Intake involves gathering client information and explaining treatment, risks, and benefits
Informed consent is obtained from clients before treatment begins
Treatment plans are developed during intake, and progress is documented throughout treatment
Record keeping involves maintaining accurate, secure, and confidential records

Case management involves coordinating care and collaborating with healthcare providers
Advocacy supports clients' needs and rights, and discharge planning prepares clients for post-treatment
Case management helps clients access necessary services and resources