Substance Abuse Treatment Overview
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Questions and Answers

What is the approximate completion rate for all treatment types?

  • 80%
  • 40%
  • 65% (correct)
  • 50%

    • What is the relapse rate after treatment?

  • 30%
  • 40%
  • 50% (correct)
  • 20%

    • What is the primary focus of interventions targeting the drug?

  • Psychological
  • Medical (correct)
  • Social
  • Environmental

    • What is the aim of psychoeducation?

    <p>To provide the client and families knowledge about various facets of the illness and its treatment</p> Signup and view all the answers

    What is the effect of simply providing information about harms as a sole intervention?

    <p>Ineffective</p> Signup and view all the answers

    According to the research, what has nil or negative effects?

    <p>Confrontation</p> Signup and view all the answers

    What is an additional benefit of psychoeducation?

    <p>It avoids confrontation and argument</p> Signup and view all the answers

    What type of professionals are effective in delivering psychoeducation?

    <p>Clinicians</p> Signup and view all the answers

    What is the percentage reduction in excessive drinking found in hazardous and harmful drinkers after brief interventions?

    <p>20-30%</p> Signup and view all the answers

    What is the duration of significant effect found after brief interventions?

    <p>Up to 2 years</p> Signup and view all the answers

    What type of therapy is often rated as the most effective approach to treatment with a drug and alcohol population?

    <p>Cognitive behavioural therapy</p> Signup and view all the answers

    What is the focus of cognitive behavioural therapy?

    <p>Changing unhelpful thoughts, emotions, and behaviours</p> Signup and view all the answers

    What is the finding of Jhanjee's (2014) Cochrane review?

    <p>Psychological interventions are effective</p> Signup and view all the answers

    What is the benefit of integrating evidence-based psychological interventions in substance use disorder treatment programs?

    <p>Improved treatment outcomes</p> Signup and view all the answers

    What is the benefit of combining psychological treatment with substitute prescribing for opiate users?

    <p>Improved treatment outcomes</p> Signup and view all the answers

    What is the role of brief interventions in substance use disorder treatment?

    <p>An effective first level of treatment</p> Signup and view all the answers

    What type of agonist is buprenorphine?

    <p>Partial agonist</p> Signup and view all the answers

    What is a benefit of using buprenorphine for detoxification?

    <p>It has a lower risk of severe withdrawal symptoms</p> Signup and view all the answers

    What is the effect of higher doses of buprenorphine on treatment retention and heroin use?

    <p>Higher doses improve treatment retention and reduce heroin use</p> Signup and view all the answers

    What is the mechanism of action of disulfiram in maintenance therapy?

    <p>It blocks the enzyme that metabolizes alcohol</p> Signup and view all the answers

    What is the purpose of disulfiram in maintenance therapy?

    <p>To act as a deterrent to drinking</p> Signup and view all the answers

    What is the effect of acamprosate on alcohol cravings and abstinence?

    <p>It decreases cravings for alcohol and increases abstinence</p> Signup and view all the answers

    What is the effect of naltrexone on opioid cravings?

    <p>It decreases cravings for opioids</p> Signup and view all the answers

    What is the result of using disulfiram in conjunction with counselling and ongoing support?

    <p>It increases the effectiveness of treatment</p> Signup and view all the answers

    What is the primary goal of contingency management in substance use disorder treatment?

    <p>To provide positive reinforcement for achieving treatment goals</p> Signup and view all the answers

    What is the underlying premise of social skills training in substance abuse treatment?

    <p>That deficient social skills lead to poor adjustment and dysfunction</p> Signup and view all the answers

    What is the primary focus of relapse prevention in substance abuse treatment?

    <p>Developing skills to manage cravings and painful emotions</p> Signup and view all the answers

    What is the evidence for the effectiveness of contingency management in substance use disorder treatment?

    <p>Strong evidence, particularly for opioids, tobacco, and polysubstance use</p> Signup and view all the answers

    What is the primary advantage of adding CBT to relapse prevention in substance abuse treatment?

