Addiction Flashcards
The 7 Dimensions of Addiction
1 Substance use
2 Problem
3 Physical adaptation
4 Behavioral dependence
5 Cognitve impairment
6 Medical harm
7 Motivation for change
SUD
Substance Use Disorder
Integrative approach
1 comprehensive
2 multidisciplinary
3 holistic
4 collaborative
Etiology of Addiction- different models of causation
Personal Responsibility Model
Agents Model
Depositional Model
Social Learning Model
Sociocultural Model
Public Health Perspective
Personal Responsibility Model
Addiction is a failure of self-control; a violation of moral, ethical, religious standards
Remedies: legislation; education; repentance; punishment; social sanctions.
12 step programs emphasize character flaws so you need a higher power, see spiritual awakening as key
Agents Model
The drug & it’s addictive qualities are to blame
Prohibition was based on this
War on drugs too
Remedy is to eradicate the drug
Depositional Model
Places primary cause on the individual’s propensity to be addicted to that agent.
Disease Model (sub model)
Addicted ppl are different from most and therefore incapable of controlling themselves. Supported by liquor industry.
Reduces personal responsibility. Seeks genetic predisposition. Posit past use alter brain to compromise self control
Social Learning Model
Emphasizes role of experience in shaping addiction. Social environment influence
SocioCultural
The influence of your social milieu and culture.
Public Health Perspective factors
Broad approach taking all of the other models into account. Divides causal factors into 3 categories.
- Agent: the drug itself
- host: personal characteristics of the individual
- the environment
Looks at interactions btwn fa
Routes of Administration
- ingestion
- inhalation
- intranasal
- injection
Major classes of drugs and their acute effects
Stimulants
Sensitives
Opiates
Psychedelics
Cannabis
Steroids
Long term effects
Dependence
Acute events
Toxicity
Adverse consequences
Fetal effect
Engaging
Empathic Understanding
- kindness
- comfort
- empathy
- avoid confrontation
- patience
Reflective listening
OARS - Fundamental Counseling Skills
Staying Focused
Taking an active interest on your client
Menschenbild
OARS
O open questions
A affirm
R reflect
S summarize
Screening, evaluation and diagnosis
Screening - Procedures meant to be over inclusive, to detect the possible presence of a problem and the need for further evaluation
Evaluation - Doing a more thorough assessment in order to understand a problem
Diagnosis - Confirming the presence of a disorder
Screening Tools
Clinical questions
Questionaires
Biological markers
Subtle tests
Evaluating addiction problems
Conducting a multi Dimensional evaluation
Nature and severity of Substance use and problems
- Substance Use
- Dependence
- Negative consequences
Motivation for change
Client’s strength and Resources
- Personal strengths
- social supports
ARMS
Appropriate
Rewarding
Measurable
Specific
Four Phases of Treatment: a continuum of care
Phase one: palliative care
Phase 2: stabilization
Phase 3: rehabilitation
Phase 4: maintenance
Choosing among treatments
natural matching
Clinical judgment
Decision rules
Stepped care
Informed choice
Developing a change plan
Setting goals
Choosing strategies
Getting to yes
Person - centered treatment
Feedback informed treatment
Good practice guidelines
Good practice guidelines
1 - put client welfare 1st
To - offer a menu
3 - try something different
4 - attend to the person’s larger needs
5 - practice appropriate humility
6 - make use of available knowledge
7 - consider collecting your own data
8 - remember general factors
Empathic listening, hope, optimism, treating clients with respect, and honoring their autonomy
