Learning Objectives Test #1 Flashcards
What is the navy alcohol and drug abuse prevention and control instructions?
OPNAVINST 5350.4
What is the navy’s philosophy for substance-abuse rehabilitation program?
Illegal or inappropriate drug use and excessive irresponsible alcohol use by navy members can seriously damage their physical and mental health, jeopardize their safety and the safety of others.
The Navy recognizes that substance use disorders are. _____ and ______
Preventable and treatable
What is the standards for provisions of substance related disorder treatment services?
BUMEDINST 5353.4
Is treatment patient driven or diagnosis driven?
Patient driven (BUMEDINST 5353.4
Patient will be treated in ________ that is appropriate to their _______________
Least restrictive treatment environment that is appropriate to their therapeutic needs and circumstances.
What is the length of treatment for the patient?
Depending on patient needs and responses to treatment
What are the essential treatment personnel?
- Clinic directors
- certified Navy drug and alcohol counselor’s
- Navy drug and alcohol counselor interns,
- licensed independent practitioners
- preceptors.
Substance specific treatment goals:
Mild substance use disorder =
Abstinence or responsible drinking
Substance specific treatment goals:
Moderate substance use disorder =
Abstinence or responsible drinking
Substance specific treatment goals:
Severe substance use disorder =
Abstinence
What is the term abstinence?
The choice not to drink alcohol
What is the term responsible use mean?
The application of self imposed limitations of time, place, and quantity when consuming alcohol beverages
Leader ship responsibility
All hands and position of authority must the de-glamorize the use of alcohol
Command responsibility
Commands will ensure policies and programs are implemented to reinforce the message of responsible use of alcohol by all members who choose to drink
Shipmate responsibility
All members must be aware of the warning signs of alcohol abuse and take positive steps to ensure shipmates not abuse alcohol. Includes intervening before excessive drinking occurs, stopping shipmate from driving, and immediately challenging inappropriate behaviors resulting from alcohol use
What are the treatment modalities?
- individual counseling
- Group counseling
- Family counseling
- pharmacological intervention
- education
- physical condition
- 12 step meeting
What is that ASAM philosophy?
- provides for treatment on case by case basis
- identify appropriate levels of care determined by patient needs
- no fixed length of stay
ASAM dimension #1
Acute intoxication and/or withdrawl potential
ASAM dimension #2
Bio medical conditions and complications
ASAM dimension #3
Emotional, behavioral or cognitive conditions and complications
ASAM dimension #4
Readiness to change
ASAM dimension #5
Relapse, continued use or continued problem potential
ASAM dimension #6
Recovery/living environment
ASAM dimension #7
Operational commitments
Define “continuum of care”
Within and across the levels of care, there is a continuum of the severity of illness treated and intensities of services provided
Levels of Care
Level .5
Early interventions
Levels of Care
Level I
Outpatient treatment
Levels of Care
Level II
Intensive outpatient treatment/partial hospitalization
Levels of Care
Level III
Residential treatment/inpatient treatment
Levels of Care
Level IV
Medically managed intensive inpatient treatment
What is the purpose of BUMEDINST 5355.4A?
Establish a uniform set of standards for the provision of substance use disorder treatment services within the department of the Navy
Define forgiveness
The act of giving up feelings of resentment or anger
Define 12 steps of AA
12 steps are a group of principles, spiritual in their nature, which, if practice as a way of life, can expel the obsession to drink and enable to suffer to become happily and use for the whole
Define surrender
Admit we are powerless over alcohol and there is a greater power and we turn our will and our lives over to God. Surrender is a key to recovery.
Define alcoholic grandiosity
Refers to an alcoholic’s insistence on having his or her own way regardless of the world at a higher power.
Define Alcoholic insanity
Untrue believe held by some alcoholics that they can control their own drinking or that somehow, someday that will be able to drink normally.
Define any length
Just phrase refers to an AA members willingness to go to any lengths to stay sober
Define balance
The term refers to the AA goal of achieving emotional, mental and spiritual balance as a result of working the 12 steps
Define half measures
Froese is taken from chapter 5 of the big book, half measures avail us nothing. We stood at the turning point.
Define H. A. L. T.
hungry, angry, lonely, or tired
Define higher power
Self defined power greater than ourselves to which our ultimately turns for assistance in guidance and leading sober life
Define hitting bottom
Reaching such a state of utter hopelessness that one becomes willing to admit complete defeat in dealing with alcoholism
Define H. O. W.
Honesty, open minded Ness, and willingness
Define people, places and things
Prior to recovery, individuals with an alcohol use disorder often depend upon people, places and things to make them happy or to change their lives
Define progress not perfection
Reclaim spiritual progress rather than spiritual perfection
Define resentment
Feelings of ill will or an individual holds for others usually as a result of some perceived harm others have done them
Define rigorous honesty
They are naturally in capable of grasping and developing a manner of living which demands rigorous honesty
Define stinking thinking
Alcoholics reversion to old thought patterns and attitudes “Blaming others”
What is the role of the 12 steps of AA in the navy instructions?
- provide the foundation for outside support for early stage recovery
- provide support as part of continue care
- provide support for individuals discharge from the military seeking sobriety
What is the navy types of counseling groups?
- treatment groups (Continuing Care Groups)
- fleet and family service Center groups
- Family advocacy program groups
List of general types of groups
- small group
- large group
- experience
- Open group
- closed groups
- no one leaving
- structured group
- unstructured group
- homogeneous group
- heterogeneous group
What is the purpose for student development group membership?
To provide NDACS students with an experimental basis of learning by participating in a small group
What are the formats of the groups?
- closed groups
- unstructured/process sessions
- structured/task session
- blended sessions
- structured versus unstructured group
- student development group task