    <p>It enhances the effectiveness of treatment</p> Signup and view all the answers

    What is the primary goal of social skills training in substance abuse treatment?

    <p>To give clients new skills to maintain abstinence</p> Signup and view all the answers

    What is the primary limitation of contingency management in clinical practice?

    <p>The perceived high costs of providing incentives</p> Signup and view all the answers

    What is the benefit of contingency management in opiate substitution programs?

    <p>It improves adherence to medication</p> Signup and view all the answers

    What is a key benefit of community development interventions?

    <p>Raising awareness of drug issues</p> Signup and view all the answers

    Which type of intervention recognizes the role of social disadvantage in substance abuse problems?

    <p>Employment, educational and recreational opportunities</p> Signup and view all the answers

    What is a key feature of family therapy?

    <p>Focus on treating the 'family'</p> Signup and view all the answers

    What is a benefit of case management?

    <p>Linking clients with appropriate services</p> Signup and view all the answers

    What type of interventions provide a single point of contact with health and social services?

    <p>Case management</p> Signup and view all the answers

    What is a characteristic of residential rehabilitation?

    <p>Long-term programs (usually 1 to 12 months)</p> Signup and view all the answers

    What is a goal of employment, educational and recreational opportunities?

    <p>Improving self-worth and self-esteem</p> Signup and view all the answers

    What is a challenge of family therapy?

    <p>Managing multiple needs</p> Signup and view all the answers

    Study Notes

    Specialist Interventions: Overview

    • Treatment completion rate: around 65%
    • Relapse rate after treatment: about 50% (similar to other chronic health conditions)

    Interventions Targeting The Drug

    • Medical-focused interventions
      • Psychoeducation/drug information
        • Provides knowledge about the illness and its treatment to assist clients in living more productive and fulfilling lives
        • Helps understand symptoms, causes, and treatment options
        • Avoids confrontation and argument
        • Raises awareness
      • Buprenorphine
        • Partial agonist and partial antagonist
        • Maintenance treatment and detoxification aid
        • Higher doses improve retention in treatment and reduce heroin use
      • Naltrexone (for alcohol)
        • Decreases cravings for alcohol in people who have been dependent on alcohol and are trying to abstain
      • Acamprosate (Campral)
        • Decreases cravings for alcohol and increases abstinence
      • Disulfiram (Antabuse)
        • Maintenance therapy with abstinence as a goal
        • Blocks enzyme that metabolizes alcohol, producing unpleasant side effects

    Psychological Therapies

    • Overall psychosocial interventions are effective
    • Cognitive behavioral therapy (CBT) is often rated as the most effective approach
    • Relapse prevention
      • Develops skills to identify high-risk situations and manage cravings
      • Attains a life-style balance
    • Contingency management
      • Provides positive reinforcement for positive behavior
      • Strong evidence for treatment of substance use disorders
    • Social Skills Training
      • Focuses on deficient social skills leading to poor adjustment and dysfunction
      • Teaches new social skills, such as assertiveness training, anger management, and relaxation training

    Interventions Targeting The Environment

    • Generally operate from a wholistic perspective
    • Community Development
      • Engages the local community in the design and implementation of prevention programs
      • Generates and disseminates drug-related resources to the community
    • Employment, educational, and recreational opportunities
      • Recognizes the role of social disadvantage in substance abuse problems
      • Provides opportunities to develop skills and social networks outside the drug-using lifestyle
    • Family Therapy
      • Focuses on treating the 'family'
      • Family inclusive practice improves treatment outcomes
      • Can alleviate distress for significant others
    • Case Management
      • Provides a single point of contact with health and social services
      • Client-driven and community-based
      • Advocacy and flexible, culturally sensitive services
    • Residential rehabilitation
      • Long-term programs (usually 1 to 12 months) where people live in a community of other substance users, ex-users, and professional staff

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    Description

    Learn about the effectiveness and challenges of substance abuse treatment, including completion rates, relapse rates, and different treatment settings and services.

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