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PYB159 > effective treatment and ethical considerations > Flashcards

effective treatment and ethical considerations Flashcards

1
Q

what are the principles of effective treatment

A
  1. no single treatment is appropriate for all individuals
  2. treatment needs to be readily available
  3. effective treatment attends to multiple needs of the individual, not just his or her drug use
  4. an individual treatment plan must be assessed continually and modified as necessary to ensure the plan meets the persons changing needs
  5. remaining in treatment for an extended period of time
  6. counselling/therapies are critical for effective treatment for addiction
  7. medications are important, especially combined with counselling/therapy
  8. clients with coexisting mental health and substance use should both be treated together
  9. rehab is only the first step of treatment
  10. treatment doesn’t need to be voluntary to be effective
  11. possible drug use during treatment must be monitored continuously
  12. treatment programs need to provide assessments for blood borne viruses
  13. recovery can be a long term process and frequently requires multiple episodes of treatment
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2
Q

what percentage of type 1 diabetes relapse

A

30-50%

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3
Q

what percentage of hypertension relapses

A

50-70%

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4
Q

what percentage of asthma relapse

A

50-70%

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5
Q

what percentage of drug addicts relapse

A

40-60%

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6
Q

what model do we use

A

the biopsychosocial model

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7
Q

what are the overlapping variables in the biopsychosocial model of addiction

A

systems
social
psychological
biological

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8
Q

what are the system variables in the biopsychosocial model of addiction

A

national/regional public policies
drug laws
socioeconomic context

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9
Q

what are the social variables of biopsychosocial model of addiction

A

interpersonal relationships
treatment and drug use settings
social norms around use

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10
Q

what are the psychological variables in biopsychosocial model of addiction

A

identity as a user
ability to cope
counselling and support services

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11
Q

what are the biological variables of the biopsychosocial model of addiction

A

dopaminergic reward
hypothalamic, pituitary, adrenal axi (HPA) response
corticol response

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12
Q

what are the components to comprehensive drug abuse treatment

A 
child care services
vocational services 
mental health services 
medical services 
educational services 
AID/HIV services 
legal services 
financial services 
housing/transportation services 
family services
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13
Q

what is project match

A

a study in the US over an 8 year in 30 locations, 130 clinical professionals and compared CBT, MI, 12 step programs and found that theyd all show similar findings/effect

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14
Q

what are some criticisms for project match

A

eligibility criteria didn’t allow for polydrug use
too much focus put on assessment and follow up for research which interrupted usual therapy
all participants attended AA groups just the 12 step group went to more
abstinence was the only determinant of success
there was no control group

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15
Q

what were the major conclusions from project match

A

that no superior treatment model exists
no single treatment intervention is effective for all people
matching treatment to clients is a complex but important process

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16
Q

what are the 4 assumptions for informed eclecticism

A

there is no single superior approach to treatment
treatment programs/systems should be constructed with a variety of approaches that have been shown to be effective
different individuals respond best to different treatment approaches
it is possible to match clients to optimal treatment, therefore increasing treatment effectiveness and efficiency

17
Q

what is the Australian treatment outcomes study

A

Australian study on heroin users comparing replacement, withdrawal, residential rehabilitation and non-treatment control with 3 and 12 month follow ups
the treatment sample differed from gen. pop with more PTSD, depression, PD, and disability
high suicide and overdose rates as well as criminality

18
Q

what were the outcomes to ATOS

A

general functioning improved

majority of participants abstinent for the 1 month prior to 12 month follow up

19
Q

what was the percentage of improvement for replacement therapy in the ATOS

A

65%

20
Q

what was the improvement for residential rehabilitation in ATOS

A

63%

21
Q

what was the percentage of improvement in the ATOS for withdrawal

A

52%

22
Q

what was the percentage of improvement for non-treatment in ATOS

A

25%

23
Q

what was the most effective in the ATOS program

A

replacement therapy

24
Q

what else did they find in the ATOS

A

there was a noticeable reduction in criminal behaviour, improved related health and a decline in depression

25
Q

what drug has the highest treatment success

A

meth

PYB159 (9 decks)

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