Substance Misuse

Question 1

Define substance misuse

Answer 1

harmful/hazardous use of psychoactive substances

Question 2

What are the main types of substances people misuse?

Answer 2

Stimulants = tobacco cocaine amphetamine

hallucinogens = LSD magic mushrooms

depressants = alcohol heroin cannabis

Question 3

Define compliance

Answer 3

The extent to which the patient’s behaviour matches the prescriber’s recommendations

Question 4

Define concordance

Answer 4

negotiation between patient/doctor over treatment regimes, in which patients beliefs and priorities are respected, the patient is active, and can make decisions in partnership with doctor

Question 5

Define adherence

Answer 5

The extent to which the patient’s behaviour matches agreed recommendations from the prescriber

Question 6

Describe the factors that influence adherence

Answer 6

Education, beliefs, health, finances

Question 7

Define intentional non-adherence

Answer 7

patient decides not to follow the treatment recommendations = beliefs/preferences that influence person’s perceptions of treatment and motivation to start/continue

Question 8

Define unintentional non-adherence

Answer 8

patient wants to follow the agreed treatment but is prevented from doing so by barriers that are beyond their control

= poor recall or difficulties in understanding the instructions, problems with using the treatment, inability to pay for the treatment, or simply forgetting to take it

Question 9

Outline the variety of UK agencies to which addiction problems can be referred

Answer 9

Turning point = adult/young people substance misuse

framework = drug/alcohol rehabilitation

AA = alcoholics anonymous

talk to frank = drug info

the mix = info for under 25s