6. Counseling, treatment, resocialization

Question 1

2 types of interventions

Answer 1

medical and psychosocial

Question 2

3 objectives of drug treatment

Answer 2

Individual (physical, psychological and social well-being)

Family (positive integration into the family, support)

Community (health and social issues: poverty, HIV etc.)

Question 3

UNODC-WHO Principles of Drug Dependence Treatment and Care (9)

Answer 3

1. Availability and accessibility of treatment
2. Screening, assessment, diagnosis and treatment planning
3. Evidence informed treatment
4. Human rights and patient dignity
5. Targeting special subgroups and conditions
6. Treatment within the criminal justice system
7. Community involvement, participation and patient orientation
8. Clinical governance of treatment services
9. Treatment systems: Policy development, strategic planning, coordination of services

Question 4

2 main aspects of EFFECTIVE treatment

Answer 4

• No single treatment is appropriate for everyone
• Treatment does not need to be voluntary to be effective

Question 5

Types of treatment services (5)

Answer 5

1. Detoxification
2. OST - opioid substitution therapy (methadone, buprenorphine)
3. Substitution treatment for stimulants (pilot projects)
4. Social support & rehabilitation (e.g. resocialization centers)
5. Psychosocial interventions

Question 6

7 types of psychosocial interventions

Answer 6

1. Motivational interviewing
2. Brief interventions (five As)
3. CBT (relapse prevention)
4. Family therapy (codependency)
5. Contingency management (reinforcing and rewarding alternative behaviors to drug use)
6. Self-help groups
7. Therapeutic groups (lead by professionals)

Question 7

Human rights approach to drug treatment

Answer 7

• respecting choice
• avoiding cruel, inhuman punishment, humiliation, forced labor

Question 8

An addiction treatment professional should… (6)

Answer 8

1. respect the client
2. be a role model
3. control the therapeutic relationship
4. emphasize the clients personal responsibility for recovery
5. provide direction and encourage self-direction
6. be conscious of their own issues

Question 9

Challenges in treatment in Slovak contexts (4)

Answer 9

1. Interdisciplinary challenges (different ministries, funding, strategies and policies)
2. Funding (limits of health insurance)
3. Lack of professionals
4. Legal environment