Strategies of treatment options in the usa


Assignment:

Treatment Paper

Treating Drug Dependence, describes what we know is effective drug treatment.

The purpose of treatment paper is to show an understanding of the treatment needs of persons who have addiction, dependency, substance abuse disorder problems. What can a person do if they experience loss of control of their substance use and the negative impacts on their life? Throughout this course we have studied abuse/addictive behavior for each drug and the biological/physical, psychological and social effects. Most treatment in the US is based on the Bio-Psych-Social model of disease.

Create a 3-4 page paper (typed, double spaced) explaining the principles and strategies of treatment options in the USA.

Treatment and Prevention

Prevention

• Strategies

- Reduce Supply

- Reduce Demand

Goals of Prevention

• Prevent or delay initial drug and alcohol use

• Minimize risks of drugs to the user

• Reduce drug use in communities

• Prevent drug dependency

• Teach responsible drug use

• Stop drug use after patterns have started

Prevention

• Primary prevention- aims to avert drug use starting or extending beyond experimental

• Secondary Prevention- consists of early intervention for risk groups to stop escalation of drug use

• Tertiary prevention- seeks to support drug abusers after treatment has been implemented

Social Influence Model

• Five key elements of the social influence model

1. Training in refusal skills through films, discussion, and practice

• Students taught ways to refuse without being negative as well as ways to be assertive and insist on the right to refuse

2. Public commitment such as making a public pledge

3. Countering advertising by inoculating children against it

• Students taught to analyze and discover the hidden messages in ads and how these messages differ from the actual effects of smoking

• Example: Ads associating cigarette use with healthy young athletes

4. Normative education to teach students that they may overestimate the number of their peers who smoke

• Countering the "everybody is doing it" attitude

5. Use of teen leaders to talk to younger students about cigarettes

• Older students can explain that neither they nor their friends smoke and how they have dealt with others' attempts to get them to smoke Ecological Model

• Person in Environment

- Individual perceptions & beliefs

- Family interactions & behavior

- Social Interactions: peers

- Community: School, work opportunities, local law enforcement

- Environment: access and marketing of drugs and alcohol, mass media

Goals of Treatment

• Attain and Maintain abstinence from the drug or behavior

• Develop a personally meaningful lifestyle

- Functioning in family

- Workplace

- Society

Benefits of Treatment

• Costly, but less expensive than imprisonment

• Reduces drug use

• Reduces crime and homelessness

• Increases employment

• Reduces risk of HIV/ AIDS

Treatment Program

• Abstinence

• Structured Recovery Program

• Repair of Biopsychosocial Damage

- Physical

- Psychological

- Family

- Community

Treatment Stages

• Detoxification

• Active Treatment

• Aftercare = Relapse Prevention

• Medically assisted aftercare

- Methadone maintenance, antabuse (disulfiram), nicotine patches

Treatment Types

• Outpatient - can the person function out on their own? Clinic services range from drop-in counseling to formal counseling to vocational counseling.

• Inpatient- medical hospital or residential model - very structured environment

Problems Associated with Treatment

• DENIAL

• Client resistant to treatment

• Community resistance

• Continuing drug use

• Relapse

• Personnel recruitment and retention

Alcoholics Anonymous

• 12 Steps and 12 Traditions

• Basis for other recovery programs:narcotics anonymous, cocaine anonymous, overeaters, debtors, sex addicts, gambling, cyber addicts, fundamentalists, etc.

• Also the basis for family and friends: Al-Anon, Cocaine Anon, Nar-Anon, S-Anon etc.

Attachment:- Prevent or delay initial drug and alcohol use.rar

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