Chapter 7 Flashcards
What does it mean to individualize treatment for each client’s needs?
One conception of individualizing treatment is to match clients to a treatment that is most likely to help them, taking into account individual variation in genes, environment, and lifestyle.
What are the four phases of care in addiction treatment?
The four phases are palliative care, stabilization, rehabilitation, and maintenance.
What is Phase 1: Palliative Care?
It precedes formal treatment, keeping individuals in contact with care systems, reducing risks of harm, enhancing motivation for change, and facilitating access to further treatment.
What is Phase 2: Stabilization?
It involves detoxification, retention in treatment, addressing acute health needs, case management, increasing motivation, and facilitating entry into rehabilitation.
What is Phase 3: Rehabilitation?
This phase focuses on establishing a therapeutic relationship, negotiating goals for change, developing and implementing a change plan, and addressing concomitant problems.
What is Phase 4: Maintenance?
It includes supporting motivation for maintaining change, implementing a maintenance plan, continuing case management, and fostering drug-free activities and relationships.
What is natural matching in treatment selection?
Natural matching occurs when individuals seek and stay with a treatment that feels right for them based on reputation, accessibility, and personal preferences.
What is clinical judgment in treatment matching?
Clinicians use various factors, including training, past experience, and client characteristics, to recommend treatment, but studies show recommendations often align with the clinician’s specialty.
What is Project MATCH?
A large clinical trial that tested matching clients to three treatment methods: 12-step facilitation, motivational enhancement therapy, and cognitive-behavioral therapy.
What did Project MATCH find about treatment outcomes?
All three methods produced similar outcomes overall, but some matching effects were found, such as clients with social networks favoring drinking benefiting more from 12-step facilitation.
What is stepped care in addiction treatment?
It involves starting with the least intensive effective intervention and stepping up to more intensive care only if needed.
What are expert systems in treatment matching?
Computer algorithms that improve treatment decision-making by identifying patterns and predicting outcomes more accurately than clinicians.
What is informed choice in treatment selection?
Allowing clients to select from available evidence-based options, increasing their commitment and satisfaction with treatment.
How does a change plan differ from a treatment plan?
A change plan includes all goals for personal change, while a treatment plan is a subset focused on professional treatment interventions.
What are the key guidelines for matching clients to treatment?
Put client welfare first, offer a menu of choices, try different approaches if needed, address broader client needs, and practice humility in clinical judgment.
