Substance Abuse Flashcards

1
Q

substance use disorder

A

has an impact on virtually every aspect of an individual and communal life

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2
Q

why do people use drugs

A

social influences involing family, ethnicity, race, access to drugs, environmental stressors, economics, political status, culture and sex roles

Family
Drugs being easily accessible
Environmental stressors
Economic
Genetic variations
Mentally impulsivity, ease of disinhibition, and anxiety add to the risks for substance abuse.

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3
Q

Which type of person is more likely to misuse substances?

A

there is no type of person or personality type who is more likely to misuse or overuse

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4
Q

most common drug that is used

A

alcholol

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5
Q

gateway drug?

A

marjuana

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6
Q

substance use disorder symptoms

A

Patterns of symptoms caused by using a substance that an individual continues taking despite its negative effects (maladaptive effects)

Signs and symptoms
Tolerance
Withdrawal
Dependence
More substance required to function

Impacts to lifestyle

Life roles neglected
Social/physical/psychological problems occur due to use
Give up activities of importance to use

Multiple/ongoing attempts to quit (unsuccessful)

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7
Q

reasons adolescents may use drugs

A

Increased risk profile
Family history of substance abuse
Mental health issues
Familial or community rejection of gender or sexuality
Childhood sexual abuse

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8
Q

primary prevention for drugs

A

education
Universal vs selective
Universal - Common risk factors and protective actions
Selective (aggregate)– specific factors that can put you at higher risk for abuse and misuse
Environment with high drug use
Racial, ethnic, cultural implications

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9
Q

secondary prevention for drugs is

A

screening
Assessment: observation of behaviors, open ended questions
Use of tools:
CAGE, COWS, CIWA
Identification of resources in the community setting (client-centered)

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10
Q

women may use drugs due to

A

Increased risk profile
Family history of substance abuse
Childhood sexual abuse
Use drugs while pregant: scared to get help bc of consequences
Familial or communityrejection of gender orsexuality
Impetus for use may different than male counterparts
Divorce/loss of relationship
Ppl grieving have higher risk of drug use
Death of child or intimate partner
Presence of intimate partner violence in the home environment

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11
Q

Individual may already have a diagnosis of a mental disorder are at a _____ risk of drug use

A

high risk!
May take medications that alter behavior or perceptions
Assessment – current diagnoses, current medications…
What is your behavior when you take your medications? When you don’t?

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12
Q

upstream thinking w drug use

A

Policies that address SDOH
Access to care and services
Education and employment
Legalization/decriminalization

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13
Q

Tertiary prevention drug use

A

Treatment programs
Detoxification and maintenance
12 step programs
“Anonymous” groups
Harm Reduction

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14
Q

what tools are used to screen for drug use?

A

COWs, CAGE, CIWA

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15
Q

People need to be taught in primary prevention the importance of

A

drug disposal

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16
Q

Harm reduction:
Needle exchange program to

A

decrease the spread of HIV due to needle sharing

17
Q

emergency Medical Treatment and Labor Act (EMTALA)

A

EMTALA will stop people from NOT being see due to not having insurance
Cant be asked what their insurance is until after they are admitted

18
Q

________will stop people from NOT being see due to not having insurance
Cant be asked what their insurance is until after they are admitted

A

EMTALA (upstream thinking)

19
Q

Opiate withdrawal scale is

A

COWs

higher score means worst withdrawal symptoms

20
Q

What screening tool is used for alcohol or drug abuse (NOT WITHDRAW)

A

CAGE tool (alcohol abuse problem)
CAGE-AID (adapted to include drug use)

21
Q

What screening tool used only for alcohol withdraw

A

CIWA

higher worst withdraw

22
Q

Methadone is used to treat

A

Opioid disorders (maintenance)

23
Q

Naloxone used for

A

overdose

24
Q

buprenorphine is used to

A

treat opioid withdrawal symptoms

25
Q

what is MAT 101

A

medication
assisted
treatment

26
Q

outpatient vs inpatient

A

Outpatient: can follow a regulated schedule and go into the clinic when needed
Inpatient: schedule is made for you by the care plan. Do not have phone calls from outside if those people upset you

27
Q

person admitted involuntary to a facility

A

302 is a 72 hour hold