Special Populations Flashcards
Impact of Adolescent SUD
- Family relationships
- Interpersonal relationships
- Sexual relationships
- Emotional health
- Physical health
- Academics
Older Adults
- Brain chemistry (increased sensitivity and rapid dependence.)
- Physical conditions
- Greater access to medications
- Reduced mobility
Psychological and Social Risk Factors for Older Adults
- Grief and loss
- previous MH diagnosis
- Financial stress
- Avoidant coping style
What is the main treatment barrier for older adults with SUD?
Underreporting
Disease progression in women
Women are more likely to present with a more severe clinical profile upon admission to treatment, particularly for alcohol, cannabis, and opioid dependence.
Neuroendocrine Adaptations
Dysregulation of the hypothalamic-pituitary-adrenal axis (responsible for stress and reward systems) is implicated in greater instances of SUD among women.
AUD in Women
Biological differences account for increased sensitivity to to alcohol, more significant health complications, premature death, and higher mortality rates than men.
Co-occurring mental disorders in women
Women with SUD are more likely to have a co-occurring mental disorder than men. 3/4 of women have experienced child abuse.
Who is less likely to seek treatment for SUD? Women or men?
Women
Sexual identity
The inner belief one has about one’s sexual experiences and attractions.
Sexual behavior
Refers to sexual activity with oneself or others and is distinct from sexual orientation.
Sexual orientation
Enduring pattern of sexual, emotional, mental, and romantic attraction toward a particular sex or gender.
Sex
Refers to gender one is assigned at birth.
Intersex
Refers to a person born with male and female sex characteristics.
Gender roles
Develop from sociocultural expectations associated with one’s physical appearance, occupation, etc.
Gender expression
A person’s outward presentation, in terms of behavior, dress, or mannerisms, in reference to gender sociocultural stereotypes.
Gender nonconforming
Refers to those people whose gender identity or expression is not associated with stereotypical gender roles or norms.
Gender Identity
One’s personal and deeply felt concept of what is means to be male, female, or neither gender.
Transgender
Gender identity and gender role conflict with the gender assigned at birth.
Cisgender
Gender identity and expression align with their natal gender.
Natal sex
Sex one is assigned at birth.
True or false, LGBT have higher rates of SUD and comorbid mental disorders than their cisgender counterparts.
True
Recovery oriented principles
Counselors provide care that is respectful, holistic, and integrated.
Peter Bell’s Chemical Dependency and the African American
Measures the integration of minority and majority populations in terms of the minority culture’s modified worldviews, social relationships, beliefs, customs, or language.
What are the two fundamental questions in John Berry’s Model of Acculturation?
- Does the person want to retain or reject their native culture as part of their identity?
- Does the person feel it is important to reject or adopt the cultural values and norms of the majority culture?
Assimilation
A person accepts the cultural values and norms of the majority culture over their culture of origin.
Separation
A person completely rejects the majority culture and instead keeps the values and norms of their culture of origin.
Integration
A person keeps their culture of origin while also adopting the majority culture’s values and norms.
Marginalization
A person rejects their culture of origin and the majority culture.
