CH.32 - The Process of Treatment

Question 1

Is there any relationship between the SUD recovery process and “disease management”?

Answer 1

• Yes. Just like dealing with diseases such as diabetes or hypertension, recovery from an SUD takes time, innumberable visits with rehabilitation professionals, and so on.
• SUDs are not acute conditions, like a broken leg or infection, that can be fixed by brief episodes of treatment.

Question 2

What is “Motivational Interviewing”?

Answer 2

Involves expressing empathy for the client, helping the client see that there are discrepancies between their goals and values and their behavior, avoiding resistance to change by assisting the client to conclude that he or she needs to change the target behavior (i.e. “social drinking” vs. abstinence behaviors)

Question 3

What is “voucher based reinforcement”?

Answer 3

• Involves the distribution of vouchers worth certain numbers of points or even credit (no actual money) at a local store for periods of abstinence confirmed through the use of toxicology testing.
• Used to reinforce the early stages of abstinence, while the client is most prone to relapse.

Question 4

What are the stages of Prochaska’s Model?

Answer 4

PRECONTEMPLATION
-still actively abusing with no thought of abstaining
CONTEMPLATION
-planning on quitting “some day”
PREPARATION
-client will change attitude & behavior within the next month
ACTION PHASE
-concrete steps to modify behavior
MAINTENANCE STAGE
-client has maintained abstinence for at least 6 months
-only 20% of clients attain this stage

Question 5

What are the factors that may determine the clients’s ability to recover?

Answer 5

• interpersonal relationships
• cognitive reappraisals
• demographic variables
• severity of the SUD
• involvement in AA or religious groups
• individual expectations and self evaluations

Question 6

What is the “illusion of control” with regard to the SUD client’s thinking?

Answer 6

the client may think they have control over their SUD, however they may easily experience triggers to relapse if they place themselves in situations they are not ready to handle yet due to this “illusion of control”

Question 7

Is SUD rehabilitation viewed mainly as a psychosocial model or a disease management model currently?

Answer 7

they are viewed as a psychosocial model, however they SHOULD be viewed as a disease management model

Question 8

How many clients reach maintenance phase of recovery?

Answer 8

20%