Addiction Flashcards

1
Q

The 7 Dimensions of Addiction

A

1 Substance use
2 Problem
3 Physical adaptation
4 Behavioral dependence
5 Cognitve impairment
6 Medical harm
7 Motivation for change

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2
Q

SUD

A

Substance Use Disorder

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3
Q

Integrative approach

A

1 comprehensive
2 multidisciplinary
3 holistic
4 collaborative

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4
Q

Etiology of Addiction- different models of causation

A

Personal Responsibility Model
Agents Model
Depositional Model
Social Learning Model
Sociocultural Model
Public Health Perspective

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5
Q

Personal Responsibility Model

A

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

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6
Q

Agents Model

A

The drug & it’s addictive qualities are to blame

Prohibition was based on this
War on drugs too

Remedy is to eradicate the drug

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7
Q

Depositional Model

A

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

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8
Q

Social Learning Model

A

Emphasizes role of experience in shaping addiction. Social environment influence

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9
Q

SocioCultural

A

The influence of your social milieu and culture.

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10
Q

Public Health Perspective factors

A

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

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11
Q

Routes of Administration

A
  • ingestion
  • inhalation
  • intranasal
  • injection
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12
Q

Major classes of drugs and their acute effects

A

Stimulants
Sensitives
Opiates
Psychedelics
Cannabis
Steroids

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13
Q

Long term effects

A

Dependence
Acute events
Toxicity
Adverse consequences
Fetal effect

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14
Q

Engaging

A

Empathic Understanding
- kindness
- comfort
- empathy
- avoid confrontation
- patience

Reflective listening

OARS - Fundamental Counseling Skills

Staying Focused

Taking an active interest on your client

Menschenbild

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15
Q

OARS

A

O open questions
A affirm
R reflect
S summarize

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16
Q

Screening, evaluation and diagnosis

A

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

17
Q

Screening Tools

A

Clinical questions
Questionaires
Biological markers
Subtle tests

18
Q

Evaluating addiction problems

A

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

19
Q

ARMS

A

Appropriate
Rewarding
Measurable
Specific

20
Q

Four Phases of Treatment: a continuum of care

A

Phase one: palliative care
Phase 2: stabilization
Phase 3: rehabilitation
Phase 4: maintenance

21
Q

Choosing among treatments

A

natural matching
Clinical judgment
Decision rules
Stepped care
Informed choice

22
Q

Developing a change plan

A

Setting goals
Choosing strategies
Getting to yes

23
Q

Person - centered treatment

A

Feedback informed treatment
Good practice guidelines

24
Q

Good practice guidelines

A

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