PASS Substance Misuse Flashcards

1
Q

Define substance misuse

A

Harmful or hazardous use of psychoactive substances such as alcohol or illicit drugs

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2
Q

Types of substances

A

Stimulants
Hallucinogens
Depressants
Volatile substances + designer drugs

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3
Q

Describe stimulants
Examples

A

Make you feel more alert + like you have more energy + confidence
e.g. tobacco, cocaine, amphetamine

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4
Q

Describe hallucinogens
Examples

A
  • Mind altering
  • Change your perception, mood + senses
  • e.g. LSD, magic mushrooms
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5
Q

Describe depressants
Examples

A
  • make you feel relaxed
  • e.g. alcohol, heroin, ketamine + cannabis
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6
Q

What substance has the highest dependence + physical harm risk?

A

Heroin

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7
Q

Why does substance use decreases in 40-50s?

A
  • Age range when most people start to ask for help
  • typically has the biggest impact on life (relationships, health, work)
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8
Q

What are the types of dependence?

A

Physical
Psychological

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9
Q

What is physical dependence?

A

Experiencing symptoms associated with withdrawal from substance

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10
Q

What is psychological dependence?

A
  • Dependance related to having impaired control
  • Emotional–motivational withdrawal symptoms
  • ‘Crutch of one’s life’
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11
Q

Risk factors for drug use

A
  • mental health
  • employment or education issues
  • social groups
  • previous drug use
  • biology (positive effect > more likely to continue)
  • family issues - adverse childhood experiences
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12
Q

Define tolerance

A

A persons reduced response to a drug which occurs when used repeatedly as the body adapts to continued presence of drug

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13
Q

Models to aid understanding drug use

A

Moral model
Social learning model
Disease model
Socio-cultural model

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14
Q

Physical effects of drug misuse

A
  • Dependance
  • Complications of injecting (DVT, abscesses)
  • blood borne virus transmission
  • poor pregnancy outcomes
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15
Q

Social effects of drug misuse

A
  • Effects on family
  • drive to criminality
  • imprisonment
  • social exclusion
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16
Q

Psychosocial effects of drug misuse

A

Fear of withdrawal
Craving
Guilt

17
Q

Aims of treatment of drug misuse

A
  • reduce harm to user + others around them
  • improve health
  • stabilise lifestyle
  • reduce crime
  • improve prospects for rehab
  • substitute prescribing
18
Q

Elements of treatment + care of drug misuse

A
  • substitute prescribing (e.g. methadone)
  • psycho-social counselling
  • detoxification
  • maintenance meds (to avoid overdose)
19
Q

What can be used for substitute prescribing in treatment of drug misuse?

A

Methadone

20
Q

Define dependence

A
  • A cluster of physiological, behavioural + cognitive phenomena
  • the substance has a higher priority over other things that used to have greater value
21
Q

Diagnosis of dependence

A
  • strong desire to take substance
  • difficulties controlling substance taking behaviour
  • physiological withdrawal state
  • evidence of tolerance
  • progressive neglect of alternative pleasures
22
Q

Symptoms of withdrawal

A
  • shaking
  • excessive sweating
  • headaches
  • anxiety + depression
  • irritability + agitation
  • intense cravings for drug