Lecture Notes Flashcards
What does the support of a religious community or mutual help groups predict?
Support of sobriety predicts stability of sobriety.
What interview is used to identify important people in a client’s social network?
The Important People and Activities (IPA) interview.
What are the three factors assessed in the IPA interview?
- Importance to client, 2. Response to client’s drinking, 3. Their own drinking behavior.
What is the purpose of functional analysis in substance abuse treatment?
To assess the roles substance abuse plays in life by evaluating Antecedents (triggers), Behaviors, and Consequences (ABCs).
What are the five elements of drinking?
- External Triggers, 2. Internal Triggers, 3. Behavior, 4. Short Term Positive Consequences, 5. Long Term Negative Consequences.
Why is it important to analyze short-term positive consequences of drinking?
To help people seeking treatment find alternative activities that provide similar benefits without substance use.
What is the most common assessment approach for diagnosing substance use disorders?
The Structured Clinical Interview for DSM (SCID).
What are the four phases of treatment for substance use disorders?
- Palliative care, 2. Stabilization, 3. Rehabilitation, 4. Maintenance.
What happens in the palliative care phase of treatment?
It precedes formal treatment, aims to keep the person in contact with care systems, reduce risks, increase motivation for change, and facilitate access to later treatment phases.
What are key components of the stabilization phase?
Detoxification, basic health care needs, addressing pressing social needs (housing, food, childcare), and managing acute crises.
What is the goal of the rehabilitation phase?
To change prior substance use through problem identification, goal setting, and implementing an initial change plan while building motivation.
What is the primary challenge in the maintenance phase of treatment?
Maintaining change and providing ongoing support as addiction is often treated with acute care but lacks sufficient long-term follow-up.
What are the five stages of change in the Prochaska & DiClemente model?
- Precontemplation, 2. Contemplation, 3. Preparation, 4. Action, 5. Maintenance.
What is the goal of motivational interviewing (MI)?
To evoke clients’ own motivations for and commitment to change while maintaining a collaborative and non-confrontational approach.
What are the OARS techniques in motivational interviewing?
O - Open questions, A - Affirm, R - Reflect, S - Summarize.
What are the four key components of Behavioral Couples Therapy (BCT)?
- Engaging the couple, 2. Supporting abstinence, 3. Improving relationship, 4. Continuing recovery.
What are the ethical principles outlined in the Belmont Report?
- Autonomy, 2. Beneficence, 3. Justice, 4. Nonmaleficence.
What legal protection exists for substance use treatment records?
U.S. Federal Rule (42 CFR, Part 2) protects the confidentiality of substance use treatment records from subpoena or warrant.
What is the ‘Duty to Protect’ based on the Tarasoff case?
A legal obligation to take reasonable steps to protect individuals from foreseeable harm, such as warning intended victims or notifying authorities.
What is the difference between confidentiality and privilege?
Confidentiality is a professional obligation to protect client information, while privilege is a legal right preventing disclosure in court.
What is harm reduction?
An approach that aims to reduce negative consequences of substance use rather than eliminating use entirely, such as needle exchange programs or drug substitution therapy.
What is the ‘prevention paradox’ in public health?
If prevention focuses only on severe cases, it misses most of the problem, as most alcohol-related harm comes from non-dependent drinkers.
Why was the D.A.R.E. program considered ineffective?
Research showed that it had little effect on preventing drug use and, in some cases, increased the likelihood of experimentation.
What is the difference between universal, selective, and indicated prevention?
Universal targets the entire population, selective targets at-risk groups, and indicated targets individuals with early signs of a disorder.
