Changing Addiction Flashcards
What are two treatment types for treating addiction?
- First contact
- Detoxification
What is the biggest barrier to patients?
-Initial contact with patients
What 3 groups are part of the first contact process?
-Primary healthcare workers, GPs and outreach teams
What strategies are required in first contact?
-Strategies are required to help individuals view treatment as something ‘for them’
Purpose of detoxification
-The earliest stages of abstinence can be very tough, and so detox programmes are designed to support individuals through this phase of the treatment process
Purpose of methadone?
- long-acting opioid therapy to heroin
- alleviate the aversive symptoms associated with heroin withdrawal
What is blocking therapy?
-administration of drugs which minimise or totally counteract the effects of a drug of abuse (blocking- naltrexone for heroin)
What is aversive therapy?
- interacts with the drug of abuse to create extremely aversive effects (aversive- disulfiram or ‘Antabuse’ for alcohol)
- makes them feel bad for taking the drug
- feel sick when drinking
What are psychological interventions?
- dealing with the psychological dependence towards drug or behaviour
- address why they became addicted, any underlying issue that led to this and consequences of being addicted
Why are psychological interventions important?
-Addressing the problems of physical dependence is less difficult than dealing with the psychological dependence
What is motivational interviewing?
- Aimed at increasing motivation to change
- Creates ‘psychological squirm’
- Conflicted view of themselves as an addict
What is the basic idea behind behavioural therapy?
- Basic idea that addiction is learned and therefore can be unlearned
- use aversive pharmacologies as punishment
- looks at factors that precipitate drug use, to avoid triggers
- contingency management provides rewards for non-use
What is cognitive based therapy?
- A more broad-based approach than traditional behavioural therapies
- Involves identifying triggers to drug use, and provides patients with training in various key skills
What are the various key skills provided in CBT?
- Relaxation training
- Drug refusal skills
- Problem solving skills
- Cognitive restructuring “to see meaning behind action to themselves”
- Relapse prevention training
Why is peer support groups so effective?
- They use people who were once addicts themselves to run meeting
- sense of camaraderie